Jean Shoveller
Biographic Data
| ID | 123101 |
|---|---|
| NAME | Jean Shoveller |
| GIVEN NAMES | Jean |
| FAMILY NAME | Shoveller |
| SIGNATURE | SHOVELLER J |
| AFFILIATIONS | University of British Columbia |
| ORCID | 0000-0002-4616-3556 |
| VERIFIED | Yes |
| TOTAL WORKS | 79 |
| TOTAL CITATIONS | 357 |
| AUTHOR COUNT | 79 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2000 |
| LATEST PUBLICATION YEAR | 2021 |
| H-INDEX | 10 |
In the midst of plenty
Globally, people living with HIV (PLWH) are disproportionately affected by food insecurity. Yet there is limited understanding of the impacts of food insecurity among cisgender and transgender women living with HIV (WLWH) in high-income countries. Thus, it is critical to examine the lived experiences of WLWH and food insecurity to inform policy and service provision. As part of the community-based SHAWNA (Sexual Health and HIV/AIDS: Women's Longi…
Longitudinal Factors Associated with Used Syringe Lending Among HIV-Positive Antiretroviral Therapy-Naïve People Who Inject Drugs in a Canadian Setting
Improving the health and social wellbeing of young people
The period of adolescence represents a particularly critical and sensitive phase in relation to health. Emancipatory work on health inequalities and social justice suggests that understanding both social structures and individual human agency have important implications for how public health efforts should seek to improve the health and social well-being of young people. Despite a resurgence of interest in ‘agency’, there has been far less theori…
Long-term benefits of providing transitional services to youth aging-out of the child welfare system
From silos to buckets
Ethics, effectiveness and population health information interventions
Population health information interventions (PHIIs) use information in efforts to promote health. PHIIs may push information to a target audience (communication), pull information from the public (surveillance), or combine both in a bidirectional intervention. Although PHIIs have often been framed as non-invasive and ethically innocuous, in reality they may be intrusive into people’s lives, affecting not only their health but their senses of secu…
Young parents’ experiences and perceptions of ‘Teen Mom’ reality shows
MTV’s hit reality shows 16 and Pregnant and Teen Mom were produced with an agenda of preventing teen pregnancy. Researchers have examined their effectiveness as behavioral interventions, yet little attention has been paid to experiences of young parents themselves with these shows, nor to their ethical consequences, including the potential for compounding of stigma against young parents. This analysis qualitatively examines the experiences of you…
The syndemic effect of HIV/HCV co-infection and mental health disorders on acute care hospitalization rate among people living with HIV/Aids
It's not my business
In Canada, the issue of creating safe and inclusive school environments for lesbian, gay, bisexual, transgender, and queer students has been in the spotlight. Several researchers and advocates have pointed out the positive effects of lesbian, gay, bisexual, transgender, and queer-positive policy frameworks on the health and wellbeing of all young people. In this article, we take a critical approach to analyzing narrative findings from qualitative…
Taking account of context in population health intervention research
Population health intervention research (PHIR) seeks to develop and evaluate policies, programmes and other types of interventions that may affect population health and health equity. Such interventions are strongly influenced by context – taken to refer to any feature of the circumstances in which an intervention is conceived, developed, implemented and evaluated. Understanding how interventions relate to context is critical to understanding how…
Prevalence and Correlates of Reporting Difficulty Taking Antiretroviral Treatment Among HIV-Positive Illicit Drug Users in Vancouver, Canada
Engagement in Maximally-Assisted Therapy and Adherence to Antiretroviral Therapy Among a Cohort of Indigenous People Who Use Illicit Drugs
Healthcare engagement among gay and bisexual men with recent suicide ideation or attempts
Gay and bisexual men experience elevated rates of suicide ideation and attempts, as compared with heterosexual men, but face unique barriers in accessing health services. In this context, the present study sought to describe rates of health care engagement among gay and bisexual men with a recent history of suicide ideation or attempts. An anonymous online survey was conducted with 7,872 Canadian gay and bisexual men in 2014-2015. The sample was …
Impacts of im/migration experience on work stress among sex workers in Vancouver, Canada
Assessing the relationship between physician availability and viral load suppression in British Columbia
Key Messages Individuals residing in areas where there are substantially fewer physicians available to provide HIV treatment have a higher chance of not achieving viral suppression. Individuals residing in rural areas have poorer health outcomes when compared to those residing in urban areas. Discrepancies in HIV treatment outcomes exist despite the fact that HIV treatment costs are borne directly by government
A review of measures used to assess HIV-related stigma among young people living with HIV
Most studies of HIV-related stigma focus on adult populations. This study reviews empirical studies that measure HIV-related stigma among young people living with HIV (YLHIV). Using Earnshaw and Chaudoir’s (2009) framework, studies that assessed, enacted, internalized, perceived and anticipated stigma were coded and then evaluated on their use of sex or gender according to the following criteria: (i) recruiting equal number of young men and women…
