Aïsha Lofters
Dados Biográficos
| ID | 5131671 |
|---|---|
| NOME | Aïsha Lofters |
| PRENOMES | Aïsha |
| SOBRENOME | Lofters |
| ASSINATURA | LOFTERS A |
| AFILIAÇÕES | St. Michael's Hospital |
| ORCID | 0000-0002-7322-0894 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 47 |
| TOTAL DE CITAÇÕES | 22 |
| TOTAL COMO AUTOR | 47 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2010 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 2 |
Co-designing MedManageSCI
Background: Medications are one of the most common health-related interventions, with certain populations, such as individuals with spinal cord injury/dysfunction (SCI/D), commonly prescribed multiple medications. Consequently, adults with SCI/D often interact with multiple healthcare providers and engage in activities related to medication self-management. There are limited resources for this population that comprehensively address medication se…
Exploring the routine use of patient-reported experience measures for medications in primary healthcare in Ontario, Canada
Background: Approximately 50% of the population in North America have taken a prescription medication in the past 30 days. Despite the high use of prescription medications, formal measures to capture medication-related experiences (i.e., patient-reported experience measures; PREMs) are not routinely used in clinical practice. Measuring and optimizing patient experiences are of critical importance to ensuring value-based care. The aim of this stud…
Exploring barriers and enablers to implementation of cancer screening among primary care professionals seeing marginalized patients
Addressing cancer screening with patients experiencing marginalization requires a multi-pronged approach to care to facilitate screening. Team-based models of care may have more infrastructure and supports in place to support PCPs in addressing cancer screening with patients experiencing marginalization. Lastly, providers and teams need to work in a supportive clinical context that allows for innovation to address system barriers to promote and e…
Perceptions of cervical screening uptake amongst South Asian women in Ontario, Canada
As Ontario and many other jurisdictions around the world seek to strengthen cervical screening efforts in line with national and international goals to eliminate cervical cancer by 2040, it is critical to address underscreening. This CM study recognizes the value of engaging those most impacted by an issue, to identify and prioritize how and where to intervene to address low rates of cervical screening. To address underscreening we need to design…
Identifying what matters to Canadian adults with mobility limitations regarding experiences with medications
Background: Persons with mobility limitations generally take multiple medications to manage their condition and other health complications. There are limited assessment tools measuring the experiences with medications and their impacts on everyday life. Understanding what matters to persons about experiences with medications will inform person-centred clinical care, integrated care, ongoing monitoring, and overall quality of care. Objective: The …
DevelOPment of a ToolkIt to iMprove medicAtion self-management for persons with spinaL cord injury (Optimal-SCI)
Background: Adults with spinal cord injury/dysfunction (SCI/D) are commonly prescribed multiple medications to manage secondary conditions. Significant challenges with managing medications have been highlighted. Adults with SCI/D may interact with multiple healthcare providers and receive fragmented care specific to their medications. Prior research has also emphasized the need for more support with medication self-management among the SCI/D popu…
Multiple stakeholders’ perspectives on improving virtual cancer care for older Black adults
Introduction: Cancer is the leading cause of death in Canada. Social distancing regulations during the COVID-19 pandemic drove the rapid transitions of health care systems from in-person to virtual cancer care. Virtual care refers to the secure usage of various forms of information and communication technologies such as phone calls, video conferencing, or patient portals to facilitate/optimize the quality of patient care. Virtual care has been sh…
Anti-Black racism in Canadian health care
Perceptions of anti-Black racism and racial discrimination in Canadian health care are complex and may include intra-racial group differences. This study begins to address the dearth of empirical research documenting experiences of anti-Black racism in health care in Quebec, highlighting a continued need for serious consideration of the ways in which racism may manifest in the province, as well as a need for anti-racist advocacy. Advancing racial…
Anti-Black discrimination in primary health care
Our study suggests that multiple levels of racism, including internalized racism, must be addressed in efforts to promote health and health care equity among racialized minority groups, and particularly within Black communities
Initiatives to increase breast and cervical cancer–related knowledge, screening, and health behaviours among Black women
