Patterns of HIV testing among Ontario physicians, 2006
|
|
- Victor George
- 5 years ago
- Views:
Transcription
1 Patterns of HIV testing among Ontario physicians, 2006 Claudia Rank, Robert S. Remis, Carol Swantee and Keyi Wu HIV Laboratory, Ontario Agency for Health Protection and Promotion Canadian Association of HIV Research 18 th Annual Scientific Conference Vancouver, BC, April 23-26, 2009
2 Background: HIV testing in Ontario HIV testing is an important component of public health programs Growing evidence that HIV-infected persons less likely to transmit HIV if aware of serostatus An estimated 30% of HIV-infected persons in Ontario undiagnosed Approximately 1,100 people newly diagnosed with HIV in Ontario each year Strategies for increased uptake of HIV testing include: Anonymous HIV testing (1992) Prenatal HIV testing (1999) HIV testing of immigration applicants (2002) HIV point-of-care testing (2007) Little known about characteristics of physicians who prescribe HIV testing
3 Annual HIV diagnoses and HIV tests Ontario, , ,000 1, ,000 HIV diagnoses 1,600 1,400 1,200 1, HIV diagnoses HIV tests 350, , , , , ,000 50,000 HIV tests Year
4 Study objectives To characterize provider-related factors associated with HIV testing in Ontario Specific objectives were to assess: Frequency of HIV testing among physicians Demographic characteristics and specialty Independent predictors of HIV testing (at least one HIV test/year) Independent predictors of high testing frequency (20 or more HIV tests/year)
5 Methods Providers identified from HIV test requisitions received at Ontario Public Health Laboratory Jan. 1 Dec. 31, 2006 Physicians linked by name and postal code to database of Ontario physicians (MDSelect version 2006) Probabilistic matching (LinkPlus, Centers for Disease Control and Prevention) Examined distribution of physicians and HIV testing frequency by demographic characteristics and specialty Univariate and multivariate logistic regression analyses using SAS, version 9.1
6 Results: Ontario physicians 21,041 physicians in Ontario (MDSelect database) Graduated in Canada: 75.9% Male: 68.8% Graduated <1975: 28.1%; : 43.7%; : 28.1% Toronto: 33.1%, Ottawa: 11.3%, Northern region: 5.3% Specialty: family medicine, 24.2%; general practice, 23.3%; internal medicine,11.5%; psychiatry, 7.6% 361,609 (87.5%) of 413,048 HIV tests in 2006 linked to a physician in MDSelect 12,477 physicians (59.3%) prescribed at least one HIV test in 2006 HIV tests per physician: mean 29.0, median 10
7 Proportion of physicians prescribing at least one HIV test by health region, 2006 Northern 69.4% Central East, other 72.4% Eastern, other 55.6% Ottawa 53.7% South West 55.6% Toronto 54.5% p< Central West 58.7% p<0.0001
8 Proportion of physicians prescribing at least one HIV test by graduation year, 2006 p< Graduation year <1950 Physicians with HIV test (%)
9 Proportion of physicians prescribing at least one HIV test by specialty, 2006 Specialty HIV testing (%) # tests, mean Family Medicine 86.3% 28.2 Obstetrics/Gynecology 82.1% 64.7 General Practice 80.8% 35.5 Internal Medicine 47.7% 18.8 Pediatrics 37.2% 7.7 Psychiatry 30.1% 3.8
10 Multivariate analysis: significant predictors of prescribing at least one HIV test (n=21,041) AOR* 95% CI p value Central East, other < Northern < (referent: other regions) Family Medicine/GP < Obstetrics/Gynecology < Internal Medicine < (referent: other specialties) *Model adjusted for graduation year
11 Physicians and tests by HIV testing frequency Physicians HIV tests HIV tests/physician N (%) N (%) 1 4 4, % 8, % , % 44, % , % 139, % % 113, % 1, % 55, % Total 12, % 361, %
12 Proportion of HIV testing physicians with 20+ HIV tests, by region and specialty Region Proportion (%) Toronto 39.6% Central East, other 37.7% Ottawa 34.7% Other 23.8% Specialty Family Medicine 42.4% General Practice 43.8% Obstetrics/Gynecology 31.7% Internal Medicine 9.9% Other 7.1%
13 Multivariate analysis: significant predictors of prescribing 20 or more HIV tests (n=12,477) AOR* 95% CI p value Toronto < (referent: other regions) Family Medicine/GP < Obstetrics/Gynecology < Internal Medicine (referent: other specialties) *Adjusted Odds Ratio
