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Canadian journal of public health. Revue canadienne de santé publique
To enhance HIV surveillance within a non-nominal provincial testing system. Confirmatory HIV tests from a provincial laboratory were analyzed during 1995 and 1996. Enhancements included elimination of repeat positive tests for the same individual using automated matching of non-nominal identifiers and nurse call-back of health care providers, completion of missing information through call-back and connection of providers with resources for patient care. Forty-seven percent of 2,683 reactive HIV tests were identified as duplicates for the same individual, meaning that 1,401 people tested positive for the first time. From laboratory test data to enhanced unduplicated data after call-back, the proportion of tests for which risk and ethnic information was unknown dropped from 37% to 11% and from 64% to 18% respectively (p < 0.0001). Enhanced non-nominal surveillance for HIV is a practical means of marrying the needs of public health for epidemiological information and the rights of p...
Evidence-based Healthcare
Routine prenatal screening for HIV in a low-prevalence setting reduces the rate of maternal–fetal HIV transmission and may rival other widely accepted healthcare expenditures in terms of cost effectiveness1999 •
Rapid point-of-care (POC) testing for HIV has been shown to increase the uptake of testing, rates of clients receiving test results, numbers of individuals aware of their status and timely access to care for those who test positive. In addition, several studies have shown that rapid POC testing for HIV is highly acceptable to clients in a variety of clinical and community-based health care settings. Most acceptability studies conducted in North America, however, have been conducted in large, urban environments where concentrations of HIV testing sites and testing innovations are greatest. Using a survey of client preferences at a sexual health clinic in Halifax, Nova Scotia, we suggest that HIV test seekers living in a region outside of Canada’s major urban HIV epicentres find rapid POC testing highly acceptable. We compare the results of the Halifax survey with existing acceptability studies of rapid POC HIV testing in North America and suggest ways in which it might be of particular benefit to testing clients and potential clients in Nova Scotia and other regions of Canada that currently have few opportunities for anonymous or rapid testing. Overall, we found that rapid POC HIV testing was highly desirable at this study site and may serve to overcome many of the challenges associated with HIV prevention and testing outside of well-resourced metropolitan environments.
International Journal of Men's Health
The Sexual Health of Gay Men in the Post-AIDS Era: Feminist, Post-Structuralist and Queer Theory Perspectives2009 •
BMC Health Services …
STI service delivery in British Columbia, Canada: Providers' views of their services to youth2012 •
We measured gender differences in "Quality of Care" (QOC) during the first year after initiation of antiretroviral therapy and investigated factors associated with poorer QOC among women. QOC was estimated using the Programmatic Compliance Score (PCS), a validated metric associated with all-cause mortality, among all patients (≥19 years) who initiated ART in British Columbia, Canada (2000-2010). PCS includes six indicators of non-compliance with treatment initiation guidelines at baseline (not having drug resistance testing before treatment; starting on a non-recommended regimen; starting therapy at CD4<200 cells/mm3) and during first-year follow-up (receiving <3 CD4 tests; receiving <3 viral load tests; not achieving viral suppression within six months). Summary scores range from 0-6; higher scores indicate poorer QOC. Multivariable ordinal logistic regression was used to measure if female gender was an independent predictor of poorer QOC and factors associated w...
Health Promotion Practice
Community-Based HIV and STI Prevention in Women Working in Indoor Sex Markets2013 •
During 2009-2010 investigators from the BC Centre for Disease Control (BCCDC) and the School of Nursing at the University of British Columbia, in collaboration with regional health authorities, First Nations communities and private service organizations undertook a project aimed at understanding the nature and scope of public health nursing practice in the area of sexually transmitted infection including HIV prevention and control. Of the 576 registered nurses working in STI care, 314 completed the survey. Nurses on average had been practicing for 18 years and most were baccalaureate-prepared. Public health nurses spent an average of 28% of total work time in STI care. Nurses were a major source for referral to other health care services. Approximately 22% of nurses were not working to the full scope of their practice and 58% had attended less than 3 professional development activities in the previous year. 24% reported feeling unprepared for the level of independence required in th...