Both event series provided targeted opportunities for Black women to learn about prevention, risk factors, resources, and screening related to women's cancers. It is possible that, over time, such culturally tailored events can reduce or remove the stigmas associated with cancer and decrease differences in cancer-related knowledge and behaviours between racialized and non-racialized groups
Career development of international medical graduates in Canada
With limited residency positions, the majority of international medical graduates living in Canada and other developed countries cannot work as physicians. The educational experience and career development of unmatched international medical graduates (those who are not matched to a residency position) residing in Canada have never been studied. Through an innovative collaboration of provincial international medical graduate organizations, we laun…
Effect of Free Medicine Distribution on Health Care Costs in Canada Over 3 Years
ClinicalTrials.gov Identifier: NCT02744963
Multi-level strategies to improve equitable timely person-centred osteoarthritis care for diverse women
This research contributes to a gap in knowledge of how to optimize OA care for disadvantaged groups including diverse women. Ongoing efforts are needed to examine how best to implement these strategies, which will require multi-sector collaboration and must engage diverse women
Effectiveness of family-centred sexual health education and HPV self-sampling in promoting cervical cancer screening among hard-to-reach indian women in rural and tribal areas
The implementation of HPV-SS coupled with family-centered arts-based and culturally appropriate SHE is highly promising in promoting cervical cancer screening among hard-to-reach women. Evidence from our study can be used to advance public health policies and inform the scale-up of similar initiatives in other villages and states across rural India and other LMICs
Creating a patient reported outcome measure for medication-related quality of life
Introduction: Persons with mobility limitations generally take multiple medications to manage their conditions; however, healthcare providers across different settings do not currently have a way to measure the impact that medication taking has on patients’ quality of life (QoL). Current tools are limited, narrowly focused on few QoL domains and none focus on persons with mobility limitations. Target Audience: The target audience for our study fi…
Police Funding and Crime Rates in 20 of Canada's Largest Municipalities
Tandis que la littérature évaluant diverses pratiques et reformes policières continue de s’accroitre, il y a présentement peu de recherche qui examine le financement de la police au Canada. Pour décrire la situation présente du financement de la police au Canada, nous recueillissions et publions des données sur les dépenses municipales de services policiers de 2010 à 2021 de 20 des municipalités urbaines les plus peuplées au Canada. Notre analyse…
Influence of previous experience with and beliefs regarding anal cancer screening on willingness to be screened among men living with HIV
Men generally had positive beliefs and were willing to undergo screening, though there were differences by sexual orientation and racial identity. Tailored community-led initiatives could focus on men's understanding of their risk and expectations of anal cancer screening to facilitate participation
Exploring how focus on physicians impacts pharmacists’ role negotiation
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)The IJIC 20th Anniversary Issue was published in 2021
Organizational procedures can maximize pharmacists’ role in primary care teams
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)The IJIC 20th Anniversary Issue was published in 2021
Understanding medication self-management in community-dwelling adults with chronic medication experience
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)The IJIC 20th Anniversary Issue was published in 2021
Co-Designing Relational Continuity Interventions for Urban Underserved Patients Experiencing Hospital-Primary Care Transitions
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)The IJIC 20th Anniversary Issue was published in 2021
Implementing Anti-Racism Interventions in Healthcare Settings
Racism towards Black, Indigenous and people of colour continues to exist in the healthcare system. This leads to profound harm for people who use and work within these settings. This is a scoping review to identify anti-racism interventions in outpatient healthcare settings. Searching the peer-reviewed and grey literature, articles were screened for inclusion by at least two independent reviewers. Synthesizing the socio-ecological levels of inter…
Effectiveness of Narrative Messaging Styles about the Social Determinants of Health and Health Inequities in Ontario, Canada
