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Keeping secrets, disclosing health information

An institutional ethnography of the social organisation of perinatal care for women living with HIV in Canada

Bibliographic Data

ID15098588
AuthorsAllyson Ion (McMaster University, corresponding author)
Year2020
Volume22
Issue4
Pages429-443
Publication date2020-04-02
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueCulture Health & Sexuality (JOURNAL)
Journal identifiersISSN: 1369-1058 • E-ISSN: 1464-5351
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/13691058.2019.1604996
PMID31032702
OpenAlexW2943313851
LanguageEN
Citations received2
References cited36

This paper describes findings from an institutional ethnography that arose out of the concerns of women living with HIV in Ontario, Canada, regarding the disclosure of their HIV status while accessing perinatal care. The enquiry traces the connections between women's experiences of perinatal care, the activities of healthcare providers delivering such care and the ruling relations that organise women's experiences and healthcare providers' activities. Focusing on HIV disclosure as a concern expressed by women, the findings make visible the day-to-day, routinised practices of healthcare providers working in perinatal care for women living with HIV, as well as the ideological discourses of 'fear of contagion' and 'AIDS hysteria' that contributed to producing the kinds of care experiences that were articulated by women. Opportunities to strengthen perinatal care policies and practices for women living with HIV are discussed

Ethnography · Family medicine · Health care · Ideology · Political science · Politics · Sociology · Gender Studies · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Law · Medicine · Nursing · Sex work and related issues

  • Practices, support and stigma related to infant feeding and postpartum engagement in care among women living with HIV in Canada

    Open Access•Isabelle Boucoiran, Angela Kaida et al.•AIDS Care•2023

  • The Social Organization of Quality of Life of Older People in Long-Term Care Facilities

    Open Access•Naomi Hlongwane, Lieketseng Yvonne Ned et al.•Global Qualitative Nursing Research•2025

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    Open Access•Hasina Samji, Angela Cescon et al.•PLoS ONE•2013

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    Ruth Gallop, R M Gallop et al.•AIDS Care•1992

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  • Breaking the Glass Ceiling

    Allison Carter, Saara Greene et al.•Health Care For Women International•2014

  • Why Aren't You Breastfeeding?”

    Saara Greene, Allyson Ion et al.•Health Care For Women International•2014

  • HIV-positive Mozambican migrants in South Africa

    Bent Steenberg•Culture Health & Sexuality•2020

  • I am doing fine only because I have not told anyone’

    Open Access•Mathew Sunil George, Helen Lambert•Culture Health & Sexuality•2015

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    Open Access•Saara Greene, Allyson Ion et al.•Qualitative Health Research•2017

  • Introduction

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Unique citing works2
Citations per year0,67
Citation span2023 - 2025 (3)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 1

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