A5028874338- HIV/AIDS Research and Interventions
- HIV, Drug Use, Sexual Risk
- Adolescent Sexual and Reproductive Health
- HIV-related health complications and treatments
- Breastfeeding Practices and Influences
- LGBTQ Health, Identity, and Policy
- Reproductive Health and Technologies
- Maternal Mental Health During Pregnancy and Postpartum
- Global Maternal and Child Health
- Health Policy Implementation Science
- Mercury impact and mitigation studies
- Gothic Literature and Media Analysis
- Environmental Toxicology and Ecotoxicology
- Migration, Health and Trauma
- Sex work and related issues
- Reproductive tract infections research
- Chromium effects and bioremediation
- Data Analysis and Archiving
- Disaster Response and Management
- Mental Health and Patient Involvement
- Viral Infections and Outbreaks Research
- Sexuality, Behavior, and Technology
- Contemporary Literature and Criticism
- Reproductive Health and Contraception
- Childhood Cancer Survivors' Quality of Life
Women's College Hospital
2016-2025
University of Toronto
2016-2025
Trent University
2022-2024
Maple Leaf Medical Clinic
2018-2023
Martin University
2022
Mount Sinai Hospital
2022
Health Net
2022
University Health Network
2022
Centre for Addiction and Mental Health
2022
Toronto Metropolitan University
2021
Globally, women are at increased vulnerability to HIV due biological, social, structural, and political reasons. Women living with also experience unique issues related their medical social healthcare, which makes a clinical care model specific needs worthy of exploration. Furthermore, there is dearth research HIV. Research for this population has often been narrowly focused on pregnancy-related without considering complex structural inequalities, roles, healthcare biological needs. For...
Community-based research has gained increasing recognition in health over the last two decades. Such participatory approaches are lauded for their ability to anchor lived experiences, ensuring cultural appropriateness, accessing local knowledge, reaching marginalized communities, building capacity, and facilitating research-to-action. While having these positive attributes, community-based literature is predominantly composed of small projects, using qualitative methods, set within...
KEY POINTS Canadian guidance still recommends formula feeding for all infants of birthing parents with HIV.[1][1] However, evidence supports that the risk perinatal HIV transmission from breast- or chestfeeding is very low (likely < 0.08%–16%) when a parent on antiretroviral therapy
The historical focus of the HIV movement on men who have sex with has led to systematic exclusion women from research, programming, and decision-making. In early 2000s, researchers, advocates, community leaders drove transformative shifts in Canada’s sector through community-based participatory research (CBPR) approaches. Their use CBPR not only revolutionized women’s engagement but also propelled significant progress towards gender-equitable including trans communities gender diverse...
[Voir la version anglaise de l'article ici : www.cmaj.ca/lookup/doi/10.1503/cmaj.240441][1] Points clés Les directives canadiennes continuent préconiser l'utilisation systématique du lait maternisé si les parents sont porteurs VIH[1][2]. Or, selon données probantes, le risque
Motherhood is personally, culturally, and historically rooted. Recent publications have focused on medical issues related to pregnancy HIV, with attention fetal well-being. There limited literature the importance of motherhood for HIV-positive women. Our study's purpose was investigate among women reproductive age in Ontario, Canada analyze correlates thereof. We present our findings using a secondary analysis cross-sectionally collected data from study assessing fertility desires intentions...
Abstract Objective: Menopause is a pivotal transition for women. Previous studies have suggested increased risk of early menopause (40-45 years) and premature (<40 women with HIV. We aimed to determine age menopause, prevalence factors <45 years in Canadian Methods: This was cross-sectional analysis from the HIV Women's Sexual Reproductive Health Cohort Study. Analyses were restricted biologically female participants reporting being postmenopausal (regardless etiology). Primary outcome...
Background: Breastfeeding is not recommended for women living with HIV (WLWH) in Canada. We described the prevalence of breastfeeding and explored experiences care, support, stigma related to infant feeding. Setting: Quebec, Ontario, British Columbia (Canada). Methods: Data were obtained from Women's Sexual Reproductive Health Cohort Study (CHIWOS) surveys, conducted between 2013 2018. Results: was reported by 73.5% 786 who delivered before diagnosis 7.3% 289 after diagnosis. Among them,...
In Canada, women make up 25% of the prevalent HIV cases and represent an important population those living with HIV, as a high proportion are racialized systemically marginalized; furthermore, many have unmet healthcare needs. Using knowledge-to-action framework implementation science methodology, we developed "Women-Centred Care" (WCHC) Model to address needs HIV. The WCHC is depicted in shape house trauma- violence-aware care "foundation". Person-centred attention social determinants...
