Alexandra De Pokomandy
Datos Biográficos
| ID | 1738326 |
|---|---|
| NOMBRE | Alexandra De Pokomandy |
| NOMBRES | Alexandra |
| APELLIDO | De Pokomandy |
| FIRMA | DE POKOMANDY A |
| AFILIACIONES | McGill University Health Centre |
| ORCID | 0000-0001-6809-1357 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 28 |
| TOTAL DE CITAS | 27 |
| TOTAL COMO AUTOR | 28 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2014 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2023 |
| ÍNDICE H | 3 |
Practices, support and stigma related to infant feeding and postpartum engagement in care among women living with HIV in Canada
Background: Breastfeeding is not recommended for women living with HIV (WLWH) in Canada. We described the prevalence of breastfeeding and explored experiences of care, support, and stigma related to infant feeding. Setting: Quebec, Ontario, and British Columbia (Canada). Methods: Data were obtained from the HIV Women’s Sexual and Reproductive Health Cohort Study (CHIWOS) surveys, conducted between 2013 and 2018. Results: Breastfeeding was reporte…
Characterization of people living with HIV in a Montreal-based tertiary care center with Covid-19 during the first wave of the pandemic
[347, 726] and six had detectable plasma HIV viral loads. Median duration of HIV was 17 years [7, 22] and 30 individuals had been prescribed antiretroviral therapy. Five persons were asymptomatic. Of symptomatic persons, 21 (12%), 1 (4%) and 3 (12%) individuals had mild, moderate and severe disease, respectively. Three individuals died with COVID-19. In one case, the cause of death was due to COVID-19, whereas in the other two cases, the individu…
Mental health among transgender women living with HIV in Canada
Antiretroviral therapy adherence among transgender (trans) women living with HIV (WLWH) is negatively impacted by depression and post-traumatic stress disorder (PTSD). Yet, little is known about factors associated with depression or PTSD among trans WLWH. Using cross-sectional data from a national community-based study of 1422 WLWH (n = 53 trans women), we characterized the prevalence of depressive and PTSD symptoms among trans WLWH and examined …
Help-Seeking to Cope With Experiences of Violence Among Women Living With HIV in Canada
Using baseline data from a community-collaborative cohort of women living with HIV in Canada, we assessed the prevalence and correlates of help-seeking among 1,057 women who reported experiencing violence in adulthood (≥16 years). After violence, 447 (42%) sought help, while 610 (58%) did not. Frequently accessed supports included health care providers ( n = 313, 70%), family/friends ( n = 244, 55%), and non-HIV community organizations ( n = 235,…
Employing Indigenous Methodologies to Understand Women’s Perceptions of HIV, Health, and Well-being in Quebec, Canada
Guided by an Indigenous Methodology and a participatory research approach, we explored the experiences and priorities of Indigenous women living in Quebec regarding HIV prevention and care, overall health, and well-being. We drew from our research process to identify recommendations for conducting research with Indigenous women. These lessons include: (1) incorporating culturally adapted methods (e.g., sharing circles, arts, ceremony) facilitated…
A Journey of Doing Research “In a Good Way”
The relationship between the First Peoples of Canada and researchers is changing as processes of self-determination and reconciliation are increasingly implemented. We used storytelling and ceremony to describe a historic event, the Indigenous Women’s Data Transfer Ceremony, where quantitative data of 318 Indigenous women living with HIV were transferred to Indigenous academic and community leaders. Relationship building, working together with a …
Sexual Anxiety Among Women Living with HIV in the Era of Antiretroviral Treatment Suppressing HIV Transmission
Previous experiences of pregnancy and early motherhood among women living with HIV
Previous maternity experiences may influence subsequent reproductive intentions and motherhood experiences. We used latent class analysis to identify patterns of early motherhood experience reported for the most recent live birth of 905 women living with HIV enrolled in the Canadian HIV Women's Sexual and Reproductive Health Cohort Study (CHIWOS). Four indicators were used: difficulties getting pregnant, feelings when finding out pregnancy, feeli…
Delayed linkage to HIV care among asylum seekers in Quebec, Canada
While the majority of newly diagnosed asylum seekers were late presenters, only 45% were linked to care within 30 days. Once linked, care and viral suppression were rapid. Delays in screening and linkage to care present increased risk for onward transmission, and in the context of 21% baseline resistance, consideration of point-of-care testing and immediate referral at IME screening should be made