14 Physicians with at least one HIV-positive test Overall, 1,048 HIV-positive tests (0.29%) HIV-positivity rate higher among tests prescribed by physicians with: 1-4 tests (0.53%) and 1,000+ tests (0.66%) Internal Medicine specialty (0.73%) 436 physicians (3.5%) had at least one HIV-positive test Toronto (5.5%) Ottawa (4.6%) Northern (1.7%) Other regions (2.0% to 2.7%) HIV-positive tests per physician varied from one to 79 One: 311 physicians (71.3%) Two: 49 physicians (11.2%) Three: 24 physicians (5.5%)
15 Summary Higher proportion of recently graduated physicians prescribed HIV testing Higher proportion of physicians in Northern or Central East, other regions prescribed HIV testing, but highest testing frequency among those in Toronto Majority (80.7%) who prescribed HIV testing family/general practitioners, internists and obstetrician/gynecologists Most (67.5%) with fewer than 20 tests, but vast majority of HIV tests (85.5%) prescribed by physicians with 20+ tests Proportion of HIV-positive tests higher (0.53%) among physicians with lowest testing frequency (1-4 tests)
16 Limitations Very high testing frequency (1,000+) may be related to assignment of prescribing physicians Feeder hospitals Tests ascribed to single physician (ie. microbiology department head) 12.5% of HIV tests not linked to physician database MDSelect version 2006 updated to 2003 only 2% of HIV tests submitted by other providers (RN, midwives) HIV tests submitted as part of prenatal screening not included (approximately 140,000 tests in 2006) Unable to analyze patient load or patient-related factors such as proportion of patients at increased risk for HIV infection
17 Interpretation This study provides valuable data to inform HIV testing policy and continuing medical education Revised HIV testing and counseling guidelines and package to promote HIV testing mailed to ~10,000 providers in May 2008 Lower HIV testing among less recent graduates may reflect undergraduate medical curriculum in recent years; Promotion of HIV testing should be included in continuing medical education Testing patterns should be interpreted in context of proportion of undiagnosed HIV-infected persons to allow efficient targeting of efforts to promote HIV testing Since most physicians did not receive an HIV-positive result, strategies may be necessary to encourage and support HIV testing practices
18 Acknowledgements Core funding: Ontario HIV Treatment Network AIDS Bureau, Ontario Ministry of Health and Long-Term Care Dalla Lana School of Public Health, University of Toronto Funding for purchase of MDSelect database: AIDS Bureau, Ontario Ministry of Health and Long-Term Care
Race/ethnicity of newly diagnosed HIV cases in Ontario,
Race/ethnicity of newly diagnosed HIV cases in Ontario, 2009-2011 Ashleigh Sullivan, Carol Swantee, Claudia Rank, Juan Liu, Robert W.H. Palmer, Mark Fisher, Keyi Wu, Robert S. Remis Public Health Ontario
More informationFollow-up investigation of a cluster of treatment-naïve HIV-infected patients with multi-drug resistance in Sudbury, Ontario
Follow-up investigation of a cluster of treatment-naïve HIV-infected patients with multi-drug resistance in Sudbury, Ontario Ashleigh Sullivan, Penny Sutcliffe, Roger Sandre, P. Richard Harrigan, Chris
More informationThe HIV epidemic in Ontario: 2005 update
The HIV epidemic in Ontario: 2005 update Robert S. Remis MD, MPH, FRCPC Ontario HIV Epidemiologic Monitoring Unit Department of Provincial Community Planning Meeting AIDS Bureau, OMHLTC Toronto, Ontario,
More informationThe epidemiology of HIV infection among MSM in Ontario: The situation to 2009
The epidemiology of HIV infection among MSM in Ontario: The situation to 2009 Robert S. Remis, Juan Liu Ontario HIV Epidemiologic Monitoring Unit Dalla Lana School of Public Health University of Toronto
More informationThe epidemiology of injection drug use and bloodborne infection in Ontario
The epidemiology of injection drug use and bloodborne infection in Ontario Robert S. Remis, MD, MPH, FRCPC Ontario HIV Epidemiologic Monitoring Unit Department of HIV-IDU Frontline Workers Conference Toronto,
More informationDAILY SMOKERS - AVERAGE NUMBER OF CIGARETTES SMOKED DAILY KEY MESSAGES
DAILY SMOKERS - AVERAGE KEY MESSAGES On average, daily smokers in Peel smoke 12 cigarettes per day (2011/2012) and this has remained stable over time. Daily smokers in Ontario smoke slightly more per day
More informationHigh Uptake of HIV Testing in Pregnant Women in Ontario, Canada
