A5066514283- HIV, Drug Use, Sexual Risk
- HIV/AIDS Research and Interventions
- Sex work and related issues
- Adolescent Sexual and Reproductive Health
- Opioid Use Disorder Treatment
- Hepatitis C virus research
- Substance Abuse Treatment and Outcomes
- Intimate Partner and Family Violence
- Primary Care and Health Outcomes
- Health Systems, Economic Evaluations, Quality of Life
- Healthcare Policy and Management
- Global Maternal and Child Health
- Emergency and Acute Care Studies
- Homelessness and Social Issues
- Workplace Health and Well-being
- Prenatal Substance Exposure Effects
- HIV-related health complications and treatments
- Reproductive Health and Contraception
- Hepatitis Viruses Studies and Epidemiology
- Cannabis and Cannabinoid Research
- Employment and Welfare Studies
- Maternal Mental Health During Pregnancy and Postpartum
- Organ Donation and Transplantation
- Pneumocystis jirovecii pneumonia detection and treatment
- Cutaneous Melanoma Detection and Management
McGill University
2019-2024
AIDS Vancouver
2016-2019
St. Paul's Hospital
2017-2018
University of British Columbia
2016-2017
Women's Health Research Institute
2015
Objectives Use of illicit substances during sex (chemsex) may increase transmission HIV and other STIs. Pre-exposure prophylaxis (PrEP) is highly effective at preventing transmission, providing an important prevention tool for those who practise chemsex. However, it does not prevent acquisition We aim to examine the impact chemsex on STI incidence among gay, bisexual men have with (gbMSM), transgender women using PrEP in Montréal, Canada. Methods linked baseline sociodemographic behavioural...
As countries embark on public health-oriented drug law reform, health impact evaluations are needed. In 2012, Mexico mandated the narcomenudeo which depenalised possession of small amounts drugs and instituted treatment instead incarceration. We investigated past future effect this reform HIV incidence in people who inject Tijuana, Mexico.
Chemsex among gay, bisexual and other men who have sex with (gbMSM) has raised public health concerns because of its association sexual behaviours that can increase transmission sexually transmitted infections, including HIV. Pre-exposure prophylaxis (PrEP) is highly effective at blocking HIV acquisition, addressing important prevention needs individuals practicing chemsex. This study aims to improve our understanding chemsex practices PrEP trajectories gbMSM transgender women consulting for...
On 14 April 2016, British Columbia's Provincial Medical Health Officer declared the overdose crisis a public health emergency, sanctioning implementation of new prevention sites (OPS) and supervised consumption (SCS) across province.
Abstract Background The cascade of care, commonly used to assess HIV and hepatitis C (HCV) health service delivery, has limitations in capturing the complexity individuals’ engagement patterns. This study examines dynamic nature mortality trajectories among people with HCV. Methods We data from Canadian HIV-HCV Co-Infection Cohort, which prospectively follows 2098 participants 18 centers biannually. Markov multistate models were evaluate sociodemographic clinical factors associated...
Dynamic HIV transmission models can provide evidence-based guidance on optimal combination implementation strategies to treat and prevent HIV/AIDS. However, these be extremely data intensive, the availability of good-quality characterizing regional microepidemics varies substantially within across countries. We aim a comprehensive transparent description an evidence synthesis process reporting framework employed populate calibrate dynamic, compartmental model for six US cities. executed...
Background Between June and November 2017, four supervised consumption sites (SCS) began operating in Montreal, Quebec. Earlier studies on SCS focused examining their effects blood-borne viral infections overdose mortality. Our objective was to examine the effect of Montreal’s incidence, health service use outcomes injection-related (IRI) people who inject drugs. Methods We used Quebec’s provincial administrative data identify drugs Montreal calculated incidence IRI this population between...
Access to prescription contraception is often limited by the availability of physicians, particularly in rural areas. Pharmacists are available but not authorized Canada prescribe contraceptives, an innovation proved successful United States. It unknown whether Canadian pharmacists, those areas, willing adopt this and what barriers facilitators they predict. We explored acceptability feasibility for independent provision at pharmacies throughout British Columbia (BC).This mixed-methods study...
Background: In sub-Saharan Africa (SSA), integrating HIV testing into antenatal care (ANC) has been crucial toward reducing mother-to-child transmission of HIV. With the introduction new modalities, we explored temporal trends in within and outside ANC identified sociodemographic determinants during ANC. Methods: We analyzed data from 139 nationally representative household surveys conducted between 2005 2021, including more than 2.2 million women aged 15–49 years 41 SSA countries. extracted...
RÉSUMÉ Cette étude, utilisant des méthodes mixtes, a permis de déterminer les caractéristiques personnelles et professionnelles qui déterminent la satisfaction au travail travailleurs soutien à domicile (TSD) offrent l’aide aux personnes âgées. Les données étaient fondées sur une mesure normalisée ainsi que entretiens qualitatifs approfondis avec 176 trois administrations provinciales canadiennes (Colombie-Britannique, n = 108; Ontario, 28; Nouvelle-Écosse, 40). Nous nous attendions ce...
For breast cancer (BrCa) survivors, premature menopause can result from conventional treatment. Due to limited treatment options, survivors often turn complementary therapies (CTs), but struggle make informed decisions. In this study, we identified BrCa survivors' CT and general information decision-making needs related menopausal symptoms. The assessment was by interpretive descriptive methodology. Focus groups with (n = 22) interviews 12) 5) healthcare professionals (HCPs) were conducted...
In 2017, three brick and mortar supervised consumption sites (SCS) opened in Montreal, Canada. Opponents argued the would attract people who use drugs reduce local real estate prices. We used interrupted time series hedonic price models to evaluate effects of Montreal's SCS on linked Quebec Professional Association Real Estate Brokers' housing sales data provided by Centris Inc. with census tract gentrification scores. Homes sold within 200 m locations between 1 January 2014 31 December 2021...
Hospital readmission 30 days after discharge is associated with adverse health outcomes, and people living HIV (PLWH) experience elevated rates of hospital readmission. Although continuity care a provider lower 30-day among the general population, little known about this relationship PLWH. The objective study to examine whether engaging same provider, defined as patient-provider attachment, for population.
In 2002 British Columbia, Canada began redistributing its hospital services.We used administrative data and interrupted time series analyses to determine how recent closures affected patient outcomes.All adult acute myocardial infarction (AMI), stroke, trauma events in Columbia between fiscal years 1999 2013. Cases were patients whose closest closed. Controls matched by condition, year of event, condition-specific volume where treatment was received.Thirty-day mortality bypass rates.We 3267...
Studies preceding the COVID-19 pandemic found that slower time-to-return was associated with first-time, deferred, and mobile drive blood donors. How donor return dynamics changed during is not well understood.
Abstract Background Between 2017 and 2018, nine overdose prevention sites supervised consumption (OPS/SCS) began operating in Toronto, Canada. This paper aimed to evaluate the effects of OPS/SCS on incidence rates crime (i.e., assault, auto theft, break enter, robbery, theft over $5000, bicycle from motor vehicle) mental health act apprehensions. Methods Primary analyses used multiple baseline interrupted time series compare outcome incidences within 100m, 200m 500m each pre- vs....
Intimate partner violence (IPV) may increase women's HIV acquisition risk. Still, knowledge on pathways through which IPV exacerbates burden is emerging. We examined the individual and partnership-level characteristics of male perpetrators physical and/or sexual considered their implications for status. pooled individual-level data from nationally representative, cross-sectional surveys in 27 countries Africa (2000-2020) with information past-year serology among cohabiting couples (≥15...