Black Health

Role of ethnicity in treating uterine fibroids with ulipristal acetate.

June 20, 2016

Objective: To study differences in treatment effect between black and white premenopausal women prescribed ulipristal acetate (UPA) for symptomatic uterine fibroids. Design: Prospective observational cohort study. Setting: Gynecology clinics. Patient(s): Premenopausal women aged 18–55 years, at least one symptomatic uterine fibroid, UPA-naïve, and no contraindications for UPA treatment. Intervention(s): One 3-month course of UPA at…
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Social support needs of Sudanese and Zimbabwean refugee new parents in Canada

May 20, 2016

Purpose– The purpose of this paper is to examine support needs of African refugee new parents in Canada, and identify support preferences that may enhance the mental health of refugee parents and children. Design/methodology/approach– In all, 72 refugee new parents from Zimbabwe (n¼ 36) and Sudan (n¼ 36) participated in individual interviews. All had a…
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A comparison of virological suppression and rebound between Indigenous and non-Indigenous persons initiating combination antiretroviral therapy in a multisite cohort of individuals living with HIV in Canada.

May 1, 2016

Background: This study compared time to virological suppression and rebound between Indigenous and non-Indigenous individuals living with HIV in Canada initiating combination antiretroviral therapy (cART). Methods: Data were from the Canadian Observational Cohort collaboration; eight studies of treatment-naive persons with HIV initiating cART after 1/1/2000. Fine and Gray models were used to estimate the effect…
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Sexual Networking and Partner Characteristics Among Single, African, Caribbean, and Black Youth in Windsor, Ontario

March 22, 2016

The disproportionate HIV burden shared by African, Caribbean, and Black (ACB) populations in Canada has not been explained by unique sexual behaviors in this population. This study investigates partner selection and sexual networking as potential contributors to HIV vulnerability. The study examines variations in the characteristics of sexual partners and sexual networking across groups based…
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Predictors of Unplanned Cesareans among Low-Risk Migrant Women from Low- and Middle-Income Countries Living in Montreal, Canada

February 27, 2016

Background: Research has yielded little understanding of factors associated with high cesarean rates among migrant women (i.e., women born abroad). The objective of this study was to identify medical, migration, social, and health service predictors of unplanned cesareans among low-risk migrant women from low- and middle-income countries (LMICs). Methods: We used a case–control research design.…
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AIDS Service Organization Access Among African, Caribbean and Other Black Residents of an Average Canadian City

February 19, 2016

Due to heightened vulnerability to HIV/AIDS, African, Caribbean and Black (ACB) communities are priority groups for prevention and intervention services in Canada. However, it is not clear which factors may affect ACB communities’ access to these services. We evaluated access to the local AIDS service organization (ASO) in Middlesex-London by using data from the Black,…
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Labour Market Discrimination: the Lived Experiences of English-Speaking Caribbean Immigrants in Toronto

January 23, 2016

The study examined the lived experiences of immigrants in Toronto from Jamaica, Guyana and Trinidad and Tobago, with emphasis on their perceptions and experiences of labour market discrimination. The study employs a qualitative methodology and adopts a critical policy research framework which included a series of indepth interviews. Based on the central argument that there…
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Comparison of black–white disparities in preterm birth between Canada and the United States

January 5, 2016

Background: A higher risk of preterm birth among black women than among white women is well established in the United States. We compared differences in preterm birth between non-Hispanic black and white women in Canada and the US, hypothesizing that disparities would be less extreme in Canada given the different historical experiences of black populations…
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Sexual inactivity and sexual satisfaction among women living with HIV in Canada in the context of growing social, legal and public health surveillance

October 5, 2015

Introduction: Women represent nearly one-quarter of the 71,300 people living with HIV in Canada. Within a context of widespread HIV-related stigma and discrimination and on-going risks to HIV disclosure, little is known about the influence of growing social, legal and public health surveillance of HIV on sexual activity and satisfaction of women living with HIV…
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Sub-Saharan African immigrants living with HIV in Canada: a narrative inquiry.

September 22, 2015

Purpose – Canadian epidemiological data suggest an increasing number of HIV infections among people from HIV-endemic countries, including sub-Saharan Africa. Currently, there are few studies that focus on the lived experience of HIV illness among Canadian residents of African ancestry. The purpose of this paper is to study the lived experiences of African immigrants living…
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