social and economic environment

Adapting BC’s healthcare system for equitable and tailored service provision to sexual and gender minorities

Lesbian, gay, bisexual, transgender, and queer (LGBTQ) people face judgment and discrimination on the basis of their sexualities and genders. This leads many LGBTQ people to avoid seeking treatment from the healthcare system, to hide aspects of their sexuality/gender when seeking care, or to selectively visit LGBTQ-affirming providers.

The goal of this research program is to develop a comprehensive understanding of healthcare access patterns among LGBTQ people in BC.

Objectives:

Primary Investigator: 
Award Type: 
Year: 
2019

Optimizing PrEP and TasP adherence among substance using gay, bisexual, and other men who have sex with men

While increased access to HIV treatment and other health services has contributed to significant declines in HIV among several key populations in British Columbia (BC), it is estimated that as many as 1 in 6 gay, bisexual, and other men who have sex with men (gbMSM) will be diagnosed with HIV in their lifetime.

Primary Investigator: 
Award Type: 
Year: 
2018

A program of research on criminalization of sexuality, HIV and incarceration among marginalized women

Marginalized women (trans inclusive) living with and affected by HIV are disproportionately criminalized. This research will establish an empirical evidence base that documents the lived-experiences of criminalization and incarceration among sex workers and women living with HIV. The ultimate goal is to inform evidence-based law reform and interventions to redress over criminalization and negative effects of incarceration.

The objectives of this research program are to:

Primary Investigator: 
Award Type: 
Year: 
2018

The role of material security in improving health for people who use illicit drugs

It is well known that an adequate and secure income promotes health. However, material security (e.g., housing, food, and service access) may operate distinctly from income security, particularly for people who use illicit drugs, whose ongoing need to acquire drugs may affect the degree to which income security translates into material security and subsequent health improvements. Nevertheless, material security and its relationship with health are not well understood, an important oversight in research among people who use illicit drugs (PWUD). 

Primary Investigator: 
Award Type: 
Year: 
2017

Women and the criminalization of HIV - An ethnographic investigation of gendered power relations, violence and access to health care

Women living with HIV/AIDS (WLWH) have been identified as a key population of interest by the Federal Initiative to address HIV/AIDS in Canada. An October 2012 ruling of the Supreme Court of Canada upheld the criminalization of HIV nondisclosure except where both a condom is used and the person has a 'low' HIV viral load.

Primary Investigator: 
Award Type: 
Year: 
2015

Implementation and ethical dimensions of scaling up HIV ‘Treatment as Prevention’: Examining the experiences of people who inject drugs

In 2010, BC launched the Seek and Treat for Optimal Prevention of HIV/AIDS (STOP HIV) program, which implements antiretroviral Treatment as Prevention (TasP) through enhanced HIV testing and universal treatment for HIV-positive individuals. The success of TasP at the population level will be challenging.

Primary Investigator: 
Award Type: 
Year: 
2015

Socio-economic risk environments and health among people who use drugs in British Columbia

Socio-economic well-being, which encompasses safe and sufficient income generating activity as well as adequate material resources, is intrinsically linked to health. Among marginalized people who use drugs (PWUD) who are living with or at risk of HIV/AIDS infection, socio-economic well-being is often precarious. However, the socio-economic risk environment of PWUD and its negative health impacts have not been fully examined.

Primary Investigator: 
Award Type: 
Year: 
2014
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