Catherine Worthington
Biographic Data
| ID | 81651 |
|---|---|
| NAME | Catherine Worthington |
| GIVEN NAMES | Catherine |
| FAMILY NAME | Worthington |
| SIGNATURE | WORTHINGTON C |
| AFFILIATIONS | University of Victoria |
| ORCID | 0000-0003-3075-8229 |
| VERIFIED | Yes |
| TOTAL WORKS | 35 |
| TOTAL CITATIONS | 52 |
| AUTHOR COUNT | 35 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1995 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 3 |
Acceptability of HIV self-testing among sexual health service providers and Two-Spirit, gay, bisexual, and queer men in Ontario, Canada
In 2020, Health Canada approved the INSTI human immunodeficiency virus (HIV) self-test. Adoption and distribution of alternative HIV testing interventions, like self-testing, are essential in meeting the United Nations 95-95-95 goals. We explored the acceptability of HIV self-testing among sexual health service providers and Two-Spirit, gay, bisexual, and queer men (2SGBQM). Between 2020 and 2021, peer researchers conducted virtual focus groups (…
Dimensions of housing safety among women living with HIV in British Columbia
OBJECTIVES: Housing plays a significant role in the health of people living with HIV. There are gender-specific and compounding effects of violence, trauma, and other structural factors that may interact with housing experiences for women living with HIV. We used a trauma-informed lens to explore how people who identified as women (i.e., cisgender and transgender women) living with HIV in British Columbia perceived housing safety, and strategies …
Considerations for adapting digital competencies and training approaches to the public health workforce
We need integrated, systems-focused approaches to digital competencies cutting across the current public health curriculum, while creating space for specialized digital public health competencies and roles. Further research is needed to understand requirements for enacting these recommendations in practice
Intersecting gender, ethnicity, and sexual orientation identities and HIV stigma
Stigma remains a significant burden for people living with HIV and while studies have examined the impacts of gender, ethnicity, and sexual orientation on stigma separately, little is known about how these factors may intersect and potentially exacerbate levels of stigma. This study examines how these intersecting social positions may relate to levels of internalised, enacted and anticipated HIV stigma. Participants were recruited in Ontario, Alb…
Sometimes white doctors are not very friendly or inclusive
Many Two-Spirit, gay, bisexual, transgender, and other queer Black, Indigenous, people of colour in Canada encounter racism when testing for sexually transmitted and blood-borne infections. Our objective in this study was to understand how racism shapes testing experiences for these communities in Ontario, Canada. Four peer researchers conducted recruitment and data collection in consultation with a community advisory board. Focus groups and inte…
Perspectives on digital testing services for sexually transmitted and blood-borne infections from Two-Spirit, gay, bisexual, transgender, and other queer Black, Indigenous, people of colour living in …
Digital STBBI testing is one strategy that may reduce discrimination experienced by 2SGBTQ + BIPOC when getting tested in-person. However, digital STBBI testing services may not address all the needs of 2SGBTQ + BIPOC. Racism and other forms of oppression embedded into in-person and digital testing services will need to be addressed to meet the needs of this diverse population
Examining the Influence of Pre-Haart Experiences on Older, Self-Identifying Gay Men's Contemporary Constructions of Quality of Life (QOL)
Some older gay men (50+) experience diminished quality of life (QOL) due to historical and ongoing discrimination in addition to living through a collective trauma-the pre-HAART era of the HIV/AIDS epidemic-characterized by the absence of treatment and rampant discrimination targeting gay men. A growing body of literature, however, illustrates that older gay men demonstrate remarkable resilience but little is known about how QOL is conceptualized…
The Red River Cart Model
The Red River Cart Model provides a holistic view of the determinants of Métis health and has potential as a collaborative client assessment resource for STBBI community health service providers. Additionally, this model may be helpful to other health service providers for developing Métis-specific/informed services and improving cultural safety for the Métis
Caught between HIV exceptionalism and health service integration
The role of contextual factors for program implementation is well-documented; however, their changing function throughout implementation phases is less established. We conducted an institutional ethnography to understand how structural conditions for scaling up initiatives are shaped by public health policy. We conducted 25 interviews with implementers of a comprehensive sexual health testing service in Canada, 21 meeting observations, and textua…
