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1. The impact of a stress management intervention including cultural components on stress biomarker levels and mental health indicators among indigenous women

Author

Aker, Amira, Serghides, Lena, Cotnam, Jasmine, Jackson, Randy, Robinson, Margaret, Gauvin, Holly, and Mushquash, Christopher

Subjects
Women -- Health aspects, Canadian native peoples -- Health aspects -- Psychological aspects, Stress management -- Influence, Psychology and mental health
Abstract

We examined the effectiveness of a 26-week culture-inclusive intervention on reducing salivary stress biomarker levels, and perceived stress, depressive, and post-traumatic stress disorder (PTSD) symptoms measured using scales in 53 Indigenous women in Ontario, Canada. Statistical analyses compared the average biomarker levels, and the area under the curve (AUC) of biomarkers. Differences in biomarkers and mental health scale scores pre- and post-intervention were compared using mixed models with a random intercept. Interaction terms were included between the intervention and age, education, disability, and HIV status, individually, to test for sub-group differences. Cortisol AUC post-intervention was decreased compared to pre-intervention ([beta] -1.29 [micro]g/dL; 95%CI -2.35, -0.23). There was a slight decrease in perceived stress levels (aOR: -2.80; 95%CI -5.09, -0.50). The associations were stronger among women of younger age, higher education, and no disabilities. These interventions can be effective, but future interventions should target Indigenous population sub-groups to address individual needs., Author(s): Amira Aker [sup.1] , Lena Serghides [sup.2] [sup.3] [sup.4] , Jasmine Cotnam [sup.4] , Randy Jackson [sup.5] , Margaret Robinson [sup.6] , Holly Gauvin [sup.7] , Christopher Mushquash [sup.8] [...]

Published
2023
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2. Previous Syphilis Not Associated with Neurocognitive Outcomes in People Living with HIV in Ontario, Canada

Author

CHRISTENSEN, Brandon L., Tavangar, Farideh, Kroch, Abigail E., Burchell, Ann N., Rourke, Sean B., Rousseau, Rodney K., Raboud, Janet M., Bekele, Tsegaye, Tan, Darrell H.S., Kroch, Abigail, Burchell, Ann, Cohen, Jeffrey, Cooper, Curtis, Arbess, Gordon, Lavoie, Elizabeth, Loutfy, Mona, Andany, Nisha, Walmsley, Sharon, Silverman, Michael, Borque, Tammy, El-Helou, Phillipe, Gauvin, Holly, Tharao, Wangari, Li, Alan, Craig, Jeffrey, Martinez-Cajas, Jorge, Cotnam, Jasmine, Di Pede, Tony, Adam, Barry, Santibañez, Viviana, Rousseau, Rodney, Ndung’u, Mary, Chen, YiYi, Cameron, Ruth, Brophy, Jason, Bowerman, Aaron, Record, Dane, Muchano, Elisio, Grey, Cornel, Cotnam, Jasmine, Jackson, Randy, Young, Meghan, Stratton, Trevor, Rueda, Sergio, Burchell, Ann, Adam, Barry, Brennan, David, Cooper, Curtis, Hart, Trevor, Betts, Adrian, Loutfy, Mona, O’Brien, Kelly, Mbuagbaw, Lawrence, Giguere, Pierre, Benoit, Anita, Hillier, Sean, Nyambi, Agatha, Light, Lucia, Qureshi, Nahid, Bekele, Tsegaye, Kesler, Maya, Colyer, Sean, O’Brien, Kristen, Obioha, Adanna, Prabhu, Namita, and Groves, Maxwell

Published
2022
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3. A Journey of Doing Research “In a Good Way” : Partnership, Ceremony, and Reflections Contributing to the Care and Wellbeing of Indigenous Women Living with HIV in Canada

Author

Peltier, Doris, Martin, Carrie, Masching, Renée, Standup, Mike, Cardinal, Claudette, Nicholson, Valerie, Kazemi, Mina, Kaida, Angela, Warren, Laura, Jaworsky, Denise, Gervais, Laverne, de Pokomandy, Alexandra, Bruce, Sharon, Greene, Saara, Becker, Marissa, Cotnam, Jasmine, Larkin, Kecia, Beaver, Kerrigan, Bourassa, Carrie, and Loutfy, Mona

Published
2020

4. Clinical HIV outcome trajectories associated with a history of child protective service out‐of‐home care: Longitudinal cohort findings with women living with HIV in Canada.

Author

Logie, Carmen H., Sokolovic, Nina, Casale, Andrea, Ndung'u, Mary, Kennedy, V. Logan, Underhill, Angela, Fallon, Barbara, Cardinal, Claudette, Webster, Kathleen, Cotnam, Jasmine, Kaida, Angela, de Pokomandy, Alexandra, and Loutfy, Mona

Subjects
CHILD welfare, SELF-evaluation, WOUNDS & injuries, WOMEN, VIRAL load, MENTAL health, RESEARCH funding, FOSTER home care, TREATMENT effectiveness, DESCRIPTIVE statistics, PSYCHOLOGY of HIV-positive persons, LONGITUDINAL method, HIGHLY active antiretroviral therapy, LATENT structure analysis, ODDS ratio, FACTOR analysis, CONFIDENCE intervals, DATA analysis software
Abstract

