Michel Alary
Biographic Data
| ID | 5222129 |
|---|---|
| NAME | Michel Alary |
| GIVEN NAMES | Michel |
| FAMILY NAME | Alary |
| SIGNATURE | ALARY M |
| AFFILIATIONS | Université Laval |
| ORCID | 0000-0002-0246-4429 |
| VERIFIED | Yes |
| TOTAL WORKS | 44 |
| TOTAL CITATIONS | 7 |
| AUTHOR COUNT | 44 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1997 |
| LATEST PUBLICATION YEAR | 2022 |
| H-INDEX | 2 |
HIV self-testing implementation, distribution and use among female sex workers in Cotonou, Benin: A qualitative evaluation of acceptability and feasibility
Our study shows a very high level of acceptability for HIVST among FSWs in Cotonou and its surroundings. Results also demonstrate the feasibility of implementing HIVST distribution in Benin. HIVST should be implemented in Benin quickly and free of charge for all individuals at risk of HIV. HIVST offer should be integrated with comprehensive sexual health and prevention services
Pre-exposure prophylaxis among men who have sex with men in Côte d’Ivoire: A quantitative study of acceptability
This cross sectional study was conducted in 2018 in Côte d'Ivoire to assess PrEP acceptability among men who have sex with men (MSM). Two hundred and one men were asked on their intention to use PrEP if made available. Logistic regression accounting for the sampling design was used to analyze associations between high PrEP acceptability and different independent variables including barriers and facilitators. Participants were mostly young (mean a…
Can hepatitis C elimination targets be sustained among people who inject drugs post-2030
Despite ongoing transmission risks, HCV incidence rebounds slowly after 2030 under pre-2020 testing and treatment levels. This is heightened by maintaining high-coverage harm reduction interventions. Overall, sustaining elimination would require considerably less effort than achieving it
The role of prison-based interventions for hepatitis C virus (HCV) micro-elimination among people who inject drugs in Montréal, Canada
Acceptability of pre-exposure prophylaxis (PrEP) among men who have sex with men (MSM) in Benin: A qualitative study
In Benin, consistent condom use among men who have sex with men (MSM) is relatively low and providing them with Pre-exposure prophylaxis (PrEP) could be of great relevance. We aimed to describe PrEP knowledge and intention to use it; identify key facilitators and barriers to PrEP; and describe the perceived impact of PrEP on unsafe sexual behavior. MSM, 18 years or older, HIV-negative or of unknown status, were enrolled in five cities of Benin. I…
Acceptability of pre-exposure prophylaxis for HIV prevention: Facilitators, barriers and impact on sexual risk behaviors among men who have sex with men in Benin
In Benin, not all MSM know about PrEP. But once well informed, the majority seems willing to use it if made available. The free availability of the drug and its accessibility in the MSM networks are important facilitators. The possibility of decrease in condom use should not be a barrier to the prescription of PrEP if made available
Structural determinants of health: A qualitative study on female sex workers in Benin
The objective of this paper is to expose those socio-structural contexts revealing the social injustice and human rights violations that sub-Saharan women face every day when forced into sex work by unemployment or sickness. Results of a qualitative study highlighting some key structural determinants of sex work and HIV infection among FSWs will be presented and examined through the lens of the WHO conceptual framework for action on the social de…
Incarceration history and risk of HIV and hepatitis C virus acquisition among people who inject drugs: A systematic review and meta-analysis
HIV and hepatitis C virus infections in Quebec’s provincial detention centres: Comparing prevalence and related risky behaviours between 2003 and 2014-2015
Drug use practices among people who inject drugs in a context of drug market changes: Challenges for optimal coverage of harm reduction programs
Pornography, Sexual Enhancement Products, and Sexual Risk of Female Sex Workers and their Clients in Southern India
Relationship between exposure to the Avahan intervention and levels of reported condom use among men who have sex with men in southern India
Direct contact with Avahan program staff is associated with increased reported condom use among men who have sex with men in Bangalore. Reported consistent condom use and condom use at last sex act are associated with contacts involving demonstrations of correct condom use, and with receiving condoms, respectively
Patterns of condom use by men who have sex with men before and after the Avahan intervention in Andhra Pradesh state of India
Condom use by MSM increased markedly after implementation of Avahan, though a causal association cannot be assessed with the available data. The relatively lower condom use with regular partners of MSM suggests that additional programme effort is needed to address this aspect specifically
Perspectives on condom breakage: A qualitative study of female sex workers in Bangalore, India