Partner number and use of Covid-19 risk reduction strategies during initial phases of the pandemic in British Columbia, Canada
Sexual health service clients in BC with 2+ partners during the initial phases of BC's pandemic used strategies to reduce their risk of COVID-19 infection during sex. Our study provides support for a harm reduction approach to guidance on COVID-19 risk during sex, and highlights the need for further research on stigma related to having sex during the COVID-19 pandemic
Pay to skip the line
The value of digital healthcare has been lauded in Canada at local, provincial, and national levels. Digital medicine is purported to enhance patient access to care while promising cost savings. Using institutional ethnography, we examined the potential for publicly funded digital testing for HIV and other sexually transmitted infections (STI) in Ontario, Canada. Our analyses draw from 23 stakeholder interviews with healthcare professionals condu…
Universities without Walls
(1) Background: Although HIV has not diminished in importance in Canada, the field of HIV research remains small, and the graduate students who decide to pursue careers within it feel isolated and uncertain about their professional skills and opportunities. Universities Without Walls (UWW) was created in 2009 to help redress these shortcomings. This paper presents a case study of UWW, a non-credit training program for emerging HIV researchers in …
An institutional ethnography of political and legislative factors shaping online sexual health service implementation in Ontario, Canada
Public health scholarship is increasingly attuned to the structural determinants of health, such as the associations between macro-level policy and population health outcomes. Yet the ways public healthcare services are specifically made available through political and legislative decisions remain relatively under-explored. Using the critical research strategy of institutional ethnography, this study charts how political leadership transitions an…
Decolonizing Scoping Review Methodologies for Literature With, for, and by Indigenous Peoples and the African Diaspora
This article summarizes our deepened understanding of decolonizing research with, for, and by Indigenous peoples and peoples of African descent that emerged from conducting a scoping review of the methodological literature and reflecting on our review process. Although our review identified decolonizing methodologies as a promising approach, we questioned if our scoping review process engaged in decolonizing knowing. To unpack the epistemological…
Stable homes, strong families
Stable Homes, Strong Families (SHSF) is a community-based research project that sought to investigate the connection between HIV, housing and Indigenous cultures and identify strategies to ensure culturally appropriate housing programs and policies for Indigenous peoples living with and affected by HIV. The impetus for this research stems from a body of knowledge that recognizes the inextricable link between housing and health, as well as growing…
Evolution of an International Research Collaborative in HIV and Rehabilitation
Research networks involving community-academic-clinical partnerships can help to promote KTE and establish a coordinated response for addressing priorities in an emerging field
I'm Just Forgetting and I Don't Know Why
HIV-associated neurocognitive disorder (HAND) is common, but the lived experience of HAND is not well-understood. In this descriptive qualitative study, we explored how adults with HAND view, manage, and obtain support for cognitive difficulties. We interviewed 25 participants (20% female; median age = 51 years) who were diagnosed with HAND using neuropsychological assessment and a clinical interview. Semistructured interviews, co-developed with …
The Unravelling of Identities and Belonging
Evaluation of a Web-based tailored intervention (Tavie en santé) to support people living with HIV in the adoption of health promoting behaviours
NCT02378766 , assigned on March 3th 2015
Research Done in “A Good Way”
Objectives. We examined the role that Indigenous Elders can play in ensuring that community-based research (CBR) is conducted ethically. Methods. We present data from a larger qualitative study exploring ethical issues that occur in HIV-related CBR through the experiences of researchers engaged in CBR. Between May 2010 and July 2011, we interviewed 51 academic and community research team leaders of federally funded HIV CBR studies. We used themat…
Individual and jurisdictional factors associated with voluntary HIV testing in Canada
African immigrant views of HIV service needs
