Sangeeta Parashar
Biographic Data
| ID | 164216 |
|---|---|
| NAME | Sangeeta Parashar |
| GIVEN NAMES | Sangeeta |
| FAMILY NAME | Parashar |
| SIGNATURE | PARASHAR S |
| AFFILIATIONS | Simon Fraser University |
| ORCID | 0000-0001-6857-6231 |
| VERIFIED | Yes |
| TOTAL WORKS | 36 |
| TOTAL CITATIONS | 67 |
| WORKS AS AUTHOR | 36 |
| WORKS AS EDITOR | 0 |
| FIRST PUBLICATION YEAR | 2005 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 4 |
HIV and drug overdose
Drug toxicity and overdose remain major public health concerns in British Columbia (BC), with People Living With HIV (PLWH) experiencing disproportionately high rates of nonfatal and fatal overdose due to intersecting social and structural inequities. The COVID-19 pandemic exacerbated these vulnerabilities and introduced challenges that impacted health care delivery and prevention efforts, with lasting repercussions. This qualitative study explor…
Healthcare Provider Strategies and Approaches to Supporting People Living With HIV Who Are Experiencing HIV Treatment Disengagement in British Columbia, Canada
We conducted a strengths-based, qualitative study to elucidate the approaches and strategies utilized by healthcare providers (HCPs) to support HIV treatment engagement in British Columbia (BC), Canada. Healthcare providers (e.g., nurses, peer navigators, and pharmacists) across the province of BC were recruited through regional HIV programs and by word of mouth through purposive sampling strategies. An academic and community researcher co-conduc…
Housing matters
Retention in primary care among unstably housed residents of a low-income, inner-city neighborhood with a high prevalence of substance use and related disorders
We found that a primary healthcare model of care was successful in retaining over two-thirds of clients in primary healthcare after more than 18 months of follow-up. Additional supports for those diagnosed with alcohol use disorder are needed to retain them in care
Associations between psychosocial factors and antiretroviral therapy outcomes differ by gender and sexual orientation among people living with HIV in British Columbia, Canada
Little is known about how the co-occurrence of psychosocial factors affect sub-populations of people living with HIV (PLWH). We used cross-sectional data from 999 PLWH, aged ≥19, accessing antiretroviral therapy (ART) in British Columbia, Canada (2007-2010) to examine associations between psychosocial factors and ART-related outcomes separately for trans/cis inclusive women; heterosexual men; and gay, bisexual, and other men who have sex with men…
Supportive housing building policies and resident psychological needs
Permanent Supportive Housing (PSH) increases housing stability and improves health outcomes among people living with HIV (PLHIV) at risk of homelessness. We conducted 24 semi-structured qualitative interviews with PLHIV at risk of homelessness living in a PSH building in Vancouver, Canada, with the aim of understanding how PSH building policies impact residents’ health. Interviews were analyzed using self-determination theory and Housing First pr…
Exploring Primary Healthcare Experiences and Interest in Mobile Technology Engagement Amongst an Urban Population Experiencing Barriers to Care
Mobile phone-based engagement approaches provide potential platforms for improving access to primary healthcare (PHC) services for underserved populations. We held two focus groups (February 2020) with residents ( n = 25) from a low-income urban neighbourhood (downtown Vancouver, Canada), to assess recent healthcare experiences and elicit interest in mobile phone-based healthcare engagement for underserved residents. Note-based analysis, guided b…
“I'm positively positive”
In British Columbia (BC), Canada, older adults living with HIV (OALHIV — i.e., age ≥50) now constitute over 50% of all people accessing HIV treatment. In addition to living with HIV, OALHIV face significant adversity from sociostructural factors. Popular notions of resilience view resilience as an individual attribute (Coutu, 2002), commonly placing the responsibility for overcoming adversity on the individual. This community-based research on th…
Depressive symptoms among people living with HIV in permanent supportive housing
Permanent supportive housing (PSH) is an intervention addressing housing needs among marginally housed individuals. Little is known about whether and how PSH influences depressive symptoms among people living with HIV (PLHIV). This article shares results from a community‐based study that, in 2016–2017, interviewed 24 residents of a PSH facility designated for PLHIV in Vancouver, Canada. The themes of taking control; social connectedness; convivia…
Characteristics of older adults living with HIV accessing home and community care services in British Columbia, Canada
