Evidence map›Paper›PMID 36411243›Full record

ArticleInternational journal of STD & AIDS2023

HIV care cascade for women living with HIV in the Greater Toronto Area versus the rest of Ontario and Canada.

Priscilla Medeiros, Laura Warren, Mina Kazemi, Notisha Massaquoi, Stephanie Smith, Wangari Tharao, Lena Serghides, Carmen H Logie, Abigail Kroch, Ann N Burchell and 4 more

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In one paragraph

Article in International journal of STD & AIDS, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Priscilla MedeirosWomen's College Research Institute, 7985Women's College Hospital, Toronto, ON, Canada.ORCID 0000-0003-1050-6067
Laura WarrenWomen's College Research Institute, 7985Women's College Hospital, Toronto, ON, Canada.
Mina KazemiWomen's College Research Institute, 7985Women's College Hospital, Toronto, ON, Canada.
Notisha MassaquoiFaculty of Social Work, 7938University of Toronto, Toronto, ON, Canada.
Stephanie SmithWomen's College Research Institute, 7985Women's College Hospital, Toronto, ON, Canada.
Wangari TharaoWomen's Health in Women's Hands Community Health, Toronto, ON, Canada.
Lena SerghidesWomen's College Research Institute, 7985Women's College Hospital, Toronto, ON, Canada.
Carmen H LogieWomen's College Research Institute, 7985Women's College Hospital, Toronto, ON, Canada.ORCID 0000-0002-8035-433X
Abigail Kroch269770Ontario HIV Treatment Network, Toronto, ON, Canada.
Ann N BurchellDepartment of Family and Community Medicine, 548628St. Michael's Hospital, Toronto, ON, Canada.
Alexandra de PokomandyChronic Viral Illness Service, 507266McGill University Health Centre, Montreal, QC, Canada.ORCID 0000-0001-6809-1357
Angela KaidaFaculty of Health Sciences, 1763Simon Fraser University, Burnaby, BC, Canada.
Mona LoutfyWomen's College Research Institute, 7985Women's College Hospital, Toronto, ON, Canada.ORCID 0000-0001-7887-8997
CHIWOS Research Team

Funding

CIHR
6 · The paper itself

Abstract

backgroundThe Greater Toronto Area (GTA) is home to 39% of Canada's population living with HIV. To identify gaps in access and engagement in care and treatment, we assessed the care cascade of women living with HIV (WLWH) in the GTA versus the rest of Ontario and Canada (in this case: Quebec and British Columbia).

methodsWe analyzed 2013-2015 self-reported baseline data from the Canadian HIV Women's Sexual and Reproductive Health Cohort Study for six care cascade stages: linked to care, retained in care, initiated antiretroviral therapy (ART), currently on ART, ART adherence (≥90%), and undetectable (<50 copies/mL). Multivariable logistic regression was used to reveal associations with being undetectable.

resultsComparing the GTA to the rest of Ontario and Canada, respectively: 96%, 98%, 100% were linked to care; 92%, 94%, 98% retained in care; 72%, 89%, 96% initiated ART; 67%, 81%, 90% were currently using ART; 53%, 66%, 77% were adherent; 59%, 69%, 81% were undetectable. Factors associated with viral suppression in the multivariable model included: living outside of the GTA (Ontario: aOR = 1.72, 95% CI: 1.09-2.72; Canada: aOR = 2.42, 95% CI: 1.62-3.62), non-Canadian citizenship (landed immigrant/permanent resident: aOR = 3.23, 95% CI: 1.66-6.26; refugee/protected person/other status: aOR = 4.77, 95% CI: 1.96-11.64), completed high school (aOR = 1.77, 95% CI: 1.15-2.73), stable housing (aOR = 2.13, 95% CI: 1.33-3.39), income of ≥$20,000 (aOR = 1.52, 95% CI: 1.00-2.31), HIV diagnosis <6 years (6-14 years: aOR = 1.75, 95% CI: 1.16-2.63; >14 years: aOR = 1.87, 95% CI: 1.19-2.96), and higher resilience (aOR = 1.02, 95% CI: 1.00-1.04).

conclusionWLWH living in the GTA had lower rates of viral suppression compared to the rest of Ontario and Canada even after adjustment of age, ethnicity, and HIV diagnosis duration. High-impact programming for WLWH in the GTA to improve HIV outcomes are greatly needed.

Indexed as

HIV InfectionsWomen's HealthCanadaCohort StudiesFemaleHumansOntarioSexual BehaviorCanadaCHIWOSGreater Toronto AreaHIV cascade of careWomen

Identifiers

PMID36411243
PMCPMC9806481

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.