Associations between household educational attainment and adolescent positive mental health in Canada
Investigating the determinants of positive mental health , as opposed to focusing on mental illness , is a new research direction with important implications for population health promotion. Past research suggests that mental health develops in early childhood and that social factors including highest household educational attainment may play an important role. The current study examined the association between household educational attainment an…
Getting out of downtown”
Policies and programming interventions that can facilitate young people's efforts to reduce engagement with Vancouver's inner-city drug scene are critically needed, including meaningful educational and/or occupational training opportunities, 'low threshold' addiction treatment services, as well as access to supportive housing outside of the scene
Recent im/migration to Canada linked to unmet health needs among sex workers in Vancouver, Canada
Despite universal health care in Canada, sex workers (SWs) and im/migrants experience suboptimal health care access. In this analysis, we examined the correlates of unmet health needs among SWs in Metro Vancouver over time. Data from a longitudinal cohort of women SWs (An Evaluation of Sex Workers Health Access [AESHA]) were used. Of 742 SWs, 25.5% reported unmet health needs at least once over the 4-year study period. In multivariable logistic r…
The material, moral, and affective worlds of dealing and crime among young men entrenched in an inner city drug scene
Awareness and understanding of HIV non-disclosure case law among people living with HIV who use illicit drugs in a Canadian setting
Unintended impacts of regulatory changes to British Columbia Methadone Maintenance Program on addiction and HIV-related outcomes
Perceived Devaluation and STI Testing Uptake among a Cohort of Street-Involved Youth in a Canadian Setting
A narrative analysis of the birth stories of early-age mothers
The telling of birth stories (i.e. stories that describe women's experiences of giving birth) is a common and important social practice. Whereas most research on birth narratives reflects the stories of middle-class, 'adult' women, we examine how the birth stories told by early-age mothers interconnect with broader narratives regarding social stigma and childbearing at 'too early' an age. Drawing on narrative theory, we analyse in-depth interview…
Implementation challenges and opportunities for HIV Treatment as Prevention (TasP) among young men in Vancouver, Canada
Based on the results of this study, we identify several areas that hold promise for informing the effective scale up of TasP, including new information regarding implementation adaptation strategies
Social and structural violence and power relations in mitigating HIV risk of drug-using women in survival sex work
Socio-cultural influences on young people's sexual development
Structural and Environmental Barriers to Condom Use Negotiation With Clients Among Female Sex Workers
Objectives. We investigated the relationship between environmental–structural factors and condom-use negotiation with clients among female sex workers. Methods. We used baseline data from a 2006 Vancouver, British Columbia, community-based cohort of female sex workers, to map the clustering of “hot spots” for being pressured into unprotected sexual intercourse by a client and assess sexual HIV risk. We used multivariate logistic modeling to estim…
Unstable housing, associated risk behaviour, and increased risk for HIV infection among injection drug users
Homelessness and unstable housing associated with an increased risk of HIV and STI transmission among street-involved youth
Safety and danger in downtown Vancouver
Not the swab!' Young men's experiences with STI testing
In Canada, STI rates are high and rising, especially amongst young men. Meanwhile, the needs of young men regarding STI testing services are poorly understood, as are the socio-cultural and structural factors that influence young men's sexual health-seeking behaviours. To better understand this phenomenon, we draw on interviews with 45 men (ages 15-25) from British Columbia, Canada. Our research reveals how structural forces (e.g. STI testing pro…
Sex and Straight Young Men
Young men are considered to have power and to be powerful in many social settings and in particular within the realm of sexual relations. This article details research that directly asks young men how they perceive, interact with, and deploy power within intimate heterosexual relationships. Semi-structured interviews were conducted with 13 Canadian-based young men (aged 17-22 years) to explore how power was understood and enacted within their int…
A narrative analysis of the birth stories of early-age mothers
The telling of birth stories (i.e. stories that describe women's experiences of giving birth) is a common and important social practice. Whereas most research on birth narratives reflects the stories of middle-class, 'adult' women, we examine how the birth stories told by early-age mothers interconnect with broader narratives regarding social stigma and childbearing at 'too early' an age. Drawing on narrative theory, we analyse in-depth interview…
Barriers to STI testing among youth in a Canadian oil and gas community
Tobacco dependence
Masculinities, 'guy talk' and 'manning up