Social Determinants of Health and Retention in HIV Care Among Recently Incarcerated Women Living with HIV in Canada
Awareness and Understanding of HIV Non-disclosure Case Law and the Role of Healthcare Providers in Discussions About the Criminalization of HIV Non-disclosure Among Women Living with HIV in Canada
Love with HIV
Adapting stigma mechanism frameworks to explore complex pathways between intersectional stigma and HIV-related health outcomes among women living with HIV in Canada
Intersectional stigma research examining pathways to HIV outcomes is limited. • Adapted conceptual frameworks to examine intersectional stigma and health outcomes. • Stigma interacted with social/institutional support to increase depression. • Depression led to maladaptive coping, lowering adherence and CD4 count. • Argues for multi-level strategies, including women-centred HIV care
HIV-related stigma, racial discrimination, and gender discrimination
The Importance of Sex in the Lives of Women Living with HIV
The authors explored the importance of sex for 1,289 women living with HIV in Canada. Approximately half of women viewed sex as “very” (19.6%) or “somewhat” important (32.3%) and the remaining reported “neither important or unimportant” (22.0%), “somewhat unimportant” (5.4%), or “not at all important” (20.1%). Women who had a regular sex partner, identified as African, Caribbean, or Black, were more educated, believed HIV treatment prevents trans…
Exploring social ecological pathways from resilience to quality of life among women living with HIV in Canada
Resilience, positive growth in contexts of stress and adversity, is shaped by social ecological factors. Among people living with HIV, resilience is associated with myriad positive health benefits and improved health-related quality of life (HR-QoL). Identifying contextual factors associated with resilience among women living with HIV (WLWH) is particularly important as this population experiences many stressors and inequalities. We examined soci…
Factors Associated with the Separate and Concurrent Experiences of Food and Housing Insecurity Among Women Living with HIV in Canada
Strategies for Recruiting Women Living with Human Immunodeficiency Virus in Community-Based Research
Having multiple approaches, engaging a diverse team of PRAs, ensuring flexibility, and cultivating reciprocal relationships with community stakeholders were key to recruiting a diverse and representative sample of WLWH
Supporting the Sexual Rights of Women Living With HIV
In the context of human immunodeficiency virus (HIV), a focus on protecting others has overridden concern about women's own sexual well-being. Drawing on feminist theories, we measured sexual satisfaction and pleasure across five relationship types among women living with HIV in Canada. Of the 1,230 women surveyed, 38.1% were completely or very satisfied with their sexual lives, while 31.0% and 30.9% were reasonably or not very/not at all satisfi…
Access and engagement in HIV care among a national cohort of women living with HIV in Canada
Attrition along the cascade of HIV care poses significant barriers to attaining the UNAIDS targets of 90-90-90 and achieving optimal treatment outcomes for people living with HIV. Understanding the correlates of attrition is critical and particularly for women living with HIV (WLWH) as gender disparities along the cascade have been found. We measured the proportion of the 1425 WLWH enrolled in the Canadian HIV Women's Sexual and Reproductive Heal…
Substance Use, Violence, and Antiretroviral Adherence
Sexual Orientation Differences in Health and Wellbeing Among Women Living with HIV in Canada
Envisioning Women-Centered HIV Care
Contraceptive Choice and Use of Dual Protection Among Women Living with HIV in Canada
Future research should explore how sustained ART and broader contraceptive options can support women's sexual and reproductive health care needs
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
Adapting stigma mechanism frameworks to explore complex pathways between intersectional stigma and HIV-related health outcomes among women living with HIV in Canada
Intersectional stigma research examining pathways to HIV outcomes is limited. • Adapted conceptual frameworks to examine intersectional stigma and health outcomes. • Stigma interacted with social/institutional support to increase depression. • Depression led to maladaptive coping, lowering adherence and CD4 count. • Argues for multi-level strategies, including women-centred HIV care
It’s a very isolating world’
