David Lessard
Datos Biográficos
| ID | 133771 |
|---|---|
| NOMBRE | David Lessard |
| NOMBRES | David |
| APELLIDO | Lessard |
| FIRMA | LESSARD D |
| AFILIACIONES | McGill University |
| ORCID | 0000-0002-1151-3763 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 21 |
| TOTAL DE CITAS | 7 |
| TOTAL COMO AUTOR | 21 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 1969 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2025 |
| ÍNDICE H | 2 |
Studied factors and metrics of patient portal use among people with HIV
For people living with HIV (PLHIV), patient portals could facilitate access to personal health records while promoting self-management and retention in care. Given the apparent heterogeneity in the studied factors influencing portal use among PLHIV and the metrics used in research, we conducted a rapid scoping review to inventory them. Two databases were searched (Medline and Embase on the Ovid platform) from conception until 15 September 2023. T…
One (Financial Well-Being) Model Fits All? Testing the Multidimensional Subjective Financial Well-Being Scale Across Nine Countries
A multidimensional model of emerging adults’ subjective financial well-being was proposed (Sorgente and Lanz, Int Journal of Behavioral Development, 43(5), 466–478 2019). The authors also developed a 5-factor scale (the Multidimensional Subjective Financial Well-being Scale, MSFWBS) intending to measure this construct in the European context. To date, data using this instrument have been collected in nine countries: Austria, Canada, Finland, Indi…
It's not as good as the face-to-face contact
The COVID-19 pandemic led to the widespread adoption of virtual care-the use of communication technologies to receive health care at home. We explored the differential impacts of the rapid transition to virtual care during the COVID-19 pandemic on health-care access and delivery for gay, bisexual and queer men (GBQM), a population that disproportionately experiences sexual and mental health disparities in Canada. Adopting a sociomaterial theoreti…
Unpacking racism during Covid-19
Racism remains a pernicious threat to the well-being of GBQM of colour. CRT highlights the importance of assessing how sexualized and gendered discourses about race shape the experiences of GBQM of colour navigating multiple epidemics like COVID-19 and HIV. These pervasive discourses unevenly affect racial and sexual minorities across multiple epidemics, and negatively impact health outcomes for these populations
It’s different for heterosexuals”
Critical scholarship has illustrated how COVID-19 public health policies can enact racism, classism, and cis-heteronormativity, perpetuating harms among vulnerable communities. We sought to examine the accounts of gay, bisexual, and queer men (GBQM) in Canada on how normative ideologies played out in COVID-19 directives and what impacts these orders had on their lives. Two rounds of semi-structured interviews with GBQM in Montreal (n = 30), Toron…
I did not have sex outside of our bubble’
In efforts to prevent the spread of COVID-19, jurisdictions across the globe, including Canada, enacted containment measures that affected intimacy and sexual relations. This article examines how public health measures during COVID-19 impacted the sexual practices of sexual minority men- gay, bisexual, queer and other men who have sex with men-and how they adopted and modified guidelines to prevent the transmission of COVID-19, HIV and other sexu…
Queering Public Health
Research documenting the impact of COVID-19 on Two-Spirit, lesbian, gay, bisexual, transgender, and queer (2SLGBTQ+) populations in Canada is limited. Our objectives were to investigate the impact of COVID-19 lockdown measures on the lives of trans, nonbinary, and other gender nonconforming (TGNC) people. Engage COVID-19 is a mixed methods study examining the impact of COVID-19 on gay, bisexual, queer, and other men who have sex with men (GBQM) l…
Implementation of Lost & Found, An Intervention to Reengage Patients Out of HIV Care
Being out of HIV care (OOC) is associated with increased morbidity and mortality. We assessed implementation of Lost & Found, a clinic-based intervention to reengage OOC patients. OOC patients were identified using a nurse-validated, real-time OOC list within the electronic medical records (EMR) system. Nurses called OOC patients. Implementation occurred at the McGill University Health Centre from April 2018 to 2019. Results from questionnaires t…
Stepping Stones or Second Class Donors
