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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
#1
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
#2
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
#3
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...
November 29, 2017: Preventive Medicine
https://www.readbyqxmd.com/read/29190148/sexual-inactivity-among-transfeminine-persons-a-canadian-respondent-driven-sampling-survey
#4
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
#5
Lesley M Harris, Charles A Emlet, Christina Pierpaoli Parker, Charles Furlotte
BACKGROUND: Despite the growing population of older adults living with 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 HAART. METHODS: We explored the concepts of resilience and protective factors in 30 older adults living with HIV in Ontario, Canada...
November 14, 2017: 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
#6
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
#7
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...
November 2, 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
#8
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
https://www.readbyqxmd.com/read/29082777/resourceful-masculinities-exploring-heterosexual-black-men-s-vulnerability-to-hiv-in-ontario-canada
#9
Winston Husbands, Wesley Oakes, Tola Mbulaheni, Fanta Ongoïba, Valérie Pierre-Pierre, Henry Luyombya
OBJECTIVES: Heterosexually active Black men are alleged to endorse masculine norms that increase their and their female partners' vulnerability to HIV. These norms include Black men's inability or reluctance to productively engage their own health-related personal and interpersonal vulnerabilities. We draw on data from the iSpeak research study in Ontario, Canada, to assess whether and how heterosexual Black men cope with personal and inter-personal vulnerability, namely that heterosexual Black men: avoid emotionally supportive relationships with other men (and women), which diminishes their capacity to productively acknowledge and resolve their health-related challenges; are reticent to productively acknowledge and address HIV and health on a personal level; and are pathologically secretive about their health, which compounds their vulnerability and precipitates poor health outcomes...
October 29, 2017: Ethnicity & Health
https://www.readbyqxmd.com/read/29032478/total-knee-arthroplasty-in-patients-with-a-history-of-illicit-intravenous-drug-abuse
#10
David E Bauer, Andreas Hingsammer, Lukas Ernstbrunner, Alexander Aichmair, Andrea B Rosskopf, Franziska Eckers, Karl Wieser, Sandro F Fucentese
PURPOSE: Injection drug users are at high risk for both infection with blood-borne pathogens, namely, human immune deficiency virus (HIV), hepatitis-B, -C virus, various bacterial infections, as well as early primary and secondary joint degeneration. When total knee arthroplasty (TKA) is anticipated the risk of septic complications is a major concern. The purpose of this study was to assess the clinical and radiographic outcome of patients with a history of intravenous drug use after total knee arthroplasty...
October 14, 2017: International Orthopaedics
https://www.readbyqxmd.com/read/28957412/cohort-profile-the-canadian-hiv-women-s-sexual-and-reproductive-health-cohort-study-chiwos
#11
Mona Loutfy, Alexandra de Pokomandy, V Logan Kennedy, Allison Carter, Nadia O'Brien, Karène Proulx-Boucher, Erin Ding, Johanna Lewis, Valerie Nicholson, Kerrigan Beaver, Saara Greene, Wangari Tharao, Anita Benoit, Danièle Dubuc, Jamie Thomas-Pavanel, Paul Sereda, Shahab Jabbari, Jayson H Shurgold, Guillaume Colley, Robert S Hogg, Angela Kaida
Globally, women are at increased vulnerability to HIV due to biological, social, structural, and political reasons. Women living with HIV also experience unique issues related to their medical and social healthcare, which makes a clinical care model specific to their needs worthy of exploration. Furthermore, there is a dearth of research specific to women living with HIV. Research for this population has often been narrowly focused on pregnancy-related issues without considering their complex structural inequalities, social roles, and healthcare and biological needs...