Abstract Heavy metal (HM) pollution threatens human and ecosystem health. Current methods for remediating water contaminated with HMs are expensive have limited effect. Therefore, bioremediation is being investigated as an environmentally economically viable alternative. Freshwater protists Euglena gracilis mutabilis were their tolerance to cadmium (Cd). A greater increase in cell numbers under Cd stress was noted E. but only showed following pre-treatment elevated concentrations of S or N....
Attrition along the cascade of HIV care poses significant barriers to attaining UNAIDS targets 90-90-90 and achieving optimal treatment outcomes for people living with HIV. Understanding correlates attrition is critical particularly women (WLWH) as gender disparities have been found. We measured proportion 1425 WLWH enrolled in Canadian Women's Sexual Reproductive Health Cohort Study (CHIWOS) who had never accessed medical care, reported delayed linkage into (>3 months between diagnosis...
The HIV Mothering Study (n = 72) was a prospective, observational, cohort study exploring psychosocial experiences and needs of WLWHIV in pregnancy postpartum. We performed quantitative analysis determinants loneliness (UCLA Loneliness Scale) lower perceived social support (SS) (Medical Outcomes Study-Social Support Survey). hypothesized included: age, years with HIV, racism (Everyday Discrimination Scale), depression (Edinburgh Postnatal Depression Scale [EPDS]), nadir CD4 (<200 cells/μL),...
Women living with HIV (WLWH) are increasingly having children yet face complex medical and psychosocial issues in the perinatal period. The Mothering Study sought to understand experiences needs of mothers across Ontario, Canada. present study was a sub-analysis interviews conducted WLWH during pregnancy (n = 67) at 3 months postpartum 65) aimed describe health care Narrative analysis revealed positive negative highlighted how relationships providers affected women's navigating care....
Objectives To measure the prevalence and correlates of abnormal menstruation among women living with HIV (WLWH) in Canada. Methods We used cross-sectional questionnaire data from community-based Canadian Women's Sexual Reproductive Health Cohort Study (CHIWOS), which enrolled WLWH aged ≥16 British Columbia (BC), Ontario, Quebec. For this analysis, we excluded >45 years, who had primary amenorrhea, were pregnant, on hormonal contraception, or reported history endometrial cancer, last...
Background Using data from a national cohort study and focus groups, the Women-Centred HIV Care (WCHC) Model was developed to inform care delivery for women living with HIV. Methods Through an evidence-based, integrated knowledge translation approach, we 2 toolkits based on WCHC service providers in English French (Canada's languages). To disseminate, distributed printed advertising materials, hosted 3 webinars conducted virtual capacity-building training series. Results A total of 315...
Background The Women-Centered HIV Care (WCHC) Model and associated toolkits were created to address the health care barriers disparities that women gender diverse people living with experience. Since trans transfeminine experience disproportionately high rates of acquisition (in comparison their cisgender peers) amidst biologic, social, political, historical factors affect general experiences negatively, more research is needed.
Trans/transfeminine women are disproportionally affected by HIV. Concerns regarding negative drug-drug interactions (DDIs) between ART drugs and gender-affirming hormone therapy (GAHT), specifically feminizing (FHT), may contribute to the lower uptake trans with HIV compared their cis counterparts. The aim of this study is investigate bidirectional pharmacokinetic effects components FHT regimens (oral oestradiol androgen-suppressing medications) regimen (bictegravir/emtricitabine/tenofovir...
Engagement in care is a key component of the HIV cascade, yet there are knowledge gaps regarding how to assess engagement. This study aimed develop tool engagement and associations between quality life (QOL) among African, Caribbean Black (ACB) women living with (WLWH). We conducted cross-sectional survey ACB WLWH across Ontario, Canada. developed ‘HIV Continuity Care Scale’ (HECCS). exploratory factor analysis (EFA) confirmatory (CFA) test scale’s structure. structural equation modeling...
Decision-making related to pregnancy planning is complex and human immunodeficiency virus (HIV) may further complicate the process. With increasing rates of among individuals affected by HIV, need understand decision-making imperative. The primary objectives this pilot study were confirm feasibility using discrete choice experimentation (DCE) elicit an understanding process determine acceptability factors that included in two novel DCEs, while gathering a preliminary preference. attributes...