{"id":"https://openalex.org/W4392549795","doi":"https://doi.org/10.32920/25360264.v1","title":"Characteristics of the HIV cascade of care and unsuppressed viral load among gay, bisexual and other men who have sex with men living with HIV across Canada's three largest cities","display_name":"Characteristics of the HIV cascade of care and unsuppressed viral load among gay, bisexual and other men who have sex with men living with HIV across Canada's three largest cities","publication_year":2024,"publication_date":"2024-03-07","ids":{"openalex":"https://openalex.org/W4392549795","doi":"https://doi.org/10.32920/25360264.v1"},"language":"en","primary_location":{"id":"doi:10.32920/25360264.v1","doi":"https://doi.org/10.32920/25360264.v1","is_oa":true,"landing_page_url":"http://dx.doi.org/10.32920/25360264.v1","pdf_url":null,"source":null,"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Toronto Metropolitan University","raw_type":"posted-content"},"volume":null,"type":"other","is_traditional":false,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"http://dx.doi.org/10.32920/25360264.v1","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5089083884","display_name":"David M. Moore","orcid":"https://orcid.org/0000-0003-1078-9247","observed_orcids":["https://orcid.org/0000-0003-1078-9247"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"David M Moore","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5065739906","display_name":"Zishan Cui","orcid":"https://orcid.org/0000-0002-9236-3890","observed_orcids":["https://orcid.org/0000-0002-9236-3890"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Zishan Cui","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5037345985","display_name":"Shayna Skakoon\u2010Sparling","orcid":"https://orcid.org/0000-0002-5021-6593","observed_orcids":["https://orcid.org/0000-0002-5021-6593"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Shayna Skakoon-Sparling","raw_affiliation_strings":[],"raw_orcid":"https://orcid.org/0000-0002-5021-6593","affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5018411173","display_name":"Jordan M. Sang","orcid":"https://orcid.org/0000-0001-5649-0326","observed_orcids":["https://orcid.org/0000-0001-5649-0326"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Jordan M. Sang","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5028003180","display_name":"Justin Barath","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Justin Barath","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5100364556","display_name":"Lu Wang","orcid":"https://orcid.org/0009-0006-7001-2383","observed_orcids":["https://orcid.org/0009-0006-7001-2383"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Lu Wang","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5012451264","display_name":"Nathan J. Lachowsky","orcid":"https://orcid.org/0000-0002-6336-8780","observed_orcids":["https://orcid.org/0000-0002-6336-8780"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Nathan Lachowsky","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5085309738","display_name":"Joseph Cox","orcid":"https://orcid.org/0000-0002-7041-1556","observed_orcids":["https://orcid.org/0000-0002-7041-1556"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Joseph Cox","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5102917447","display_name":"Gilles Lambert","orcid":"https://orcid.org/0000-0001-5632-0685","observed_orcids":["https://orcid.org/0000-0001-5632-0685","https://orcid.org/0000-0003-0083-9722"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Gilles Lambert","raw_affiliation_strings":[],"raw_orcid":"https://orcid.org/0000-0001-5632-0685","affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5035083890","display_name":"Syed W. B. Noor","orcid":"https://orcid.org/0000-0002-4090-8799","observed_orcids":["https://orcid.org/0000-0002-4090-8799"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Syed W. Noor","raw_affiliation_strings":[],"raw_orcid":"https://orcid.org/0000-0002-4090-8799","affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5061746079","display_name":"Daniel Grace","orcid":"https://orcid.org/0000-0002-9032-3959","observed_orcids":["https://orcid.org/0000-0002-9032-3959","https://orcid.org/0000-0002-2318-0038"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Daniel Grace","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5049000443","display_name":"Jody Jollimore","orcid":"https://orcid.org/0000-0002-6005-9720","observed_orcids":["https://orcid.org/0000-0002-6005-9720"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Jody