Over half of people living with HIV (PLHIV) engaged in care in British Columbia (BC) are age ≥50. The public home and community care (HCC) system offers formal support that PLHIV may turn to as they age, but little is known about access specific to PLHIV. Using data from the STOP HIV/AIDS cohort, which includes linked treatment and demographic records for PLHIV accessing care in BC, we compared older PLHIV (defined as those age ≥50) who did and d…
Correlates of social isolation among people living with HIV in British Columbia, Canada
Our study aims to define and identify correlates of social isolation among people living with HIV (PLHIV). The Longitudinal Investigation into Supportive and Ancillary health services (LISA) study provided a cross-sectional analytic sample of 996 PLHIV in British Columbia, Canada (sampled between 2007 and 2010). Individuals marginalized by socio-structural inequities were oversampled; sampling bias was addressed through inverse probability of par…
The opioid crisis is driving mortality among under-served people living with HIV in British Columbia, Canada
Overdose is - the leading cause of mortality among a cohort of under-served PLWH in BC, Canada. Public health efforts to end the HIV epidemic and support the health and well-being of PLWH are being thwarted by persistent health inequities and the enormous and persistent risks facing people who use drugs. Integrated low-barrier primary care is essential for supporting under-served PLWH, and safe drug supply is needed to support PLWH who use drugs
The "Sticky Notes" Method
Community-based participatory research (CBPR) has a long history within HIV research, yet little work has focused on facilitating team-based data analysis within CBPR. Our team adapted Thorne's interpretive description (ID) for CBPR analysis, using a color-coded "sticky notes" system to conduct data fragmentation and synthesis. Sticky notes were used to record, visualize, and communicate emerging insights over the course of 11 in-person participa…
Social Isolation and Mortality Among People Living with HIV in British Columbia, Canada
Assessing the impact of food insecurity on HIV medication adherence in the context of an integrated care programme for people living with HIV in Vancouver, Canada
Objective: Food insecurity, or self-reports of inadequate food access due to limited financial resources, remains prevalent among people living with HIV (PLHIV). We examined the impact of food insecurity on combination antiretroviral therapy (cART) adherence within an integrated care programme that provides services to PLHIV, including two meals per day. Design: Adjusted OR (aOR) were estimated by generalized estimating equations, quantifying the…
Am I Pretty? 10 Tips to Designing Visually Appealing Slideware Presentations
The importance of slideware presentations at conferences remains underestimated. Although several articles in the profession focus on this topic, emphasis on aspects of design and aesthetics appears scant. Changing trends and advances in software, instructional design, and human–computer interactions demand political scientists adapt and pay greater attention to balance and harmony, learning to distinguish between design and decoration. Building …
Understanding the pervasiveness of trauma within a housing facility for people living with HIV
Trauma exposure is highly prevalent among marginalized people living with HIV (PLHIV). Trauma influences experiences in environments where PLHIV reside and access support services, in addition to impacting mental and physical health. This qualitative study of 24 PLHIV examined how trauma and socio-structural inequities shaped participants’ experiences living in a supportive housing facility for PLHIV, impacted health-related outcomes, and affecte…
Factors associated with delayed and late ART initiation among people living with HIV in BC
We examined correlates of late and delayed initiation of antiretroviral therapy (ART) in British Columbia, Canada. From December 2013 to December 2015 we recruited treatment-naïve people living with HIV who initiated ART within the previous year. 'Late initiation' was defined as CD4 cell count ≤500 cells/μL at ART initiation and 'delayed initiation' as ≥1 year between HIV diagnosis and initiation. Multivariable logistic regression assessed indepe…
Hardwar
This article describes the narratives and projections that shaped the contested character of Hardwar and the river Ganges as symbols par excellence of the Hindus' claim to India's sacred geography over the last two hundred years. It deliberates on the tactics and practices through which Hardwar's ancient and legendary status has been employed to assert Hindu identity and territorial claims vis-à-vis the colonial administrators, but also to exclud…
Factors associated with low neighborhood cohesion among women living with HIV impacted by social-structural inequities in British Columbia