High Uptake of HIV Testing in Pregnant Women in Ontario, Canada Robert S. Remis 1 *, Maraki Fikre Merid 1, Robert W. H. Palmer 1, Elaine Whittingham 1, Susan M. King 2, Natasha S. Danson 1, Lee Vernich
More informationEVER HAD A FLU SHOT KEY MESSAGES
EVER HAD A FLU SHOT KEY MESSAGES In Peel in 2011/2012, 58% of the population aged 12 years and older received a seasonal flu shot in the past year. This was significantly lower than Ontario (63%). There
More informationSMOKING STAGES OF CHANGE KEY MESSAGES
KEY MESSAGES In Peel among current daily or occasional smokers: o 19% are not thinking are not thinking about quitting (pre-contemplation stage) in the next six months; o 21% are thinking about quitting
More informationPROFILE OF CURRENT SMOKERS KEY MESSAGES
PROFILE OF CURRENT SMOKERS KEY MESSAGES In Peel in 2011/2012, 14% of the population or 162,500 people were current smokers. In 2011/2012, the proportion of current smokers was significantly lower in Peel
More informationComprehensive Epi Update: HIV, AIDS and STI Mark Gilbert, MD
Comprehensive Epi Update: HIV, AIDS and STI Mark Gilbert, MD February 2014 Objectives Recognize importance of disease syndemics To review current provincial trends: HIV AIDS Infectious syphilis Chlamydia
More informationNew HIV diagnoses in Ontario: Preliminary update, 2016
New HIV diagnoses in Ontario: Preliminary update, 2016 New HIV diagnoses in Ontario: Preliminary update, 2016 Page 1 About OHESI The Ontario HIV Epidemiology and Surveillance Initiative (OHESI) is a collaboration
More informationThe relationship between place of residence and postpartum depression
The relationship between place of residence and postpartum depression Lesley A. Tarasoff, MA, PhD Candidate Dalla Lana School of Public Health University of Toronto 1 Canadian Research Data Centre Network
More informationPOST-M.D. TRAINEES EXITING ALBERTA TRAINING PROGRAMS IN JULY, 2015 AT THE COMPLETION OF POST-M.D
TABLE D-1 Family Medicine Emergency Medicine (CFPC) Care of the Elderly (CFPC) Enhanced Skills: Fam. Med. Training FAMILY MEDICINE SUBTOTAL Anesthesiology Public Health and Preventive Medicine Dermatology
More informationTABLE D-1 POST-M.D. TRAINEES EXITING QUEBEC TRAINING PROGRAMS IN JULY, 2014 AT THE COMPLETION OF POST-M.D. TRAINING
TABLE D-1 Family Medicine Emergency Medicine (CFPC) Care of the Elderly (CFPC) Enhanced Skills: Fam. Med. Training FAMILY MEDICINE SUBTOTAL Anesthesiology Critical Care (Anes.) Public Health and Preventive
More informationGeographic Location, Field of Post-M.D. Training
TABLE D-1 Family Medicine Emergency Medicine (CFPC) Care of the Elderly (CFPC) Enhanced Skills: Fam. Med. Training FAMILY MEDICINE SUBTOTAL Anesthesiology Critical Care (Anes.) Public Health and Preventive
More informationGeographic Location, Field of Post-M.D. Training
TABLE D-1 Family Medicine Emergency Medicine (CFPC) Care of the Elderly (CFPC) Enhanced Skills: Other Fam. Med. Training FAMILY MEDICINE SUBTOTAL Anesthesiology Critical Care (Anes.) Public Health and
More informationFRUIT AND VEGETABLE CONSUMPTION LESS THAN FIVE TIMES PER DAY
FRUIT AND VEGETABLE CONSUMPTION LESS THAN FIVE TIMES PER DAY KEY MESSAGES In 2011/2012, 60% of Peel residents reported eating fruits and vegetables less than five times per day. This is similar to Ontario
More informationEXPOSURE TO SECOND-HAND SMOKE IN THE HOME KEY MESSAGES
EXPOSURE TO SECOND-HAND SMOKE IN THE HOME KEY MESSAGES In Peel, 3% of residents are exposed to second-hand smoke in their home daily or almost daily. The proportion has declined significantly since 2003
More informationZhao Y Y et al. Ann Intern Med 2012;156:
Zhao Y Y et al. Ann Intern Med 2012;156:560-569 Introduction Fibrates are commonly prescribed to treat dyslipidemia An increase in serum creatinine level after use has been observed in randomized, placebocontrolled
More informationHEALTH SURVEILLANCE INDICATORS: COLORECTAL CANCER. Public Health Relevance. Highlights
HEALTH SURVEILLANCE INDICATORS: COLORECTAL CANCER Public Health Relevance Colorectal cancer is the third most diagnosed cancer in Ontario. It is the second leading cause of cancer mortality in Ontario
More informationBurden of Illness Chapter 3
Burden of Illness Chapter 3 Arlene S. Bierman, Farah Ahmad, Jan Angus, Richard H. Glazier, Mandana Vahabi, Cynthia Damba, Janice Dusek, Susan K. Shiller, Yingzi Li, Stephanie Ross, Gabriel Shapiro, Douglas
