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https://www.readbyqxmd.com/read/29770057/aids-in-canada-surveillance-report-2016
#1
L Jonah, A C Bourgeois, M Edmunds, A Awan, O Varsaneux, W Siu
Background: Although there continues to be a global epidemic of people living with human immunodeficiency virus (HIV) there has been a decrease in the number of people dying of acquired immunodeficiency syndrome (AIDS), largely due to successful treatment with antiretroviral therapy. Objective: To provide a descriptive overview of the reported cases of AIDS in Canada by identifying trends by geographic location, sex, age group and mortality. While the descriptive analysis focuses on the year 2016, results are presented for reported cases from the beginning of national AIDS surveillance in 1979...
December 7, 2017: Canada Communicable Disease Report, Relevé des Maladies Transmissibles Au Canada
https://www.readbyqxmd.com/read/29759976/missed-opportunities-for-prevention-of-vertical-hiv-transmission-in-canada-1997-2016-a-surveillance-study
#2
Ari Bitnun, Terry Lee, Jason Brophy, Lindy M Samson, Fatima Kakkar, Wendy Vaudry, Ben Tan, Deborah M Money, Joel Singer, Laura J Sauvé, Ariane Alimenti
BACKGROUND: Vertical HIV transmission has declined in Canada, but missed opportunities for prevention continue to occur. We sought to determine the adequacy, and changes over time in adequacy, of uptake of maternal and neonatal antiretroviral therapy for the prevention of vertical HIV transmission, and to determine the vertical transmission rate over time and according to adequacy of antenatal antiretroviral therapy during the combination antiretroviral therapy era in Canada. METHODS: The Canadian Perinatal HIV Surveillance Program collects data annually through retrospective chart review concerning HIV-infected women and their infants...
May 10, 2018: CMAJ Open
https://www.readbyqxmd.com/read/29686897/childhood-adversities-and-physical-and-mental-health-outcomes-in-adults-living-with-hiv-findings-from-the-ontario-hiv-treatment-network-cohort-study
#3
Tsegaye Bekele, Evan J Collins, Robert G Maunder, Sandra Gardner, Sergio Rueda, Jason Globerman, Thao Lan Le, Jon Hunter, Anita Benoit, Sean B Rourke, The Ohtn Cohort Study Team
We sought to estimate the prevalence of childhood adversity and examine its relationship with health outcomes among people living with HIV. Study participants included 1409 adults living with HIV and receiving care in Toronto, Canada. Data on childhood adversity, health behaviors, HIV outcome measures, depression, and health-related quality of life (HRQOL) were collected through face-to-face interviews and medical records. Statistical analyses included multivariable linear and logistic regression modeling. The prevalence of any childhood adversity was 71% (individual types ranged from 11% to 44%) and higher prevalence was associated with younger age, Indigenous or African/Caribbean/Black ethnicity, lower socioeconomic status, and higher rates of cigarette smoking and nonmedicinal drug use...
2018: AIDS Research and Treatment
https://www.readbyqxmd.com/read/29678993/qualitative-longitudinal-study-of-episodic-disability-experiences-of-older-women-living-with-hiv-in-ontario-canada
#4
Patricia Solomon, Kelly K O'Brien, Stephanie Nixon, Lori Letts, Larry Baxter, Nicole Gervais
OBJECTIVES: To examine the episodic disability experiences of older women living with HIV over time. DESIGN: Qualitative longitudinal study, conducting semistructured in-depth interviews on four occasions over a 20-month time frame. Inductive thematic analyses were conducted cross-sectionally and longitudinally. SETTING: Participants were recruited from HIV community organisations in Canada. PARTICIPANTS: 10 women aged 50 years or older living with HIV for more than 6 years...
April 20, 2018: BMJ Open
https://www.readbyqxmd.com/read/29658837/immigration-as-a-crisis-tendency-for-hiv-vulnerability-among-racialised-women-living-with-hiv-in-ontario-canada-an-anti-oppressive-lens
#5
Roula N Kteily-Hawa, Shazia Islam, Mona Loutfy
South Asian immigrant women in Canada face unique structural barriers that influence their HIV vulnerability. Using an intersectional and anti-oppressive lens, we explored the role of immigration in bringing about changes in gender roles and the structure of gender relations and their effect on HIV risk among immigrant women as they experienced crisis tendencies in the face of hegemonic masculinity. Informed by Connell's theory of gender, the study entailed in-depth interviews with 12 self-identified South Asian immigrant women living in the Greater Toronto Area, in Ontario, Canada...
