Kiffer G Card

Biographic Data

ID	4792965
NAME	Kiffer G Card
GIVEN NAMES	Kiffer G
FAMILY NAME	Card
SIGNATURE	CARD K G
AFFILIATIONS	Simon Fraser University
ORCID	0000-0001-6545-1249
VERIFIED	Yes
TOTAL WORKS	55
TOTAL CITATIONS	12
AUTHOR COUNT	55
EDITOR COUNT	0
FIRST PUBLICATION YEAR	2016
LATEST PUBLICATION YEAR	2026
H-INDEX	2

Are quantitative targets for social network size and interaction frequency appropriate for public health guidelines on social connection? Evidence from loneliness and related mental health outcomes
Open AccessJorge Andrés Delgado‐ron, Heather Orpana et al.ARTICLESSM - Population Health2026
Introduction Public health guidelines for social connection seek to address loneliness and its health consequences at the population level. Although some approaches suggest specific numeric targets (e.g., frequency of social interaction), the empirical basis for these thresholds remains unclear. We aimed to identify such thresholds for loneliness and related mental health outcomes and test their stability across strata of mental health. Methods W…
From ‘Avoid Frailty’ to ‘The THRIVE Strategy for Lifelong Wellness’
Open AccessKiffer G Card, Eli PutermanARTICLECanadian Journal on Aging / La…2026
The AVOID Frailty framework, developed by the Canadian Frailty Network, promotes five evidence-based behaviors to reduce frailty risk in older adults: physical activity, vaccination, medication optimization, social interaction, and nutrition. Although widely adopted, its deficit-based framing may limit engagement and appeal. This commentary proposes a positively framed alternative, the THRIVE Strategy for Lifelong Wellness, which retains the core…
Socio-ecological factors associated with eco-anxiety following the 2023 wildfires among Northern and Indigenous youth in the Northwest Territories, Canada
Open AccessYing Wang, Aryssa Hasham et al.ARTICLECambridge Prisms Global Mental…2026
Eco-anxiety is an emerging mental health concern among adolescents, particularly in regions affected by climate-related disasters. Following the 2023 wildfires in Canada’s Northwest Territories (NWT), this study examined associations between wildfire exposure severity, socio-ecological factors, and eco-anxiety among adolescents in the NWT. We conducted a cross-sectional survey with 290 adolescents aged 13–18 years across NWT secondary schools dur…
Diverse community perspectives on public health guidelines for social connection
Open AccessJocelle Refol, Shabnam Raufi et al.ARTICLEHealth Promotion International2025
Loneliness and social isolation harm mental and physical health, yet existing public health strategies often fail to reflect the lived realities of equity-owed communities. To address this gap, our team has been developing potential public health guidelines aimed at fostering social connection in Canada. This study sought to engage five communities facing structural inequities (i.e. 2S/LGBTQ+ individuals, racialized communities, Indigenous people…
The role of climate change anxiety in shaping childrearing intentions among people living in British Columbia
Open AccessNiloufar Aran, Aayush Sharma et al.ARTICLEFrontiers in Public Health2025
Introduction: Climate change concerns have emerged as a factor in shaping childrearing intentions. Given extreme weather events, climate change-related anxiety has increased drastically in the region of British Columbia (BC), Canada. This study explored how worry about an increasingly uncertain future may be associated with people's childrearing intentions in BC. Methods: = 441) to examine the association between climate change anxiety [measured …
Public Health Guidelines for Social Connection
Open AccessKiffer G Card, Jocelle Refol et al.ARTICLEHealth Policy2025
Difference in healthcare utilization trends associated with suicide death in people living with and without HIV in British Columbia, Canada, from 1998 to 2020
Niloufar Aran, Monica Ye et al.ARTICLEAIDS Care2025
People living with HIV (PLWH) face disproportionate rates of suicide death despite improvements in quality of life with antiretroviral therapy. Effective preventative efforts necessitate an understanding of healthcare utilization trends prior to suicide death for PLWH to facilitate the identification of areas for improvement in screening and prevention. The present study aimed to identify patterns of healthcare utilization in PLWH who died by sui…
Do Rural–Urban Differences in Social Environments Act as Barriers to Social Wellbeing? A Cross-Sectional Study
Open AccessKiffer G Card, Jorge Andrés Delgado‐ronARTICLEUrban Science2025References: 10
Loneliness and social isolation are pressing public health concerns, prompting interest in how rural and urban environments shape social wellbeing. However, evidence remains mixed—perhaps because loneliness is a distal psychological outcome with complex, trait-like stability. To address this, we examined geographic variation in upstream patterns of social activity using data from the 2023 Canadian Social Connection Survey (N = 1556). The principa…
Willingness to disclose sexual orientation and gender identity on federal government surveys
Open AccessKai Jacobsen, Coady Babin et al.ARTICLECanadian Journal of Public Health2025References: 23