Plasma donor policies must be considered in relation to MSM blood donation policies to understand how donor eligibility practices are made meaningful by GBM in the context of historical disenfranchisement. Successful establishment of a MSM plasma donor policy will require extensive education, explicit communication of how this new policy contributes to continued/stepwise reform of blood donor policies, and considerable reconciliation with diverse…
The involvement of people living with HIV in the development of HIV-specific or inclusive health instruments
Given recent emphasis on patient engagement in the choice and development of health measures to ensure their relevance, we examined the involvement of people living with HIV (PLHIV) in the creation of health measurement instruments that are HIV-specific or inclusive. A mixed studies review was conducted describing: 1) the sampling, recruitment and characteristics of involved PLHIV; 2) the methods and extent of their involvement; and 3) study auth…
It's in Me to Give
Blood donation policies governing men who have sex with men have shifted significantly over time in Canada-from an initial lifetime ban in the wake of the AIDS crisis to successive phases of time-based deferment requiring periods of sexual abstinence (5 years to 1 year to 3 months). We interviewed 39 HIV-negative gay, bisexual, queer, and other sexual minority men (GBM) in Vancouver, Toronto, and Montreal to understand their willingness to donate…
Evaluation of a project to engage patients in the development of a patient‐reported measure for HIV care (the I‐Score Study)
BACKGROUND: Patient engagement (PE), patients' meaningful involvement in research through partnerships and sensitivity to their expertise, is receiving attention. However, PE initiatives are poorly reported and little is known about patients' perspective on PE. OBJECTIVE: To document and evaluate the first phase (22 months) of a PE Project for the I-Score Study which is developing a patient-reported measure of HIV treatment adherence barriers, we…
Gay and bisexual men’s views on reforming blood donation policy in Canada
A predominant assertion was that a change from a 12-month to a 3-month deferral period would not resolve the fundamental issues of fairness and equity affecting blood screening practices for GBM in Canada. Many participants believed that blood donation policy should be based on more up-to-date scientific evidence concerning risk factor assessment and HIV testing
Patient profiles as organizing HIV clinicians’ ART adherence management
The effectiveness of antiretroviral therapy (ART) depends on optimal clinical management and patient adherence. Little is known about patient characteristics that clinicians consider in the management of ART adherence. Exploring this issue, five focus groups were conducted with 31 HIV-clinicians from across France. A qualitative typological analysis suggests that clinician management of patient adherence is based on characteristics that coalesce …
Barriers to antiretroviral therapy adherence in developed countries
Suboptimal adherence to antiretroviral therapy (ART) remains common. Patient-centered tools are needed to comprehensively assess adherence barriers in HIV clinical practice. Thus, we conducted a research synthesis to produce a conceptual framework for a new patient-reported outcome measure (PRO) for use in routine HIV care in Canada and France. A PRO's conceptual framework graphically represents the concepts to be measured and the potential relat…
Developing a patient-reported outcome measure for HIV care on perceived barriers to antiretroviral adherence
Bâtir une communauté citoyenne
Cet article s’intéresse au militantisme des femmes autochtones depuis les années 1960 jusqu’à 1980. Il souligne le rôle des femmes dans le mouvement Red Power, un mouvement pour l’autodétermination des autochtones, et trace la quête pour l’élimination de l’article 12(1) b) de la Loi sur les Indiens, selon lequel les femmes perdaient leur statut d’Indienne en épousant un non-Indien. L’auteure raconte le parcours de l’Association des femmes autocht…
Émergence
Cet article est basé sur une recherche ethnographique d’un an réalisée avec les membres de l’Association Washaw Sibi Eeyou, une organisation communautaire qui compte six cents membres établis dans diverses localités du nord du Québec et de l’Ontario et affiliés à différentes bandes autochtones. L’auteur présente les principaux moments de l’histoire du groupe et montre comment la situation actuelle est due aux pratiques semi-nomades de ses membres…