April 16, 2018: Culture, Health & Sexuality
https://www.readbyqxmd.com/read/29643152/refugee-maternal-and-perinatal-health-in-ontario-canada-a-retrospective-population-based-study
#6
Susitha Wanigaratne, Yogendra Shakya, Anita J Gagnon, Donald C Cole, Meb Rashid, Jennifer Blake, Parisa Dastoori, Rahim Moineddin, Joel G Ray, Marcelo L Urquia
OBJECTIVES: Immigrants are thought to be healthier than their native-born counterparts, but less is known about the health of refugees or forced migrants. Previous studies often equate refugee status with immigration status or country of birth (COB) and none have compared refugee to non-refugee immigrants from the same COB. Herein, we examined whether: (1) a refugee mother experiences greater odds of adverse maternal and perinatal health outcomes compared with a similar non-refugee mother from the same COB and (2) refugee and non-refugee immigrants differ from Canadian-born mothers for maternal and perinatal outcomes...
April 10, 2018: BMJ Open
https://www.readbyqxmd.com/read/29621255/empirical-estimation-of-life-expectancy-from-a-linked-health-database-of-adults-who-entered-care-for-hiv
#7
Dena Schanzer, Tony Antoniou, Jeffrey Kwong, Karen Timmerman, Ping Yan
BACKGROUND: While combination antiretroviral therapy (cART) has significantly improved survival times for persons diagnosed with HIV, estimation of life expectancy (LE) for this cohort remains a challenge, as mortality rates are a function of both time since diagnosis and age, and mortality rates for the oldest age groups may not be available. METHODS: A validated case-finding algorithm for HIV was used to update the cohort of HIV-positive adults who had entered care in Ontario, Canada as of 2012...
2018: PloS One
https://www.readbyqxmd.com/read/29606690/strategies-for-recruiting-women-living-with-human-immunodeficiency-virus-in-community-based-research-lessons-from-canada
#8
Kath Webster, Allison Carter, Karène Proulx-Boucher, Danièle Dubuc, Valerie Nicholson, Kerrigan Beaver, Claudine Gasingirwa, Brigitte Ménard, Nadia O'Brien, Kayla Mitchell, Micaela Pereira Bajard, Erin Ding, Alexandra de Pokomandy, Mona Loutfy, Angela Kaida
OBJECTIVES: This study sought to describe the recruitment of women living with HIV (WLWH) into the community-based Canadian HIV Women's Sexual and Reproductive Health Cohort Study (CHIWOS), because women are under-represented in HIV research. METHODS: There were 1,424 WLWH were enrolled from British Columbia, Ontario, and Québec, who completed detailed questionnaires administered by peer research associates (PRAs; WLWH with research training). During screening, participants were asked: "How did you hear about the study?" We describe recruitment strategies by subpopulation and offer reflections on challenges and successes...
2018: Progress in Community Health Partnerships: Research, Education, and Action
https://www.readbyqxmd.com/read/29557541/elevated-mortality-and-associated-social-determinants-of-health-in-a-community-based-sample-of-people-living-with-hiv-in-ontario-canada-findings-from-the-positive-spaces-healthy-places-pshp-study
#9
Tsegaye Bekele, Jason Globerman, James Watson, Stephen W Hwang, Keith Hambly, Jay Koornstra, Glen Walker, Jean Bacon, Sean B Rourke
We examined social determinants of health associated with all-cause mortality among 602 people living with HIV/AIDS in Ontario, Canada. Mortality status was verified at 1-, 3-, and 5-year follow-up visits with information obtained from proxies (family members, partners, and friends), obituaries, and local AIDS memorial lists. Of the 454 people for whom mortality information was available, 53 individuals died yielding a crude mortality rate of 22.3 deaths per 1000 person-years, a rate substantially higher than the rate in the general population (6...
March 20, 2018: AIDS and Behavior
https://www.readbyqxmd.com/read/29536283/assessing-timely-presentation-to-care-among-people-diagnosed-with-hiv-during-hospital-admission-a-population-based-study-in-ontario-canada
#10
Claire E Kendall, Esther S Shoemaker, Janet Raboud, Amy E Mark, Ahmed M Bayoumi, Ann N Burchell, Mona Loutfy, Sean B Rourke, Clare E Liddy, Ron Rosenes, Timothy Rogers, Tony Antoniou
Timely presentation to care for people newly diagnosed with HIV is critical to optimize health outcomes and reduce onward HIV transmission. Studies describing presentation to care following diagnosis during a hospital admission are lacking. We sought to assess the timeliness of presentation to care and to identify factors associated with delayed presentation. We conducted a population-level study using health administrative databases. Participants were all individuals older than 16 and newly diagnosed with HIV during hospital admission in Ontario, Canada, between April 1, 2007 and March 31, 2015...