Sexually transmitted infection testing rates among young men remain low, and their disengagement from sexual health services has been linked to enactments of masculinity that prohibit or truncate discussions of sexual health. Understanding how men align with multiple masculinities is therefore important for tailoring interventions that appropriately respond to their needs. We draw on 32 in-depth interviews with 15-24-year-old men to explore the d…
Women on men's sexual health and sexually transmitted infection testing
Sexual health and sexually transmitted infection (STI) testing is typically portrayed as a women's issue amid men's estrangement from healthcare services. While the underreporting of men's STIs has been linked to masculinities, little is known about how women interpret and respond to heterosexual men's sexual health practices. The findings drawn from this qualitative study of 34 young women reveal how femininities can be complicit in sustaining, …
Ethical and Epistemological Insights
Debates over how to determine age of consent for youth to participate in research feature prominently in the practice of researchers, research ethics boards (REBs), and community decision makers working with youth. In particular, tensions can arise over how the ethical principles of beneficence, autonomy, and justice are interpreted and applied in research involving young people. We discuss our experiences obtaining ethical approval to conduct a …
Sexually Transmitted Infection (STI) Testing among Young Oil and Gas Workers
Identifying Barriers to Emergency Contraception Use Among Young Women from Various Sociocultural Groups in British Columbia, Canada
Women's ability to benefit from emergency contraception is hampered by lack of knowledge and conservative cultural or social mores. Serious contextual and structural shifts are required before woman-centered approaches to provision of the method become the norm
Around here, they roll up the sidewalks at night”
Prevalence and Co-Occurrence of Heavy Drinking and Anxiety and Mood Disorders Among Gay, Lesbian, Bisexual, and Heterosexual Canadians
Objectives. To investigate the prevalence and co-occurrence of heavy drinking, anxiety, and mood disorders among Canadians who self-identified as gay, lesbian, bisexual, or heterosexual. Methods. Pooled data from the 2007 to 2012 cycles of the Canadian Community Health Survey (n = 222 548) were used to fit logistic regression models controlling for sociodemographic characteristics. Results. In adjusted logistic regression models, gay or lesbian r…
Injection Drug Users' Access to a Supervised Injection Facility in Vancouver, Canada
North America's first supervised injection facility (SIF) was established in Vancouver, Canada, in 2003. Although evaluation research has documented reductions in risk behavior among SIF users, there has been limited examination of the influence of operational features on injection drug users' access to these facilities. We conducted an ethnographic study that included observational research within the SIF, 50 in-depth individual interviews with …
Heteronormativity hurts everyone
Heteronormative assumptions can negatively influence the lives of young gay and bisexual men, and recent sociological analyses have identified the negative impacts of heteronormativity on heterosexual men (e.g. 'fag discourse' targeted at heterosexual adolescents). However, insights into how heteronormative discourses may be (re)produced in clinical settings and how they contribute to health outcomes for gay, bisexual and heterosexual men are poo…
Gradients in Depressive Symptoms by Socioeconomic Position Among Men Who Have Sex With Men in the EXPLORE Study
This study examines gradients in depressive symptoms by socioeconomic position (SEP; i.e., income, education, employment) in a sample of men who have sex with men (MSM). Data were used from EXPLORE, a randomized, controlled behavioral HIV prevention trial for HIV-uninfected MSM in six U.S. cities (n = 4,277). Depressive symptoms were assessed using the Center for Epidemiologic Studies Depression scale (short form). Multiple linear regressions wer…
Online Sexual Health Services
Socio-demographic Correlates of Cigarette Smoking Among High School Students
The relationship between social, policy and physical venue features and social cohesion on condom use for pregnancy prevention among sex workers
BACKGROUND: This study aims to report on a newly developed Safer Indoor Work Environmental Scale that characterises the social, policy and physical features of indoor venues and social cohesion; and using this scale, longitudinally evaluate the association between these features on sex workers' (SWs') condom use for pregnancy prevention. METHODS: Drawing on a prospective open cohort of female SWs working in indoor venues, a newly developed Safer …
Sun Protection as a Family Health Project in Families with Adolescents
This study examined sun protection in families with adolescents from an action-theoretical perspective. Interview data were collected from 20 families about their attitudes and behaviors around sunbathing and sun protection. The data support the understanding of project as joint goal-directed action over time as the basis on which these behaviors are organized in families. Families used the language of goal-directed action to discuss family sun p…
Canadian National Survey on Sun Exposure & Protective Behaviours
Public Health Capacity and Interest in Using Electronic Communication for Staff Training and Resource Dissemination
Preventing HIV/Aids Risk Behavior Among Youth
Sun Protection Among Parents and Children at Freshwater Beaches
Tobacco dependence
Unstable housing, associated risk behaviour, and increased risk for HIV infection among injection drug users
Socio-demographic Correlates of Cigarette Smoking Among High School Students
Socio-cultural influences on young people's sexual development