This qualitative, community-based research study explored the influence of gender on community perceptions of HIV/AIDS service needs among African immigrant men and women in Calgary, Canada. A total of 41 key informant participants (24 male, 17 female) from 14 sub-Saharan countries completed individual, semi-structured interviews. Thematic interview analysis results produced four themes directly related to HIV and gender, including different sexu…
Maternal self-efficacy and family adjustment in households with children with serious disability
Self-efficacy – the belief in one’s capability to cope with life’s challenges and achieve goals – is an important service objective in family centered practice with parents of children with disability. Yet, limited attention has been given to parental self-efficacy and overall adjustment of families of children with a disability in the research literature. This study explores maternal general self-efficacy as a cognitive coping resource in these …
Maternal self-efficacy and family adjustment in households with children with serious disability
Public Health Research Involving Aboriginal Peoples
Research Done in “A Good Way”
Objectives. We examined the role that Indigenous Elders can play in ensuring that community-based research (CBR) is conducted ethically. Methods. We present data from a larger qualitative study exploring ethical issues that occur in HIV-related CBR through the experiences of researchers engaged in CBR. Between May 2010 and July 2011, we interviewed 51 academic and community research team leaders of federally funded HIV CBR studies. We used themat…
Factors Underlying Anxiety in HIV Testing
Client anxiety is often associated with diagnostic testing. In this study, the authors used a grounded theory approach to examine the situational and social factors underlying anxiety associated with HIV testing, analyzing transcripts from semistructured interviews with 39 HIV test recipients in Ontario, Canada (selected based on HIV serostatus, risk experience, geographic region, gender, and number of HIV tests), then integrating emergent themes…
Public Health Research Involving Aboriginal Peoples
The Unravelling of Identities and Belonging
Physician Retention in Rural Alberta
Pay to skip the line
The value of digital healthcare has been lauded in Canada at local, provincial, and national levels. Digital medicine is purported to enhance patient access to care while promising cost savings. Using institutional ethnography, we examined the potential for publicly funded digital testing for HIV and other sexually transmitted infections (STI) in Ontario, Canada. Our analyses draw from 23 stakeholder interviews with healthcare professionals condu…
I'm Just Forgetting and I Don't Know Why
HIV-associated neurocognitive disorder (HAND) is common, but the lived experience of HAND is not well-understood. In this descriptive qualitative study, we explored how adults with HAND view, manage, and obtain support for cognitive difficulties. We interviewed 25 participants (20% female; median age = 51 years) who were diagnosed with HAND using neuropsychological assessment and a clinical interview. Semistructured interviews, co-developed with …
Maternal self-efficacy and family adjustment in households with children with serious disability
Self-efficacy – the belief in one’s capability to cope with life’s challenges and achieve goals – is an important service objective in family centered practice with parents of children with disability. Yet, limited attention has been given to parental self-efficacy and overall adjustment of families of children with a disability in the research literature. This study explores maternal general self-efficacy as a cognitive coping resource in these …
Perspectives on digital testing services for sexually transmitted and blood-borne infections from Two-Spirit, gay, bisexual, transgender, and other queer Black, Indigenous, people of colour living in …
Digital STBBI testing is one strategy that may reduce discrimination experienced by 2SGBTQ + BIPOC when getting tested in-person. However, digital STBBI testing services may not address all the needs of 2SGBTQ + BIPOC. Racism and other forms of oppression embedded into in-person and digital testing services will need to be addressed to meet the needs of this diverse population
Examining the Influence of Pre-Haart Experiences on Older, Self-Identifying Gay Men's Contemporary Constructions of Quality of Life (QOL)
Some older gay men (50+) experience diminished quality of life (QOL) due to historical and ongoing discrimination in addition to living through a collective trauma-the pre-HAART era of the HIV/AIDS epidemic-characterized by the absence of treatment and rampant discrimination targeting gay men. A growing body of literature, however, illustrates that older gay men demonstrate remarkable resilience but little is known about how QOL is conceptualized…
