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

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...

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Main Authors: LaRon E Nelson, Sanni Yaya, Jemila Hamid, Winston Husbands, Rita Shahin, Wangari Tharao, Muna Aden, Keresa Arnold, Shamara Baidoobonso, Charles Dabone, OmiSoore Dryden, Egbe Etowa, Fatimah Jackson-Best, Bagnini Kohoun, Daeria O Lawson, Aisha K Lofters, Henry Luyombya, Tola Mbulaheni, Paul Mkandawire, Mary Ndungu, Agatha Nyambi, Suzanne Obiorah, Fanta Ongoiba, Clémence Ongolo-Zogo, Chinedu Oraka, Andrew Hendricks, Haoua Inoua, Josephine Etowa, Akalewold Gebremeskel
Format: Article
Language:English
Published: BMJ Publishing Group 2020-07-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/10/7/e036259.full
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author LaRon E Nelson
Sanni Yaya
Jemila Hamid
Winston Husbands
Rita Shahin
Wangari Tharao
Muna Aden
Keresa Arnold
Shamara Baidoobonso
Charles Dabone
OmiSoore Dryden
Egbe Etowa
Fatimah Jackson-Best
Bagnini Kohoun
Daeria O Lawson
Aisha K Lofters
Henry Luyombya
Tola Mbulaheni
Paul Mkandawire
Mary Ndungu
Agatha Nyambi
Suzanne Obiorah
Fanta Ongoiba
Clémence Ongolo-Zogo
Chinedu Oraka
Andrew Hendricks
Haoua Inoua
Josephine Etowa
Akalewold Gebremeskel
author_facet LaRon E Nelson
Sanni Yaya
Jemila Hamid
Winston Husbands
Rita Shahin
Wangari Tharao
Muna Aden
Keresa Arnold
Shamara Baidoobonso
Charles Dabone
OmiSoore Dryden
Egbe Etowa
Fatimah Jackson-Best
Bagnini Kohoun
Daeria O Lawson
Aisha K Lofters
Henry Luyombya
Tola Mbulaheni
Paul Mkandawire
Mary Ndungu
Agatha Nyambi
Suzanne Obiorah
Fanta Ongoiba
Clémence Ongolo-Zogo
Chinedu Oraka
Andrew Hendricks
Haoua Inoua
Josephine Etowa
Akalewold Gebremeskel
author_sort LaRon E Nelson
collection DOAJ
description 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.
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spelling doaj-art-ff0bd24c5e9a4dfaa50d0d6b281786312024-12-04T16:45:10ZengBMJ Publishing GroupBMJ Open2044-60552020-07-0110710.1136/bmjopen-2019-036259A/C study protocol: a cross-sectional study of HIV epidemiology among African, Caribbean and Black people in OntarioLaRon E Nelson0Sanni Yaya1Jemila Hamid2Winston Husbands3Rita Shahin4Wangari Tharao5Muna Aden6Keresa Arnold7Shamara Baidoobonso8Charles Dabone9OmiSoore Dryden10Egbe Etowa11Fatimah Jackson-Best12Bagnini Kohoun13Daeria O Lawson14Aisha K Lofters15Henry Luyombya16Tola Mbulaheni17Paul Mkandawire18Mary Ndungu19Agatha Nyambi20Suzanne Obiorah21Fanta Ongoiba22Clémence Ongolo-Zogo23Chinedu Oraka24Andrew Hendricks25Haoua Inoua26Josephine Etowa27Akalewold Gebremeskel28School of Nursing, Yale University, New Haven, Connecticut, USASchool of International Development and Global Studies, University of Ottawa, Ottawa, Ontario, Canada1 Children`s Hospital of Eastern Ontario Research Institute, Ottawa, Ontario, CanadaOntario HIV Treatment Network, Toronto, Ontario, CanadaToronto Public Health, Toronto, Ontario, CanadaWomen`s Health in Women`s Hands Community Health Centre, Toronto, Ontario, CanadaWomen`s Health in Women`s Hands Community Health Centre, Toronto, Ontario, CanadaAfrican and Caribbean Council on HIV/AIDS in Ontario, Toronto, Ontario, CanadaAfrican and Caribbean Council on HIV/AIDS in Ontario, Toronto, Ontario, CanadaFaculty of Health Sciences, University of Ottawa, Ottawa, Ontario, CanadaFaculty of Medicine, Dalhousie University, Halifax, Nova Scotia, CanadaFaculty of Health Sciences, University of Ottawa, Ottawa, Ontario, CanadaBlack Health Alliance, Toronto, Ontario, CanadaFaculty of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada2 Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, CanadaDepartment of Family and Community Medicine, University of Toronto, Toronto, Ontario, CanadaOntario HIV Treatment Network, Toronto, Ontario, CanadaDalla Lana School of Public Health, University of Toronto, Toronto, Ontario, CanadaCarleton University, Ottawa, Ontario, CanadaAfricans in Partnership, Toronto, Ontario, CanadaOntario HIV Treatment Network, Toronto, Ontario, CanadaSomerset West Community Health Centre, Ottawa, Ontario, CanadaAfricans in Partnership Against AIDS, Toronto, Ontario, CanadaDepartment of Health Research Methods, Evidence and Impact, McMaster University, Faculty of Health Sciences, Hamilton, Ontario, CanadaOttawa Public Health, Ottawa, Ontario, CanadaOttawa Public Health, Ottawa, Ontario, CanadaAIDS Commitee of Ottawa, Ottawa, Ontario, CanadaSchool of Nursing, Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario, CanadaFaculty of Health Sciences, University of Ottawa, Ottawa, Ontario, CanadaIntroduction 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.https://bmjopen.bmj.com/content/10/7/e036259.full
spellingShingle LaRon E Nelson
Sanni Yaya
Jemila Hamid
Winston Husbands
Rita Shahin
Wangari Tharao
Muna Aden
Keresa Arnold
Shamara Baidoobonso
Charles Dabone
OmiSoore Dryden
Egbe Etowa
Fatimah Jackson-Best
Bagnini Kohoun
Daeria O Lawson
Aisha K Lofters
Henry Luyombya
Tola Mbulaheni
Paul Mkandawire
Mary Ndungu
Agatha Nyambi
Suzanne Obiorah
Fanta Ongoiba
Clémence Ongolo-Zogo
Chinedu Oraka
Andrew Hendricks
Haoua Inoua
Josephine Etowa
Akalewold Gebremeskel
A/C study protocol: a cross-sectional study of HIV epidemiology among African, Caribbean and Black people in Ontario
BMJ Open
title A/C study protocol: a cross-sectional study of HIV epidemiology among African, Caribbean and Black people in Ontario
title_full A/C study protocol: a cross-sectional study of HIV epidemiology among African, Caribbean and Black people in Ontario
title_fullStr A/C study protocol: a cross-sectional study of HIV epidemiology among African, Caribbean and Black people in Ontario
title_full_unstemmed A/C study protocol: a cross-sectional study of HIV epidemiology among African, Caribbean and Black people in Ontario
title_short A/C study protocol: a cross-sectional study of HIV epidemiology among African, Caribbean and Black people in Ontario
title_sort a c study protocol a cross sectional study of hiv epidemiology among african caribbean and black people in ontario
url https://bmjopen.bmj.com/content/10/7/e036259.full
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