More informationOPIOID PRESCRIBING BY ONTARIO DENTISTS
OPIOID PRESCRIBING BY ONTARIO DENTISTS 2014-2016 2 TABLE OF CONTENTS 1. Executive summary 3 2. Introduction 4 3. Methods 5 4. Provincial data 7 5. Patients and dispense events 10 6. Specific Opioid Dispense
More informationAlexander Lankowski 1, Cedric Bien 1,2, Richard Silvera 1,2, Viraj Patel 1, Uriel Felsen 3, Oni Blackstock 1
Alexander Lankowski 1, Cedric Bien 1,2, Richard Silvera 1,2, Viraj Patel 1, Uriel Felsen 3, Oni Blackstock 1 1 Division of General Internal Medicine, Montefiore Health System & Albert Einstein College
More informationEstimates and predictors of health care costs of esophageal adenocarcinoma: a population-based cohort study
Thein et al. BMC Cancer (2018) 18:694 https://doi.org/10.1186/s12885-018-4620-2 RESEARCH ARTICLE Estimates and predictors of health care costs of esophageal adenocarcinoma: a population-based cohort study
More informationDifferences in Severity & Correlates of Depression between Men and Women Living with HIV in Ontario, Canada
Differences in Severity & Correlates of Depression between Men and Women Living with HIV in Ontario, Canada Kinda Aljassem, Janet M. Raboud, Anita Benoit, DeSheng Su, Shari L. Margolese, Sean B. Rourke,
More informationTABLE D-1 POST-M.D. TRAINEES EXITING ONTARIO TRAINING PROGRAMS IN JULY, 2013 AT THE COMPLETION OF POST-M.D. TRAINING
TABLE D-1 Family Medicine Emergency Medicine (CFPC) Care of the Elderly (CFPC) Enhanced Skills: Other Fam. Med. Training FAMILY MEDICINE SUBTOTAL Palliative Medicine TRAINING FOLLOWING FAMILY MEDICINE
More informationSubstance Use Among Potential Kidney Transplant Candidates and its Impact on Access to Kidney Transplantation: A Canadian Cohort Study
Substance Use Among Potential Kidney Transplant Candidates and its Impact on Access to Kidney Transplantation: A Canadian Cohort Study Evan Tang 1, Aarushi Bansal 1, Michelle Kwok 1, Olusegun Famure 1,
More informationThe effect of surgeon volume on procedure selection in non-small cell lung cancer surgeries. Dr. Christian Finley MD MPH FRCSC McMaster University
The effect of surgeon volume on procedure selection in non-small cell lung cancer surgeries Dr. Christian Finley MD MPH FRCSC McMaster University Disclosures I have no conflict of interest disclosures
More informationEnhanced HIV Partner Notification is Highly Effective at Diagnosing HIV in Vancouver, Canada
Enhanced HIV Partner Notification is Highly Effective at Diagnosing HIV in Vancouver, Canada Canadian Public Health Association Conference 2015 Logan Chinski, RN HIV Nurse Educator Vancouver Coastal Health
More informationThe use of assisted reproductive technology before male factor infertility evaluation
Original Article The use of assisted reproductive technology before male factor infertility evaluation Madhur Nayan 1, Nahid Punjani 2, Ethan Grober 1, Kirk Lo 1,3,4, Keith Jarvi 1,3,4 1 Division of Urology,
More informationInjection Drug Use among Homeless Adults with Mental Illness: A Gender-Based Analysis
Injection Drug Use among Homeless Adults with Mental Illness: A Gender-Based Analysis Faith Eiboff ¹, Julian M Somers², Akm Moniruzzaman² ¹University of British Columbia, School of Population & Public
More informationHEALTH SURVEILLANCE INDICATORS: LUNG CANCER. Public Health Relevance. Highlights.
HEALTH SURVEILLANCE INDICATORS: LUNG CANCER Public Health Relevance Lung cancer is one of the top three most commonly diagnosed cancers among both males and females. Lung cancer has a very low survival
More information2017/18 Influenza Season Summary
2017/18 Influenza Season Summary April 2019 Author Dinna Lozano, Epidemiologist Planning and Evaluation Services Email: research@healthunit.ca Contents Key Findings... 2 Influenza Rates over Time... 2
More informationGay Poz Sex (GPS): Qualitative findings of a Community-Based Counselling Intervention for HIV- Positive Gay and Bisexual Men
Gay Poz Sex (GPS): Qualitative findings of a Community-Based Counselling Intervention for HIV- Positive Gay and Bisexual Men Trevor A. Hart 1,2, Barry Adam 3,4, Natalie Stratton 1, John Maxwell 5, Robert
More informationThe Cedar Project Exploring the role of residential transience in HIV vulnerability among young Aboriginal people who use illicit drugs.