Jollimore","raw_affiliation_strings":[],"raw_orcid":"https://orcid.org/0000-0002-6005-9720","affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5066228357","display_name":"Herak Apelian","orcid":"https://orcid.org/0000-0003-0553-2172","observed_orcids":["https://orcid.org/0000-0003-0553-2172"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Herak Apelian","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5074989449","display_name":"Allan Lal","orcid":"https://orcid.org/0000-0001-7044-2494","observed_orcids":["https://orcid.org/0000-0001-7044-2494"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Allan Lal","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5009906177","display_name":"Abbie Parlette","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Abbie Parlette","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5056784469","display_name":"Trevor Adam Hart","orcid":"https://orcid.org/0000-0001-5107-7452","observed_orcids":["https://orcid.org/0000-0001-5107-7452"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Trevor Hart","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10082","display_name":"HIV/AIDS Research and Interventions","score":0.9965999722480774,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10082","display_name":"HIV/AIDS Research and Interventions","score":0.9965999722480774,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11860","display_name":"HIV, Drug Use, Sexual Risk","score":0.0031999999191612005,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10112","display_name":"HIV Research and Treatment","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2406","display_name":"Virology"},"field":{"id":"https://openalex.org/fields/24","display_name":"Immunology and Microbiology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/hiv-care-continuum","display_name":"HIV care continuum","score":0.890999972820282},{"id":"https://openalex.org/keywords/unsuppressed-viral-load","display_name":"unsuppressed viral load","score":0.9649999737739563},{"id":"https://openalex.org/keywords/men-who-have-sex-with-men","display_name":"men who have sex with men","score":0.9210000038146973},{"id":"https://openalex.org/keywords/gay-and-bisexual-men","display_name":"gay and bisexual men","score":0.7360000014305115},{"id":"https://openalex.org/keywords/hiv-treatment-as-prevention","display_name":"HIV treatment as prevention","score":0.6589999794960022},{"id":"https://openalex.org/keywords/antiretroviral-therapy","display_name":"antiretroviral therapy","score":0.9210000038146973},{"id":"https://openalex.org/keywords/hiv-diagnosis","display_name":"HIV diagnosis","score":0.734000027179718},{"id":"https://openalex.org/keywords/hiv-prevalence","display_name":"HIV prevalence","score":0.8199999928474426},{"id":"https://openalex.org/keywords/sexually-transmitted-infections","display_name":"sexually transmitted infections","score":0.6759999990463257},{"id":"https://openalex.org/keywords/respondent-driven-sampling","display_name":"respondent-driven sampling","score":0.7419999837875366},{"id":"https://openalex.org/keywords/montreal","display_name":"Montreal","score":0.5820000171661377},{"id":"https://openalex.org/keywords/toronto","display_name":"Toronto","score":0.9929999709129333},{"id":"https://openalex.org/keywords/vancouver","display_name":"Vancouver","score":1.0},{"id":"https://openalex.org/keywords/canada","display_name":"Canada","score":0.6499999761581421}],"concepts":[{"id":"https://openalex.org/C3013748606","wikidata":"https://www.wikidata.org/wiki/Q15787","display_name":"Human immunodeficiency virus (HIV)","level":2,"score":0.7035040855407715},{"id":"https://openalex.org/C2776939746","wikidata":"https://www.wikidata.org/wiki/Q853451","display_name":"Men who have sex with men","level":4,"score":0.5824390649795532},{"id":"https://openalex.org/C2776001192","wikidata":"https://www.wikidata.org/wiki/Q6636","display_name":"Homosexuality","level":2,"score":0.4700015187263489},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.3298300504684448},{"id":"https://openalex.org/C159047783","wikidata":"https://www.wikidata.org/wiki/Q7215","display_name":"Virology","level":1,"score":0.29847776889801025},{"id":"https://openalex.org/C107993555","wikidata":"https://www.wikidata.org/wiki/Q1662673","display_name":"Gender