These findings suggest that government datasets may significantly misclassify and underestimate the population size of 2S/GBTQ+ individuals. Persistent mistrust of government institutions within this community may exacerbate underreporting and non-disclosure, underscoring the need for research into methodologies that can enhance trust and improve the accuracy of population estimates. Researchers using existing government datasets should consider …
Attitudes of Gay, Bisexual, and Other Men Who Have Sex with Men (GBM) toward Their Use of Amphetamine-Type Stimulants and Relation to Reducing Use in Three Canadian Cities
Anthony W-H Yuen, Jordan M Sang et al.ARTICLESubstance Use & Misuse2024
BACKGROUND: We explored attitudes of gay, bisexual, and other men who have sex with men (GBM) toward their amphetamine-use and associations with reduced use over time. METHODS: We recruited sexually-active GBM aged 16+ years in Montreal, Toronto, and Vancouver, Canada, from 02-2017 to 08-2019, with follow-up visits every 6-12 months until November 2020. Among participants who reported past-six-month (P6M) amphetamine-use at enrollment, we used lo…
Minority Stress, Psychological Distress, Sexual Compulsivity, and Avoidance-Based Motivations Associated with Methamphetamine Use Among Sexual Minority Men Living with HIV
G W Berlin, Sarah S Dermody et al.ARTICLESubstance Use & Misuse2024
Objective Sexual minority men (SMM) living with HIV report significantly greater methamphetamine use compared with heterosexual and HIV-negative peers. Greater use may be related to stressors (e.g., HIV-related stigma) faced by SMM living with HIV and subsequent psychological and behavioral sequelae. We tested an integrated theoretical model comprised of pathways between stigma, discrimination, childhood sexual abuse, psychological distress, sexu…
A Qualitative Study of National Perspectives on Advancing Social Prescribing Using Co‐Design in Canada
Open AccessMarianne Saragosa, Kathleen Mulligan et al.ARTICLEHealth Expectations2024
INTRODUCTION: Social prescribing offers a formal pathway of connecting patients in the health system with sources of support within the community to help improve their health and well-being. Since its launch in March 2022, the Canadian Institute for Social Prescribing has acted as a collective impact network to identify, connect and build upon established social prescribing initiatives using a co-design methodology. The institute received input f…
Social trust and Covid-19 mortality in the United States
Open AccessMegan E Marziali, Robert S Hogg et al.ARTICLEBMC Public Health2024
Our findings underscore the importance of investment in social capital and social trust. We believe these findings can be applied beyond the COVID-19 pandemic, as they demonstrate the potential for social trust as a method for emergency preparedness
The role of vaccine status homophily in the Covid-19 pandemic
Open AccessElisha B Are, Kiffer G Card et al.ARTICLEBMC Public Health2024
The uneven uptake of COVID-19 vaccines and the nature of the contact network in the population play important roles in shaping COVID-19 transmission dynamics
Associations between psychosocial factors and antiretroviral therapy outcomes differ by gender and sexual orientation among people living with HIV in British Columbia, Canada
Kalysha Closson, Valerie Nicholson et al.ARTICLEAIDS Care2023
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…
Treatment interruptions and community connectedness among gbMSM living with HIV in Metro Vancouver, Canada
Jordan M Sang, Zhiyuan Cui et al.ARTICLEAIDS Care2023
public health concern that demonstrate a lack of engagement in care and is detrimental to the health of people living with HIV. Community connectedness have demonstrated a protective effect for psychosocial health but are not well understood for HIV treatment outcomes. We explored associations between community connectedness and treatment interruptions among gay, bisexual and other men who have sex with men (gbMSM) living with HIV in Vancouver, B…
Patterns of Event-Level Concurrent Substance Use During Sex Among Gay, Bisexual, and Other Men Who Have Sex with Men in Metro Vancouver
Open AccessKiffer G Card, Tian Shen et al.ARTICLEAIDS and Behavior2023
Assessing options for poppers policy in Canada
Open AccessCameron Schwartz, Kiffer G Card et al.ARTICLEInternational Journal of Drug…2023
Measuring negative emotional responses to climate change among young people in survey research
Open AccessGina Martins, Alina Cosma et al.ARTICLESocial Science & Medicine2023
Therapeutic Potential of Psilocybin for Treating Psychological Distress among Survivors of Adverse Childhood Experiences
Kiffer G Card, Ashmita Grewal et al.ARTICLEJournal of Psychoactive Drugs2023
Survivors of adverse childhood experience are at elevated risk for psychological distress. In recent years, renewed interest in psychedelic medicine has highlighted the therapeutic potential of psilocybin for those who have experienced childhood adversity. However, recreational psilocybin use remains illegal and access to approved therapies is difficult. Such use provides an opportunity to explore the therapeutic potential of psilocybin for psych…
The relevance of communal altruism for sexual minority men in contemporary contexts