The Cedar Project Exploring the role of residential transience in HIV vulnerability among young Aboriginal people who use illicit drugs. Kate Jongbloed, Vicky Thomas, Hongbin Zhang, Eugenia Oviedo-Joekes,
More informationThe effect of immune conditions on pesticide use and the risk of non- Hodgkin lymphoma. Manisha Pahwa, OCRC CARWH Conference June 2, 2012
The effect of immune conditions on pesticide use and the risk of non- Hodgkin lymphoma Manisha Pahwa, OCRC CARWH Conference June 2, 2012 Authors Shelley A. Harris, University of Toronto, Occupational Cancer
More informationNew England healthcare providers perceptions, knowledge and practices regarding the use of antiretrovirals for prevention
New England healthcare providers perceptions, knowledge and practices regarding the use of antiretrovirals for prevention Douglas Krakower, Catherine Oldenburg, Jennifer Mitty, Ira Wilson, Ann Kurth, Kevin
More informationPredictors of Cigarette Smoking Behavior Among Military University Students in Taiwan. Wang, Kwua-Yun; Yang, Chia-Chen
The Henderson Repository is a free resource of the Honor Society of Nursing, Sigma Theta Tau International. It is dedicated to the dissemination of nursing research, researchrelated, and evidence-based
More informationNATIONAL HOUSEHOLD SURVEY BRIEF FERTILITY RATES OF OTTAWA'S JEWISH COMMUNITY
NATIONAL HOUSEHOLD SURVEY BRIEF FERTILITY RATES OF OTTAWA'S JEWISH COMMUNITY BY CHARLES SHAHAR APRIL 2015 2011 National Household Survey Brief Fertility Rates of Ottawa's Jewish Community This brief examines
More informationi EVALUATING THE EFFECTIVENESS OF THE TAKE CONTROL PHILLY CONDOM MAILING DISTRIBUTION PROGRAM by Alexis Adams June 2014
i EVALUATING THE EFFECTIVENESS OF THE TAKE CONTROL PHILLY CONDOM MAILING DISTRIBUTION PROGRAM by Alexis Adams June 2014 A Community Based Master s Project presented to the faculty of Drexel University
More informationMethodologic issues relating to the use of STARHS to determine HIV incidence: The Ontario experience
Methodologic issues relating to the use of STARHS to determine HIV incidence: The Ontario experience Robert S. Remis MD, MPH Department of Public Health Sciences, University of Toronto National HIV Prevention
More informationThe epidemiology of hepatitis C infection in Ontario, 2004
The epidemiology of hepatitis C infection in Ontario, 2004 Robert S. Remis MD, MPH, FRCPC Department of Public Health Sciences University of Toronto Ontario Ontrario Harm Reduction Distribution Program
More informationAPPENDIX J Health Studies
APPENDIX J Health Studies Air Quality and Human Health Assessment - i - January 2005 TABLE OF CONTENTS 1.0 INTRODUCTION... 1 2.0 STRUCTURE OF THE REVIEW... 1 3.0 CANADA GENERAL POPULATON... 2 3.1 HEALTH
More informationRisk factors for first and subsequent syphilis diagnoses among HIV-positive gay and other men who have sex with men in Ontario Ann N.
Risk factors for first and subsequent syphilis diagnoses among HIV-positive gay and other men who have sex with men in Ontario Ann N. Burchell HIV and STIs November 19, 2013 3:20pm Ann N. Burchell, 1,
More informationMETHODS RESULTS. Supported by funding from Ortho-McNeil Janssen Scientific Affairs, LLC
PREDICTORS OF MEDICATION ADHERENCE AMONG PATIENTS WITH SCHIZOPHRENIC DISORDERS TREATED WITH TYPICAL AND ATYPICAL ANTIPSYCHOTICS IN A LARGE STATE MEDICAID PROGRAM S.P. Lee 1 ; K. Lang 2 ; J. Jackel 2 ;
More informationPatterns and predictors of dual contraceptive use among sexually active treatment experienced women living with HIV in British Columbia, Canada.
Patterns and predictors of dual contraceptive use among sexually active treatment experienced women living with HIV in British Columbia, Canada. Sophie Patterson 1,2, Wendy Zhang 1, Kate Salters 1, Yalin
More informationIDU Outreach Project. Program Guidelines
Ministry of Health and Long-Term Care Ministère de la Santé et des Soins de longue dureé Prepared by: AIDS Bureau Revision Date: April 2001 TABLE OF CONTENTS 1 Introduction...1 1.1 Program Goals... 2 1.2
More information1. Heavy drinking amongst adults in Toronto remained fairly stable from 2007 to 2014.
HEALTH SURVEILLANCE INDICATORS: HEAVY DRINKING EPISODES Public Health Relevance 'Frequent heavy drinking episodes' is defined in this report as having five or more alcoholic drinks on one occasion once
More informationOHTN 2013 Research Conference November 18, 2013
Authors: Uddin, Z; Tharao, W; Mbulaheni, T; Luyombya, H; Loemba, H; Karago-Odongo, J; Wadham, M; Remis, R.S; Baidoobonso, S; Pierre- Pierre, V; Husbands, W. OHTN 2013 Research Conference November 18, 2013
More informationSTOP HIV/AIDS Pilot Project
STOP HIV/AIDS Pilot Project QUARTERLY INDICATORS REPORT: 1 January through 31 March 2012 () SUBMITTED TO: The BC Ministry of Health SUBMITTED BY: Dr. Mark Gilbert and Dr. Kate Heath On behalf of The STOP
More informationSt. Jude Children's Research Hospital. September 9, 2014 Final Report
The Impact of a Play-Based Procedural Preparation and Support Intervention for Children Undergoing Cranial Radiation for Treatment of a Central Nervous System Tumor St. Jude Children s Research Hospital
More informationSexually Transmitted & Blood-Borne Infections in LGL ( )
Sexually Transmitted & Blood-Borne Infections in LGL (2006 2015) Some Highlights: Chlamydia, Hepatitis C and Gonorrhoea were the sexually transmitted infections with the highest incidences in LGL in 2015.