Objectives: Knowledge gaps exist regarding the effects of experiencing child protective services (CPS) out‐of‐home care (e.g. foster homes) among women with HIV. We examined whether CPS out‐of‐home care was associated with HIV clinical outcome trajectories among women with HIV in a longitudinal cohort study in Ontario, British Columbia, and Quebec, Canada. Methods: At three timepoints across 5 years (2013–2018), we examined self‐reported current antiretroviral therapy (ART) use and viral load (VL) detectability (>50 copies/mL). We used latent class growth analysis (LCGA) to identify trajectories of ART use and VL outcomes across study waves. LCGA identifies subgroups (classes) with similar trajectories within the sample. We assessed whether HIV outcome trajectories could be predicted by CPS history. We then conducted a mediation analysis to test whether a mental health latent construct mediated the association between CPS history and detectable VL. Results: Nearly one‐fifth (n = 272; 19%) of participants (n = 1422; mean age 42.8 years) reported CPS out‐of‐home care. Most participants (89%) were in classes that consistently used ART and had an undetectable VL. Individuals with CPS out‐of‐home care histories were twice as likely to have a consistently detectable VL (β = 0.72, p = 0.02); there were no differences in ART use trajectories. In mediation analyses, we found an indirect path from CPS history to a consistently detectable VL via baseline mental health status (β = 0.02, 95% confidence interval 0.005–0.04, p = 0.02), with a significant odds ratio (1.12, z = 2.43, p = 0.02). Conclusion: Among women with HIV in Canada, experiencing childhood CPS out‐of‐home care was associated with a reduced likelihood of achieving viral suppression, via poorer mental health. [ABSTRACT FROM AUTHOR]

Published
2024
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7. Envisioning Women-Centered HIV Care: Perspectives from Women Living with HIV in Canada

Author

Anema, Aranka, Becker, Denise, Brotto, Lori, Carter, Allison, Cardinal, Claudette, Colley, Guillaume, Ding, Erin, Duddy, Janice, Gataric, Nada, Hogg, Robert S., Howard, Terry, Jabbari, Shahab, Jones, Evin, Kestler, Mary, Langlois, Andrea, Lima, Viviane, Lloyd-Smith, Elisa, Medjuck, Melissa, Miller, Cari, Money, Deborah, Nicholson, Valerie, Ogilvie, Gina, Patterson, Sophie, Pick, Neora, Roth, Eric, Salters, Kate, Sanchez, Margarite, Sas, Jacquie, Sereda, Paul, Summers, Marcie, Tom, Christina, Wang, Clara, Webster, Kath, Zhang, Wendy, Abdul-Noor, Rahma, Angel, Jonathan, Barry, Fatimatou, Bauer, Greta, Beaver, Kerrigan, Benoit, Anita, Bertozzi, Breklyn, Borton, Sheila, Bourque, Tammy, Brophy, Jason, Burchell, Ann, Carlson, Allison, Cioppa, Lynne, Cohen, Jeffrey, Conway, Tracey, Cooper, Curtis, Cotnam, Jasmine, Cousineau, Janette, Desbiens, Marisol, Fraleigh, Annette, Gagnier, Brenda, Gasingirwa, Claudine, Greene, Saara, Hart, Trevor, Islam, Shazia, Kaushic, Charu, Kennedy, Logan, Kerr, Desiree, Kwaramba, Gladys, Leonard, Lynne, Lewis, Johanna, Logie, Carmen, Margolese, Shari, Muchenje, Marvelous, Ndung'u, Mary (Muthoni), O’Brien, Kelly, Ouellette, Charlene, Powis, Jeff, Quan, Corinna, Raboud, Janet, Rachlis, Anita, Ralph, Edward, Rourke, Sean, Rueda, Sergio, Sandre, Roger, Smaill, Fiona, Smith, Stephanie, Tigere, Tsitsi, Tharao, Wangari, Walmsley, Sharon, Wobeser, Wendy, Yee, Jessica, Yudin, Mark, Bakombo, Dada Mamvula, Baril, Jean-Guy, Boucher, Marc, Boucoiran, Isabelle, Burke, Nora Butler, Clément, Pierrette, Côté, José, Dayle, Janice, Dubuc, Danièle, Fernet, Mylène, Gagnon, Marilou, Groleau, Danielle, Hot, Aurélie, Kiboyogo, Maxime, Klein, Marina, Lacasse, Gary, Lamarre, Valérie, Martin, Carrie, Massie, Lyne, Ménard, Brigitte, Monteith, Ken, O'Brien, Nadia, Otis, Joanne, Peltier, Doris, Pierre, Alie, Proulx-Boucher, Karène, Rouleau, Danielle, Rouleau, Geneviève, Savoie, Édénia, Tremblay, Cécile, Trottier, Benoit, Trottier, Sylvie, Tsoukas, Christos, Gahagan, Jacqueline, Hankins, Catherine, Masching, Renee, Ogunnaike-Cooke, Susanna, Kaufman, Elaina, Ennabil, Nourane, Andersson, Neil, Loutfy, Mona, de Pokomandy, Alexandra, and Kaida, Angela

Published
2017
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8. Pathways From HIV-Related Stigma to Antiretroviral Therapy Measures in the HIV Care Cascade for Women Living With HIV in Canada