HIV health services research conventionally defines place in terms of proximity to care. However, understandings of place must also include the social spaces that women living with HIV (WLWH) occupy which shape their experience of health and access to care. Drawing on focus group data from the Canadian HIV Women’s Sexual and Reproductive Health Cohort Study, we explored how 28 WLWH navigate geographic place and social space in attempting to acces…
Supporting the Sexual Rights of Women Living With HIV
In the context of human immunodeficiency virus (HIV), a focus on protecting others has overridden concern about women's own sexual well-being. Drawing on feminist theories, we measured sexual satisfaction and pleasure across five relationship types among women living with HIV in Canada. Of the 1,230 women surveyed, 38.1% were completely or very satisfied with their sexual lives, while 31.0% and 30.9% were reasonably or not very/not at all satisfi…
Love with HIV
Hear(ing) New Voices”
Peers discussed the strengths and weaknesses of participatory methodologies in survey development
Strategies for Recruiting Women Living with Human Immunodeficiency Virus in Community-Based Research
Having multiple approaches, engaging a diverse team of PRAs, ensuring flexibility, and cultivating reciprocal relationships with community stakeholders were key to recruiting a diverse and representative sample of WLWH
Breaking the Glass Ceiling
The meaningful involvement of women living with HIV/AIDS (MIWA) is a key feature of women-centred HIV care, yet little is known about transforming MIWA from principle to practice. Drawing on focus group data from the Canadian HIV Women's Sexual and Reproductive Health Cohort Study (CHIWOS), we explored HIV-positive women's meaningful involvement in the design and delivery of HIV/AIDS services in British Columbia, Canada. In this article, we highl…
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
Hear(ing) New Voices”
Peers discussed the strengths and weaknesses of participatory methodologies in survey development
It’s a very isolating world’
HIV health services research conventionally defines place in terms of proximity to care. However, understandings of place must also include the social spaces that women living with HIV (WLWH) occupy which shape their experience of health and access to care. Drawing on focus group data from the Canadian HIV Women’s Sexual and Reproductive Health Cohort Study, we explored how 28 WLWH navigate geographic place and social space in attempting to acces…
Access and engagement in HIV care among a national cohort of women living with HIV in Canada
Attrition along the cascade of HIV care poses significant barriers to attaining the UNAIDS targets of 90-90-90 and achieving optimal treatment outcomes for people living with HIV. Understanding the correlates of attrition is critical and particularly for women living with HIV (WLWH) as gender disparities along the cascade have been found. We measured the proportion of the 1425 WLWH enrolled in the Canadian HIV Women's Sexual and Reproductive Heal…
Substance Use, Violence, and Antiretroviral Adherence
Sexual Orientation Differences in Health and Wellbeing Among Women Living with HIV in Canada
Envisioning Women-Centered HIV Care
Contraceptive Choice and Use of Dual Protection Among Women Living with HIV in Canada
Future research should explore how sustained ART and broader contraceptive options can support women's sexual and reproductive health care needs
HIV-related stigma, racial discrimination, and gender discrimination
The Importance of Sex in the Lives of Women Living with HIV
The authors explored the importance of sex for 1,289 women living with HIV in Canada. Approximately half of women viewed sex as “very” (19.6%) or “somewhat” important (32.3%) and the remaining reported “neither important or unimportant” (22.0%), “somewhat unimportant” (5.4%), or “not at all important” (20.1%). Women who had a regular sex partner, identified as African, Caribbean, or Black, were more educated, believed HIV treatment prevents trans…
Exploring social ecological pathways from resilience to quality of life among women living with HIV in Canada
Resilience, positive growth in contexts of stress and adversity, is shaped by social ecological factors. Among people living with HIV, resilience is associated with myriad positive health benefits and improved health-related quality of life (HR-QoL). Identifying contextual factors associated with resilience among women living with HIV (WLWH) is particularly important as this population experiences many stressors and inequalities. We examined soci…
Factors Associated with the Separate and Concurrent Experiences of Food and Housing Insecurity Among Women Living with HIV in Canada