More informationThe return of infectious syphilis in Ontario
The return of infectious syphilis in Ontario Michael Whelan, Epidemiologist Lead, Communicable Diseases Unit, Public Health Ontario Canadian Public Health Association Conference Vancouver, 2015 Objective:
More informationEPIDEMIOLOGIC CHARACTERISTICS OF HIV INFECTION AND AIDS RENFREW AND EASTERN ONTARIO PUBLIC HEALTH UNITS,
EPIDEMIOLOGIC CHARACTERISTICS OF HIV INFECTION AND AIDS RENFREW AND EASTERN ONTARIO PUBLIC HEALTH UNITS, 98-2 Robert S. Remis, Maraki Fikre Merid Department of Public Health Sciences University of Toronto
More informationFACT SHEET 1. Breastfeeding in Ontario Notable Trends within the Province
Breastfeeding in Ontario Notable Trends within the Province In order to gain a greater understanding of breastfeeding in Ontario, breastfeeding data was retrieved from the Better Outcomes Registry and
More informationHae Won KIM. KIM Reproductive Health (2015) 12:91 DOI /s x
KIM Reproductive Health (2015) 12:91 DOI 10.1186/s12978-015-0076-x RESEARCH Open Access Sex differences in the awareness of emergency contraceptive pills associated with unmarried Korean university students
More informationSTOP HIV/AIDS Pilot Project
STOP HIV/AIDS Pilot Project QUARTERLY INDICATORS REPORT: 1 April through 30 June 2011 () SUBMITTED TO: The BC Ministry of Health Services SUBMITTED BY: Dr. Rolando Barrios, Dr. Mark Gilbert, Dr. Kate Health,
More informationORIGINAL INVESTIGATION. Support of Evidence-Based Guidelines for the Annual Physical Examination
ORIGINAL INVESTIGATION Support of Evidence-Based Guidelines for the Annual Physical Examination A Survey of Primary Care Providers Allan V. Prochazka, MD, MSc; Kristy Lundahl, MS; Wesley Pearson, MD; Sylvia
More informationEvaluating primary care physician STI/HIV counseling practices
J. Barnett, RN, MA, D. Spencer, RN, T. Beer, MA, M. Rekart, MD, FRCPC, DTM&H, L. Hansen, MSc, MHSc, T. Wong, MD, MPH, FRCPC, and J. Mann, MD Evaluating primary care physician STI/HIV counseling practices
More informationDanielle M Nash, Dr. Jason A Gilliland, Dr. Susan E Evers, Dr. Piotr Wilk & Dr. M Karen Campbell. JNEB Journal Club November 3, 2014
Danielle M Nash, Dr. Jason A Gilliland, Dr. Susan E Evers, Dr. Piotr Wilk & Dr. M Karen Campbell JNEB Journal Club November 3, 2014 Presentation Overview Background Objective/ Rationale Methods Prenatal
More informationChoosing a Career in Psychiatry: Influential Factors Within a Medical School Program
Original Article Choosing a Career in Psychiatry: Influential Factors Within a Medical School Program Katharina Manassis, M.D., Mark Katz, M.D., Jodi Lofchy, M.D. Stephanie Wiesenthal, M.D. Objective:
More informationHIV/AIDS Epi Update Public Health Agency of Canada
1 HIV/AIDS Epi Update Public Health Agency of Canada www.phac-aspc.gc.ca/hast-vsmt/ JULY 21 National HIV Prevalence and Incidence Estimates in Canada for 28 At a Glance More Canadians are living with HIV
More informationAre Canadian Smokers Ready for Plain Packaging? Findings from the ITC Four Country Survey,
Are Canadian Smokers Ready for? Findings from the ITC Four Country Survey, 2010 2011 Pete Driezen 1, David Hammond 1, Geoffrey T. Fong 1,2, Hua-Hie Yong 3, Jessica L. Reid 1 1 University of Waterloo 2
More informationCigarette smoking is the number one cause of preventable death and disease in Ontario. Smoking kills half of its long-term users.
HEALTH SURVEILLANCE INDICATORS: SMOKING Public Health Relevance Cigarette smoking is the number one cause of preventable death and disease in Ontario. Smoking kills half of its long-term users. Smoking
More information2016/17 SEASONAL INFLUENZA VACCINE COVERAGE IN CANADA
2016/17 SEASONAL INFLUENZA VACCINE COVERAGE IN CANADA PROTECTING AND EMPOWERING CANADIANS TO IMPROVE THEIR HEALTH TO PROMOTE AND PROTECT THE HEALTH OF CANADIANS THROUGH LEADERSHIP, PARTNERSHIP, INNOVATION
More informationPharmaceutical Liability Study Report on Findings
Pharmaceutical Liability Study Report on Findings Prepared for: U.S. Chamber Institute for Legal Reform July 15, 2003 www.harrisinteractive.com 2003, All rights reserved. Table of Contents Background and
More informationTEACH: Training practitioners in smoking cessation counselling
TEACH: Training practitioners in smoking cessation counselling Treatments to help people quit smoking are among the most cost-effective ways to reduce the risk of disease or death. The likelihood of quitting
More informationHEALTH SURVEILLANCE INDICATORS: BREAST CANCER SCREENING. Public Health Relevance. Highlights.
. HEALTH SURVEILLANCE INDICATORS: BREAST CANCER SCREENING Public Health Relevance Breast cancer is the most common cancer diagnosed and the second-most common cause of cancer death among Canadian women.