Partner number and use of Covid-19 risk reduction strategies during initial phases of the pandemic in British Columbia, Canada
Sexual health service clients in BC with 2+ partners during the initial phases of BC's pandemic used strategies to reduce their risk of COVID-19 infection during sex. Our study provides support for a harm reduction approach to guidance on COVID-19 risk during sex, and highlights the need for further research on stigma related to having sex during the COVID-19 pandemic
The multiconstitutency approach to organizational performance assessment
Community pharmacist perspectives on HIV/Aids and interventions for injection drug users in Canada
In several countries, community pharmacies play a major role in the provision of HIV prevention services to injection drug users (IDUs). In this study, results from a national Canadian Survey of Community Pharmacies and HIV/AIDS Prevention are used to describe pharmacists' perspectives on HIV/AIDS and services to IDUs, and explore the relationship between personal and organizational characteristics and the level of support for HIV/AIDS prevention…
Empowerment Evaluation
This article describes empowerment evaluation and reviews its adequacy as an evaluation model. The author shows that empowerment evaluation, as developed thus far, is very broad in scope and vague in detail. It is underdeveloped in many areas, including its orientation to knowledge building (epistemology), values, appropriate programmatic context and use, and some areas of method. More work needs to be done to clarify and improve the empowerment …
Factors Underlying Anxiety in HIV Testing
Client anxiety is often associated with diagnostic testing. In this study, the authors used a grounded theory approach to examine the situational and social factors underlying anxiety associated with HIV testing, analyzing transcripts from semistructured interviews with 39 HIV test recipients in Ontario, Canada (selected based on HIV serostatus, risk experience, geographic region, gender, and number of HIV tests), then integrating emergent themes…
Patient Satisfaction with Health Care
Using client or patient satisfaction instruments to assess the quality of services and programs is an integral component of much program research and evaluation. But however methodologically straightforward and programmatically useful, the constructs and theory underlying patient or client satisfaction measures are not particularly simple, and the informativeness and usefulness of these satisfaction measures have been repeatedly called into quest…
Impact on HIV test providers of giving a positive test result
The provision of a positive HIV antibody test result and the direction and support given to the test recipient are critical components of care and prevention. There has been little research that describes what happens in such interactions between recipient and provider. The impact on the test provider of delivering the HIV test result is an important issue to consider. The discomfort experienced by some health providers in giving a positive test …
Expanding the lens of HIV services provision in Canada
Those living with HIV may experience a range of disabilities, including body impairments, activity limitations, and social participation restrictions. The aim of this study was to examine HIV services provision in Canada by exploring practices, referrals, and service delivery challenges from the perspective of HIV health professionals (including nurses, physicians, social workers, pharmacists, psychologists, and dieticians), and to explore differ…
Level of Street Involvement and Health and Health Services Use of Calgary Street Youth
HIV testing experiences of Aboriginal youth in Canada
The objective of this study was to explore HIV testing experiences and service views of Canadian Aboriginal youth in order to provide information for HIV testing services. An exploratory, mixed-method, community-based research design was used for this study. Findings reported here are from 210 survey participants who had experienced an HIV test. Youth were recruited through 11 Aboriginal organizations across Canada, including AIDS service organiz…
Physician Retention in Rural Alberta
Maternal self-efficacy and family adjustment in households with children with serious disability
Public Health Research Involving Aboriginal Peoples
African immigrant views of HIV service needs
This qualitative, community-based research study explored the influence of gender on community perceptions of HIV/AIDS service needs among African immigrant men and women in Calgary, Canada. A total of 41 key informant participants (24 male, 17 female) from 14 sub-Saharan countries completed individual, semi-structured interviews. Thematic interview analysis results produced four themes directly related to HIV and gender, including different sexu…
Maternal self-efficacy and family adjustment in households with children with serious disability
