Rapid Responses

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Strategies to link people with undiagnosed HIV infection to HIV testing, care, and prevention services

-+*Download pdf Questions What strategies have been successful at linking people with undiagnosed HIV infection to HIV testing, care, and prevention services?  Key take-home messages A variety of strategies have shown promise for identifying individuals with undiagnosed HIV and engaging them with HIV testing using clinical, community-based, network-based, and self-directed approaches. Various service delivery models …

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Sexualized drug use (chemsex and methamphetamine) and men who have sex with men

-+*Download pdf Questions What is the impact of sexualized drug use (specifically of chemsex and methamphetamine) on the health of men who have sex with men? What are effective interventions and/or services that address chemsex and methamphetamine use among men who have sex with men (including prevention, harm reduction, engagement in care and treatment)?  Key …

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Out-of-pocket costs associated with HIV in publicly funded high-income health care settings

-+*Download pdf Question What out-of-pocket costs are associated with aging among people living with HIV?  Key take-home messages The aging of the people living with HIV in care is leading to increased HIV care costs (1). There is considerable inter-jurisdictional heterogeneity in the cost-sharing policies for antiretrovirals across Canada’s public drug programs (2). Out-of-pocket costs …

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A cross-jurisdictional review of HIV testing intervals for population groups at high risk of HIV infection

-+*Download pdf Question At what intervals do high-income jurisdictions encourage population groups at high risk of HIV infection to come forward for routine testing?  Key take-home messages Most guidelines recommend at least annual HIV testing of population groups at high risk of HIV infection. These include: men who have sex with men, transgender women and …

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The impact of location on implementation of HIV/STI prevention interventions among LGBTQ communities

-+*Download pdf Questions What is the impact of geographical location on implementation of HIV/STI prevention programs or interventions among LGBTQ communities?  Key take-home messages The characteristics of a location, including segregation, community-level stigma, and infrastructural resources, may influence HIV service utilization and the HIV continuum of care among men who have sex with men (1). …

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The efficacy of post-exposure prophylaxis (PEP) for HIV

-+*Download pdf Questions What is the efficacy of PEP when used for non-occupational exposure? What is the efficacy of PEP when used for occupational exposure? Are specific PEP regimens more efficacious than others? What are key factors implicated in the efficacy or inefficacy of PEP?  Key take-home messages PEP initiated soon after exposure can reduce …

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Economic evaluations of pre- and post-exposure prophylaxis for HIV

-+*Download pdf Questions What is the cost-effectiveness of HIV post-exposure prophylaxis? What is the cost-effectiveness of HIV pre-exposure prophylaxis? What are the gaps in literature?  Key take-home messages Economic evaluations of health care interventions can inform resource allocation and policy development. However, interpreting and generalizing results can be challenging (1). PrEP can be cost-effective or …

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Methods to estimate the number of people living with undiagnosed HIV

-+*Download pdf Questions How do we know how many people are living with undiagnosed HIV infection? What population groups make up people living with undiagnosed HIV infection?  Key take-home messages At the end of 2016, the Public Health Agency of Canada estimated that 14% of 63,110 individuals living with HIV in Canada were undiagnosed (1). …

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Employment support services for LGBTQ+ individuals

-+*Download pdf Questions What are the best practices for providing LGBTQ+ specific employment support? How do these models/best practices differ for transgender people and LGBTQ+ newcomers to Canada? What are the barriers LGBTQ+ people face when seeking, gaining and maintaining employment?  Key take-home messages Discrimination creates a significant barrier for LGBTQ+ individuals in many stages …

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Postpartum women living with HIV: Challenges related to retention in care, treatment adherence, and mental health

-+*Download pdf Questions What are the challenges related to retention in HIV care during the postpartum period? What are the challenges related to HIV treatment adherence during the postpartum period? What are the challenges related to postpartum depression among women living with HIV? What effective interventions or promising practices can be used to support women …

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