Intention to Receive a COVID-19 Vaccine by HIV Status Among a Population-Based Sample of Women and Gender Diverse Individuals in British Columbia, Canada

Introduction: COVID-19 vaccination is recommended for people living with HIV (PLWH), among whom social inequities and co-morbidities may drive risks of COVID-19 infection and outcome severity. Among a provincial (British Columbia) sample, we determined the prevalence of COVID-19 vaccine intention by HIV status and assessed socio-demographic, vaccine hesitancy, and psychological predictors of vaccine intention. Methods: Individuals (25-69y) recruited from province-wide research cohorts completed an online survey examining COVID-19 impacts (August/2020-March/2021). Among women and gender diverse participants, we compared intention to receive a recommended COVID-19 vaccine (Very likely/Likely vs Neutral/Unlikely/Very Unlikely) by self-reported HIV status. Logistic regression models assessed the independent effect of HIV status and other factors on vaccine intention. Results: Of 5,588 participants, 69 (1.2%) were PLWH, of whom 79.7% were on antiretroviral therapy. Intention to vaccinate was significantly lower among PLWH compared to participants not living with HIV (65.2% vs 79.6%; OR: 0.44; 95%CI: 0.32-0.60). However, this association was attenuated after adjustment for social disparities (aOR:0.85; 95%CI: 0.48-1.55). Among PLWH, those with greater vaccine confidence, positive attitudes towards the COVID-19 vaccine, and more strongly influenced by direct and indirect social norms to vaccinate had significantly higher odds of vaccine intention. Discussion: Tailored messaging is needed to build vaccine confidence, address questions about vaccine benefits, and support informed vaccination decision-making to promote COVID-19 vaccine uptake among women and gender diverse PLWH.

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Impact of care at NCI comprehensive cancer centers (NCICCC) on outcomes in children, adolescents, and young adults (AYA) with central nervous system tumors (CNSt).

Journal of Clinical Oncology ◽

10.1200/jco.2013.31.31_suppl.123 ◽

2013 ◽

Vol 31 (31_suppl) ◽

pp. 123-123

Author(s):

Julie Anna Wolfson ◽

Can-Lan Sun ◽

Tongjun Kang ◽

Smita Bhatia

Keyword(s):

Population Based ◽

Low Ses ◽

Who Grade ◽

Barriers To Access ◽

Race Ethnicity ◽

Grade 3 ◽

And Gender ◽

Evidence Based Care ◽

The Impact ◽

To Receive

123 Background: AYA (15-39yo) have not seen the same survival improvement as younger cancer patients with similar diagnoses (dx), leaving an AYA Gap. Treatment on pediatric trials is associated with superior survival in 15-21yo. However, impact of care at NCICCC for complex diseases with poor prognosis that require evidence-based care available at NCICCC (e.g. CNSt), remain unstudied. Methods: We constructed a cohort of 560 children (0-14yo) and 785 AYA with newly-dx CNSt, reported to the LA County (LAC) cancer registry between 1998 and 2008. While 82% of children (0-14y) and 65% of young AYA (15-18y) were treated at one of 3 NCICCC or 3 COG sites in LAC, only 17% of older AYA (19-39y) were treated at one of 3 NCICCC. We sought to determine the impact of NCICCC/COG on overall survival (OS) and barriers to access to care at NCICCC/COG in AYA with CNSt. Since distance to NCICCC/COG could serve as a barrier to accessing care, Geographic Information Systems were used to derive distance between patient’s residence to the nearest NCICCC/COG. Results: OS rates were uniformly good for children and AYA with grade 1 CNSt (96 vs. 89% at 5y, p=0.2) and uniformly poor for children and AYA with grade 3/4 CNSt (43 vs. 43% at 5y, p=0.6). Among patients with WHO grade 2 CNSt, AYA had worse outcome (HR=1.9, p<0.01) after adjustment for race/ ethnicity, SES, and gender. This difference in outcome between AYA and children was abrogated by care at NCICCC (HR 1.4, p=0.2). Furthermore, patients cared at non-NCICCC saw worse outcome (HR=1.6, p=0.04). Compared with children, young AYA (15-18yo) were less likely to receive care at NCICCC (OR=0.3, p=0.02); race/ ethnicity, SES and distance to NCICCC did not influence care at NCICCC. Among older AYA (19-39yo), low SES (OR 0.4, p=0.01), public/ no insurance (OR 0.3, p<0.01) and longer distance to NCICCC (5-12mi: OR=0.3 , p<0.01; >12mi OR 0.5 , p=0.05) reduced likelihood to receive care at NCICCC. Conclusions: Population-based data reveal that receipt of care at NCICCC abrogates the inferior outcome in AYA with WHO grade 2 CNSt. Young AYA are less likely to use NCICCC than children, as are older AYA with low SES, public/ no insurance, or living > 5 miles from an NCICCC.