Author

Logie, Carmen H., Lacombe-Duncan, Ashley, Wang, Ying, Kaida, Angela, Conway, Tracey, Webster, Kath, de Pokomandy, Alexandra, Loutfy, Mona R., Anema, Aranka, Becker, Denise, Brotto, Lori, Carter, Allison, Cardinal, Claudette, Colley, Guillaume, Ding, Erin, Duddy, Janice, Gataric, Nada, Hogg, Robert S., Hosward, Terry, Jabbari, Shahab, Jones, Evin, Kestler, Mary, Langlois, Andrea, Lima, Viviane, Lloyd-Smith, Elisa, Medjuck, Melissa, Miller, Cari, Money, Deborah, Nicholson, Valerie, Ogilvie, Gina, Patterson, Sophie, Pick, Neora, Roth, Eric, Salters, Kate, Sanchez, Margarite, Sas, Jacquie, Sereda, Paul, Summers, Marcie, Tom, Christina, Wang, Lu, Webster, Kath, Zhang, Wendy, Abdul-Noor, Rahma, Angel, Jonathan, Barry, Fatimatou, Bauer, Greta, Beaver, Kerrigan, Benoit, Anita, Bertozzi, Breklyn, Borton, Sheila, Bourque, Tammy, Brophy, Jason, Burchell, Ann, Carlson, Allison, Cioppa, Lynne, Cohen, Jeffrey, Conway, Tracey, Cooper, Curtis, Cotnam, Jasmine, Cousineau, Janette, Fraleigh, Annette, Gagnier, Brenda, Gasingirwa, Claudine, Greene, Saara, Hart, Trevor, Islam, Shazia, Kaushic, Charu, Kennedy, Logan, Kerr, Desiree, Kiboyogo, Maxime, Kwaramba, Gladys, Leonard, Lynne, Lewis, Johanna, Logie, Carmen, Margolese, Shari, Muchenje, Marvelous, Ndungʼu, Mary, OʼBrien, Kelly, Ouellette, Charlene, Powis, Jeff, Quan, Corinna, Raboud, Janet, Rachlis, Anita, Ralph, Edward, Rourke, Sean, Rueda, Sergio, Sandre, Roger, Smaill, Fiona, Smith, Stephanie, Tigere, Tsitsi, Tharao, Wangari, Walmsley, Sharon, Wobeser, Wendy, Yee, Jessica, Yudin, Mark, Baril, Jean-Guy, Burke, Nora Butler, Clément, Pierrette, Dayle, Janice, Dubuc, Danièle, Fernet, Mylène, Groleau, Danielle, Hot, Aurélie, Klein, Marina, Martin, Carrie, Massie, Lyne, Ménard, Brigitte, OʼBrien, Nadia, Otis, Joanne, Peltier, Doris, Pierre, Alie, Proulx-Boucher, Karène, Rouleau, Danielle, Savoie, Édénia, Tremblay, Cécile, Trottier, Benoit, Trottier, Sylvie, Tsoukas, Christos, Gahagan, Jacqueline, Hankins, Catherine, Masching, Renee, and Ogunnaike-Cooke, Susanna

Published
2018
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10. A longitudinal study of associations between HIV-related stigma, recent violence and depression among women living with HIV in a Canadian cohort study

Author

Logie, Carmen H., Marcus, Natania, Wang, Ying, Kaida, Angela, O'Campo, Patricia, Ahmed, Uzma, O'Brien, Nadia, Nicholson, Valerie, Conway, Tracey, Pokomandy, Alexandra, Fernet, Mylène, Loutfy, Mona, Anema, Aranka, Becker, Denise, Brotto, Lori, Carter, Allison, Cardinal, Claudette, Colley, Guillaume, Ding, Erin, Duddy, Janice, Gataric, Nada, Hogg, Robert S., Howard, Terry, Jabbari, Shahab, Jones, Evin, Kestler, Mary, Langlois, Andrea, Lima, Viviane, Lloyd?Smith, Elisa, Medjuck, Melissa, Miller, Cari, Money, Deborah, Ogilvie, Gina, Patterson, Sophie, Pick, Neora, Roth, Eric, Salters, Kate, Sanchez, Margarite, Sas, Jacquie, Sereda, Paul, Summers, Marcie, Tom, Christina, Wang, Lu, Webster, Kath, Zhang, Wendy, Abdul?Noor, Rahma, Angel, Jonathan, Barry, Fatimatou, Bauer, Greta, Beaver, Kerrigan, Benoit, Anita, Bertozzi, Breklyn, Borton, Sheila, Bourque, Tammy, Brophy, Jason, Burchell, Ann, Carlson, Allison, Cioppa, Lynne, Cohen, Jeffrey, Cooper, Curtis, Cotnam, Jasmine, Cousineau, Janette, Gagnier, Brenda, Gasingirwa, Claudine, Greene, Saara, Hart, Trevor, Islam, Shazia, Kennedy, Logan, Kerr, Desiree, Kiboyogo, Maxime, Kwaramba, Gladys, Leonard, Lynne, Lewis, Johanna, Margolese, Shari, Muchenje, Marvelous, O'Brien, Kelly, Ouellette, Charlene, Powis, Jeff, Quan, Corinna, Raboud, Janet, Rachlis, Anita, Ralph, Edward, Rourke, Sean, Rueda, Sergio, Sandre, Roger, Smaill, Fiona, Smith, Stephanie, Tigere, Tsitsi, Tharao, Wangari, Walmsley, Sharon, Wobeser, Wendy, Yee, Jessica, Yudin, Mark, Bakombo, Dada Mamvula, Baril, Jean?Guy, Burke, Nora Butler, Clément, Pierrette, Dayle, Janice, Dubuc, Danièle, Groleau, Danielle, Hot, Aurélie, Klein, Marina, Martin, Carrie, Massie, Lyne, Ménard, Brigitte, Otis, Joanne, Peltier, Doris, Pierre, Alie, Proulx?Boucher, Karène, Rouleau, Danielle, Savoie, Édénia, Tremblay, Cécile, Trottier, Benoit, Trottier, Sylvie, Tsoukas, Christos, Gahagan, Jacqueline, Hankins, Catherine, Masching, Renee, and Ogunnaike?Cooke, Susanna

