Martin T Schechter
Dados Biográficos
| ID | 1728044 |
|---|---|
| NOME | Martin T Schechter |
| PRENOMES | Martin T |
| SOBRENOME | Schechter |
| ASSINATURA | SCHECHTER M T |
| AFILIAÇÕES | University of British Columbia |
| ORCID | 0000-0001-6063-2155 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 65 |
| TOTAL DE CITAÇÕES | 135 |
| TOTAL COMO AUTOR | 65 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 1988 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2025 |
| ÍNDICE H | 7 |
Navigating concurrent public health emergencies
Connection and resilience are critical to the health and wellbeing of Indigenous Peoples who use drugs (IPWUD): connection to family, cultural supports, safer coping mechanisms and circles of care. Urban IPWUD are more likely to face multiple harms from emergency public health restrictions alongside ongoing toxic drug and housing crises in British Columbia. This paper aims to amplify the experiences of urban IPWUD as they navigated the COVID-19 p…
Pediatric ACEs and Related Life Events Screener (PEARLS v2)
Due to a demonstrated relationship between Adverse Childhood Experiences (ACEs) and a range of psychological, physical, and social risks, there has been a growing movement to integrate routine ACEs screening in pediatric settings. As screenings have increased, there has also been a call for research to uncover areas for improvement in the implementation of these screenings. The Pediatric ACEs and Related Life Events Screener (PEARLS) is one commo…
How injectable opioid agonist treatment (iOAT) care could be improved? service providers and stakeholders’ perspectives
Background Addressing inadequacies in the implementation of existing evidence-based approaches into practice, such as injectable opioid agonist treatment (iOAT), is imperative for the management of opioid use disorder. With the expansion of iOAT, stakeholder perspectives are needed to inform program optimization. This study aimed to understand stakeholder and provider perspectives on iOAT care and how it can be improved to better meet service use…
Building Capacity for Injectable Diacetylmorphine and Hydromorphone for the Treatment of Opioid Use Disorder
Identifying typical doses of existing opioid use disorder medications, such as injectable opioid agonist treatment (iOAT), can support client and program needs, and potentially increase iOAT expansion. Longitudinal data from participants in a cohort study ( n = 131), along with clinic dispensation records from August 2014 to April 2020, were used to examine physician prescribed as well as used doses of injectable diacetylmorphine and hydromorphon…
The Cedar Project
Racism continues to drive health disparities between Indigenous and non-Indigenous peoples in Canada. This study focuses on racism experienced by young Indigenous people who have used drugs in British Columbia (BC), and predictors of interpersonal racism. Cedar Project is a community-governed cohort study involving young Indigenous people who use drugs in Vancouver and Prince George, BC. This cross-sectional study included data collected between …
Measuring the preferences of injectable opioid agonist treatment (iOAT) clients
Provider experiences with relaxing restrictions on take-home medications for opioid use disorder during the Covid-19 pandemic
Cango Lyec (Healing the Elephant)
Cango Lyec participants displayed lower than previously reported yet significant levels of probable PTSD and depression. Based on findings from this study, providing trauma-informed care, ensuring food and housing security, eliminating gender-based violence, and reintegrating former abductees remain important tasks to facilitate post-conflict rehabilitation in Northern Uganda
The Cedar Project
Self‐managing illicit stimulant use
Ethnicity and HIV vulnerabilities among men who have sex with men in China
Ethnic affiliation can define sociocultural boundaries and contribute to the HIV vulnerabilities faced by men who have sex with men (MSM). This study investigated the influence of ethnic affiliation on HIV vulnerabilities among MSM in North China. Our study analyzed a cross-sectional survey of MSM (n = 398) in two major North China cities. We examined associations between ethnic affiliation and (a) HIV status, (b) sexual behaviors and experiences…
The Cedar Project
Culturally safe mental wellness interventions are urgently needed to address childhood trauma and harmful coping strategies that exacerbate distress among young Indigenous people who use drugs
Hydromorphone Compared With Diacetylmorphine for Long-term Opioid Dependence
clinicaltrials.gov Identifier: NCT01447212.