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Decolonizing Decolonization: An Indigenous Feminist Perspective on the Recognition and Rights Framework

South Atlantic Quarterly ◽

10.1215/00382876-8177809 ◽

2020 ◽

Vol 119 (2) ◽

pp. 371-391

Author(s):

Sherry Pictou

Keyword(s):

Human Rights ◽

Federal Government ◽

Indigenous Rights ◽

Indigenous Women ◽

Feminist Perspective ◽

Final Report ◽

Women And Gender ◽

Gender Diverse ◽

Gender Based ◽

And Gender

The “Recognition and Implementation of Indigenous Rights Framework,” announced in 2018 by the federal government was originally hailed as a process for decolonization. Though the framework was withdrawn in December 2018, several policy and legislative initiatives give every indication that the framework is moving forward. In this regard, the paper seeks to open up a discussion about how decolonization is being conceptualized in the new Rights Framework from an Indigenous feminist perspective. I highlight tensions between patriarchy, neoliberalism, and contradictory concepts of decolonization to demonstrate how the Rights Framework manifests a contemporary form of patriarchal colonialism in state-Indigenous politics, especially self-government negotiations, that will continue to negatively impact Indigenous women and gender diverse persons. I further argue how the MMIWG Inquiry Final Report released in June 2019, cannot be mobilized as a tool for decolonization in seeking social justice for Indigenous women and gender diverse persons without their active knowledge and experience in directing how the recommendations are implemented. By foregrounding this experience with an intersectional, gender based analysis + or GBA+ (gender and gender diverse inclusive), and a human rights approach, I suggest there is potential for achieving Indigenous sovereignty over our bodies as well as over the land and waters in ways that are conducive to our resilience and freedom as Indigenous people.

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FINAL EVALUATION REPORT: Evaluating the Impact of Shepherds of Good Hope’s Women and Gender Diverse Program

10.22215/cspsc-2020-01 ◽

2020 ◽

Author(s):

Katharine Larose-Hébert ◽

Adje van de Sande ◽

Tara McWhinney ◽

Katherine Occhiuto ◽

Alicia Kalmanovitch ◽

...

Keyword(s):

Final Evaluation ◽

Women And Gender ◽

Evaluation Report ◽

Gender Diverse ◽

And Gender ◽

The Impact

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Creating space for ourselves: Black sexual minority women and gender diverse individuals countering anti-Black racism and heterosexism.

Psychology of Sexual Orientation and Gender Diversity ◽

10.1037/sgd0000470 ◽

2021 ◽

Author(s):

Konjit V. Page ◽

Alison Cerezo ◽

Andrea Ross

Keyword(s):

Sexual Minority ◽

Minority Women ◽

Sexual Minority Women ◽

Women And Gender ◽

Gender Diverse ◽

And Gender

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A Culturally Safe and Trauma-Informed Sexually Transmitted Blood Borne Infection (STBBI) Intervention Designed by and for Incarcerated Indigenous Women and Gender-Diverse People

