A/C study protocol: a cross-sectional study of HIV epidemiology among African, Caribbean and Black people in Ontario.

Autor:	Mbuagbaw L; Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, Ontario, Canada mbuagblc@mcmaster.ca., Tharao W; Women's Health in Women's Hands Community Health Centre, Toronto, Ontario, Canada., Husbands W; Ontario HIV Treatment Network, Toronto, Ontario, Canada., Nelson LE; School of Nursing, Yale University, West Haven, Connecticut, USA., Aden M; Women's Health in Women's Hands Community Health Centre, Toronto, Ontario, Canada., Arnold K; African and Caribbean Council on HIV/AIDS in Ontario, Toronto, Ontario, Canada., Baidoobonso S; African and Caribbean Council on HIV/AIDS in Ontario, Toronto, Ontario, Canada., Dabone C; Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada., Dryden O; Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada., Etowa E; Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada., Hamid J; Children's Hospital of Eastern Ontario Research Institute, Ottawa, Ontario, Canada., Jackson-Best F; Black Health Alliance, Toronto, Ontario, Canada., Kohoun B; Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada., Lawson DO; Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, Ontario, Canada., Lofters AK; St Michael's Hospital Centre for Urban Health Solutions, Toronto, Ontario, Canada., Luyombya H; Ontario HIV Treatment Network, Toronto, Ontario, Canada., Mbulaheni T; Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada., Mkandawire P; Carleton University, Ottawa, Ontario, Canada., Ndungu M; Africans in Partnership, Toronto, Ontario, Canada., Nyambi A; Ontario HIV Treatment Network, Toronto, Ontario, Canada., Obiorah S; Somerset West Community Health Centre, Ottawa, Ontario, Canada., Ongoiba F; Africans in Partnership, Toronto, Ontario, Canada., Ongolo-Zogo C; Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, Ontario, Canada., Oraka C; Ottawa Public Health, Ottawa, Ontario, Canada., Shahin R; Toronto Public Health, Toronto, Ontario, Canada., Yaya S; Faculty of Social Sciences, University of Ottawa, Ottawa, Ontario, Canada., Hendricks A; Ottawa Public Health, Ottawa, Ontario, Canada., Gebremeskel A; Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada., Inoua H; AIDS Commitee of Ottawa, Ottawa, Ontario, Canada., Etowa J; Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada.
Jazyk:	angličtina
Zdroj:	BMJ open [BMJ Open] 2020 Jul 08; Vol. 10 (7), pp. e036259. Date of Electronic Publication: 2020 Jul 08.
DOI:	10.1136/bmjopen-2019-036259
Abstrakt:	Introduction: African, Caribbean and Black (ACB) communities are disproportionately infected by HIV in Ontario, Canada. They constitute only 5% of the population of Ontario yet account for 25% of new diagnoses of HIV. The aim of this study is to understand underlying factors that augment the HIV risk in ACB communities and to inform policy and practice in Ontario. Methods and Analysis: We will conduct a cross-sectional study of first-generation and second-generation ACB adults aged 15-64 in Toronto (n=1000) and Ottawa (n=500) and collect data on sociodemographic information, sexual behaviours, substance use, blood donation, access and use of health services and HIV-related care. We will use dried blood spot testing to determine the incidence and prevalence of HIV infection among ACB people, and link participant data to administrative databases to investigate health service access and use. Factors associated with key outcomes (HIV infection, testing behaviours, knowledge about HIV transmission and acquisition, HIV vulnerability, access and use of health services) will be evaluated using generalised linear mixed models, adjusted for relevant covariates. Ethics and Dissemination: This study has been reviewed and approved by the following Research Ethics Boards: Toronto Public Health, Ottawa Public Health, Laurentian University; the University of Ottawa and the University of Toronto. Our findings will be disseminated as community reports, fact sheets, digital stories, oral and poster presentations, peer-reviewed manuscripts and social media. Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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