Strategies for Recruiting Women Living with Human Immunodeficiency Virus in Community-Based Research
Having multiple approaches, engaging a diverse team of PRAs, ensuring flexibility, and cultivating reciprocal relationships with community stakeholders were key to recruiting a diverse and representative sample of WLWH
Supporting the Sexual Rights of Women Living With HIV
In the context of human immunodeficiency virus (HIV), a focus on protecting others has overridden concern about women's own sexual well-being. Drawing on feminist theories, we measured sexual satisfaction and pleasure across five relationship types among women living with HIV in Canada. Of the 1,230 women surveyed, 38.1% were completely or very satisfied with their sexual lives, while 31.0% and 30.9% were reasonably or not very/not at all satisfi…
Previous experiences of pregnancy and early motherhood among women living with HIV
Previous maternity experiences may influence subsequent reproductive intentions and motherhood experiences. We used latent class analysis to identify patterns of early motherhood experience reported for the most recent live birth of 905 women living with HIV enrolled in the Canadian HIV Women's Sexual and Reproductive Health Cohort Study (CHIWOS). Four indicators were used: difficulties getting pregnant, feelings when finding out pregnancy, feeli…
Delayed linkage to HIV care among asylum seekers in Quebec, Canada
While the majority of newly diagnosed asylum seekers were late presenters, only 45% were linked to care within 30 days. Once linked, care and viral suppression were rapid. Delays in screening and linkage to care present increased risk for onward transmission, and in the context of 21% baseline resistance, consideration of point-of-care testing and immediate referral at IME screening should be made
Social Determinants of Health and Retention in HIV Care Among Recently Incarcerated Women Living with HIV in Canada
Awareness and Understanding of HIV Non-disclosure Case Law and the Role of Healthcare Providers in Discussions About the Criminalization of HIV Non-disclosure Among Women Living with HIV in Canada
Love with HIV
Adapting stigma mechanism frameworks to explore complex pathways between intersectional stigma and HIV-related health outcomes among women living with HIV in Canada
Intersectional stigma research examining pathways to HIV outcomes is limited. • Adapted conceptual frameworks to examine intersectional stigma and health outcomes. • Stigma interacted with social/institutional support to increase depression. • Depression led to maladaptive coping, lowering adherence and CD4 count. • Argues for multi-level strategies, including women-centred HIV care
Employing Indigenous Methodologies to Understand Women’s Perceptions of HIV, Health, and Well-being in Quebec, Canada
Guided by an Indigenous Methodology and a participatory research approach, we explored the experiences and priorities of Indigenous women living in Quebec regarding HIV prevention and care, overall health, and well-being. We drew from our research process to identify recommendations for conducting research with Indigenous women. These lessons include: (1) incorporating culturally adapted methods (e.g., sharing circles, arts, ceremony) facilitated…
A Journey of Doing Research “In a Good Way”
The relationship between the First Peoples of Canada and researchers is changing as processes of self-determination and reconciliation are increasingly implemented. We used storytelling and ceremony to describe a historic event, the Indigenous Women’s Data Transfer Ceremony, where quantitative data of 318 Indigenous women living with HIV were transferred to Indigenous academic and community leaders. Relationship building, working together with a …
Sexual Anxiety Among Women Living with HIV in the Era of Antiretroviral Treatment Suppressing HIV Transmission
Mental health among transgender women living with HIV in Canada
Antiretroviral therapy adherence among transgender (trans) women living with HIV (WLWH) is negatively impacted by depression and post-traumatic stress disorder (PTSD). Yet, little is known about factors associated with depression or PTSD among trans WLWH. Using cross-sectional data from a national community-based study of 1422 WLWH (n = 53 trans women), we characterized the prevalence of depressive and PTSD symptoms among trans WLWH and examined …
Medicine (27 obras) · HIV/AIDS Research and Interventions (25 obras) · Family medicine (15 obras) · Human immunodeficiency virus (HIV (14 obras) · Psychology (14 obras) · Environmental health (11 obras) · Gerontology (11 obras) · HIV, Drug Use, Sexual Risk (10 obras) · Political science (10 obras) · Psychiatry (10 obras)