Open AccessShayna Skakoon-Sparling, Kiffer G Card et al.ARTICLEJournal of Community Psychology2023References: 76
There are many reasons why individuals engage in prosocial behavior; communal sexual altruism is based on the notion that some practice safer sex in the interest of promoting the well‐being of their community/in‐group. Given that definitions of what constitutes “safer sex” have changed with advances in human immunodeficiency virus (HIV) prevention, we investigated the importance of communal sexual altruism (herein “altruism”) among urban gay, bis…
Social position and economic system justification in Canada
Open AccessKiffer G Card, Kirk HepburnARTICLEFrontiers in Public Health2022
Objective: Many socio-economic reforms that could reduce health disparities are not implemented because people justify existing systems and fear changes thereto. This study aimed to identify socio-demographic factors associated with system justifying beliefs to better understand how they are maintained in Canada. In doing so, we hypothesized that (1) systems justification is a default cognitive position, buttressed by the palliative benefits of s…
Factors contributing to frequent police contact among young people
Alissa Greer, Alissa M Greer et al.ARTICLEDrugs Education Prevention and…2022
There is increasing recognition and attention towards the patterns of police encounters with citizens. In this study, we examine the determinants of being stopped and questioned by the police among a heterogenous sample of adolescents and young adults, who were either people who use drugs and a comparison group, in three non-metropolitan areas of British Columbia, Canada. We conducted bivariate and multivariate analyses to identify the unique var…
Strategies for engaging policy stakeholders to translate research knowledge into practice more effectively
Open AccessKate Vallance, Tim Stockwell et al.ARTICLEDrug and Alcohol Review2022
Who knows about U = U? Social positionality and knowledge about the (un)transmissibility of HIV from people with undetectable viral loads
Kiffer G Card, Finn St Denis et al.ARTICLEAIDS Care2022
"U = U" is the principle that HIV is untransmittable from people living with an undetectable HIV viral-load. Wide-spread knowledge about U = U is believed to produce public health benefit by reducing HIV-related stigma - promoting wellbeing for people living with HIV. Therefore, we examined the diffusion of U = U with respect to the social position of sexual and gender minority men (SGMM). Participants were SGMM recruited from 16 LGBTQ2S+ pride f…

Seroadaptive Strategies of Vancouver Gay and Bisexual Men in a Treatment as Prevention Environment
E A Roth, Zhiyuan Cui et al.ARTICLEJournal of Homosexuality2018Cited by: 4References: 47
British Columbia's treatment as prevention policy has provided free access to highly active antiretroviral therapy (HAART) to all HIV-positive provincial residents since 1996. One outcome is an increase in HIV-positive gay and bisexual men (GBM) with suppressed viral loads. Previous cross-sectional analyses indicated that some Vancouver GBM now recognize condomless anal sex with men on HAART who report a suppressed viral load as a seroadaptive st…
A Latent Class Analysis of Seroadaptation Among Gay and Bisexual Men
Open AccessKiffer G Card, Nathan J Lachowsky et al.ARTICLEArchives of Sexual Behavior2018Cited by: 3References: 52
Loneliness and self-rated physical health among gay, bisexual and other men who have sex with men in Vancouver, Canada
Megan E Marziali, Heather L Armstrong et al.ARTICLEJournal of Epidemiology and…2020Cited by: 2References: 46
Background Due to stigma and discrimination, gay, bisexual and other men who have sex with men (gbMSM) potentially carry a heightened burden of loneliness. This analysis investigates loneliness among gbMSM and its relationship with self-rated physical health, along with the mediating effect of depression. Methods Participants were recruited using respondent-driven sampling into the Momentum Health Study (February 2012–February 2015) with follow-u…
Longitudinal Event-Level Analysis of Gay and Bisexual Men’s Anal Sex Versatility
Lindsay Shaw, Lu Wang et al.ARTICLEThe Journal of Sex Research2019Cited by: 2References: 7
Gay and bisexual Men Who Have Sex with Men (GBM) are sexually unique in that they can practice penile-anal sex versatility, i.e. engage in insertive and receptive anal sex. Individual-level versatility is extensively researched both as a sexual behavior linked to HIV/STI transmission, and as a GBM identity that can change over time. However, there is a dearth of research on event-level versatility (ELV), defined as taking the receptive and insert…
Respondent-Driven Sampling With Youth Who Use Drugs
Open AccessMarion Selfridge, Kiffer G Card et al.ARTICLEContemporary Drug Problems2019Cited by: 1References: 26
Respondent-driven sampling (RDS) has been widely used for recruiting hard-to-sample populations, particularly men who have sex with men and people who inject drugs from large urban centers. The aim of this article was to examine the feasibility of using RDS among nonmetropolitan youth who use drugs. Between May 2017 and June 2018, RDS was used to recruit youth who use drugs, ages 16–30, in three nonmetropolitan Canadian cities. All participants c…