Subjects
Women -- Health aspects, Discrimination against AIDS virus carriers -- Prevention, HIV patients -- Care and treatment, Stigma (Social psychology) -- Analysis, Family violence -- Demographic aspects -- Prevention, Health
Abstract

: Introduction: Women living with HIV (WLHIV) experience stigma and elevated exposure to violence in comparison with HIV‐negative women. We examined the mediating role of experiencing recent violence in the relationship between stigma and depression among WLHIV in Canada. Methods: We conducted a cohort study with WLHIV in three Canadian provinces. Recent violence was assessed through self‐reported experiences of control, physical, sexual or verbal abuse in the past three months. At Time 1 (2013‐2015) three forms of stigma were assessed (HIV‐related, racial, gender) and at Time 2 (2015‐2017) only HIV‐related stigma was assessed. We conducted structural equation modelling (SEM) using the maximum likelihood estimation method with Time 1 data to identify direct and indirect effects of gender discrimination, racial discrimination and HIV‐related stigma on depression via recent violence. We then conducted mixed effects regression and SEM using Time 1 and Time 2 data to examine associations between HIV‐related stigma, recent violence and depression. Results: At Time 1 (n = 1296), the direct path from HIV‐related stigma (direct effect: β = 0.200, p < 0.001; indirect effect: β = 0.014, p < 0.05) to depression was significant; recent violence accounted for 6.5% of the total effect. Gender discrimination had a significant direct and indirect effect on depression (direct effect: β = 0.167, p < 0.001; indirect effect: β = 0.050, p < 0.001); recent violence explained 23.15% of the total effect. Including Time 1 and Time 2 data (n = 1161), mixed‐effects regression results indicate a positive relationship over time between HIV‐related stigma and depression (Acoef: 0.04, 95% CI: 0.03, 0.06, p < 0.001), and recent violence and depression (Acoef: 1.95, 95% CI: 0.29, 4.42, p < 0.05), controlling for socio‐demographics. There was a significant interaction between HIV‐related stigma and recent violence with depression (Acoef: 0.04, 95% CI: 0.01, 0.07, p < 0.05). SEM analyses reveal that HIV‐related stigma had a significant direct and indirect effect on depression over time (direct effect: β = 0.178, p < 0.001; indirect effect: β = 0.040, p < 0.001); recent violence experiences accounted for 51% of the total effect. Conclusions: Our findings suggest that HIV‐related stigma is associated with increased experiences of recent violence, and both stigma and violence are associated with increased depression among WLHIV in Canada. There is an urgent need for trauma‐informed stigma interventions to address stigma, discrimination and violence., Introduction Gender‐based violence (GBV) disproportionately impacts and compromises the wellbeing of women and girls across the world. A global participatory survey among women living with HIV (WLHIV) found that 89% [...]

Published
2019
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11. sj-docx-1-whe-10.1177_17455057221090829 – Supplemental material for Key recommendations for developing a national action plan to advance the sexual and reproductive health and rights of women living with HIV in Canada

Author

Kaida, Angela, Cameron, Brittany, Conway, Tracey, Cotnam, Jasmine, Danforth, Jessica, de Pokomandy, Alexandra, Gagnier, Brenda, Godoy, Sandra, Gormley, Rebecca, Greene, Saara, Habanyama, Muluba, Kazemi, Mina, Logie, Carmen H., Loutfy, Mona, MacGillivray, Jay, Masching, Renee, Money, Deborah, Nicholson, Valerie, Osborne, Zoë, Pick, Neora, Sanchez, Margarite, Tharao, Wangari, Watt, Sarah, and Narasimhan, Manjulaa

Subjects
FOS: Clinical medicine, 111402 Obstetrics and Gynaecology
Abstract

Supplemental material, sj-docx-1-whe-10.1177_17455057221090829 for Key recommendations for developing a national action plan to advance the sexual and reproductive health and rights of women living with HIV in Canada by Angela Kaida, Brittany Cameron, Tracey Conway, Jasmine Cotnam, Jessica Danforth, Alexandra de Pokomandy, Brenda Gagnier, Sandra Godoy, Rebecca Gormley, Saara Greene, Muluba Habanyama, Mina Kazemi, Carmen H. Logie, Mona Loutfy, Jay MacGillivray, Renee Masching, Deborah Money, Valerie Nicholson, Zoë Osborne, Neora Pick, Margarite Sanchez, Wangari Tharao, Sarah Watt and Manjulaa Narasimhan in Women’s Health

Published
2022
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12. Key recommendations for developing a national action plan to advance the sexual and reproductive health and rights of women living with HIV in Canada

