{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T16:44:19Z","timestamp":1787330659362,"version":"build-2736575974"},"reference-count":50,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"CIHR Canadian HIV Trials Network Pilot program","award":["CTN PT050"],"award-info":[{"award-number":["CTN PT050"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Womens Health (Lond Engl)"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Owing to a longer life expectancy, the first large cohort of women living with HIV are experiencing menopause. While the biological and social impacts of menopause have been well documented, research regarding medical and personal support systems to help navigate the menopause transition, especially in the setting of HIV, is scarce.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study explored factors influencing a supported menopause transition for women living with HIV.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>We conducted a qualitative study examining factors influencing menopause support for women living with HIV guided by the socio-ecological model of health and an intersectional framework.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Women living with HIV who self-identified as perimenopausal or postmenopausal at time of the study were recruited through purposive and snowball sampling across British Columbia (BC) and Ontario (January to August 2023). Seven focus groups (n=40) were conducted in-person (n=4) and virtually (n=3) to explore women\u2019s menopause experiences. Reflexive thematic analysis was conducted using NVivo.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Participants had a median age of 52 years (interquartile range 47-58). Forty four percent (44%) identified as African\/Caribbean\/Black, 31% White, 18% Indigenous and 8% South Asian\/multiracial. Participants highlighted the need for increased menopause awareness among women and providers, destigmatization, and holistic support that acknowledges diverse cultural contexts. Living with HIV influenced women\u2019s support-seeking behaviors, shaped by positive and negative impacts of long-term healthcare engagement and experience of intersecting stigmas related to HIV, menopause, and ageism. Women underscored the importance of peer and experiential support, as well as timely menopause education, particularly before and during midlife clinical visits.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Findings underscore the need for holistic menopause support by, with, and for women living with HIV. Many women felt inadequately supported, emphasizing the importance of expanding educational resources for women and healthcare providers, adopting a person-centered approach that prioritizes peer-led initiatives, and integrating culturally safe practices into menopause care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17455057261465472","type":"journal-article","created":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T10:18:36Z","timestamp":1787134716000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["\u201cMenopause! Please! We are here!\u201d - Exploring factors influencing a supported menopause transition for women living with HIV: A qualitative study"],"prefix":"10.1177","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-9115-9556","authenticated-orcid":false,"given":"Thunuvi","family":"Waliwitiya","sequence":"first","affiliation":[{"name":"University of British Columbia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4060-7371","authenticated-orcid":false,"given":"Zo\u00eb","family":"Osborne","sequence":"additional","affiliation":[{"name":"Simon Fraser University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melanie","family":"Lee","sequence":"additional","affiliation":[{"name":"Simon Fraser University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Davi","family":"Pang","sequence":"additional","affiliation":[{"name":"Simon Fraser University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Esther","family":"Guzha","sequence":"additional","affiliation":[{"name":"Women\u2019s College Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine","family":"Rutto","sequence":"additional","affiliation":[{"name":"Women\u2019s College Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jamila","family":"Huseynova","sequence":"additional","affiliation":[{"name":"University of British Columbia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tatiana","family":"Pakhomova","sequence":"additional","affiliation":[{"name":"Simon Fraser