Paul A Shuper
Dados Biográficos
| ID | 105227 |
|---|---|
| NOME | Paul A Shuper |
| PRENOMES | Paul A |
| SOBRENOME | Shuper |
| ASSINATURA | SHUPER P A |
| AFILIAÇÕES | Centre for Addiction and Mental Health |
| ORCID | 0000-0001-9033-8598 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 38 |
| TOTAL DE CITAÇÕES | 22 |
| TOTAL COMO AUTOR | 38 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2004 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 2 |
Identity Development, Attraction, and Behavior of Heterosexual-Identified Men Who Have Sex with Men
Navigating and Negotiating Sexual Identity and Attraction
Heterosexual-identified men who have sex with men (H-MSM) defy dominant sexuality frameworks that assume coherence between sexual identity, attraction, and behaviour. While extant models of sexual minority and heterosexual identity and attraction presume that H-MSM experience identity confusion and crisis and that ‘primarily or mostly heterosexual men’ exhibit equal levels of opposite-sex arousal as exclusive heterosexuals but report lower levels…
Sexual communication patterns of heterosexual-identified men who have sex with men
The sexual communication patterns that comprise how heterosexual men with concordance between identity and behavior navigate their sexual encounters with women are well-established. Some heterosexual men experience discordance between their sexual identities and behaviors and may have unique practices of sexual communication, but this has not been studied. Knowledge of their sexual communication practices is an important step toward understanding…
Medical chart-reported alcohol consumption, substance use, and mental health issues in association with HIV pre-exposure prophylaxis (PrEP) nonadherence among gay, bisexual, and other men-who-have-sex…
Chart-indicated suboptimal adherence was present among a small subgroup of PrEP-prescribed gbMSM. Adherence-related interventions should target gbMSM who use club drugs, are younger, experience challenges attending PrEP care, and are prescribed non-daily regimens. Offering long-acting injectable PrEP when available and feasible may also improve PrEP's HIV-preventive impact among this population
Intersecting Stigma and the HIV Care Cascade
ReportNeedles.ca
Technology-mediated interactions between the public, health care agencies, and researchers can facilitate community health partnerships. The use of such novel technologies can lead to innovations in public health research to address disparities and access issues. This article presents the web-based, real-time needle collection tool ReportNeedles.ca and describes its use in an ongoing community health partnership to deploy and evaluate pop-up inte…
Recruiting and Engaging Heterosexual-Identified Men Who have Sex with Men
Heterosexual-identified men who have sex with men (H-MSM) are a unique population difficult to identify and recruit for research and practice. Yet, engaging H-MSM remains a top research priority to learn more about this population's health needs. A scoping review was conducted to develop a stronger understanding of recruitment patterns involving H-MSM in research. The search and screening procedures yielded 160 total articles included in the pres…
Perceived influence of alcohol consumption, substance use, and mental health on PrEP adherence and condom use among PrEP-prescribed gay, bisexual, and other men-who-have-sex-with-men
Overall, findings suggest that PrEP adherence can often be successfully achieved in the presence of alcohol-, substance use-, and mental health-related issues. Augmenting self-care, and addressing pronounced addictions- and mental health-related concerns, may enhance PrEP treatment among GBMSM
Disentangling Medicinal and Recreational cannabis Use Among People Living with HIV
The role of alcohol use in the aetiology and progression of liver disease
Scaling Up Information Sharing on HIV-Associated Neurocognitive Disorder
Although the majority of specialists and researchers in the field of HIV/AIDS are aware and knowledgeable about HIV-associated neurocognitive disorder (HAND) as a condition that affects as much as 50% of people living with HIV/AIDS (PLWH), research has documented that many health care and service providers who work directly with PLWH are either unaware of HAND or believe they do not know enough information about HAND to effectively support their …
Barriers and Facilitators to Promoting Resilience to HIV/Aids
Evidence-based research has highlighted the need for exploring factors that support the mental health of men who have sex with men living with HIV/AIDS (MSMLWH), and environmental influences that promote their resilience to HIV/AIDS. This exploratory study utilized a community-based participatory research approach to investigate barriers and facilitators to promoting resilience to HIV/AIDS, specifically among racial and ethnic minority, middle-ag…
Protective Factors That Foster Resilience to HIV/Aids