Author

Kaida, Angela, primary, Cameron, Brittany, additional, Conway, Tracey, additional, Cotnam, Jasmine, additional, Danforth, Jessica, additional, de Pokomandy, Alexandra, additional, Gagnier, Brenda, additional, Godoy, Sandra, additional, Gormley, Rebecca, additional, Greene, Saara, additional, Habanyama, Muluba, additional, Kazemi, Mina, additional, Logie, Carmen H., additional, Loutfy, Mona, additional, MacGillivray, Jay, additional, Masching, Renee, additional, Money, Deborah, additional, Nicholson, Valerie, additional, Osborne, Zoë, additional, Pick, Neora, additional, Sanchez, Margarite, additional, Tharao, Wangari, additional, Watt, Sarah, additional, and Narasimhan, Manjulaa, additional

Published
2022
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13. “I shall conquer and prevail” – art and stories of resilience and resistance of the women, ART and criminalization of HIV (WATCH) study

Author

Greene, Saara, primary, J. Odhiambo, Apondi, additional, Muchenje, Marvelous, additional, Nicholson, Valerie, additional, Shore, Krista, additional, Hall, Renata, additional, Nyman, Sheila, additional, Ion, Allyson, additional, Cotnam, Jasmine, additional, Frank, Peggy, additional, Dunn, Kristen, additional, Glum, Shelly, additional, Symington, Alison, additional, Gormley, Rebecca, additional, and Kaida, Angela, additional

Published
2021
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14. Help-Seeking to Cope With Experiences of Violence Among Women Living With HIV in Canada

Author

Gormley, Rebecca, primary, Nicholson, Valerie, additional, Parry, Rebeccah, additional, Lee, Melanie, additional, Webster, Kath, additional, Sanchez, Margarite, additional, Cardinal, Claudette, additional, Li, Jenny, additional, Wang, Lu, additional, Balleny, Rosa, additional, de Pokomandy, Alexandra, additional, Loutfy, Mona, additional, Kaida, Angela, additional, Abdul-Noor, Rahma, additional, Anema, Aranka, additional, Angel, Jonathan, additional, Bakombo, Dada Mamvula, additional, Barry, Fatimatou, additional, Bauer, Greta, additional, Beaver, Kerrigan, additional, Boucher, Marc, additional, Boucoiran, Isabelle, additional, Brophy, Jason, additional, Brotto, Lori, additional, Burchell, Ann, additional, Carter, Allison, additional, Cioppa, Lynne, additional, Conway, Tracey, additional, Côté, José, additional, Cotnam, Jasmine, additional, d’Ambrumenil, Cori, additional, Dayle, Janice, additional, Ding, Erin, additional, Dubuc, Danièle, additional, Duddy, Janice, additional, Fernet, Mylène, additional, Fraleigh, Annette, additional, Frank, Peggy, additional, Gagnier, Brenda, additional, Gagnon, Marilou, additional, Gahagan, Jacqueline, additional, Gasingirwa, Claudine, additional, Gataric, Nada, additional, Gormley, Rebecca, additional, Greene, Saara, additional, Groleau, Danielle, additional, Guerlotté, Charlotte, additional, Hart, Trevor, additional, Hankins, Catherine, additional, Hawa, Roula, additional, Heer, Emily, additional, Hogg, Robert S., additional, Howard, Terry, additional, Islam, Shazia, additional, Jean-Gilles, Joseph, additional, Jefferis, Hermione, additional, Jones, Evin, additional, Kaushic, Charu, additional, Kazemi, Mina, additional, Kestler, Mary, additional, Kiboyogo, Maxime, additional, Klein, Marina, additional, Kronfli, Nadine, additional, Kwaramba, Gladys, additional, Lacasse, Gary, additional, Lacombe-Duncan, Ashley, additional, Lee, Rebecca, additional, Lima, Viviane, additional, Lloyd-Smith, Elisa, additional, Logie, Carmen, additional, Maan, Evelyn, additional, Martel-Lafrenière, Valérie, additional, Martin, Carrie, additional, Masching, Renee, additional, Massie, Lyne, additional, Medjuck, Melissa, additional, Ménard, Brigitte, additional, Miller, Cari L., additional, Mitchell, Judy, additional, Mondragon, Gerardo, additional, Money, Deborah, additional, Monteith, Ken, additional, Muchenje, Marvelous, additional, Mukandamutsa, Florida, additional, Ndung’u, Mary, additional, O’Brien, Kelly, additional, O’Brien, Nadia, additional, Ogilvie, Gina, additional, Ogunnaike-Cooke, Susanna, additional, Otis, Joanne, additional, Patterson, Sophie, additional, Paul, Angela, additional, Peltier, Doris, additional, Pick, Neora, additional, Pierre, Alie, additional, Powis, Jeff, additional, Proulx-Boucher, Karène, additional, Quan, Corinna, additional, Rana, Jesleen, additional, Roth, Eric, additional, Rouleau, Danielle, additional, Rouleau, Geneviève, additional, Rueda, Sergio, additional, Salters, Kate, additional, Sandre, Roger, additional, Sas, Jacquie, additional, Savoie, Édénia, additional, Sereda, Paul, additional, Smith, Stephanie, additional, Summers, Marcie, additional, Tharao, Wangari, additional, Tom, Christina, additional, Tremblay, Cécile, additional, Trigg, Jason, additional, Trottier, Sylvie, additional, Underhill, Angela, additional, Wagner, Anne, additional, Walmsley, Sharon, additional, Wang, Clara, additional, Wobeser, Wendy, additional, Wozniak, Denise, additional, Yudin, Mark, additional, Zhang, Wendy, additional, and Zhu, Julia, additional

Published
2021
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15. Social Determinants of Health and Retention in HIV Care Among Recently Incarcerated Women Living with HIV in Canada

