Prevalence and social-structural correlates of forced moves among women living with HIV in Metro Vancouver, Canada.

Housing instability is a social determinant of health, with eviction being an extreme form of housing instability. There is little research on eviction among women living with HIV despite evidence that housing stability is critical for supporting the wellbeing of people living with HIV, and women in particular face gendered risks to housing stability. This study examined the associations between social-structural factors and forced moves among women living with HIV with data drawn from the Sexual Health & HIV/AIDS Longitudinal Women's Needs Assessment, a community-based cohort study of women living with and accessing HIV care in Metro Vancouver, Canada (2014-2025). Bivariate and multivariable logistic regression models using generalized estimating equations (GEE) for repeated measures over time were used to identify associations between social-structural factors and forced moves. Adjusted odds ratios (aOR) and 95% confidence intervals (95%CI) are reported. Overall, 361 women contributed 2567 observations over the study period with 13.3% reporting a forced move (n = 48) at least once, and of these, 31.2% (n = 15) experiencing > one forced moves in the study period. In multivariable logistic regression using GEE with multiple imputation, reporting marginalized and minoritized gender identities (adjusted Odds Ratio (aOR): 2.31, 95% Confidence Interval (95%CI): [1.13-4.72]) and being not formally employed (aOR: 7.18, 95%CI: [1.72-29.97]) remained significantly associated with forced move (p < 0.05). Interventions are recommended to address forced moves, including legal protections against discriminatory evictions as well as creation of affordable and/or supportive housing including gender-responsive designs, tailoring interventions with and for women living with HIV.