University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harshita","family":"Iyer","sequence":"additional","affiliation":[{"name":"Women\u2019s College Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mona","family":"Loutfy","sequence":"additional","affiliation":[{"name":"Women\u2019s College Hospital"},{"name":"University of Toronto"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helene C.F.","family":"Cote","sequence":"additional","affiliation":[{"name":"Women\u2019s Health Research Institute"},{"name":"University of British Columbia"},{"name":"University of British Columbia"},{"name":"University of British Columbia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melanie C. M.","family":"Murray","sequence":"additional","affiliation":[{"name":"University of British Columbia"},{"name":"Women\u2019s Health Research Institute"},{"name":"University of British Columbia"},{"name":"BC Women\u2019s Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary","family":"Kestler","sequence":"additional","affiliation":[{"name":"University of British Columbia"},{"name":"BC Women\u2019s Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0329-1926","authenticated-orcid":false,"given":"Angela","family":"Kaida","sequence":"additional","affiliation":[{"name":"Simon Fraser University"},{"name":"Women\u2019s Health Research Institute"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3978-7624","authenticated-orcid":false,"given":"Elizabeth","family":"King","sequence":"additional","affiliation":[{"name":"University of British Columbia"},{"name":"Simon Fraser University"},{"name":"Women\u2019s Health Research Institute"},{"name":"BC Women\u2019s Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,19]]},"reference":[{"key":"e_1_3_9_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(15)00056-0"},{"key":"e_1_3_9_3_2","author":"World Health Organization","unstructured":"World Health Organization. Menopause. https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/menopause (accessed July 10, 2025.","journal-title":"Menopause"},{"key":"e_1_3_9_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/gme.0b013e31824d8f40"},{"key":"e_1_3_9_5_2","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2015.5556"},{"key":"e_1_3_9_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpobgyn.2022.03.003"},{"key":"e_1_3_9_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/GME.0000000000002333"},{"key":"e_1_3_9_8_2","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare13091057"},{"key":"e_1_3_9_9_2","doi-asserted-by":"publisher","DOI":"10.3390\/women4010005"},{"key":"e_1_3_9_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.maturitas.2008.12.006"},{"key":"e_1_3_9_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/GME.0000000000000921"},{"key":"e_1_3_9_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/GME.0000000000001208"},{"key":"e_1_3_9_13_2","doi-asserted-by":"publisher","DOI":"10.1111\/ppc.12899"},{"key":"e_1_3_9_14_2","doi-asserted-by":"publisher","DOI":"10.19127\/mbsjohs.417940"},{"key":"e_1_3_9_15_2","doi-asserted-by":"publisher","DOI":"10.2147\/IJWH.S228594"},{"key":"e_1_3_9_16_2","doi-asserted-by":"publisher","DOI":"10.2147\/PPA.S430203"},{"key":"e_1_3_9_17_2","doi-asserted-by":"publisher","DOI":"10.4103\/jmh.jmh_180_23"},{"key":"e_1_3_9_18_2","unstructured":"Public Health Agency of Canada. Canada\u2019s progress toward ending the HIV epidemic 2022. https:\/\/www.canada.ca\/content\/dam\/phac-aspc\/documents\/services\/publications\/diseases-conditions\/canada-progress-towards-ending-hiv-epidemic-2022\/canada-progress-towards-ending-hiv-epidemic-2022.pdf Accessed: May 15 2026."},{"key":"e_1_3_9_19_2","doi-asserted-by":"publisher","DOI":"10.14745\/ccdr.v45i12a01"},{"key":"e_1_3_9_20_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-024-20439-3"},{"issue":"2","key":"e_1_3_9_21_2","first-page":"119","article-title":"HIV treatment outcomes among newcomers living with HIV in Manitoba, Canada","volume":"6","author":"Maritim C","year":"2021","unstructured":"Maritim C, McClarty L, Leung S, et al. HIV treatment outcomes among newcomers living with HIV in Manitoba, Canada. J Assoc Med Microbiol Infect Dis Can 2021; 6(2): 119\u2013128. https:\/\/doi.org\/10.3138\/jammi-2020-0042","journal-title":"J Assoc Med Microbiol Infect Dis