A qualitative study was conducted to obtain a detailed understanding of two key determinants of condom breakage - 'rough sex' and poor condom fit - identified in a recent telephone survey of female sex workers, in Bangalore, India. Transcripts from six focus-group discussions involving 35 female sex workers who reported condom breakage during the telephone survey were analysed. Rough sex in different forms, from over-exuberance to violence, was o…
Implementing for results: Program analysis of the HIV/STI interventions for sex workers in Benin
HIV response has entered a new era shaped by evidence that the combination of interventions impacts the trajectory of the epidemic. Even proven interventions, however, can be ineffective if not to scale, appropriately implemented, and with the right combination. Benin is among the pioneering countries that prioritized HIV prevention for sex workers and clients early on. Effective implementation up to 2006 resulted in consistent condom use among s…
Sexual behaviour after antiretroviral therapy initiation in female sex workers and HIV-positive patients from the general population, Cotonou, Benin
From September 2008 to December 2011, we enrolled and followed-up 247 HIV-negative, 88 untreated and 32 treated HIV-positive female sex workers (FSWs), as well as 238 untreated and 115 treated HIV-positive patients from the general population (GP) of Cotonou, Benin. We wanted to assess the effect of antiretroviral therapy (ART) on sexual risk-taking in FSWs and patients from the GP. We used multivariate log binomial regression models for repeated…
Vulnerability re-assessed: The changing face of sex work in Guntur district, Andhra Pradesh
We conducted a qualitative study to examine the impact of an HIV prevention programme on female sex workers' lives in Guntur district, Andhra Pradesh. The study found evidence that, in addition to the HIV prevention programme, structural and environmental factors had recently changed the way sex work was being practiced. Recent closure of the brothels and implementation of a late-night street curfew by the police meant sex work had become more hi…
The feasibility of using mobile phone technology for sexual behaviour research in a population vulnerable to HIV: A prospective survey with female sex workers in South India
Sexual behaviour studies are often challenged by sampling, participation and measurement biases, and may be unacceptable to participants. We invited 293 randomly selected female sex workers (FSWs) in Bangalore, India, to participate in a telephone survey, with condom breakage as the main outcome. Free cell phones were supplied and trained interviewers telephoned FSWs daily to ask about all sex acts the previous day. Later, we undertook focus grou…
Female Sex Worker Client Behaviors Lead to Condom Breakage: A Prospective Telephone-Based Survey in Bangalore, South India
Gender relations and risks of HIV transmission in South India: The discourse of female sex workers' clients
In South India, where the majority of the country's cases of HIV are concentrated, transmission of infection occurs mainly within networks composed of female sex workers, their clients and the other sexual partners of the latter. This study aims to determine how gender relations affect the risks of HIV transmission in this region. Semi-structured interviews were carried out with 30 clients and analysed qualitatively. Results show that clients per…
Use of routine data collected by the prevention of mother-to-child transmission program for HIV surveillance among pregnant women in Rwanda: Opportunities and limitations
To compare HIV prevalence measured by antenatal clinics (ANC) sentinel surveillance and by the prevention of mother-to-child transmission (PMTCT) program in Rwanda. We compared HIV prevalence from anonymous testing performed under ANC surveillance, and that measured from voluntary counselling and testing performed under the PMTCT program, in a random sample of the same population of pregnant women attending for their first antenatal visit at 29 A…
A dose-response relationship between exposure to a large-scale HIV preventive intervention and consistent condom use with different sexual partners of female sex workers in southern India
Study findings suggest that exposure to a large-scale HIV intervention for FSWs was associated with increased CCU with commercial clients. Moreover, there were dose-response relationships between CCU with clients and increased duration since first contacted by staff, times contacted by staff and number of condom demonstrations. Additional program effort is required to increase condom use with non-commercial partners
The costs of HIV prevention for different target populations in Mumbai, Thane and Banglalore
Avahan, the India AIDS Initiative, delivers HIV prevention services to high-risk populations at scale. Although the broad costs of such HIV interventions are known, to-date there has been little data available on the comparative costs of reaching different target groups, including female sex workers (FSWs), replace with ‘high risk men who have sex with men (HR-MSM) and trans-genders. Costs are estimated for the first three years of Avahan scale u…