Predictors of treatment allocation guesses in a randomized controlled trial testing double-blind injectable hydromorphone and diacetylmorphine for severe opioid use disorder
Background: SALOME (Study to Assess Longer-term Opioid Medication Effectiveness) tested in a double-blind non-inferiority clinical trial if hydromorphone could be as effective as diacetylmorphine for severe opioid use disorder. Although participants did not guess treatment correctly beyond what is expected by chance, perceived treatment assignment could affect patients’ response to treatment. This study tested if treatment allocation guess is ass…
The Cedar Project
Young people in this study have faced multiple complex challenges to their strength. However, cultural foundations continue to function as buffers that protect young Indigenous people from severe health outcomes, including vulnerability to HIV and HCV infection
The Cedar Project
The Cedar Project
This study explored trends of sexual assault and associated risk factors within a cohort of young Aboriginal women who used drugs in Vancouver and Prince George, Canada, between 2003 and 2010. Results demonstrated no change in the trend of sexual assault over time; however, odds of sexual assault were significantly higher for women who had at least one parent who attended residential school, had experienced childhood sexual abuse, were involved i…
The Cedar Project
War and HIV
Despite growing knowledge of the dynamics of HIV infection during conflict, far less is known about the period that follows cessation of hostilities and its implications for population health. This study sought to fill a lacuna in epidemiological evidence by examining HIV infection and related vulnerabilities of young people living in resource-scarce, post-emergency transit camps that are now home to thousands of displaced people following two de…
The Cedar Project
Little information exists on the use of condoms as protective barriers to sexually transmitted infections (STIs) among indigenous people in Canada. This study explores risk factors of inconsistent condom use (during consensual sex) over time among participants in the Cedar Project, a prospective cohort study of indigenous young people living in Vancouver and Prince George, British Columbia, who use drugs. Due to the serial measurements for each s…
Comparison of HIV-related vulnerabilities between former child soldiers and children never abducted by the LRA in northern Uganda
This study persuasively demonstrates that all young people in northern Ugandan have been similarly affected by HIV infection during war and displacement. Post-conflict programme planners must therefore abandon rudimentary targeting practices based on abductees as a high-profile category. Instead, they must develop evidence-based HIV interventions that are commensurate with young people's specific needs. As such programmes will be less stigmatizin…
The Cedar Project
The Cedar Project
This study contributes to the limited body of research addressing HCV infection among Aboriginal people in Canada. The HCV incidence rate among Cedar Project participants who were new initiates of injection drug use underscores an urgent need for HCV and injection prevention and safety strategies aimed at supporting young people surviving injection drug use and sex work in both cities. Young people must be afforded the opportunity to provide lead…
The Cedar Project
Re
The Cedar Project
Unstable housing, associated risk behaviour, and increased risk for HIV infection among injection drug users
Sexual violence among a cohort of injection drug users
Patterns of sexual behavior and condom use in a cohort of homosexual men
To measure the magnitude of risk reduction within a cohort of homosexual men, questionnaire responses in April 1984-March 1985 were compared to those in October 1986-September 1987. A total of 361 subjects were eligible (231 seronegative, 130 seropositive). The annual number of sex partners declined significantly from a median of 8.0 to 5.0 with no difference between the serologic groups. The number of subjects reporting no receptive anal interco…
Social inequalities in male mortality amenable to medical intervention in British Columbia
Requiring Help Injecting as a Risk Factor for HIV Infection in the Vancouver Epidemic
Determinants of geographic mobility among participants in a population-based HIV/Aids drug treatment program
The end of the line
HIV and Hepatitis C Outbreaks Among High-risk Youth in Vancouver Demands a Public Health Response
The social determinants of emergency department and hospital use by injection drug users in Canada
The role of secondary vaccine failures in measles outbreaks
An outbreak of measles in 1985-86 in a community where measles vaccine trials had been carried out from 1974-76 allowed the assessment of the role of secondary vaccine failures in previously immunized children. A total of 188 children from the vaccine trial were followed. Of these, 175 seroconverted initially while 13 (6 per cent) required re-immunization (primary failure). A total of 13 cases of measles, eight of which were laboratory and/or phy…
The Cedar Project
Incidence of and Risk Factors for Sexual Orientation–Related Physical Assault Among Young Men Who Have Sex With Men
Objectives. We sought to determine incidence of, prevalence of, and risk factors for sexual orientation–related physical assault in young men who have sex with men (MSM). Methods. We completed a prospective open cohort study of young MSM in Vancouver, British Columbia, surveyed annually between 1995 and 2004. Correlates of sexual orientation–related physical assault before enrollment were identified with logistic regression. Risk factors for inci…
Science, Ideology, and Needle Exchange Programs