Self-efficacy – the belief in one’s capability to cope with life’s challenges and achieve goals – is an important service objective in family centered practice with parents of children with disability. Yet, limited attention has been given to parental self-efficacy and overall adjustment of families of children with a disability in the research literature. This study explores maternal general self-efficacy as a cognitive coping resource in these …
Individual and jurisdictional factors associated with voluntary HIV testing in Canada
Evaluation of a Web-based tailored intervention (Tavie en santé) to support people living with HIV in the adoption of health promoting behaviours
NCT02378766 , assigned on March 3th 2015
Research Done in “A Good Way”
Objectives. We examined the role that Indigenous Elders can play in ensuring that community-based research (CBR) is conducted ethically. Methods. We present data from a larger qualitative study exploring ethical issues that occur in HIV-related CBR through the experiences of researchers engaged in CBR. Between May 2010 and July 2011, we interviewed 51 academic and community research team leaders of federally funded HIV CBR studies. We used themat…
The Unravelling of Identities and Belonging
Decolonizing Scoping Review Methodologies for Literature With, for, and by Indigenous Peoples and the African Diaspora
This article summarizes our deepened understanding of decolonizing research with, for, and by Indigenous peoples and peoples of African descent that emerged from conducting a scoping review of the methodological literature and reflecting on our review process. Although our review identified decolonizing methodologies as a promising approach, we questioned if our scoping review process engaged in decolonizing knowing. To unpack the epistemological…
Stable homes, strong families
Stable Homes, Strong Families (SHSF) is a community-based research project that sought to investigate the connection between HIV, housing and Indigenous cultures and identify strategies to ensure culturally appropriate housing programs and policies for Indigenous peoples living with and affected by HIV. The impetus for this research stems from a body of knowledge that recognizes the inextricable link between housing and health, as well as growing…
Evolution of an International Research Collaborative in HIV and Rehabilitation
Research networks involving community-academic-clinical partnerships can help to promote KTE and establish a coordinated response for addressing priorities in an emerging field
I'm Just Forgetting and I Don't Know Why
HIV-associated neurocognitive disorder (HAND) is common, but the lived experience of HAND is not well-understood. In this descriptive qualitative study, we explored how adults with HAND view, manage, and obtain support for cognitive difficulties. We interviewed 25 participants (20% female; median age = 51 years) who were diagnosed with HAND using neuropsychological assessment and a clinical interview. Semistructured interviews, co-developed with …
Universities without Walls
(1) Background: Although HIV has not diminished in importance in Canada, the field of HIV research remains small, and the graduate students who decide to pursue careers within it feel isolated and uncertain about their professional skills and opportunities. Universities Without Walls (UWW) was created in 2009 to help redress these shortcomings. This paper presents a case study of UWW, a non-credit training program for emerging HIV researchers in …
An institutional ethnography of political and legislative factors shaping online sexual health service implementation in Ontario, Canada
Public health scholarship is increasingly attuned to the structural determinants of health, such as the associations between macro-level policy and population health outcomes. Yet the ways public healthcare services are specifically made available through political and legislative decisions remain relatively under-explored. Using the critical research strategy of institutional ethnography, this study charts how political leadership transitions an…
Caught between HIV exceptionalism and health service integration
The role of contextual factors for program implementation is well-documented; however, their changing function throughout implementation phases is less established. We conducted an institutional ethnography to understand how structural conditions for scaling up initiatives are shaped by public health policy. We conducted 25 interviews with implementers of a comprehensive sexual health testing service in Canada, 21 meeting observations, and textua…
Medicine (25 works) · Sociology (21 works) · HIV/AIDS Research and Interventions (18 works) · Political science (18 works) · Psychology (18 works) · Nursing (14 works) · Family medicine (12 works) · Qualitative research (12 works) · Public health (10 works) · Gerontology (9 works)