Built and social environments, including one's perception of their environment, are important determinants of health. The intersection of gender and HIV status may complicate the role of neighborhood cohesion in safety, personal well-being, and health outcomes for populations impacted by social and structural inequities. Among women in particular, social cohesion within the neighborhood they reside in may have a greater influence on health outcom…
Karl Polanyi's hungarian writings
Th is text looks at the early Communist intellectual movement in Slovakia (in an area that, for part of the time under discussion, was affi liated with the the Hungarian Soviet Republic) organized around the journal Kassai Munkás (Th e Košice Worker).By placing this movement in the context of the development of Western Marxism and the incipient Marxist aesthetics of György Lukács, who was among those who published in the journal, the paper charac…
Harder-to-reach people living with HIV experiencing high prevalence of all-type mental health disorder diagnosis
People living with HIV/AIDS (PHA) often concurrently cope with mental health disorders that may greatly influence HIV and other health-related outcomes. The objective of this study was to examine the prevalence and correlates of self-reported mental health disorder diagnosis among a cohort of harder-to-reach HIV-positive individuals in British Columbia, Canada. Between 2007 and 2010, 1000 PHA who had initiated ART were enrolled in the Longitudina…
We’re giving you something so we get something in return”
Longer duration of homelessness is associated with a lower likelihood of non-detectable plasma HIV-1 RNA viral load among people who use illicit drugs in a Canadian setting
Homelessness is common among people who use drugs (PWUD) and, for those living with HIV/AIDS, an important contributor to sub-optimal HIV treatment outcomes. This study aims to investigate the relationship between the duration of homelessness and the likelihood of plasma HIV-1 RNA viral load (VL) non-detectability among a cohort of HIV-positive PWUD. We used data from the ACCESS study, a long-running prospective cohort study of HIV-positive PWUD …
Prescription Opioid Injection Among HIV-Positive People Who Inject Drugs in a Canadian Setting
Women's Changing Attitudes Toward Divorce, 1974-2002
This article examines trends in divorce attitudes of young adult women in the United States by educational attainment from 1974 to 2002. Women with 4-year college degrees, who previously had the most permissive attitudes toward divorce, have become more restrictive in their attitudes toward divorce than high school graduates and women with some college education, whereas women with no high school diplomas have increasingly permissive attitudes to…
Navigating identity, territorial stigma, and HIV care services in Vancouver, Canada
Moving beyond the mother-child dyad
The "Sticky Notes" Method
Community-based participatory research (CBPR) has a long history within HIV research, yet little work has focused on facilitating team-based data analysis within CBPR. Our team adapted Thorne's interpretive description (ID) for CBPR analysis, using a color-coded "sticky notes" system to conduct data fragmentation and synthesis. Sticky notes were used to record, visualize, and communicate emerging insights over the course of 11 in-person participa…
Supportive housing building policies and resident psychological needs
Permanent Supportive Housing (PSH) increases housing stability and improves health outcomes among people living with HIV (PLHIV) at risk of homelessness. We conducted 24 semi-structured qualitative interviews with PLHIV at risk of homelessness living in a PSH building in Vancouver, Canada, with the aim of understanding how PSH building policies impact residents’ health. Interviews were analyzed using self-determination theory and Housing First pr…
Demographic change and response
Understanding the pervasiveness of trauma within a housing facility for people living with HIV
Trauma exposure is highly prevalent among marginalized people living with HIV (PLHIV). Trauma influences experiences in environments where PLHIV reside and access support services, in addition to impacting mental and physical health. This qualitative study of 24 PLHIV examined how trauma and socio-structural inequities shaped participants’ experiences living in a supportive housing facility for PLHIV, impacted health-related outcomes, and affecte…
Employment predicts decreased mortality among HIV-seropositive illicit drug users in a setting of universal HIV care
OBJECTIVE: Given the link between employment and mortality in the general population, we sought to assess this relationship among HIV-positive people who use illicit drugs in Vancouver, Canada. METHODS: Data were derived from a prospective cohort study of HIV seropositive people who use illicit drugs (n=666) during the period of May 1996-June 2010 linked to comprehensive clinical data in Vancouver, Canada, a setting where HIV care is delivered wi…
Moving beyond the mother-child dyad
Demographic change and response