Can"},{"key":"e_1_3_9_22_2","doi-asserted-by":"publisher","DOI":"10.1080\/13691058.2014.888480"},{"key":"e_1_3_9_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2017.12.018"},{"key":"e_1_3_9_24_2","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.17538"},{"key":"e_1_3_9_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jana.2016.09.001"},{"key":"e_1_3_9_26_2","doi-asserted-by":"publisher","DOI":"10.1080\/10410236.2010.484878"},{"key":"e_1_3_9_27_2","doi-asserted-by":"publisher","DOI":"10.1097\/GME.0000000000001926"},{"key":"e_1_3_9_28_2","doi-asserted-by":"publisher","DOI":"10.1097\/QAI.0000000000002897"},{"key":"e_1_3_9_29_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(23)02799-X"},{"key":"e_1_3_9_30_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2020.113138"},{"key":"e_1_3_9_31_2","doi-asserted-by":"publisher","DOI":"10.1177\/109019818801500401"},{"key":"e_1_3_9_32_2","doi-asserted-by":"publisher","DOI":"10.1080\/07399332.2014.954703"},{"key":"e_1_3_9_33_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12954-019-0309-3"},{"key":"e_1_3_9_34_2","doi-asserted-by":"publisher","DOI":"10.1037\/amp0000167"},{"key":"e_1_3_9_35_2","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzm042"},{"key":"e_1_3_9_36_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2020-046558"},{"key":"e_1_3_9_37_2","unstructured":"Otter.ai [Transcription software]. Version 3.103.0. Otter.ai Accessed Jan 2023 to Sept 2025."},{"key":"e_1_3_9_38_2","volume-title":"NVivo (Version 14)","author":"Lumivero","year":"2023","unstructured":"Lumivero. NVivo (Version 14). Lumivero, 2023."},{"key":"e_1_3_9_39_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12912-025-03133-6"},{"key":"e_1_3_9_40_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12905-024-03456-7"},{"key":"e_1_3_9_41_2","doi-asserted-by":"publisher","DOI":"10.1080\/13697137.2019.1656184"},{"key":"e_1_3_9_42_2","unstructured":"The Menopause Foundation of Canada. The Silence and the Stigma: Menopause in Canada. https:\/\/menopausefoundationcanada.ca\/wp-content\/uploads\/2022\/10\/MFC-Report_The-Silence-and-the-Stigma_Menopause-in-Canada_October-2022.pdf (2022) accessed Sept 15 2025."},{"issue":"7","key":"e_1_3_9_43_2","first-page":"741","article-title":"Age of despair","volume":"21","author":"Ussher JM","year":"2019","unstructured":"Ussher JM, Hawkey AJ, Perz J. Age of despair. or \u201cwhen life starts\u201d: migrant and refugee women negotiate constructions of menopause. Cult Health Sex 2019; 21(7): 741\u2013756. https:\/\/doi.org\/10.1080\/13691058.2018.1514069","journal-title":"or \u201cwhen life starts\u201d: migrant and refugee women negotiate constructions of menopause. Cult Health Sex"},{"key":"e_1_3_9_44_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.beth.2020.04.005"},{"issue":"11","key":"e_1_3_9_45_2","article-title":"Feasibility of Four Interventions to Improve Treatment Adherence in Migrants Living with HIV in The Netherlands","volume":"10","author":"Been SK","year":"2020","unstructured":"Been SK, van de Vijver DAMC, Smit J, et al. Feasibility of Four Interventions to Improve Treatment Adherence in Migrants Living with HIV in The Netherlands. Diagnostics (Basel) 2020; 10(11). https:\/\/doi.org\/10.3390\/diagnostics10110980","journal-title":"Diagnostics (Basel)"},{"key":"e_1_3_9_46_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-017-1819-1"},{"key":"e_1_3_9_47_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-015-1584-x"},{"key":"e_1_3_9_48_2","doi-asserted-by":"publisher","DOI":"10.1080\/07399332.2016.1217863"},{"key":"e_1_3_9_49_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12939-023-01969-5"},{"key":"e_1_3_9_50_2","volume-title":"Health Promotion Glossary","author":"World Health Organization","unstructured":"World Health Organization. Health Promotion Glossary. (accessed: Sept 9, 2025).https:\/\/policycommons.net\/artifacts\/564558\/promocion-de-la-salud\/1542687\/"},{"key":"e_1_3_9_51_2","unstructured":"Sophia Forum. Women with HIV GRowing Older Wiser and Stronger (GROWS). https:\/\/sophiaforum.net\/women-with-hiv-growing-older-wiser-and-stronger-grows\/. Accessed: May 15 2026."}],"container-title":["Women's Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17455057261465472","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/17455057261465472","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17455057261465472","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T16:19:02Z","timestamp":1787329142000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/17455057261465472"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":50,"alternative-id":["10.1177\/17455057261465472"],"URL":"https:\/\/doi.org\/10.1177\/17455057261465472","relation":{},"ISSN":["1745-5057","1745-5065"],"issn-type":[{"value":"1745-5057","type":"print"},{"value":"1745-5065","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8]]},"article-number":"17455057261465472"}}