studies","level":1,"score":0.2897685766220093},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.20848247408866882},{"id":"https://openalex.org/C2776983459","wikidata":"https://www.wikidata.org/wiki/Q41083","display_name":"Syphilis","level":3,"score":0.0}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.32920/25360264.v1","doi":"https://doi.org/10.32920/25360264.v1","is_oa":true,"landing_page_url":"http://dx.doi.org/10.32920/25360264.v1","pdf_url":null,"source":null,"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Toronto Metropolitan University","raw_type":"posted-content"},{"id":"pmh:oai:figshare.com:article/25360264","doi":null,"is_oa":true,"landing_page_url":"https://figshare.com/articles/journal_contribution/Characteristics_of_the_HIV_cascade_of_care_and_unsuppressed_viral_load_among_gay_bisexual_and_other_men_who_have_sex_with_men_living_with_HIV_across_Canada_s_three_largest_cities/25360264","pdf_url":null,"source":{"id":"https://openalex.org/S4377196282","display_name":"Figshare","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I4210132348","host_organization_name":"Figshare (United Kingdom)","host_organization_lineage":["https://openalex.org/I4210132348"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Text"}],"best_oa_location":{"id":"doi:10.32920/25360264.v1","doi":"https://doi.org/10.32920/25360264.v1","is_oa":true,"landing_page_url":"http://dx.doi.org/10.32920/25360264.v1","pdf_url":null,"source":null,"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Toronto Metropolitan University","raw_type":"posted-content"},"sustainable_development_goals":[{"score":1.0,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"},{"score":0.7307999730110168,"id":"https://metadata.un.org/sdg/10","display_name":"Reduced inequalities"}],"study_designs":[],"awards":[{"id":"https://openalex.org/G12666970","display_name":null,"funder_award_id":"16863","funder_id":"https://openalex.org/F4320319965","funder_display_name":"Michael Smith Health Research BC"},{"id":"https://openalex.org/G1744498712","display_name":null,"funder_award_id":"FDN=143342","funder_id":"https://openalex.org/F4320334506","funder_display_name":"Canadian Institutes of Health Research"},{"id":"https://openalex.org/G2248443994","display_name":null,"funder_award_id":"[#TE2-138299","funder_id":"https://openalex.org/F4320334506","funder_display_name":"Canadian Institutes of Health Research"},{"id":"https://openalex.org/G2884233334","display_name":null,"funder_award_id":"153139","funder_id":"https://openalex.org/F4320334506","funder_display_name":"Canadian Institutes of Health Research"},{"id":"https://openalex.org/G5907478052","display_name":null,"funder_award_id":"143342","funder_id":"https://openalex.org/F4320334506","funder_display_name":"Canadian Institutes of Health Research"},{"id":"https://openalex.org/G6859721825","display_name":"Addressing Recent Trends in HIV Among Gay, Bisexual, and other Men Who Have Sex with Men in Vancouver, British Columbia","funder_award_id":"153139_1","funder_id":"https://openalex.org/F4320334506","funder_display_name":"Canadian Institutes of Health Research"},{"id":"https://openalex.org/G892119718","display_name":null,"funder_award_id":"#4500370314","funder_id":"https://openalex.org/F4320312568","funder_display_name":"Public Health Agency of Canada"}],"funders":[{"id":"https://openalex.org/F4320310350","display_name":"Canadian Foundation for AIDS Research","ror":"https://ror.org/04hfyyk07"},{"id":"https://openalex.org/F4320312568","display_name":"Public Health Agency of Canada","ror":"https://ror.org/023xf2a37"},{"id":"https://openalex.org/F4320319900","display_name":"Ontario HIV Treatment Network","ror":"https://ror.org/03hgdjp72"},{"id":"https://openalex.org/F4320319965","display_name":"Michael Smith Health Research BC","ror":"https://ror.org/020x39229"},{"id":"https://openalex.org/F4320320853","display_name":"Public Health Agency","ror":"https://ror.org/03ek62e72"},{"id":"https://openalex.org/F4320334506","display_name":"Canadian Institutes of Health Research","ror":"https://ror.org/01gavpb45"}],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":20,"referenced_works":["https://openalex.org/W1971787534","https://openalex.org/W2055164441","https://openalex.org/W2062290173","https://openalex.org/W2080807877","https://openalex.org/W2084871902","https://openalex.org/W2098658501","https://openalex.org/W2142554331","https://openalex.org/W2142645441","https://openalex.org/W2164713644","https://openalex.org/W2166281097","https://openalex.org/W2318821245","https://openalex.org/W2620449362","https://openalex.org/W2770561034","https://openalex.org/W2888700795","https://openalex.org/W2943039121","https://openalex.org/W3011677330","https://openalex.org/W3109789378","https