More informationSTOP HIV/AIDS Pilot Project
STOP HIV/AIDS Pilot Project INDICATORS QUARTERLY REPORT: 1 October through 31 December SUBMITTED TO: The BC Ministry of Health Services SUBMITTED BY: Dr. Rolando Barrios, Dr. Mark Gilbert, Dr. Kate Health,
More informationQuarter Performance Report
Canadian Cancer Clinical Trials Network Quarter Performance Report Quarter, FY 08/9 (Year 5): July Sept. 30, 08 Report Created: January 4, 09 Table of Contents Section A: Patient access and recruitment
More informationCHAPTER 1: SEXUALLY TRANSMITTED AND BLOODBORNE INFECTIONS
CHAPTER : SEXUALLY TRANSMITTED AND BLOODBORNE INFECTIONS Highlights In Peel, the incidence of Acquired Immunodeficiency Syndrome (AIDS) has remained low (. to. cases per,) since the introduction of the
More informationLeah M Smith, Jay S Kaufman, Erin C Strumpf, Linda E Lévesque
The effect of HPV vaccination on clinical indicators of sexual behaviour in a population-based cohort of adolescent girls: The Ontario Grade 8 HPV Vaccine Cohort Study Leah M Smith, Jay S Kaufman, Erin
More informationNATIONAL HOUSEHOLD SURVEY BRIEF FERTILITY RATES OF TORONTO'S JEWISH COMMUNITY
NATIONAL HOUSEHOLD SURVEY BRIEF FERTILITY RATES OF TORONTO'S JEWISH COMMUNITY BY CHARLES SHAHAR APRIL 2015 2011 National Household Survey Brief Fertility Rates of Toronto's Jewish Community This brief
More informationGSK Medicine: salmeterol, Salmeterol+Fluticasone proprionate, fluticasone propionate, beclomethasone
GSK Medicine: salmeterol, Salmeterol+Fluticasone proprionate, fluticasone propionate, beclomethasone Study No.: WWE111984/WEUSRTP2640/EPI40528 Title: The Asthma Death Case Control Study (ADCCS): Association
More informationCANadian Pediatric Weight management Registry CANPWR. UPDATE ON PROGRESS CANNeCTIN Meeting 27.April.2010
CANadian Pediatric Weight management Registry CANPWR UPDATE ON PROGRESS CANNeCTIN Meeting 27.April.2010 KM Morrison Hamilton (PI) Geoff Ball Edmonton, AB JP Chanoine Vancouver, BC Mark Tremblay Ottawa,
More informationNational Aboriginal AIDS Awareness Week 2014: Leaders gather in Regina to announce Indigenous HIV and AIDS Strategy
National Aboriginal AIDS Awareness Week 2014: Leaders gather in Regina to announce Indigenous HIV and AIDS Strategy Regina, SK (November 4, 2014) The Canadian Aboriginal AIDS Network (CAAN) and All Nations
More informationPresented by: Carol Strike, PhD, Associate Professor at the Dalla Lana School of Public Health, University of Toronto.
Best Practice Recommendations for Canadian harm reduction programs that provide service to people who use drugs and are at risk for HIV, HCV, and other harms: Part 1 Presented by: Carol Strike, PhD, Associate
More informationEvaluation of Asthma Management in Middle EAst North Africa Adult population
STUDY REPORT SUMMARY Evaluation of Asthma Management in Middle EAst North Africa Adult population Descriptive study on the management of asthma in an asthmatic Middle East Africa adult population Background/Rationale:
More informationUse of evidence-based therapies after discharge among elderly patients with acute myocardial infarction
CMAJ Research Use of evidence-based therapies after discharge among elderly patients with acute myocardial infarction Peter C. Austin PhD, Jack V. Tu MD PhD, Dennis T. Ko MD MSc, David A. Alter MD PhD
More informationFactors associated with unsuppressed viral load in HIV-1 infected patients on 1 st line antiretroviral therapy in South Africa
Factors associated with unsuppressed viral load in HIV-1 infected patients on 1 st line antiretroviral therapy in South Africa Dvora Joseph Davey 1, 2, PhD, Zulfa Abrahams 2, PhD 1 BroadReach, South Africa
More informationSuccessful interventions to increase use of Self Obtained Vaginal Swabs (SOVs) for chlamydia/gonorrhea testing in WA State
Successful interventions to increase use of Self Obtained Vaginal Swabs (SOVs) for chlamydia/gonorrhea testing in WA State Goldenkranz S 1, Fine D 1, Knutson C 2, Loza, R 2. Infertility Prevention Project
More informationThe Impact of Isoniazid Preventive Therapy and Antiretroviral Therapy on Tuberculosis Incidence in Children Living with HIV in Vietnam
The Impact of Isoniazid Preventive Therapy and Antiretroviral Therapy on Tuberculosis Incidence in Children Living with HIV in Vietnam K.H. Truong 1, H.T. Nguyen 2, X. Gao 3, Y. Hu 2,3, J. Harwell 2,3,
More informationNorthern Alberta preventing HIV transmission to babies
CATIE-News CATIE s bite-sized HIV and hepatitis C news bulletins. Northern Alberta preventing HIV transmission to babies 25 June 2009 Since 1996 the widespread availability of combination therapy for HIV
More informationResearch. Prevalence of HIV and hepatitis C virus infections among inmates of Ontario remand facilities