Explaining the appeal for immigrant men who have sex with men of a community-based rapid HIV-testing site in Montreal (Actuel sur Rue)
Immigrant men who have sex with men (MSM) are vulnerable to HIV. In the last decade, several rapid HIV-testing facilities targeting MSM have been established around the world and seem popular among immigrants. This study analyzes factors contributing to immigrant MSM's use of Actuel sur Rue (AsR), a community-based rapid HIV-testing site in Montreal's gay village, where 31% of clients are immigrants. From October 2013 to January 2014, AsR staff c…
L’ethnogenèse des Métis de la baie James en Ontario et au Québec
Cet article présente les résultats préliminaires d’une étude comparative de l’ethnogénèse et du développement d’une communauté métisse historique au sudest de la baie James, dans les provinces de l’Ontario et du Québec. Les auteurs analysent les critères confirmant l’émergence d’une identité métisse, définis par la Cour suprême du Canada dans R. c. Powley (2003) et interprétés lors de jugements récents. Les archives de la traite des fourrures doc…
Defining Land Use in a Context of Proximity
In the mid-2000s, in the Upper Harricana River drainage area, the Abitibiwinni and Washaw Sibi groups may be said to have "overlapping claims." This article presents a historical overview of the area, emphasising interactions between groups and the way group identities were arbitrarily assigned by colonisers and gradually associated with residence. Ethnographic data underlines how family hunting territories played a pivotal social role for the su…
It's not as good as the face-to-face contact
The COVID-19 pandemic led to the widespread adoption of virtual care-the use of communication technologies to receive health care at home. We explored the differential impacts of the rapid transition to virtual care during the COVID-19 pandemic on health-care access and delivery for gay, bisexual and queer men (GBQM), a population that disproportionately experiences sexual and mental health disparities in Canada. Adopting a sociomaterial theoreti…
Defining Land Use in a Context of Proximity
In the mid-2000s, in the Upper Harricana River drainage area, the Abitibiwinni and Washaw Sibi groups may be said to have "overlapping claims." This article presents a historical overview of the area, emphasising interactions between groups and the way group identities were arbitrarily assigned by colonisers and gradually associated with residence. Ethnographic data underlines how family hunting territories played a pivotal social role for the su…
It's in Me to Give
Blood donation policies governing men who have sex with men have shifted significantly over time in Canada-from an initial lifetime ban in the wake of the AIDS crisis to successive phases of time-based deferment requiring periods of sexual abstinence (5 years to 1 year to 3 months). We interviewed 39 HIV-negative gay, bisexual, queer, and other sexual minority men (GBM) in Vancouver, Toronto, and Montreal to understand their willingness to donate…
Defining Land Use in a Context of Proximity
In the mid-2000s, in the Upper Harricana River drainage area, the Abitibiwinni and Washaw Sibi groups may be said to have "overlapping claims." This article presents a historical overview of the area, emphasising interactions between groups and the way group identities were arbitrarily assigned by colonisers and gradually associated with residence. Ethnographic data underlines how family hunting territories played a pivotal social role for the su…
L’ethnogenèse des Métis de la baie James en Ontario et au Québec
Cet article présente les résultats préliminaires d’une étude comparative de l’ethnogénèse et du développement d’une communauté métisse historique au sudest de la baie James, dans les provinces de l’Ontario et du Québec. Les auteurs analysent les critères confirmant l’émergence d’une identité métisse, définis par la Cour suprême du Canada dans R. c. Powley (2003) et interprétés lors de jugements récents. Les archives de la traite des fourrures doc…
Explaining the appeal for immigrant men who have sex with men of a community-based rapid HIV-testing site in Montreal (Actuel sur Rue)
Immigrant men who have sex with men (MSM) are vulnerable to HIV. In the last decade, several rapid HIV-testing facilities targeting MSM have been established around the world and seem popular among immigrants. This study analyzes factors contributing to immigrant MSM's use of Actuel sur Rue (AsR), a community-based rapid HIV-testing site in Montreal's gay village, where 31% of clients are immigrants. From October 2013 to January 2014, AsR staff c…