Author

Gormley, Rebecca, Lin, Sally Y., Carter, Allison, Nicholson, Valerie, Webster, Kath, Martin, Ruth Elwood, Milloy, M. J., Pick, Neora, Howard, Terry, Wang, Lu, de Pokomandy, Alexandra, Loutfy, Mona, Kaida, Angela, Abdul-Noor, Rahma, Anema, Aranka, Angel, Jonathan, Bakombo, Dada Mamvula, Barry, Fatimatou, Bauer, Greta, Beaver, Kerrigan, Boucher, Marc, Boucoiran, Isabelle, Brophy, Jason, Brotto, Lori, Burchell, Ann, Cardinal, Claudette, Cioppa, Lynne, Conway, Tracey, Côté, José, Cotnam, Jasmine, d’Ambrumenil, Cori, Dayle, Janice, Ding, Erin, Dubuc, Danièle, Duddy, Janice, Fernet, Mylène, Fraleigh, Annette, Frank, Peggy, Gagnier, Brenda, Gagnon, Marilou, Gahagan, Jacqueline, Gasingirwa, Claudine, Gataric, Nada, Greene, Saara, Groleau, Danielle, Guerlotté, Charlotte, Hart, Trevor, Hankins, Catherine, Global Health, and APH - Global Health

Subjects
Adult, Canada, medicine.medical_specialty, Social Psychology, CHIWOS, Incarceration, Human immunodeficiency virus (HIV), Post-incarceration, HIV Infections, medicine.disease_cause, Indigenous, Medication Adherence, 03 medical and health sciences, Social determinants of health, 0302 clinical medicine, 5. Gender equality, medicine, Humans, Women, 030212 general & internal medicine, Multinomial logistic regression, Sex work, Ontario, 030505 public health, British Columbia, business.industry, Prisoners, Public health, Quebec, Public Health, Environmental and Occupational Health, HIV, Health psychology, Cross-Sectional Studies, Infectious Diseases, Adherence, Female, Residence, 0305 other medical science, business, Demography
Abstract

Women living with HIV (WLWH) are over-represented in corrections in Canada, yet little is known about women’s experiences post-release. We used CHIWOS cross-sectional data from WLWH to estimate associations between social determinants of health and HIV-related care outcomes among WLWH with recent (within past year) or ever (before past year) incarceration experience. Lifetime incarceration prevalence was 36.9% (6.5% recent; 30.4% ever), with significant differences by province of residence (British Columbia: 10% recent; 52% ever; Ontario: 5%; 24%; Quebec: 6%; 22%; p < 0.001). In adjusted multinomial logistic regression analyses, compared with never incarcerated, recent incarceration was associated with Indigenous ancestry, lower annual income (< $20,000 CAD), unstable housing, current sex work, injection drug use (IDU), and sub-optimal antiretroviral therapy (ART) adherence, while ever incarceration was associated with current sex work, IDU, and experiencing adulthood violence. Our findings have implications regarding supports needed by WLWH in the post-release period, including ART adherence and achieving health and social goals.

Published
2020

16. Examining the association between stress and antiretroviral therapy adherence among women living with HIV in Toronto, Ontario

Author

Benoit, Anita C., Burchell, Ann N., O’Brien, Kelly K., Raboud, Janet, Gardner, Sandra, Light, Lucia, Kerrigan Beaver, Cotnam, Jasmine, Conway, Tracey, Price, Colleen, Rourke, Sean B., Rueda, Sergio, Hart, Trevor A., and Loutfy, Mona

Abstract

We aimed to identify the association between stress and antiretroviral therapy (ART) adherence among women in HIV care in Toronto, Ontario participating in the Ontario HIV Treatment Network Cohort Study (OCS) between 2007 and 2012. We conducted cross-sectional analyses with women on ART completing the AIDS Clinical Trial Group (ACTG) Adherence Questionnaire. Data closest to, or at the last completed interview, were collected from medical charts, through record linkage with Public Health Ontario Laboratories, and from a standardized self-reported questionnaire comprised of socio-demographic and psycho-socio-behavioral measures (Center for Epidemiologic Studies Depression Scale (CES-D), Alcohol Use Disorders Identification Test (AUDIT)), and stress measures (National Population Health Survey). Logistic regression was used to quantify associations with optimal adherence (≥95% adherence defined as missing ≤ one dose of ART in the past 4 weeks). Among 307 women, 65.5% had optimal adherence. Women with suboptimal compared to optimal adherence had higher median total stress scores (6.0 [interquartile range (IQR): 3.0–8.1] vs. 4.1 [IQR: 2.0–7.1], p = 0.001), CES-D scores (16 [IQR: 6–28] vs. 12 [IQR: 3–22], p = 0.008) and reports of hazardous and harmful alcohol use (31.1% vs. 17.9%, p = 0.008). In our multivariable model, we found an increased likelihood of optimal adherence with the absence of hazardous and harmful alcohol use (Adjusted Odds Ratio (AOR)=2.20, 95% confidence interval (CI): 1.12–4.32) and a decreased likelihood of optimal adherence with more self-reported stress (AOR = 0.56, 95% CI: 0.33–0.94). Interventions supporting optimal ART adherence should address stress and include strategies to reduce or eliminate hazardous and harmful alcohol use for women living with HIV.