Sun Protection as a Family Health Project in Families with Adolescents
This study examined sun protection in families with adolescents from an action-theoretical perspective. Interview data were collected from 20 families about their attitudes and behaviors around sunbathing and sun protection. The data support the understanding of project as joint goal-directed action over time as the basis on which these behaviors are organized in families. Families used the language of goal-directed action to discuss family sun p…
Preventing sexually transmitted infections among adolescents
Most primary prevention research has attempted to explain sexual health outcomes, such as sexually transmitted infections, by focusing on individual characteristics (e.g. age), qualities (e.g. knowledge levels), and risk behaviour (e.g. unprotected intercourse). Emerging evidence indicates that population‐level health outcomes are unlikely to be explained adequately as an aggregate of such individual‐level factors. Rather, approaches that move be…
Risky groups, risky behaviour, and risky persons
Significant public health attention has been focused on the problems of youth sexual behaviour. Empirical public health research in this area has attempted to account for mostly negative sexual health outcomes (e.g. sexually transmitted infections and teenage pregnancies) by examining individual characteristics and risk-taking behaviour. Public health practice has followed suit, focusing primarily on modifying sexual risk behaviour and lifestyle …
Identifying Barriers to Emergency Contraception Use Among Young Women from Various Sociocultural Groups in British Columbia, Canada
Women's ability to benefit from emergency contraception is hampered by lack of knowledge and conservative cultural or social mores. Serious contextual and structural shifts are required before woman-centered approaches to provision of the method become the norm
Around here, they roll up the sidewalks at night”
Barriers to STI testing among youth in a Canadian oil and gas community
Mapping violence and policing as an environmental–structural barrier to health service and syringe availability among substance-using women in street-level sex work
Beyond the barriers
This ethnographic study aimed at developing a richer understanding of how youth, their schools, and the communities in which they are emplaced coincide to generate a set of local social processes that affect marijuana use. We trace the interplay between high school staff and students with regards to marijuana use in the proximity of a local high school and the shifting geographies of use in this setting. Although marijuana use was a concern for t…
Demographics, Sexual Risk Behaviours and Uptake of Screening for Sexually Transmitted Infections among Attendees of a Weekly Women-only Community Clinic Program
Sexually Transmitted Infection (STI) Testing among Young Oil and Gas Workers
Social and structural violence and power relations in mitigating HIV risk of drug-using women in survival sex work
Structural factors associated with an increased risk of HIV and sexually transmitted infection transmission among street-involved youth
Although limited by its cross-sectional design, our study found several structural factors amenable to policy-level interventions independently associated with sexual risk behaviours. These findings imply that the criminalization and displacement of street-involved youth may increase the likelihood that youth will engage in sexual risk behaviours and exacerbate the negative impact of resultant health outcomes. Moreover, our findings indicate that…
Homelessness and unstable housing associated with an increased risk of HIV and STI transmission among street-involved youth
Safety and danger in downtown Vancouver
Structural and Environmental Barriers to Condom Use Negotiation With Clients Among Female Sex Workers
Objectives. We investigated the relationship between environmental–structural factors and condom-use negotiation with clients among female sex workers. Methods. We used baseline data from a 2006 Vancouver, British Columbia, community-based cohort of female sex workers, to map the clustering of “hot spots” for being pressured into unprotected sexual intercourse by a client and assess sexual HIV risk. We used multivariate logistic modeling to estim…
Morally problematic
Drawing on data from an ethnographic study examining the experiences of early-age mothers living in a remote city in northern British Columbia, Canada, we examine the perspectives of two study participants – one young mother and one service provider – who proposed that young mothers should visit high school classrooms to provide experiential narratives about the potential dangers of sex, particularly for young women. While many participants sugge…
Difficulty Accessing Syringes Mediates the Relationship Between Methamphetamine Use and Syringe Sharing Among Young Injection Drug Users
Injection drug users (IDU) who use methamphetamine (MA) are at an increased risk of HIV infection due to engagement in injection-related risk behavior including syringe sharing. In this cohort study of young IDU aged 18-30, we investigated the relationship between injection MA use and syringe sharing, and whether difficulty accessing sterile syringes mediated this association. Behavioral questionnaires were completed by 384 IDU in Vancouver, Cana…
Medicine (63 works) · Psychology (44 works) · Sociology (42 works) · Environmental health (37 works) · Demography (30 works) · HIV, Drug Use, Sexual Risk (30 works) · Political science (29 works) · HIV/AIDS Research and Interventions (28 works) · Population (28 works) · Public health (25 works)