Émergence
Cet article est basé sur une recherche ethnographique d’un an réalisée avec les membres de l’Association Washaw Sibi Eeyou, une organisation communautaire qui compte six cents membres établis dans diverses localités du nord du Québec et de l’Ontario et affiliés à différentes bandes autochtones. L’auteur présente les principaux moments de l’histoire du groupe et montre comment la situation actuelle est due aux pratiques semi-nomades de ses membres…
Developing a patient-reported outcome measure for HIV care on perceived barriers to antiretroviral adherence
Bâtir une communauté citoyenne
Cet article s’intéresse au militantisme des femmes autochtones depuis les années 1960 jusqu’à 1980. Il souligne le rôle des femmes dans le mouvement Red Power, un mouvement pour l’autodétermination des autochtones, et trace la quête pour l’élimination de l’article 12(1) b) de la Loi sur les Indiens, selon lequel les femmes perdaient leur statut d’Indienne en épousant un non-Indien. L’auteure raconte le parcours de l’Association des femmes autocht…
Patient profiles as organizing HIV clinicians’ ART adherence management
The effectiveness of antiretroviral therapy (ART) depends on optimal clinical management and patient adherence. Little is known about patient characteristics that clinicians consider in the management of ART adherence. Exploring this issue, five focus groups were conducted with 31 HIV-clinicians from across France. A qualitative typological analysis suggests that clinician management of patient adherence is based on characteristics that coalesce …
Barriers to antiretroviral therapy adherence in developed countries
Suboptimal adherence to antiretroviral therapy (ART) remains common. Patient-centered tools are needed to comprehensively assess adherence barriers in HIV clinical practice. Thus, we conducted a research synthesis to produce a conceptual framework for a new patient-reported outcome measure (PRO) for use in routine HIV care in Canada and France. A PRO's conceptual framework graphically represents the concepts to be measured and the potential relat…
Evaluation of a project to engage patients in the development of a patient‐reported measure for HIV care (the I‐Score Study)
BACKGROUND: Patient engagement (PE), patients' meaningful involvement in research through partnerships and sensitivity to their expertise, is receiving attention. However, PE initiatives are poorly reported and little is known about patients' perspective on PE. OBJECTIVE: To document and evaluate the first phase (22 months) of a PE Project for the I-Score Study which is developing a patient-reported measure of HIV treatment adherence barriers, we…
Gay and bisexual men’s views on reforming blood donation policy in Canada
A predominant assertion was that a change from a 12-month to a 3-month deferral period would not resolve the fundamental issues of fairness and equity affecting blood screening practices for GBM in Canada. Many participants believed that blood donation policy should be based on more up-to-date scientific evidence concerning risk factor assessment and HIV testing
The involvement of people living with HIV in the development of HIV-specific or inclusive health instruments
Given recent emphasis on patient engagement in the choice and development of health measures to ensure their relevance, we examined the involvement of people living with HIV (PLHIV) in the creation of health measurement instruments that are HIV-specific or inclusive. A mixed studies review was conducted describing: 1) the sampling, recruitment and characteristics of involved PLHIV; 2) the methods and extent of their involvement; and 3) study auth…
It's in Me to Give
Blood donation policies governing men who have sex with men have shifted significantly over time in Canada-from an initial lifetime ban in the wake of the AIDS crisis to successive phases of time-based deferment requiring periods of sexual abstinence (5 years to 1 year to 3 months). We interviewed 39 HIV-negative gay, bisexual, queer, and other sexual minority men (GBM) in Vancouver, Toronto, and Montreal to understand their willingness to donate…
Stepping Stones or Second Class Donors
Plasma donor policies must be considered in relation to MSM blood donation policies to understand how donor eligibility practices are made meaningful by GBM in the context of historical disenfranchisement. Successful establishment of a MSM plasma donor policy will require extensive education, explicit communication of how this new policy contributes to continued/stepwise reform of blood donor policies, and considerable reconciliation with diverse…