Qualitative Health Research
Diagnostic Technologies in Practice: Gay Men’s Narratives of Acute or Recent HIV Infection DiagnosisDiagnosing HIV-positive gay men through enhanced testing technologies that detect acute HIV infection (AHI) or recent HIV infection provides opportunities for individual and population health benefits. We recruited 25 men in British Columbia who received an acute (n = 13) or recent (n = 12) HIV diagnosis to engage in a longitudinal multiple- methods study over one year or longer. Our thematic analysis of baseline qualitative interviews revealed insights within men’s accounts of technologically mediated processes of HIV discovery and diagnosis. Our analysis illuminated the dialectic of new HIV technologies in practice by considering the relationship between advances in diagnostics (e.g., nucleic acid amplification tests) and the users of these medical technologies in clinical settings (e.g., clients and practitioners). Technological innovations and testing protocols have shifted experiences of learning of one’s HIV- positive status; these innovations have created new diagnostic categories that require successful interpretation and translation to be rendered meaningful, to alleviate uncertainty, and to support public health objectives.
The Canadian journal of infection control : the official journal of the Community & Hospital Infection Control Association-Canada = Revue canadienne de prévention des infections / Association pour la prévention des infections a l'hôpital et dans la communaute-Canada ; CHICA-CANADA
Rapid control of a methicillin resistant Staphylococcus aureus (MRSA) outbreak in a medical surgical intensive care unit (ICU)2009 •
Journal of the American Medical Informatics Association : JAMIA
Implementation of an innovative, integrated electronic medical record (EMR) and public health information exchange for HIV/AIDS2011 •
Patient Education and Counseling
Factors that affect HIV testing and counseling services among heterosexuals in Canada and the United Kingdom: An integrated review2012 •
2012 •
Journal of Health Politics Policy and Law
Back to the Future? Diabetes, HIV, and the Boundaries of Public Health2007 •
Journal of the Association of Nurses in AIDS Care
Care of HIV-Infected Latinos in the United States: A Description of Calls to the National HIV/AIDS Clinicians' Consultation Center2008 •
Clinical Nursing Research
Health care provider's influence on HIV-infected women's belief and intentions related to AZT therapy1999 •
2008 •
AIDS and Behaviour
Experiences of the HIV Cascade of Care Among Indigenous Peoples: A Systematic Review · For the Cedar Project Partnership2019 •
BMC Health Services Research
Implementation of a regional quality improvement collaborative to improve care of people living with opioid use disorder in a Canadian setting2019 •
Journal of medical …
Internet-based HIV and sexually transmitted infection testing in British Columbia, Canada: opinions and expectations of prospective clients2012 •
Systematic Reviews
Short message service (SMS) interventions for the prevention and treatment of sexually transmitted infections: a systematic review protocol2014 •
The open AIDS journal
Repeat Western blot testing after receiving an HIV diagnosis and its association with engagement in care2012 •
National Health Service …
A Systematic Review of the Effectiveness and Cost-Effectiveness of the Taxanes Used In the Treatment of Advanced Breast and Ovarian Cancer2000 •
Qualitative Health Research
Health Care Among Street-Involved Women: The Perpetuation of Health Inequity2013 •
Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstétrique et gynécologie du Canada : JOGC
Test uptake and case detection of syphilis, HIV, and hepatitis C among women undergoing prenatal screening in British Columbia, 2007 to 20112014 •
2006 •
Canadian journal of public health = Revue canadienne de santé publique
Hepatitis C infection among pregnant women in British Columbia: reported prevalence and critical appraisal of current prenatal screening methods2013 •
Homelessness and Health in Canada. (edited by M. Guergis-Younger, R. McNeil & S. Hwang. Published by the University of Ottawa Press)
Helpers, not helpless: Honouring the strength, wisdom and vision of Aboriginal women experiencing homelessness or marginal housing.2014 •
Canadian HIV/AIDS policy & law review / Canadian HIV/AIDS Legal Network
Report on complementary/alternative health care and HIV/AIDS2002 •
Journal of the International AIDS Society
Towards targeted screening for acute HIV infections in British Columbia2011 •
Healthcare Quarterly
Safer Care - Measuring to Manage and Improve2005 •
Journal of Urban Health
HIV Prevention Services Received at Health Care and HIV Test Providers by Young Men who Have Sex with Men: An Examination of Racial Disparities2008 •
Sociology of health & illness
Not the swab!' Young men's experiences with STI testing2010 •