Barriers in accessing HIV care for Francophone African, Caribbean and Black people living with HIV in Canada: a scoping review

BMJ Open. 2020 Aug 27;10(8):e036885. doi: 10.1136/bmjopen-2020-036885.

Abstract

Introduction: In 2001, 50%-55% of French-speaking minority communities did not have access to health services in French in Canada. Although Canada is officially a bilingual country, reports indicate that many healthcare services offered in French in Anglophone provinces are insufficient or substandard, leading to healthcare discrepancies among Canada's minority Francophone communities.

Objectives: The primary aim of this scoping systematic review was to identify existing gaps in HIV-care delivery to Francophone minorities living with HIV in Canada.

Study design: Scoping systematic review.

Data sources: Search for studies published between 1990 and November 2019 reporting on health and healthcare in Francophone populations in Canada. Nine databases were searched, including Medline, Cumulative Index to Nursing and Allied Health Literature, the Cochrane Library, the National Health Service Economic Development Database, Global Health, PsychInfo, PubMed, Scopus and Web of Science.

Study selection: English or French language studies that include data on French-speaking people with HIV in an Anglophone majority Canadian province.

Results: The literature search resulted in 294 studies. A total of 230 studies were excluded after duplicates were removed. The full texts of 43 potentially relevant papers were retrieved for evaluation and data extraction. Forty-one studies were further excluded based on failure to meet the inclusion criteria leaving two qualitative studies that met our inclusion criteria. These two studies reported on barriers on access to specialised care by Francophone and highlighted difficulties experienced by healthcare professionals in providing quality healthcare to Francophone patients in Ontario and Manitoba.

Conclusion: The findings of this scoping systematic review highlight the need for more HIV research on linguistic minority communities and should inform health policymaking and HIV/AIDS community organisations in providing HIV care to Francophone immigrants and Canadians.

Keywords: HIV & AIDS; epidemiology; health policy; public health; qualitative research.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't