Rapid Responses

Best practices to increase the uptake of HIV and HCV testing among people who use drugs

-+*Download pdf Questions What are best practices to increase the uptake of HIV and HCV testing among people who use drugs?  Key take-home messages Interventions that provide HIV and/or HCV testing have been offered in a variety of settings. These include community settings such as outpatient drug treatment clinics (1–5), mobile clinics (6), harm reduction …

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An overview of Patient Advisory Councils and Community Advisory Councils in health care

-+*Download pdf Questions What are the best practices, lessons learned, and limitations of Patient Advisory Councils and Community Advisory Councils in health care settings?  Key take-home messages Patient Advisory Councils and Community Advisory Councils promote patient engagement and the development of strategies and interventions to benefit the delivery of patient care; these collaborative councils are …

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A review of internet-based testing services for HIV and sexually transmitted infections (STIs)

-+*Download pdf Questions What are the examples of providing internet-based HIV/STI testing services in high-income settings (both publicly and privately funded)? What is the uptake of such services and which population groups benefit from them? What are the implications of these services for access, standard of practice, quality of care, and costs?  Key take-home messages …

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Interventions and best practices to address increasing rates of syphilis transmission

-+*Download pdf Questions What are the effective interventions and best practices to reduce syphilis transmission among various population groups?  Key take-home messages Infectious and congenital syphilis rates have seen a sharp growth in Canada since 2016 (1). The COVID-19 pandemic impact on syphilis rates is undetermined: some studies have shown that there are observed decreases …

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Low-level HIV viremia: Definitions, predictors, mechanisms, and clinical outcomes

-+*Download pdf Questions What are the factors associated with low-level HIV viremia? What are its possible mechanisms and clinical outcomes?  Key take-home messages The definitions of optimal viral suppression, low-level viremia, blips, virologic failure, and recommended management approaches to low-level viremia vary greatly across studies and clinical guidelines. There is controversy regarding the clinical implications …

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Psychosocial needs and vulnerabilities of older gay and bisexual men

-+*Download pdf Questions What are the psychosocial needs and vulnerabilities of older gay and bisexual men? Key take-home messages Health outcomes related to the intersectionality of aging and sexual minority status is an emerging area of research (1, 2). It is important to consider the context of lived experiences among older gay men (3, 4), …

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A requisition for an HIV test which resulted in negative and a bottle for 30 day of PrEP

Best practices of same-day HIV pre-exposure prophylaxis (PrEP) initiation

-+*Download pdf Questions What are the best practices (including successes and challenges) of same-day HIV pre-exposure prophylaxis (PrEP) initiation after a negative HIV test result? Key take-home messages Several clinics have implemented same-day PrEP programs and have reported that clinics offering this model of care, in general, have positive health outcomes (1–5). Studies also report …

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Immediate initiation of antiretroviral therapy (ART) after HIV diagnosis

-+*Download pdf Questions What are the best practices (including successes and challenges) of immediate initiation of ART after HIV testing and diagnosis? Key take-home messages The benefits of beginning antiretroviral therapy (ART) soon after HIV diagnosis include improved health outcomes across a wide variety of settings (1–5) as well as decreased long term  healthcare costs …

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Factors associated with methamphetamine use among men who have sex with men

-+*Download pdf Questions What are the predictors of methamphetamine use among men who have sex with men?  Key take-home messages An abundance of literature details problematic sexualized drug use among men who have sex with men (1–3); additionally, several interventions attempt to address methamphetamine dependence in this population (4, 5). Several factors are associated with …

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Effectiveness of and best practices for using contingency management and incentives for health care issues related to HIV, sexually transmitted infections (STIs), and pre-exposure prophylaxis (PrEP)

-+*Download pdf Question What is the effectiveness of and what are the best practices for using contingency management and incentives for health care issues such as HIV, STIs, and PrEP?  Key take-home messages Using contingency management and incentives at the different steps of HIV care continuum (such as testing, treatment adherence, viral suppressions) is widely …

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