Since the beginning of the HIV/AIDS epidemic, gay, bisexual, and other men who have sex with men (gbMSM) have been disproportionately impacted by HIV/AIDS health disparities. Research showed that resilience to HIV/AIDS is associated with increased use of relevant health services, lower sexual health risks, and improved mental health outcomes among racially and ethnically diverse gbMSM. As the subpopulation that has historically been impacted by H…
The Role of Alcohol-Related Behavioral Research in the Design of HIV Secondary Prevention Interventions in the Era of Antiretroviral Therapy
Moving Forward with Life”
Findings highlight the acceptability and usefulness of this MI-PST intervention for facilitating reductions in alcohol consumption among PLWH
Alcohol consumption, substance use, and depression in relation to HIV Pre-Exposure Prophylaxis (PrEP) nonadherence among gay, bisexual, and other men-who-have-sex-with-men
Findings highlight the need to integrate alcohol- and substance-focused initiatives into PrEP care for gbMSM. Such initiatives, in turn, may help improve PrEP adherence and reduce the potential for HIV acquisition among this group
Tobacco use and nicotine dependence among people living with HIV who drink heavily in South Africa
There is a high prevalence of cigarette and snuff use among PLWH who drink heavily. Tobacco use cessation interventions tailored specifically for this population and according to their tobacco product of choice are urgently needed given their vulnerability to ill-health
HIV Risk and Protective Factors in the Context of Alcohol and Substance Use During Pride
The relationship between different dimensions of alcohol use and the burden of disease—an update
“In this thing I have everything I need”
Although hazardous/harmful alcohol use impacts response to HIV treatment, there have been few attempts to deliver alcohol-reduction interventions within South African HIV treatment services. As a first step towards implementing alcohol-focused interventions in these settings, we explored patients' views of the acceptability of a brief motivational interviewing and problem-solving intervention. In-depth interviews were conducted with 11 patients r…
Alcohol Use, Socioeconomic Status and Risk of HIV Infections
Differential predictors of ART adherence among HIV-monoinfected versus HIV/HCV-coinfected individuals
Although adherence is an important key to the efficacy of antiretroviral therapy (ART), many people living with HIV (PLWH) fail to maintain optimal levels of ART adherence over time. PLWH with the added burden of Hepatitis C virus (HCV) coinfection possess unique challenges that potentially impact their motivation and ability to adhere to ART. The present investigation sought to (1) compare ART adherence levels among a sample of HIV/HCV-coinfecte…
The Impact of Sexual Arousal on Sexual Risk-Taking and Decision-Making in Men and Women
Protocol for a Controlled Experiment to Identify the Causal Role of Acute Alcohol Consumption in Condomless Sex among HIV-Positive MSM
HIV stigma and unprotected sex among PLWH in KwaZulu-Natal, South Africa
Social and structural factors including HIV stigma are theorized to drive global disparities in HIV prevalence. This study tests whether HIV self-stigma, or experiences of stigma at the individual level, is associated with engagement in unprotected sex among people living with HIV (PLWH) in KwaZulu-Natal, South Africa, where 37.4% of adults are living with HIV compared with 0.8% worldwide. It further explores whether depressive symptoms, HIV stat…
The Impact of Sexual Arousal on Sexual Risk-Taking and Decision-Making in Men and Women
A Theory of Uncertainty Orientation
The present study investigates whether Canadian and Japanese university students differ in how they deal with uncertainty. In addition to examining individual differences in uncertainty orientation, Weinstein's measure of unrealistic optimism and Hofstede's measures of uncertainty avoidance and individualism-collectivism were examined. Participants were 535 Canadian and Japanese undergraduate men and women. In support of the main prediction, Cana…
Recruiting and Engaging Heterosexual-Identified Men Who have Sex with Men
Heterosexual-identified men who have sex with men (H-MSM) are a unique population difficult to identify and recruit for research and practice. Yet, engaging H-MSM remains a top research priority to learn more about this population's health needs. A scoping review was conducted to develop a stronger understanding of recruitment patterns involving H-MSM in research. The search and screening procedures yielded 160 total articles included in the pres…
Cross-Cultural Differences in Reactions to Daily Events as Indicators of Cross-Cultural Differences in Self-Construction and Affect