Implementation of Lost & Found, An Intervention to Reengage Patients Out of HIV Care
Being out of HIV care (OOC) is associated with increased morbidity and mortality. We assessed implementation of Lost & Found, a clinic-based intervention to reengage OOC patients. OOC patients were identified using a nurse-validated, real-time OOC list within the electronic medical records (EMR) system. Nurses called OOC patients. Implementation occurred at the McGill University Health Centre from April 2018 to 2019. Results from questionnaires t…
Unpacking racism during Covid-19
Racism remains a pernicious threat to the well-being of GBQM of colour. CRT highlights the importance of assessing how sexualized and gendered discourses about race shape the experiences of GBQM of colour navigating multiple epidemics like COVID-19 and HIV. These pervasive discourses unevenly affect racial and sexual minorities across multiple epidemics, and negatively impact health outcomes for these populations
It’s different for heterosexuals”
Critical scholarship has illustrated how COVID-19 public health policies can enact racism, classism, and cis-heteronormativity, perpetuating harms among vulnerable communities. We sought to examine the accounts of gay, bisexual, and queer men (GBQM) in Canada on how normative ideologies played out in COVID-19 directives and what impacts these orders had on their lives. Two rounds of semi-structured interviews with GBQM in Montreal (n = 30), Toron…
I did not have sex outside of our bubble’
In efforts to prevent the spread of COVID-19, jurisdictions across the globe, including Canada, enacted containment measures that affected intimacy and sexual relations. This article examines how public health measures during COVID-19 impacted the sexual practices of sexual minority men- gay, bisexual, queer and other men who have sex with men-and how they adopted and modified guidelines to prevent the transmission of COVID-19, HIV and other sexu…
Queering Public Health
Research documenting the impact of COVID-19 on Two-Spirit, lesbian, gay, bisexual, transgender, and queer (2SLGBTQ+) populations in Canada is limited. Our objectives were to investigate the impact of COVID-19 lockdown measures on the lives of trans, nonbinary, and other gender nonconforming (TGNC) people. Engage COVID-19 is a mixed methods study examining the impact of COVID-19 on gay, bisexual, queer, and other men who have sex with men (GBQM) l…
One (Financial Well-Being) Model Fits All? Testing the Multidimensional Subjective Financial Well-Being Scale Across Nine Countries
A multidimensional model of emerging adults’ subjective financial well-being was proposed (Sorgente and Lanz, Int Journal of Behavioral Development, 43(5), 466–478 2019). The authors also developed a 5-factor scale (the Multidimensional Subjective Financial Well-being Scale, MSFWBS) intending to measure this construct in the European context. To date, data using this instrument have been collected in nine countries: Austria, Canada, Finland, Indi…
It's not as good as the face-to-face contact
The COVID-19 pandemic led to the widespread adoption of virtual care-the use of communication technologies to receive health care at home. We explored the differential impacts of the rapid transition to virtual care during the COVID-19 pandemic on health-care access and delivery for gay, bisexual and queer men (GBQM), a population that disproportionately experiences sexual and mental health disparities in Canada. Adopting a sociomaterial theoreti…
Studied factors and metrics of patient portal use among people with HIV
For people living with HIV (PLHIV), patient portals could facilitate access to personal health records while promoting self-management and retention in care. Given the apparent heterogeneity in the studied factors influencing portal use among PLHIV and the metrics used in research, we conducted a rapid scoping review to inventory them. Two databases were searched (Medline and Embase on the Ovid platform) from conception until 15 September 2023. T…
Medicine (15 obras) · Sociology (15 obras) · Psychology (14 obras) · Political science (13 obras) · Family medicine (11 obras) · Qualitative research (10 obras) · Gender Studies (9 obras) · HIV/AIDS Research and Interventions (7 obras) · LGBTQ Health, Identity, and Policy (7 obras) · Nursing (7 obras)