International Journal of Indigenous Health ◽

10.32799/ijih.v15i1.34061 ◽

2020 ◽

Vol 15 (1) ◽

pp. 108-118

Author(s):

Chaneesa Ryan ◽

Abrar Ali ◽

Hollie Sabourin

Keyword(s):

Indigenous Women ◽

Virus Hepatitis ◽

Women And Gender ◽

Sexually Transmitted ◽

Community Ownership ◽

Decolonizing Methodologies ◽

Gender Diverse ◽

Immunodeficiency Virus ◽

Trauma Informed ◽

And Gender

Indigenous women are grossly overrepresented both within the federal correctional system and among Sexually Transmitted Blood Borne Infection (STBBI) diagnoses in Canada. Mainstream approaches continue to fall short in addressing Human Immunodeficiency Virus, Hepatitis C and other STBBIs within this population. In this paper, we argue that, in order to be successful, STBBI programs and services must hinge on meaningful community participation, community ownership and incorporate Indigenous knowledge, perspectives and decolonizing methodologies. Further, they must take a strengths-based approach and focus on healing and resiliency rather than challenges and deficits.

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Ethnic differences in self-harm, rates, characteristics and service provision: three-city cohort study

The British Journal of Psychiatry ◽

10.1192/bjp.bp.109.072637 ◽

2010 ◽

Vol 197 (3) ◽

pp. 212-218 ◽

Cited By ~ 46

Author(s):

Jayne Cooper ◽

Elizabeth Murphy ◽

Roger Webb ◽

Keith Hawton ◽

Helen Bergen ◽

...

Keyword(s):

Black People ◽

Population Based ◽

Black Females ◽

Minority Ethnic Groups ◽

Increased Risk ◽

Self Harm ◽

And Gender ◽

Asian People ◽

To Receive ◽

Minority Ethnic

BackgroundStudies of self-harm in Black and minority ethnic (BME) groups have been restricted to single geographical areas, with few studies of Black people.AimsTo calculate age- and gender-specific rates of self-harm by ethnic group in three cities and compare characteristics and outcomes.MethodA population-based self-harm cohort presenting to five emergency departments in three English cities during 2001 to 2006.ResultsA total of 20 574 individuals (16–64 years) presented with self-harm; ethnicity data were available for 75%. Rates of self-harm were highest in young Black females (16–34 years) in all three cities. Risk of self-harm in young South Asian people varied between cities. Black and minority ethnic groups were less likely to receive a psychiatric assessment and to re-present with self-harm.ConclusionsDespite the increased risk of self-harm in young Black females fewer receive psychiatric care. Our findings have implications for assessment and appropriate management for some BME groups following self-harm.

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Transgender Data Collection in the Electronic Health Record (EHR): Current Concepts and Issues

10.31235/osf.io/qnc2g ◽

2021 ◽

Author(s):

Clair Kronk ◽

Avery Everhart ◽

Florence Ashley ◽

Hale Thompson ◽

Theodore E. Schall ◽

...

Keyword(s):

Data Collection ◽

The United States ◽

Data Representation ◽

Population Based ◽

Sex And Gender ◽

Medical Providers ◽

Related Data ◽

Gender Diverse ◽

Electronic Health ◽

And Gender

There are over one million transgender people living in the United States and 33% report negative experiences with a healthcare provider, many of which are connected to data representation in electronic health records (EHRs). We present recommendations and common pitfalls involving sex- and gender-related data collection in EHRs. Our recommendations leverage the needs of patients, medical providers, and researchers to optimize both individual patient experiences and the efficacy and reproducibility of EHR population-based studies. We also briefly discuss adequate additions to the EHR considering name and pronoun usage. We add the disclaimer that these questions are more complex than commonly assumed. We conclude that collaborations between local transgender and gender-diverse persons and medical providers as well as open inclusion of transgender and gender-diverse individuals on terminology and standards boards is crucial to shifting the paradigm in transgender and gender-diverse health.

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