Every day for two weeks, participants at four sites (2 in the US, 1 in Canada, and 1 in Japan) described their self-esteem and affect and they described the events that occurred each day. Multilevel random coefficient modeling analyses found that the self_esteem of Japanese participants changed more in reaction to daily social events (both positive and negative) than it did for North American participants. For positive social events, the Japanese…
Uncertainty Orientation and Affective Experiences
This study examined whether people with the same self-regulatory style of coping with uncertainty differed in their affective experiences as a function of what may be the dominant coping style of their culture. Two hundred twenty men and women from universities in Japan and Canada described the extent to which they experienced various emotions. Consistent with their expectations, the authors found that participants whose uncertainty orientation m…
Sexual communication patterns of heterosexual-identified men who have sex with men
The sexual communication patterns that comprise how heterosexual men with concordance between identity and behavior navigate their sexual encounters with women are well-established. Some heterosexual men experience discordance between their sexual identities and behaviors and may have unique practices of sexual communication, but this has not been studied. Knowledge of their sexual communication practices is an important step toward understanding…
A Theory of Uncertainty Orientation
The present study investigates whether Canadian and Japanese university students differ in how they deal with uncertainty. In addition to examining individual differences in uncertainty orientation, Weinstein's measure of unrealistic optimism and Hofstede's measures of uncertainty avoidance and individualism-collectivism were examined. Participants were 535 Canadian and Japanese undergraduate men and women. In support of the main prediction, Cana…
Reasons for ART non-adherence in the Deep South
HIV prevalence in the American Deep South has reached crisis proportions and greater numbers of patients are enrolling in clinical care and beginning antiretroviral therapy (ART). In order to gain maximum benefit from ART, patients must sustain high levels of adherence to demanding regimens over extended periods of time. Many patients are unable to maintain high rates of adherence and may need assistance to do so, which may be based upon an under…
The Information–Motivation–Behavioral Skills Model of ART Adherence in a Deep South HIV+ Clinic Sample
Cross-Cultural Differences in Reactions to Daily Events as Indicators of Cross-Cultural Differences in Self-Construction and Affect
Every day for two weeks, participants at four sites (2 in the US, 1 in Canada, and 1 in Japan) described their self-esteem and affect and they described the events that occurred each day. Multilevel random coefficient modeling analyses found that the self_esteem of Japanese participants changed more in reaction to daily social events (both positive and negative) than it did for North American participants. For positive social events, the Japanese…
Uncertainty Orientation and Affective Experiences
This study examined whether people with the same self-regulatory style of coping with uncertainty differed in their affective experiences as a function of what may be the dominant coping style of their culture. Two hundred twenty men and women from universities in Japan and Canada described the extent to which they experienced various emotions. Consistent with their expectations, the authors found that participants whose uncertainty orientation m…
Alcohol as a Correlate of Unprotected Sexual Behavior Among People Living with HIV/Aids
Information–motivation–behavioral skills barriers associated with intentional versus unintentional ARV non-adherence behavior among HIV+ patients in clinical care
Since the arrival of antiretroviral (ARV) therapy, HIV has become better characterized as a chronic disease rather than a terminal illness, depending in part on one's ability to maintain relatively high levels of adherence. Despite research concerning barriers and facilitators of ARV adherence behavior, relatively little is known about specific challenges faced by HIV-positive persons who report "taking a break" from their ARV medications. The pr…
Computer-Based Intervention in HIV Clinical Care Setting Improves Antiretroviral Adherence
Alcohol consumption and the intention to engage in unprotected sex
Aims To review and analyse in experimentally controlled studies the impact of alcohol consumption on intentions to engage in unprotected sex. To draw conclusions with respect to the question of whether alcohol has an independent effect on the incidence of human immunodeficiency virus (HIV) and other sexually transmitted infections (STIs). Methods A systematic review and meta‐analysis of randomized controlled studies examined the association betwe…
Brief Intervention Experiences of Young High-Frequency Cannabis Users in a Canadian Setting