Published
2020
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18. Envisioning Women-Centered HIV Care: Perspectives from Women Living with HIV in Canada

Author

O'Brien, Nadia, primary, Greene, Saara, additional, Carter, Allison, additional, Lewis, Johanna, additional, Nicholson, Valerie, additional, Kwaramba, Gladys, additional, Ménard, Brigitte, additional, Kaufman, Elaina, additional, Ennabil, Nourane, additional, Andersson, Neil, additional, Loutfy, Mona, additional, de Pokomandy, Alexandra, additional, Kaida, Angela, additional, Anema, Aranka, additional, Becker, Denise, additional, Brotto, Lori, additional, Cardinal, Claudette, additional, Colley, Guillaume, additional, Ding, Erin, additional, Duddy, Janice, additional, Gataric, Nada, additional, Hogg, Robert S., additional, Howard, Terry, additional, Jabbari, Shahab, additional, Jones, Evin, additional, Kestler, Mary, additional, Langlois, Andrea, additional, Lima, Viviane, additional, Lloyd-Smith, Elisa, additional, Medjuck, Melissa, additional, Miller, Cari, additional, Money, Deborah, additional, Ogilvie, Gina, additional, Patterson, Sophie, additional, Pick, Neora, additional, Roth, Eric, additional, Salters, Kate, additional, Sanchez, Margarite, additional, Sas, Jacquie, additional, Sereda, Paul, additional, Summers, Marcie, additional, Tom, Christina, additional, Wang, Clara, additional, Webster, Kath, additional, Zhang, Wendy, additional, Abdul-Noor, Rahma, additional, Angel, Jonathan, additional, Barry, Fatimatou, additional, Bauer, Greta, additional, Beaver, Kerrigan, additional, Benoit, Anita, additional, Bertozzi, Breklyn, additional, Borton, Sheila, additional, Bourque, Tammy, additional, Brophy, Jason, additional, Burchell, Ann, additional, Carlson, Allison, additional, Cioppa, Lynne, additional, Cohen, Jeffrey, additional, Conway, Tracey, additional, Cooper, Curtis, additional, Cotnam, Jasmine, additional, Cousineau, Janette, additional, Desbiens, Marisol, additional, Fraleigh, Annette, additional, Gagnier, Brenda, additional, Gasingirwa, Claudine, additional, Hart, Trevor, additional, Islam, Shazia, additional, Kaushic, Charu, additional, Kennedy, Logan, additional, Kerr, Desiree, additional, Leonard, Lynne, additional, Logie, Carmen, additional, Margolese, Shari, additional, Muchenje, Marvelous, additional, Ndung'u, Mary (Muthoni), additional, O’Brien, Kelly, additional, Ouellette, Charlene, additional, Powis, Jeff, additional, Quan, Corinna, additional, Raboud, Janet, additional, Rachlis, Anita, additional, Ralph, Edward, additional, Rourke, Sean, additional, Rueda, Sergio, additional, Sandre, Roger, additional, Smaill, Fiona, additional, Smith, Stephanie, additional, Tigere, Tsitsi, additional, Tharao, Wangari, additional, Walmsley, Sharon, additional, Wobeser, Wendy, additional, Yee, Jessica, additional, Yudin, Mark, additional, Bakombo, Dada Mamvula, additional, Baril, Jean-Guy, additional, Boucher, Marc, additional, Boucoiran, Isabelle, additional, Burke, Nora Butler, additional, Clément, Pierrette, additional, Côté, José, additional, Dayle, Janice, additional, Dubuc, Danièle, additional, Fernet, Mylène, additional, Gagnon, Marilou, additional, Groleau, Danielle, additional, Hot, Aurélie, additional, Kiboyogo, Maxime, additional, Klein, Marina, additional, Lacasse, Gary, additional, Lamarre, Valérie, additional, Martin, Carrie, additional, Massie, Lyne, additional, Monteith, Ken, additional, O'Brien, Nadia, additional, Otis, Joanne, additional, Peltier, Doris, additional, Pierre, Alie, additional, Proulx-Boucher, Karène, additional, Rouleau, Danielle, additional, Rouleau, Geneviève, additional, Savoie, Édénia, additional, Tremblay, Cécile, additional, Trottier, Benoit, additional, Trottier, Sylvie, additional, Tsoukas, Christos, additional, Gahagan, Jacqueline, additional, Hankins, Catherine, additional, Masching, Renee, additional, and Ogunnaike-Cooke, Susanna, additional

Published
2017
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19. Examining the association between stress and antiretroviral therapy adherence among women living with HIV in Toronto, Ontario.

Author

Benoit AC, Burchell AN, O'Brien KK, Raboud J, Gardner S, Light L, Beaver K, Cotnam J, Conway T, Price C, Rourke SB, Rueda S, Hart TA, and Loutfy M

Subjects
Adult, Cohort Studies, Cross-Sectional Studies, Female, HIV Infections epidemiology, Humans, Logistic Models, Middle Aged, Ontario epidemiology, Stress, Psychological epidemiology, Surveys and Questionnaires, Assessment of Medication Adherence, Anti-Retroviral Agents therapeutic use, HIV Infections drug therapy, Medication Adherence psychology, Stress, Psychological complications
Abstract