Needle exchange programs (NEPs) to prevent HIV transmission among injection drug users are accepted in many countries but remain at the center of heated debate in the United States. In 1997, the author published a study of injection drug users in Vancouver showing an explosive outbreak of HIV. An incidental finding was higher HIV rates among frequent attendees of the local NEP. While this was expected because NEPs attract users at highest risk, o…
The Cedar Project
This study explored trends of sexual assault and associated risk factors within a cohort of young Aboriginal women who used drugs in Vancouver and Prince George, Canada, between 2003 and 2010. Results demonstrated no change in the trend of sexual assault over time; however, odds of sexual assault were significantly higher for women who had at least one parent who attended residential school, had experienced childhood sexual abuse, were involved i…
Is There a Need for Heroin Substitution Treatment in Vancouver’s Downtown Eastside? Yes There Is, and in Many Other Places Too
The North American Opiate Medication Initiative (Naomi)
Patterns of sexual behavior and condom use in a cohort of homosexual men
To measure the magnitude of risk reduction within a cohort of homosexual men, questionnaire responses in April 1984-March 1985 were compared to those in October 1986-September 1987. A total of 361 subjects were eligible (231 seronegative, 130 seropositive). The annual number of sex partners declined significantly from a median of 8.0 to 5.0 with no difference between the serologic groups. The number of subjects reporting no receptive anal interco…
The role of secondary vaccine failures in measles outbreaks
An outbreak of measles in 1985-86 in a community where measles vaccine trials had been carried out from 1974-76 allowed the assessment of the role of secondary vaccine failures in previously immunized children. A total of 188 children from the vaccine trial were followed. Of these, 175 seroconverted initially while 13 (6 per cent) required re-immunization (primary failure). A total of 13 cases of measles, eight of which were laboratory and/or phy…
Needle exchange is not enough
Despite having the largest NEP in North America, Vancouver has been experiencing an ongoing HIV epidemic. Whereas NEP are crucial for sterile syringe provision, they should be considered one component of a comprehensive programme including counselling, support and education.
Estimating the effect of treatment on quality of life in the presence of missing data due to drop-out and death
The social determinants of emergency department and hospital use by injection drug users in Canada
Social inequalities in male mortality amenable to medical intervention in British Columbia
Factors Associated with Willingness to Participate in HIV Vaccine Trials Among HIV-Negative Injection Drug Users and Young Gay and Bisexual Men
Determinants of geographic mobility among participants in a population-based HIV/Aids drug treatment program
The end of the line
Of Butterflies, Madmen, and Urban Health
Naomi--Her Time Has Come
Needle exchange and difficulty with needle access during an ongoing HIV epidemic
Science, Ideology, and Needle Exchange Programs
Needle exchange programs (NEPs) to prevent HIV transmission among injection drug users are accepted in many countries but remain at the center of heated debate in the United States. In 1997, the author published a study of injection drug users in Vancouver showing an explosive outbreak of HIV. An incidental finding was higher HIV rates among frequent attendees of the local NEP. While this was expected because NEPs attract users at highest risk, o…
Intensive injection cocaine use as the primary risk factor in the Vancouver HIV-1 epidemic
OBJECTIVES: The explosive and ongoing injecting drug use-related HIV-1 epidemic in Vancouver continues to receive international attention. This study was conducted to determine how patterns of cocaine use influence the risk of HIV infection. METHODS: The Vancouver Injection Drug Users Study is an open prospective cohort of injecting drug users that began in May 1996. At enrollment and at semi-annual follow-up visits an interviewer administers a d…
Surviving the sex trade
In Canada, very little is known about the factors and processes that cause drug-related harm among female intravenous drug users (IDUs). Women who inject drugs and participate in the survival sex trade are considered to be at increased risk for sexual and drug-related harms, including HIV infection. Between September 1999 and September 2000, women participating in the VIDUS cohort in Vancouver and the St. Luc Cohort in Montreal completed intervie…
Courage in politics and urban health
Rudolf Virchow, Public Health, and the Built Environment
Aids in 2003
Health and Socioeconomic Status Differences Among Antibody Hepatitis C Positive and Negative Transfusion Recipients, 1986–1990
Requiring Help Injecting as a Risk Factor for HIV Infection in the Vancouver Epidemic
Sexual violence among a cohort of injection drug users
Sexual Risk Profile of Young Men in Vancouver, British Columbia, Who Have Sex with Men and Inject Drugs
How otherwise dedicated Aids prevention workers come to support state-sponsored shortage of clean syringes in Vancouver, Canada
A comparison of the new Federal Guidelines regulating supervised injection site research in Canada and the Tri-Council Policy Statement on Ethical Conduct for Research Involving Human Subjects
The potential health and economic impact of implementing a medically prescribed heroin program among Canadian injection drug users
Medicine (55 obras) · HIV, Drug Use, Sexual Risk (42 obras) · Demography (29 obras) · Psychiatry (25 obras) · Sociology (25 obras) · HIV/AIDS Research and Interventions (24 obras) · Environmental health (23 obras) · Demography (20 obras) · Internal Medicine (20 obras) · Opioid Use Disorder Treatment (19 obras)