March 13, 2018: AIDS and Behavior
https://www.readbyqxmd.com/read/29508642/minding-the-gap-health-and-social-care-provider-perceptions-of-parental-communication-and-black-canadian-youths-sexual-health
#11
Nakia Lee-Foon, Clemon George, Jacqueline Gahagan, Josephine Etowa, Robert Weaver
Health and social care providers' perceptions of Black-Canadian parent-youth sexual health communication has important implications for addressing knowledge gaps in the provision of services to young people and their parents. Providers' perceptions are crucial as they often act as advisers in tailoring programmes or services to the perceived needs of parents and youth. To understand these perceptions, 17 semi-structured in-depth interviews were conducted with providers who worked with African, Caribbean or Black (ACB) parents and youth in Toronto, Ontario, Canada...
March 6, 2018: Culture, Health & Sexuality
https://www.readbyqxmd.com/read/29400250/-the-journey-i-have-been-through-the-role-of-religion-and-spirituality-in-aging-well-among-hiv-positive-older-adults
#12
Charles A Emlet, Lesley Harris, Christina M Pierpaoli, Charles Furlotte
The National Institutes of Health human immunodeficiency virus (HIV) and Aging Working Group identified spirituality as a research emphasis. This qualitative study examines the importance of religion and spirituality among 30 HIV-positive older adults. Using modified grounded theory, adults 50+ were recruited in Ontario, Canada, through AIDS service organizations, clinics, and community agencies. Descriptions of religion and spirituality encapsulated the idea of a journey, which had two components: the long-term HIV survivor profile combined with the experience of aging itself...
March 2018: Research on Aging
https://www.readbyqxmd.com/read/29294828/prevalence-and-correlates-of-forced-sex-as-a-self-reported-mode-of-hiv-acquisition-among-a-cohort-of-women-living-with-hiv-in-canada
#13
Carmen H Logie, Angela Kaida, Alexandra de Pokomandy, Nadia O'Brien, Pat O'Campo, Jay MacGillivray, Uzma Ahmed, Nikita Arora, Lu Wang, Shahab Jabbari, Logan Kennedy, Allison Carter, Karène Proulx-Boucher, Tracey Conway, Paul Sereda, Mona Loutfy
Gender-based violence (GBV) is a global epidemic associated with increased HIV exposure. We assessed the prevalence and correlates of HIV acquisition via forced sex among women living with HIV (WLWH) in Canada. Baseline questionnaire data were analyzed for WLWH (≥16 years) with data on self-reported mode of HIV acquisition, enrolled in a community-based cohort study in British Columbia, Ontario, and Québec. We assessed forced sex (childhood, adulthood) as a self-reported mode of HIV acquisition. Of 1,330 participants, the median age was 42 (interquartile range [IQR] = 35-50) years; 23...
July 1, 2017: Journal of Interpersonal Violence
https://www.readbyqxmd.com/read/29209931/co-morbid-non-communicable-diseases-and-associated-health-service-use-in-african-and-caribbean-immigrants-with-hiv
#14
Khatundi-Irene Masindi, Nathaniel Jembere, Claire E Kendall, Ann N Burchell, Ahmed M Bayoumi, Mona Loutfy, Janet Raboud, Sean B Rourke, Henry Luyombya, Tony Antoniou
We sought to characterize non-communicable disease (NCD)-related and overall health service use among African and Caribbean immigrants living with HIV between April 1, 2010 and March 31, 2013. We conducted two population-based analyses using Ontario's linked administrative health databases. We studied 1525 persons with HIV originally from Africa and the Caribbean. Compared with non-immigrants with HIV (n = 11,931), African and Caribbean immigrants had lower rates of hospital admissions, emergency department visits and non-HIV specific ambulatory care visits, and higher rates of health service use for hypertension and diabetes...
December 5, 2017: Journal of Immigrant and Minority Health
https://www.readbyqxmd.com/read/29197533/cervical-cancer-screening-uptake-among-hiv-positive-women-in-ontario-canada-a-population-based-retrospective-cohort-study
#15
Ann N Burchell, Claire E Kendall, Stephanie Y Cheng, Aisha Lofters, Michelle Cotterchio, Ahmed M Bayoumi, Richard H Glazier, Tony Antoniou, Janet Raboud, Mark H Yudin, Mona Loutfy
Cervical cancer caused by oncogenic types of the human papillomavirus (HPV) is of concern among HIV-positive women due to impairment of immune responses required to control HPV infection. Our objectives were to describe patterns of cervical cancer screening using Pap cytology testing among HIV-positive women in Ontario, Canada from 2008 to 2013 and to identify factors associated with adequate screening. We conducted a retrospective, population-based cohort study among screen-eligible HIV-positive women using provincial administrative health data...