2017: PloS One
https://www.readbyqxmd.com/read/28922011/south-asian-immigrant-women-s-suggestions-for-culturally-tailored-hiv-education-and-prevention-programs
#12
Roula N Hawa, Angela Underhill, Carmen H Logie, Shazia Islam, Mona Loutfy
Using a community-based, socialist feminist qualitative study, and an emergent research design, we explored the unique individual experiences of South Asian immigrant women living with HIV in the Greater Toronto Area (GTA) of Ontario, Canada. We assessed both the HIV risk context and the strategies for HIV education and prevention as expressed by study participants. Grounded in Connell's social theory of gender, a thematic analysis of semi-structured interviews with 12 women yielded six themes related to the power and impact of stigmatization, community's denial of HIV, infidelity, manifested in resistance to discussing sex and condom use, non-disclosure, and lack of HIV knowledge...
September 18, 2017: Ethnicity & Health
https://www.readbyqxmd.com/read/28887140/envisioning-women-centered-hiv-care-perspectives-from-women-living-with-hiv-in-canada
#13
Nadia O'Brien, Saara Greene, Allison Carter, Johanna Lewis, Valerie Nicholson, Gladys Kwaramba, Brigitte Ménard, Elaina Kaufman, Nourane Ennabil, Neil Andersson, Mona Loutfy, Alexandra de Pokomandy, Angela Kaida
BACKGROUND: Women comprise nearly one-quarter of people living with human immunodeficiency virus (HIV) in Canada. Compared with men, women living with HIV experience inequities in HIV care and health outcomes, prompting a need for gendered and tailored approaches to HIV care. METHOD: Peer and academic researchers from the Canadian HIV Women's Sexual and Reproductive Health Cohort Study conducted focus groups to understand women's experience of seeking care, with the purpose of identifying key characteristics that define a women-centered approach to HIV care...
September 5, 2017: Women's Health Issues: Official Publication of the Jacobs Institute of Women's Health
https://www.readbyqxmd.com/read/28855308/a-cross-sectional-population-based-study-of-breast-cancer-screening-among-women-with-hiv-in-ontario-canada
#14
Claire E Kendall, Sharon Walmsley, Cindy Lau, Nathaniel Jembere, Ann N Burchell, Mona Loutfy, Janet Raboud, Ron Rosenes, Sean B Rourke, Tony Antoniou
BACKGROUND: As women with HIV live longer, the need for age-appropriate breast cancer screening will increase. We compared rates of screening mammography among women with and without HIV. METHODS: We used administrative health databases to identify all women in Ontario, Canada, who were eligible for screening mammography (aged 50 to 74 yr and no history of breast cancer) as of Apr. 1, 2011. We used multivariable log-binomial regression to compare the 2-year period prevalence of screening mammography in 2011 to 2013 among women with and without HIV and to examine the correlates of screening among women with HIV...
August 30, 2017: CMAJ Open
https://www.readbyqxmd.com/read/28838570/-dis-integrated-care-barriers-to-health-care-utilization-for-trans-women-living-with-hiv
#15
Lauren Munro, Zack Marshall, Greta Bauer, Rebecca Hammond, Caleb Nault, Robb Travers
Transgender (trans) women have been particularly impacted by HIV. To seek insights into the dynamics of health service utilization, interviews were conducted with trans women living with HIV (n = 14) as part of the Trans PULSE community-based research project in Ontario, Canada. Service providers (n = 10) were also interviewed to provide additional details about communication between trans women, social service providers, and clinicians. Results highlight how both problematic interactions with individuals and health systems navigation challenges affect access to services and impede the development of trans-specific HIV supports...
September 2017: Journal of the Association of Nurses in AIDS Care: JANAC
https://www.readbyqxmd.com/read/28817947/mortality-and-health-service-use-following-acute-myocardial-infarction-among-persons-with-hiv-a-population-based-study
#16
Caroline Jeon, Cindy Lau, Claire E Kendall, Ann N Burchell, Ahmed M Bayoumi, Mona Loutfy, Sean B Rourke, Tony Antoniou
People with HIV have higher rates of acute myocardial infarction (AMI) than HIV-negative individuals. We compared mortality risk and health service use following AMI among people with and without HIV between January 1, 2002, and March 31, 2015. We conducted a population-based study using Ontario's administrative databases. Our primary outcomes were risk of inpatient death and death at 30 days following hospital discharge. In secondary analyses, we compared use of revascularization procedures within 90 days of AMI, as well as readmission or emergency department visits for heart disease and cardiology follow-up within 90 days of discharge...