://openalex.org/W3152870436","https://openalex.org/W3158705183","https://openalex.org/W4243763848"],"related_works":["https://openalex.org/W2318821245","https://openalex.org/W4309522777","https://openalex.org/W3022718907","https://openalex.org/W4307002317","https://openalex.org/W4414983784","https://openalex.org/W3171653466","https://openalex.org/W4291001113","https://openalex.org/W4412077979","https://openalex.org/W2496140250","https://openalex.org/W2901393121"],"abstract_inverted_index":{"Introduction:":[0],"Treatment":[1],"as":[2,263],"prevention":[3],"strategies":[4],"have":[5,33,339],"been":[6],"variously":[7],"applied":[8],"across":[9,85],"provinces":[10],"in":[11,39,116,119,123,136,144,153,168,172,176,200,210,232,322,330,363],"Canada.":[12],"We":[13,78,87,112],"estimated":[14],"HIV":[15,71,127,162,188,331],"care":[16,294,375],"cascade":[17],"indicators":[18],"and":[19,29,42,68,72,121,146,174,194,206,216,224,304,325,333,335,367],"correlates":[20],"of":[21,184,257],"unsuppressed":[22,198,220,258],"viral":[23],"load":[24],"(VL)":[25],"among":[26],"gay,":[27],"bisexual":[28],"other":[30,73,309],"men":[31,36,366],"who":[32,358,369],"sex":[34],"with":[35,96,104,160,187,291,308],"(GBM)":[37],"recruited":[38,52,113],"Vancouver,":[40,211],"Toronto":[41,120,145,173,245,324],"Montreal.":[43],"Methods:":[44],"Sexually":[45],"active":[46],"GBM,":[47],"aged":[48],"\u226516":[49],"years,":[50],"were":[51,165,189,203,208,213,219],"through":[53],"respondent-driven":[54],"sampling":[55],"(RDS)":[56],"from":[57,107],"February":[58],"2017":[59],"to":[60,92,134,142,151,241,252,261,274,288,302,317,355],"August":[61],"2019.":[62],"Participants":[63],"completed":[64],"a":[65,98,292,372],"Computer-Assisted":[66],"Self-Interview":[67],"tests":[69],"for":[70,279,345],"sexually":[74],"transmitted":[75],"infections":[76],"(STIs).":[77],"conducted":[79],"bivariate":[80],"analyses":[81],"comparing":[82],"RDS-adjusted":[83,126],"proportions":[84],"cities.":[86,110],"used":[88,354],"multivariable":[89],"logistic":[90],"regression":[91],"examine":[93],"factors":[94],"associated":[95],"having":[97],"measured":[99],"VL":[100],"\u2265":[101],"200":[102],"copies/mL":[103],"data":[105],"pooled":[106],"all":[108,336],"three":[109,337],"Results:":[111],"1179":[114],"participants":[115,159,231,266],"Montreal,":[117,137,169,182,262,323],"517":[118],"753":[122],"Vancouver.":[124],"The":[125],"prevalence":[128],"was":[129],"14.2%":[130],"(95%":[131,139,148],"CI":[132,140,149,239,250,272,286,300,315],"11.1":[133],"17.2)":[135],"22.1%":[138],"12.4":[141],"31.8)":[143],"20.4%":[147],"14.5":[150],"26.3)":[152],"Vancouver":[154,177,233,326],"(p":[155,178,221],"<":[156,222],"0.001).":[157],"Of":[158],"confirmed":[161],"infection,":[163],"3.3%":[164],"previously":[166],"undiagnosed":[167,171],"3.2%":[170],"0.2%":[175],"=":[179,247,283,297,312],"0.154).":[180],"In":[181],"87.6%":[183],"GBM":[185,320,357],"living":[186,321],"receiving":[190,204,214],"antiretroviral":[191],"therapy":[192],"(ART)":[193],"10.6%":[195],"had":[196,254],"an":[197],"VL;":[199],"Toronto,":[201],"82.6%":[202],"ART":[205,215],"4.0%":[207],"unsuppressed;":[209],"88.5%":[212],"2.6":[217],"%":[218],"0.001":[223],"0.009":[225],"respectively).":[226],"Multivariable":[227],"modelling":[228],"demonstrated":[229],"that":[230],"(adjusted":[234],"odds":[235,256],"ratio":[236],"[AOR]=0.23;":[237],"95%":[238,249,271,285,299,314],"0.06":[240],"0.82),":[242],"but":[243],"not":[244],"(AOR":[246,267,282,296,311],"0.27;":[248],"0.07":[251],"1.03),":[253],"lower":[255],"VL,":[259],"compared":[260],"did":[264],"older":[265],"0.93":[268],"per":[269],"year;":[270],"0.89":[273],"0.97),":[275],"those":[276,290,305,368],"at":[277],"high-risk":[278],"hazardous":[280],"drinking":[281],"0.19;":[284],"0.05":[287],"0.70),":[289],"primary":[293,374],"provider":[295],"0.11;":[298],"0.02":[301],"0.57),":[303],"ever":[306],"diagnosed":[307],"STIs":[310],"0.12;":[313],"0.04":[316],"0.32).":[318],"Conclusions:":[319],"are":[327,370],"highly":[328],"engaged":[329],"testing":[332],"treatment":[334],"cities":[338],"largely":[340],"achieved":[341],"the":[342],"90-90-90":[343],"targets":[344],"GBM.":[346],"Nevertheless,":[347],"we":[348],"identified":[349],"disparities":[350],"which":[351],"can":[352],"be":[353],"identify":[356],"may":[359],"require":[360],"additional":[361],"interventions,":[362],"particular":[364],"younger":[365],"without":[371],"regular":[373],"provider.":[376]},"counts_by_year":[],"updated_date":"2026-11-09T13:22:03.289127","created_date":"2024-03-08T00:00:00"}