High-frequency cannabis use is prevalent among young adults and has been linked to negative health consequences, yet effective therapeutic interventions are currently limited. Brief Interventions (BIs) for problematic substance use have shown promise, but are typically limited to quantitative outcome measures. This study aims to document the qualitative experiences of young, high-frequency cannabis users with BIs. Sixty-two high-frequency cannabi…
Information, motivation, and behavioral skills for early pre-ART engagement in HIV care among patients entering clinical care in KwaZulu-Natal, South Africa
Little is known regarding factors implicated in early engagement and retention in HIV care among individuals not yet eligible for antiretroviral therapy (pre-ART) in sub-Saharan Africa. Identifying such factors is critical for supporting retention in pre-ART clinical care to ensure timely ART initiation and optimize long-term health outcomes. We assessed patients' pre-ART HIV care-related information, motivation, and behavioral skills among newly…
HIV Transmission Risk Behavior Among HIV-Positive Patients Receiving Antiretroviral Therapy in KwaZulu-Natal, South Africa
Reflections Regarding Future Cannabis Use Among High‐Frequency Users in a C anadian U niversity Student Population
Cannabis is the most widely used illicit drug worldwide, and the most commonly used illicit drug in Canada, among postsecondary student populations. This cross‐sectional study qualitatively assessed 112 high‐frequency, cannabis‐using university students in Canada: It examined their subjective expectations regarding what they anticipated their cannabis use would look like in the short‐ and mid‐term future and explored factors they saw potentially …
HIV stigma and unprotected sex among PLWH in KwaZulu-Natal, South Africa
Social and structural factors including HIV stigma are theorized to drive global disparities in HIV prevalence. This study tests whether HIV self-stigma, or experiences of stigma at the individual level, is associated with engagement in unprotected sex among people living with HIV (PLWH) in KwaZulu-Natal, South Africa, where 37.4% of adults are living with HIV compared with 0.8% worldwide. It further explores whether depressive symptoms, HIV stat…
Protocol for a Controlled Experiment to Identify the Causal Role of Acute Alcohol Consumption in Condomless Sex among HIV-Positive MSM
Differential predictors of ART adherence among HIV-monoinfected versus HIV/HCV-coinfected individuals
Although adherence is an important key to the efficacy of antiretroviral therapy (ART), many people living with HIV (PLWH) fail to maintain optimal levels of ART adherence over time. PLWH with the added burden of Hepatitis C virus (HCV) coinfection possess unique challenges that potentially impact their motivation and ability to adhere to ART. The present investigation sought to (1) compare ART adherence levels among a sample of HIV/HCV-coinfecte…
The Impact of Sexual Arousal on Sexual Risk-Taking and Decision-Making in Men and Women
The relationship between different dimensions of alcohol use and the burden of disease—an update
“In this thing I have everything I need”
Although hazardous/harmful alcohol use impacts response to HIV treatment, there have been few attempts to deliver alcohol-reduction interventions within South African HIV treatment services. As a first step towards implementing alcohol-focused interventions in these settings, we explored patients' views of the acceptability of a brief motivational interviewing and problem-solving intervention. In-depth interviews were conducted with 11 patients r…
Alcohol Use, Socioeconomic Status and Risk of HIV Infections
HIV Risk and Protective Factors in the Context of Alcohol and Substance Use During Pride
Tobacco use and nicotine dependence among people living with HIV who drink heavily in South Africa
There is a high prevalence of cigarette and snuff use among PLWH who drink heavily. Tobacco use cessation interventions tailored specifically for this population and according to their tobacco product of choice are urgently needed given their vulnerability to ill-health
Moving Forward with Life”
Findings highlight the acceptability and usefulness of this MI-PST intervention for facilitating reductions in alcohol consumption among PLWH
Alcohol consumption, substance use, and depression in relation to HIV Pre-Exposure Prophylaxis (PrEP) nonadherence among gay, bisexual, and other men-who-have-sex-with-men
Findings highlight the need to integrate alcohol- and substance-focused initiatives into PrEP care for gbMSM. Such initiatives, in turn, may help improve PrEP adherence and reduce the potential for HIV acquisition among this group
The role of alcohol use in the aetiology and progression of liver disease
Medicine (31 obras) · HIV/AIDS Research and Interventions (21 obras) · Psychology (21 obras) · Psychiatry (20 obras) · Clinical Psychology (16 obras) · Family medicine (16 obras) · Human immunodeficiency virus (HIV (15 obras) · Adolescent Sexual and Reproductive Health (13 obras) · HIV, Drug Use, Sexual Risk (12 obras) · Public health (12 obras)