Prevalence of HIV and hepatitis C virus infections among inmates of Ontario remand facilities Liviana Calzavara PhD, Nancy Ramuscak MSc, Ann N. Burchell MSc, Carol Swantee BSc, Ted Myers PhD, Peter Ford
More informationEvidence Summary Title: Abstinence-plus HIV prevention programs in high-income countries: Evidence and implications for public health
Date this evidence summary was written: January 2010 Evidence Summary Title: Abstinence-plus HIV prevention programs in high-income countries: Evidence and implications for public health Quality Assessment
More informationDiagnostic Ionizing Radiation Exposure in a Population-Based Cohort of Children with Inflammatory Bowel Disease
Diagnostic Ionizing Radiation Exposure in a Population-Based Cohort of Children with Inflammatory Bowel Disease Lena B. Palmer MD, Carol Q. Porter, Michael D. Kappelman MD MPH No relevant financial disclosures
More informationResearch. Frequency of colorectal cancer screening and the impact of family physicians on screening behaviour
Frequency of colorectal cancer screening and the impact of family physicians on screening behaviour Ryan Zarychanski MD, Yue Chen PhD, Charles N. Bernstein MD, Paul C. Hébert MD MHSc @ See related article
More informationVCU Scholars Compass. Virginia Commonwealth University. Hassan Zakaria Virginia Commonwealth University
Virginia Commonwealth University VCU Scholars Compass Theses and Dissertations Graduate School 2007 Analgesic Use in U.S. Emergency Departments for Patients Reporting Moderate to Severe Pain: Diagnosis
More informationWestern University. From the SelectedWorks of Shamara M Baidoobonso, PhD
Western University From the SelectedWorks of Shamara M Baidoobonso, PhD April, 2010 The Black, African and Caribbean Canadian Health (BLACCH) Study: Laying the Foundation for Conducting HIV Epidemiologic
More informationEpidemiology of Acute Hepatitis C Infection in Canada Results from the Enhanced Hepatitis Strain Surveillance System (EHSSS)
Epidemiology of Acute Hepatitis C Infection in Canada Results from the Enhanced Hepatitis Strain Surveillance System (EHSSS) At a Glance Reported rates of acute HCV declined from.5 per, population in to.
More informationOttawa Public Health Respiratory and Enteric Surveillance Report December 23-29, 2018 (Week 52)
Ottawa Public Health Respiratory and Enteric Surveillance Report December 23-29, 2018 (Week 52) This report provides a overview of the current Influenza season in the City of Ottawa, Ontario. For information
More informationPopulation Growth and Demographic Changes in Halton-Peel. Phase I Report: Demographic Analysis
Population Growth and Demographic Changes in Halton-Peel Phase I Report: Demographic Analysis September 2000 1.0 Background and Purpose District Health Councils are the local voice for health system planning.
More informationPSYCHOLOGIST SALARY COMPARISON October 2016
EXECUTIVE SUMMARY Wages for psychologists working in the public sector and public service in BC have continued to fall behind the market, when compared to other jurisdictions in Canada. In many cases,
More information3rd IAS Conference on HIV Pathogenesis and Treatment. Poster Number Abstract #
3rd IAS Conference on HIV Pathogenesis and Treatment 24 27 July 2005, Rio de Janeiro, Brazil Poster Number Abstract # TuFo0106 TuFo0106 Characterization of Anemia in HIV-infected (HIV+) Subjects Treated
More informationThe relationship between adherence to clinic appointments and year-one mortality for HIV infected patients at a Referral Hospital in Western Kenya
The relationship between adherence to clinic appointments and year-one mortality for HIV infected patients at a Referral Hospital in Western Kenya Muthusi, K; Burmen, B 8th International Workshop on HIV
More informationOntario Influenza Bulletin I SURVEILLANCE WEEK 43 (October 23, 2011 October 29, 2011)
Ontario Influenza Bulletin I 2011-2012 SURVEILLANCE WEEK 43 (October 23, 2011 October 29, 2011) This issue of the Ontario Influenza Bulletin provides information on the surveillance period from October
More informationHIV testing in black Africans living in England
Epidemiol. Infect., Page 1 of 8. f Cambridge University Press 2012 doi:10.1017/s095026881200221x HIV testing in black Africans living in England B. RICE 1,2 *, V. DELPECH 1, K. E. SADLER 3,Z.YIN 1 AND
More informationA demographic and health pro le of gay and bisexual men in a large Canadian urban setting
AIDS CARE (2002), VOL. 14, NO. 1, pp. 111 115 A demographic and health pro le of gay and bisexual men in a large Canadian urban setting S. LOW-BEER, 1 K. BARTHOLOMEW, 2 A. E. WEBER, 1 K. CHAN, 1 M. LANDOLT,
More informationObservational Substance Use Epidemiology: A case study
Observational Substance Use Epidemiology: A case study Evan Wood MD, PhD, FRCPC, ABAM Dip. FASAM Director, BC Centre on Substance Use Professor of Medicine and Canada Research Chair University of British
More information