Women's Changing Attitudes Toward Divorce, 1974-2002
This article examines trends in divorce attitudes of young adult women in the United States by educational attainment from 1974 to 2002. Women with 4-year college degrees, who previously had the most permissive attitudes toward divorce, have become more restrictive in their attitudes toward divorce than high school graduates and women with some college education, whereas women with no high school diplomas have increasingly permissive attitudes to…
Sticking to It
The impact of unstable housing on emergency department use in a cohort of HIV-positive people in a Canadian setting
The social-structural challenges experienced by people living with HIV (PHA) have been shown to contribute to increased use of the emergency department (ED). This study identified factors associated with frequent and nonurgent ED use within a cohort of people accessing antiretroviral therapy (ART) in a Canadian setting. Interviewer-administered surveys collected socio-demographic information; clinical variables were obtained through linkages with…
Marginalized by race and place
Purpose – Given South Africa's apartheid history, studies have primarily focused on racial discrimination in employment outcomes, with lesser attention paid to gender and context. The purpose of this paper is to fill an important gap by examining the combined effect of macro- and micro-level factors on occupational sex segregation in post-apartheid South Africa. Intersections by race are also explored. Design/methodology/approach – A multilevel m…
Employment predicts decreased mortality among HIV-seropositive illicit drug users in a setting of universal HIV care
OBJECTIVE: Given the link between employment and mortality in the general population, we sought to assess this relationship among HIV-positive people who use illicit drugs in Vancouver, Canada. METHODS: Data were derived from a prospective cohort study of HIV seropositive people who use illicit drugs (n=666) during the period of May 1996-June 2010 linked to comprehensive clinical data in Vancouver, Canada, a setting where HIV care is delivered wi…
Longer duration of homelessness is associated with a lower likelihood of non-detectable plasma HIV-1 RNA viral load among people who use illicit drugs in a Canadian setting
Homelessness is common among people who use drugs (PWUD) and, for those living with HIV/AIDS, an important contributor to sub-optimal HIV treatment outcomes. This study aims to investigate the relationship between the duration of homelessness and the likelihood of plasma HIV-1 RNA viral load (VL) non-detectability among a cohort of HIV-positive PWUD. We used data from the ACCESS study, a long-running prospective cohort study of HIV-positive PWUD …
Prescription Opioid Injection Among HIV-Positive People Who Inject Drugs in a Canadian Setting
Residential Eviction and Risk of Detectable Plasma HIV-1 RNA Viral Load Among HIV-Positive People Who Use Drugs
The Place of Housing Stability in HIV Research
There exists a wealth of literature investigating the association between housing stability and the health of people living with, or at risk of acquiring, HIV. Following a review of the limitations of prevailing housing status measures, the concepts underlying definitions of housing status in HIV literature are presented. This review concludes by proposing a conceptual shift away from understanding housing as a predominantly material entity towar…
Navigating identity, territorial stigma, and HIV care services in Vancouver, Canada
At home in the margins
This photo essay explores what constitutes 'home' for people living with HIV in Vancouver's Downtown Eastside. It is a collaboration between myself and eight community researchers - four women and four men - who are living with HIV and have experienced significant periods of homelessness in this context. Over the course of four weeks in 2011, the community researchers were trained in Photovoice methods and took photographs of their homes and neig…
Harder-to-reach people living with HIV experiencing high prevalence of all-type mental health disorder diagnosis
People living with HIV/AIDS (PHA) often concurrently cope with mental health disorders that may greatly influence HIV and other health-related outcomes. The objective of this study was to examine the prevalence and correlates of self-reported mental health disorder diagnosis among a cohort of harder-to-reach HIV-positive individuals in British Columbia, Canada. Between 2007 and 2010, 1000 PHA who had initiated ART were enrolled in the Longitudina…
We’re giving you something so we get something in return”
Factors associated with low neighborhood cohesion among women living with HIV impacted by social-structural inequities in British Columbia