February 2018: Preventive Medicine
https://www.readbyqxmd.com/read/29190148/sexual-inactivity-among-transfeminine-persons-a-canadian-respondent-driven-sampling-survey
#16
Ayden I Scheim, Greta R Bauer
Sexual health research with transfeminine persons (individuals assigned male at birth who identify as female or feminine) has focused on HIV infection and sexual function following medical treatments. Yet, approximately half of transfeminine persons in Ontario, Canada, reported no partnered sex in the previous year. Therefore, we identified sociodemographic, social, and psychosocial factors associated with past-year sexual inactivity among transfeminine Ontarians. A multi-mode respondent-driven sampling survey of transgender people was conducted in 2009-2010 (N = 433), including 173 transfeminine individuals who had ever been sexually active...
November 30, 2017: Journal of Sex Research
https://www.readbyqxmd.com/read/29135386/timing-of-diagnosis-understanding-resilience-narratives-of-hiv-positive-older-adults-diagnosed-pre-and-post-haart
#17
Lesley M Harris, Charles A Emlet, Christina Pierpaoli Parker, Charles Furlotte
BACKGROUND: Despite the growing population of older adults living with human immunodeficiency virus/ acquired immune deficiency syndrome (HIV/AIDS), few studies have examined this population in terms of timing of HIV diagnosis. This study explores resilience and protective factors among HIV-positive older adults, 17 of whom were diagnosed prior to the development of highly active antiretroviral therapy (HAART), and 13 of whom were diagnosed after the development of HAART. METHODS: We explored the concepts of resilience and protective factors in 30 older adults living with HIV in Ontario, Canada...
January 2018: Journal of Gerontological Social Work
https://www.readbyqxmd.com/read/29100520/the-emergence-of-ethical-issues-in-the-provision-of-online-sexual-health-outreach-for-gay-bisexual-two-spirit-and-other-men-who-have-sex-with-men-perspectives-of-online-outreach-workers
#18
Sophia Fantus, Rusty Souleymanov, Nathan J Lachowsky, David J Brennan
BACKGROUND: Mobile applications and socio-sexual networking websites are used by outreach workers to respond synchronously to questions and provide information, resources, and referrals on sexual health and STI/HIV prevention, testing, and care to gay, bisexual and other men who have sex with men (GB2M). This exploratory study examined ethical issues identified by online outreach workers who conduct online sexual health outreach for GB2M. METHODS: Semi-structured individual interviews were conducted between November 2013 and April 2014 with online providers and managers (n = 22) to explore the benefits, challenges, and ethical implications of delivering online outreach services in Ontario, Canada...
November 3, 2017: BMC Medical Ethics
https://www.readbyqxmd.com/read/29098454/mental-health-disorders-and-publicly-funded-service-use-by-hiv-positive-individuals-a-population-based-cross-sectional-study-in-ontario-canada
#19
Anna Durbin, Hilary K Brown, Tony Antoniou, Frank Sirotich, Symron Bansal, Marina Heifetz, Kay Roesslein, Yona Lunsky
We compared use of community and hospital-based mental health and addiction (MH&A) services by adults with and without HIV. This population-based study examined the probability and intensity of MH&A service use by individuals with (n = 5095) and without HIV (n = 2,753,091) in Ontario, Canada between 2013 and 2014. Adults with HIV were more likely than HIV-negative adults to use MH&A primary and psychiatric care, and to have MH&A emergency department visits and hospital admissions; they also used more of each service...
December 2017: AIDS and Behavior
https://www.readbyqxmd.com/read/29082788/prevalence-and-predictors-of-food-insecurity-among-people-living-with-hiv-affiliated-with-aids-service-organizations-in-ontario-canada
#20
Tsegaye Bekele, Jason Globerman, James Watson, Murray Jose-Boebridge, Richard Kennedy, Keith Hambly, Aranka Anema, Robert S Hogg, Sean B Rourke
Up to half of people living with HIV in resource-rich settings experience moderate to severe food insecurity. Food insecurity, in turn, has been linked to adverse health outcomes including poor antiretroviral adherence, poor HIV viral suppression, frailty, and mortality. We estimated the prevalence of food insecurity among 649 adults living with HIV and recruited from community-based AIDS service organizations in Ontario, Canada. Food security was assessed using the Canadian Household Food Security module. We used logistic regression modeling to identify demographic, socioeconomic, and psychosocial factors independently associated with food insecurity...
October 28, 2017: AIDS Care
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