September 14, 2017: AIDS Research and Human Retroviruses
https://www.readbyqxmd.com/read/28733065/severe-maternal-morbidity-associated-with-maternal-birthplace-a-population-based-register-study
#17
Marcelo L Urquia, Susitha Wanigaratne, Joel G Ray, K S Joseph
OBJECTIVE: This study sought to quantify the risk of severe maternal morbidity (SMM) according to maternal country of birth in Canada. METHODS: The study analyzed 1 252 543 in-hospital deliveries of Ontario residents discharged between April 1, 2002, and March 31, 2012. The main outcome measure was a composite indicator of SMM used for surveillance. The top 10 most common component conditions were also evaluated. Maternal country of birth and other immigration characteristics were obtained through linkage with official immigration records...
November 2017: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/28700406/the-use-of-multistate-models-to-examine-associations-of-stress-and-adherence-with-transitions-among-hiv-care-states-observed-in-a-clinical-hiv-cohort
#18
MULTICENTER STUDY
Sandra Blitz, Tony Antoniou, Ann Burchell, Sharon Walmsley, Lucia Light, Sandra Gardner, Sean Rourke, Curtis Cooper, Claire Kendall, Mona Loutfy, Anita Rachlis, Wendy Wobeser, Anita Benoit, Janet Raboud
BACKGROUND: The "cascade of care" is a framework for quantifying the trajectory of people with HIV along the continuum of HIV care. We extended this framework to recognize that individuals may transition back and forth between states of care and to identify factors associated with movement among states of care over time, with particular focus on stress, depression, and adherence. METHODS: The Ontario HIV Treatment Network Cohort Study is a multisite HIV clinical cohort...
November 1, 2017: Journal of Acquired Immune Deficiency Syndromes: JAIDS
https://www.readbyqxmd.com/read/28678619/high-retention-in-hiv-care-at-a-tertiary-care-centre-in-toronto-canada
#19
Leah Szadkowski, Sharon Walmsley, Ann N Burchell, Evan Collins, Sean B Rourke, Janet Raboud
Poor retention in HIV care is associated with poor clinical outcomes and mortality. Previous studies of predictors of poor retention have been conducted with a wide variety of populations, using different measures of retention, and occasionally have conflicting results. We studied demographic and psychosocial factors associated with inter-visit interval length in a setting of universal health care and modern cART. Patients attending ≥2 appointments with an HIV specialist at the Toronto General Hospital Immunodeficiency Clinic from 2004 to 2013 were studied...
July 5, 2017: AIDS Care
https://www.readbyqxmd.com/read/28625119/sociodemographic-and-health-profile-of-heterosexual-men-living-with-hiv-in-ontario-canada
#20
Kristen M Wheeler, Tony Antoniou, Sandra Gardner, Lucia Light, Ramandip Grewal, Jason Globerman, Winston Husbands, Ann N Burchell
In Ontario, Canada, the number of heterosexual men living with HIV has increased over time, yet they remain an understudied population. The study objective was to describe the sociodemographic and clinical characteristics of this population, using data from a multisite clinical cohort of patients receiving HIV care. Sociodemographic and clinical characteristics of men interviewed between 2010 and 2012 were compared according to their self-identified sexual orientation, followed by multivariable linear and logistic regression to assess the association of sexual orientation with CD4 cell count, viral load, hepatitis C co-infection, self-rated health, and mental health concerns after adjustment for covariates...
July 2017: American Journal of Men's Health
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