Wadams Morgan, Grekul Jana, Lessard Sean, de Padua Anthony, Caine Vera
Faculty of Nursing, MacEwan University, Edmonton, AB, Canada.
Faculty of Arts, University of Alberta, Edmonton, AB, Canada.
Qual Health Res. 2024 Nov 5;35(9):10497323241278537. doi: 10.1177/10497323241278537.
Incarcerated populations in Canada face significant health and social challenges during transitions into and out of correctional facilities. These transitions around facilities pose disproportionate barriers to care for people living with HIV. Further research is crucial to comprehend these challenges and reimagine care concepts for people who experience structural marginalization. In this article, experiences of transitions into and out of Alberta correctional facilities for people living with HIV are explored using narrative inquiry. Conducted in a Western Canadian city from 2021 to 2022, the inquiry revolved around two men living with HIV and a history of incarceration. Through co-creating field texts and narrative accounts, their unique experiences of transitions were explored through a collaborative process of analysis. Narrative threads from Bruce and Kyle showcased a lack of narrative coherence and the presence of tensions in their lives, while also emphasizing relational agency. The findings provide avenues for health, social, and justice practitioners who support and care for individuals living with HIV and a history of incarceration to think differently about transitions. By highlighting the importance of attending to the unique identities of individuals and relationships from a position of relational agency, the study advances our understanding of transitions. Recommendations for practice and policy include (a) fostering relational agency among practitioners; (b) challenging conventional views of transitions around correctional settings; (c) incorporating peer-based programming into support services; and (d) reconsidering health, justice, and social systems to better support communities disproportionately affected by high rates of incarceration and HIV.
加拿大的被监禁人群在进出惩教设施的过渡期间面临重大的健康和社会挑战。这些围绕设施的过渡对艾滋病毒感染者的护理构成了不成比例的障碍。进一步的研究对于理解这些挑战以及重新构想经历结构性边缘化人群的护理概念至关重要。在本文中，通过叙事探究探讨了艾伯塔省惩教设施中艾滋病毒感染者进出设施的经历。该探究于2021年至2022年在加拿大西部的一个城市进行，围绕两名艾滋病毒感染者及监禁史展开。通过共同创作实地文本和叙事记录，通过协作分析过程探索了他们独特的过渡经历。布鲁斯和凯尔的叙事线索展示了他们生活中缺乏叙事连贯性以及存在的紧张关系，同时也强调了关系能动性。研究结果为支持和照顾有艾滋病毒感染及监禁史的个人的健康、社会和司法从业者提供了不同的思考过渡问题的途径。通过从关系能动性的角度强调关注个人独特身份和关系的重要性，该研究推进了我们对过渡的理解。对实践和政策的建议包括：(a) 在从业者中培养关系能动性；(b) 挑战围绕惩教环境的传统过渡观念；(c) 将基于同伴的项目纳入支持服务；(d) 重新考虑健康、司法和社会系统，以更好地支持受高监禁率和艾滋病毒影响尤为严重的社区。