Built and social environments, including one's perception of their environment, are important determinants of health. The intersection of gender and HIV status may complicate the role of neighborhood cohesion in safety, personal well-being, and health outcomes for populations impacted by social and structural inequities. Among women in particular, social cohesion within the neighborhood they reside in may have a greater influence on health outcom…
Karl Polanyi's hungarian writings
Th is text looks at the early Communist intellectual movement in Slovakia (in an area that, for part of the time under discussion, was affi liated with the the Hungarian Soviet Republic) organized around the journal Kassai Munkás (Th e Košice Worker).By placing this movement in the context of the development of Western Marxism and the incipient Marxist aesthetics of György Lukács, who was among those who published in the journal, the paper charac…
Factors associated with delayed and late ART initiation among people living with HIV in BC
We examined correlates of late and delayed initiation of antiretroviral therapy (ART) in British Columbia, Canada. From December 2013 to December 2015 we recruited treatment-naïve people living with HIV who initiated ART within the previous year. 'Late initiation' was defined as CD4 cell count ≤500 cells/μL at ART initiation and 'delayed initiation' as ≥1 year between HIV diagnosis and initiation. Multivariable logistic regression assessed indepe…
Hardwar
This article describes the narratives and projections that shaped the contested character of Hardwar and the river Ganges as symbols par excellence of the Hindus' claim to India's sacred geography over the last two hundred years. It deliberates on the tactics and practices through which Hardwar's ancient and legendary status has been employed to assert Hindu identity and territorial claims vis-à-vis the colonial administrators, but also to exclud…
Social Isolation and Mortality Among People Living with HIV in British Columbia, Canada
Assessing the impact of food insecurity on HIV medication adherence in the context of an integrated care programme for people living with HIV in Vancouver, Canada
Objective: Food insecurity, or self-reports of inadequate food access due to limited financial resources, remains prevalent among people living with HIV (PLHIV). We examined the impact of food insecurity on combination antiretroviral therapy (cART) adherence within an integrated care programme that provides services to PLHIV, including two meals per day. Design: Adjusted OR (aOR) were estimated by generalized estimating equations, quantifying the…
Am I Pretty? 10 Tips to Designing Visually Appealing Slideware Presentations
The importance of slideware presentations at conferences remains underestimated. Although several articles in the profession focus on this topic, emphasis on aspects of design and aesthetics appears scant. Changing trends and advances in software, instructional design, and human–computer interactions demand political scientists adapt and pay greater attention to balance and harmony, learning to distinguish between design and decoration. Building …
Understanding the pervasiveness of trauma within a housing facility for people living with HIV
Trauma exposure is highly prevalent among marginalized people living with HIV (PLHIV). Trauma influences experiences in environments where PLHIV reside and access support services, in addition to impacting mental and physical health. This qualitative study of 24 PLHIV examined how trauma and socio-structural inequities shaped participants’ experiences living in a supportive housing facility for PLHIV, impacted health-related outcomes, and affecte…
Characteristics of older adults living with HIV accessing home and community care services in British Columbia, Canada
Over half of people living with HIV (PLHIV) engaged in care in British Columbia (BC) are age ≥50. The public home and community care (HCC) system offers formal support that PLHIV may turn to as they age, but little is known about access specific to PLHIV. Using data from the STOP HIV/AIDS cohort, which includes linked treatment and demographic records for PLHIV accessing care in BC, we compared older PLHIV (defined as those age ≥50) who did and d…
Correlates of social isolation among people living with HIV in British Columbia, Canada
Our study aims to define and identify correlates of social isolation among people living with HIV (PLHIV). The Longitudinal Investigation into Supportive and Ancillary health services (LISA) study provided a cross-sectional analytic sample of 996 PLHIV in British Columbia, Canada (sampled between 2007 and 2010). Individuals marginalized by socio-structural inequities were oversampled; sampling bias was addressed through inverse probability of par…
Medicine (27 works) · HIV/AIDS Research and Interventions (21 works) · Sociology (18 works) · Demography (17 works) · Gerontology (17 works) · HIV, Drug Use, Sexual Risk (16 works) · Homelessness and Social Issues (15 works) · Psychology (15 works) · Psychiatry (13 works) · Family medicine (11 works)