Determinants of condom breakage among female sex workers in Karnataka, India
The reported incidence of condom breakage was high in this study, and this is a major concern for HIV/STI prevention programs, for which condom use is a key prevention tool. Younger and more marginalized female sex workers were most vulnerable to condom breakage. Special effort is therefore required to seek out such women and to provide information and skills on correct condom use. More research is also needed on what specific situational paramet…
Changes in HIV knowledge, and socio-cultural and sexual attitudes in South India from 2003-2009
Despite increases over time in HIV-related knowledge and reductions in stigmatizing attitudes, resistance to changing cultural mores was apparent, with less willingness to embrace openness and discuss sexuality. Young and female respondents appeared to be the most resistant to change, reflecting a cultural inertia that mirrors studies of other pressures on traditional societal values. More effort is required to advocate among women and young peop…
Risk Behaviours and HIV Infection Among Men Having Sexual Relations with Men: Baseline Characteristics of Participants in the Omega Cohort Study, Montreal, Quebec, Canada
Prison Inmates’ Intention to Demand That Bleach Be Used for Cleaning Tattooing and Piercing Equipment
HIV and hepatitis C virus infections in Quebec’s provincial detention centres: Comparing prevalence and related risky behaviours between 2003 and 2014-2015
Lack of Evidence of Sexual Transmission of Hepatitis C Virus in a Prospective Cohort Study of Men Who Have Sex With Men
Objectives. We studied the prevalence and incidence of hepatitis C virus (HCV) infection in the ongoing Omega Cohort Study of men who have sex with men (MSM). Methods. From January to September 2001, consenting men (n = 1085) attending a follow-up visit to the ongoing Omega Cohort Study were tested for HCV. If the test results were positive for HCV, we compared them with test results from previous serum samples collected from the time of entry in…
Evaluation of the Quebec Public Information Campaign and Human Immunodeficiency Virus (HIV) Antibody Screening Program Directed to Persons Transfused Between 1978 and 1985
Prevalence of Chlamydial Infection and Frequency of Risk Behaviours for STDs and HIV Infection among Adolescents in Public Juvenile Facilities in the Province of Quebec
Drogues, pauvreté et VIH: Données en provenance du programme d’échange de seringues Point de Repères, Québec
Risk Behaviours and HIV Infection Among Men Having Sexual Relations with Men: Baseline Characteristics of Participants in the Omega Cohort Study, Montreal, Quebec, Canada
Conditions for widespread heterosexual spread of HIV in the Russian Federation: Implications for research, monitoring and prevention
Lack of Evidence of Sexual Transmission of Hepatitis C Virus in a Prospective Cohort Study of Men Who Have Sex With Men
Objectives. We studied the prevalence and incidence of hepatitis C virus (HCV) infection in the ongoing Omega Cohort Study of men who have sex with men (MSM). Methods. From January to September 2001, consenting men (n = 1085) attending a follow-up visit to the ongoing Omega Cohort Study were tested for HCV. If the test results were positive for HCV, we compared them with test results from previous serum samples collected from the time of entry in…
Preventing HIV transmission among marginalized injection drug users: New insights from a Québec City based research
HIV and ethnicity in Canada: Is the HIV risk-taking behaviour of young foreign-born MSM similar to Canadian born MSM
There is a dearth of information on the HIV risk-taking behaviour of foreign-born men who have sex with men (MSM) in Canada. This study focused on identifying sexual risk behaviour among MSM who immigrated to Canada and compared them to MSM who were born in Canada. Baseline data from the Omega Cohort in Montreal and the Vanguard Project in Vancouver were combined to form four ethnicity/race analytical categories (n = 1,148): White born in Canada …
Correlates of Condom Use among Sex Workers and Their Boyfriends in Three West African Countries
Prison Inmates’ Intention to Demand That Bleach Be Used for Cleaning Tattooing and Piercing Equipment
Satisfaction with health services for STIs, HIV, Aids among a high-risk population in West Africa
The goal of this study was to develop an instrument and assess the degree of satisfaction regarding HIV/STIs services for women working in, associated with, or living in or nearby, prostitution environments. This study took place in seven West-African countries (Benin, Burkina Faso, Ghana, Mali, Niger, Senegal, Togo) participating in the West Africa Aids Program (AIDS3). A validated six-dimension questionnaire was used to interview 698 women. The…
Heterosexual risk of HIV-1 infection per sexual act: Systematic review and meta-analysis of observational studies
A Randomized Trial to Evaluate the Efficacy of a Computer-Tailored Intervention to Promote Safer Injection Practices Among Drug Users
Correlates of Unprotected Anal Sex at Last Sexual Episode: Analysis from a Surveillance Study of Men who have Sex with Men in Montreal