Background: We aimed to identify the association between stress and antiretroviral therapy (ART) adherence among women in HIV care in Toronto, Ontario participating in the Ontario HIV Treatment Network Cohort Study (OCS) between 2007 and 2012., Materials and Methods: We conducted cross-sectional analyses with women on ART completing the AIDS Clinical Trial Group (ACTG) Adherence Questionnaire. Data closest to, or at the last completed interview, were collected from medical charts, through record linkage with Public Health Ontario Laboratories, and from a standardized self-reported questionnaire comprised of socio-demographic and psycho-socio-behavioral measures (Center for Epidemiologic Studies Depression Scale (CES-D), Alcohol Use Disorders Identification Test (AUDIT)), and stress measures (National Population Health Survey). Logistic regression was used to quantify associations with optimal adherence (≥95% adherence defined as missing ≤ one dose of ART in the past 4 weeks)., Results: Among 307 women, 65.5% had optimal adherence. Women with suboptimal compared to optimal adherence had higher median total stress scores (6.0 [interquartile range (IQR): 3.0-8.1] vs. 4.1 [IQR: 2.0-7.1], p = 0.001), CES-D scores (16 [IQR: 6-28] vs. 12 [IQR: 3-22], p = 0.008) and reports of hazardous and harmful alcohol use (31.1% vs. 17.9%, p = 0.008). In our multivariable model, we found an increased likelihood of optimal adherence with the absence of hazardous and harmful alcohol use (Adjusted Odds Ratio (AOR)=2.20, 95% confidence interval (CI): 1.12-4.32) and a decreased likelihood of optimal adherence with more self-reported stress (AOR = 0.56, 95% CI: 0.33-0.94)., Conclusions: Interventions supporting optimal ART adherence should address stress and include strategies to reduce or eliminate hazardous and harmful alcohol use for women living with HIV.

Published
2020
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20. Pathways From HIV-Related Stigma to Antiretroviral Therapy Measures in the HIV Care Cascade for Women Living With HIV in Canada.

Author

Logie CH, Lacombe-Duncan A, Wang Y, Kaida A, Conway T, Webster K, de Pokomandy A, Loutfy MR, Anema A, Becker D, Brotto L, Carter A, Cardinal C, Colley G, Ding E, Duddy J, Gataric N, Hogg RS, Hosward T, Jabbari S, Jones E, Kestler M, Langlois A, Lima V, Lloyd-Smith E, Medjuck M, Miller C, Money D, Nicholson V, Ogilvie G, Patterson S, Pick N, Roth E, Salters K, Sanchez M, Sas J, Sereda P, Summers M, Tom C, Wang L, Webster K, Zhang W, Abdul-Noor R, Angel J, Barry F, Bauer G, Beaver K, Benoit A, Bertozzi B, Borton S, Bourque T, Brophy J, Burchell A, Carlson A, Cioppa L, Cohen J, Conway T, Cooper C, Cotnam J, Cousineau J, Fraleigh A, Gagnier B, Gasingirwa C, Greene S, Hart T, Islam S, Kaushic C, Kennedy L, Kerr D, Kiboyogo M, Kwaramba G, Leonard L, Lewis J, Logie C, Margolese S, Muchenje M, Ndungʼu M, OʼBrien K, Ouellette C, Powis J, Quan C, Raboud J, Rachlis A, Ralph E, Rourke S, Rueda S, Sandre R, Smaill F, Smith S, Tigere T, Tharao W, Walmsley S, Wobeser W, Yee J, Yudin M, Baril JG, Burke NB, Clément P, Dayle J, Dubuc D, Fernet M, Groleau D, Hot A, Klein M, Martin C, Massie L, Ménard B, OʼBrien N, Otis J, Peltier D, Pierre A, Proulx-Boucher K, Rouleau D, Savoie É, Tremblay C, Trottier B, Trottier S, Tsoukas C, Gahagan J, Hankins C, Masching R, and Ogunnaike-Cooke S

Subjects
Adult, Antiretroviral Therapy, Highly Active, Canada, Cross-Sectional Studies, Female, Humans, Middle Aged, Anti-Retroviral Agents therapeutic use, HIV Infections drug therapy, HIV Infections psychology, Medication Adherence psychology, Social Stigma
Abstract

Background: Associations between HIV-related stigma and reduced antiretroviral therapy (ART) adherence are widely established, yet the mechanisms accounting for this relationship are underexplored. There has been less attention to HIV-related stigma and its associations with ART initiation and current ART use. We examined pathways from HIV-related stigma to ART initiation, current ART use, and ART adherence among women living with HIV in Canada., Methods: We used baseline survey data from a national cohort of women living with HIV in Canada (n = 1425). Structural equation modeling using weighted least squares estimation methods was conducted to test the direct effects of HIV-related stigma dimensions (personalized, negative self-image, and public attitudes) on ART initiation, current ART use, and 90% ART adherence, and indirect effects through depression and HIV disclosure concerns, adjusting for sociodemographic factors., Results: In the final model, the direct paths from personalized stigma to ART initiation (β = -0.104, P < 0.05) and current ART use (β = -0.142, P < 0.01), and negative self-image to ART initiation (β = -0.113, P < 0.01) were significant, accounting for the mediation effects of depression and HIV disclosure concerns. Depression mediated the pathways from personalized stigma to ART adherence, and negative self-image to current ART use and ART adherence. Final model fit indices suggest that the model fit the data well [χ(25) = 90.251, P < 0.001; comparative fit index = 0.945; root-mean-square error of approximation = 0.044]., Conclusions: HIV-related stigma is associated with reduced likelihood of ART initiation and current ART use, and suboptimal ART adherence. To optimize the benefit of ART among women living with HIV, interventions should reduce HIV-related stigma and address depression.

Published
2018
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