Notes on the Frequency of Routinely Collected and Self-Reported Behavioral Data in HIV Prevention Trials
Use of routine data collected by the prevention of mother-to-child transmission program for HIV surveillance among pregnant women in Rwanda: Opportunities and limitations
To compare HIV prevalence measured by antenatal clinics (ANC) sentinel surveillance and by the prevention of mother-to-child transmission (PMTCT) program in Rwanda. We compared HIV prevalence from anonymous testing performed under ANC surveillance, and that measured from voluntary counselling and testing performed under the PMTCT program, in a random sample of the same population of pregnant women attending for their first antenatal visit at 29 A…
A dose-response relationship between exposure to a large-scale HIV preventive intervention and consistent condom use with different sexual partners of female sex workers in southern India
Study findings suggest that exposure to a large-scale HIV intervention for FSWs was associated with increased CCU with commercial clients. Moreover, there were dose-response relationships between CCU with clients and increased duration since first contacted by staff, times contacted by staff and number of condom demonstrations. Additional program effort is required to increase condom use with non-commercial partners
The costs of HIV prevention for different target populations in Mumbai, Thane and Banglalore
Avahan, the India AIDS Initiative, delivers HIV prevention services to high-risk populations at scale. Although the broad costs of such HIV interventions are known, to-date there has been little data available on the comparative costs of reaching different target groups, including female sex workers (FSWs), replace with ‘high risk men who have sex with men (HR-MSM) and trans-genders. Costs are estimated for the first three years of Avahan scale u…
Determinants of condom breakage among female sex workers in Karnataka, India
The reported incidence of condom breakage was high in this study, and this is a major concern for HIV/STI prevention programs, for which condom use is a key prevention tool. Younger and more marginalized female sex workers were most vulnerable to condom breakage. Special effort is therefore required to seek out such women and to provide information and skills on correct condom use. More research is also needed on what specific situational paramet…
Changes in HIV knowledge, and socio-cultural and sexual attitudes in South India from 2003-2009
Despite increases over time in HIV-related knowledge and reductions in stigmatizing attitudes, resistance to changing cultural mores was apparent, with less willingness to embrace openness and discuss sexuality. Young and female respondents appeared to be the most resistant to change, reflecting a cultural inertia that mirrors studies of other pressures on traditional societal values. More effort is required to advocate among women and young peop…
Condom use within non-commercial partnerships of female sex workers in southern India
This study revealed important patterns and interpersonal determinants of condom use within non-commercial partnerships of FSWs. Integrated structural and community-driven HIV/STI prevention programs that focus on gender and reduce sex work stigma should be investigated to increase condom use in non-commercial partnerships
Heterogeneity of the HIV epidemic in the general population of Karnataka state, south India
The HIV epidemic in Karnataka shows considerable heterogeneity, and there appears to be an increasing gradient in HIV prevalence from south to north. The sex work structure in the northern districts may explain the higher prevalence of HIV in northern Karnataka. The higher prevalence of HIV and HSV-2 and lower prevalence of curable STIs in Belgaum suggests a later epidemic phase. Similarly, higher prevalence of curable STIs and lower HIV and HSV-…
Neglected Issues and Hypotheses Regarding the Impact of Sexual Concurrency on HIV and Sexually Transmitted Infections
Polling Booth Surveys: A Novel Approach for Reducing Social Desirability Bias in HIV-Related Behavioural Surveys in Resource-Poor Settings
The feasibility of using mobile phone technology for sexual behaviour research in a population vulnerable to HIV: A prospective survey with female sex workers in South India
Sexual behaviour studies are often challenged by sampling, participation and measurement biases, and may be unacceptable to participants. We invited 293 randomly selected female sex workers (FSWs) in Bangalore, India, to participate in a telephone survey, with condom breakage as the main outcome. Free cell phones were supplied and trained interviewers telephoned FSWs daily to ask about all sex acts the previous day. Later, we undertook focus grou…
Medicine (41 works) · HIV, Drug Use, Sexual Risk (32 works) · HIV/AIDS Research and Interventions (29 works) · Family medicine (28 works) · Demography (25 works) · Human immunodeficiency virus (HIV (25 works) · Sex work and related issues (24 works) · Environmental health (21 works) · Population (21 works) · Public health (21 works)