Health inequities are systemic, avoidable, and unjust differences in health between populations. These differences are often determined by social and structural factors, such as income and social status, employment and working conditions, or race/racism, which are referred to as the social determinants of health (SDOH). According to public opinion, health is considered to be largely determined by the choices and behaviours of individuals. However…
Understanding the Acceptability and Uptake of HPV Self-Sampling Amongst Women Under- or Never-Screened for Cervical Cancer in Toronto (Ontario, Canada)
Cervical cancer remains a global public health concern, even though scientific advancements have made the disease almost entirely preventable. With the link between human papillomavirus (HPV) and cervical cancer, and the subsequent improvement in screening technology, there is potential to improve access and coverage of cervical screening with the introduction of HPV self-sampling. In Ontario, Canada, a province with a cytology-based screening pr…
Building on existing tools to improve chronic disease prevention and screening in public health
NCT03052959 , registered February 10, 2017
Experiences of everyday racism in Toronto’s health care system
Our study identifies how racialized health care users experience everyday racism when receiving health care and this is important to consider in the development of future research and interventions aimed at addressing institutional racism in the health care setting. To support the elimination of institutional racism, anti-racist policies are needed to move beyond cultural competence polices and towards addressing the centrality of unequal power s…
Migrant Live-in Caregivers Mental Health in Canada
Police Funding and Crime Rates in 20 of Canada's Largest Municipalities
Tandis que la littérature évaluant diverses pratiques et reformes policières continue de s’accroitre, il y a présentement peu de recherche qui examine le financement de la police au Canada. Pour décrire la situation présente du financement de la police au Canada, nous recueillissions et publions des données sur les dépenses municipales de services policiers de 2010 à 2021 de 20 des municipalités urbaines les plus peuplées au Canada. Notre analyse…
Anti-Black discrimination in primary health care
Our study suggests that multiple levels of racism, including internalized racism, must be addressed in efforts to promote health and health care equity among racialized minority groups, and particularly within Black communities
Classism and Everyday Racism as Experienced by Racialized Health Care Users
In Toronto, Canada, 51.5 % of the population are members of racialized groups. Systemic labor market racism has resulted in an overrepresentation of racialized groups in low-income and precarious jobs, a racialization of poverty, and poor health. Yet, the health care system is structured around a model of service delivery and policies that fail to consider unequal power social relations or racism. This study examines how racialized health care us…
Low Rates of Cervical Cancer Screening Among Urban Immigrants
OBJECTIVE: Women who are immigrants or socioeconomically disadvantaged have been found to have significantly lower cervical cancer screening rates than their peers in Toronto, Ontario, Canada. The objective of this study was to examine rates of appropriate cervical cancer screening among women living in Ontario, Canada, using recent registration with Ontario's universal health insurance plan as an indicator of immigrant status. METHODS: This retr…
Sociodemographic Data Collection in Healthcare Settings
BACKGROUND: Federal, provincial, and municipal organizations in Canada have recently begun to promote an equity agenda for their health systems, but much of the necessary data by which to identify those with social disadvantage are not currently collected. METHODS: We conducted a national survey of 1005 Canadian adults to assess the perceived importance of, and concern about, the collection of personal sociodemographic information by hospitals. W…
Public awareness of income-related health inequalities in Ontario, Canada
This is the first province-wide study in Canada, and the first in Ontario, to explore public awareness on health inequalities. Given that political will is shaped by public awareness and opinion, these results suggest that greater awareness may be required to move the health equity agenda forward in Ontario. There is a need for health equity advocates, physicians and researchers to increase the effectiveness of knowledge translation activities fo…
The “Brain Drain” of Health Care Workers
Sociodemographic data collection for health equity measurement
Monitoring inequalities in healthcare is increasingly being recognized as a key first step in providing equitable access to quality care. However, the detailed sociodemographic data that are necessary for monitoring are currently not routinely collected from patients in many jurisdictions. We undertook a mixed methods study to generate a more in-depth understanding of public opinion on the collection of patient sociodemographic information in hea…
Using geographic methods to inform cancer screening interventions for South Asians in Ontario, Canada
In this populous region of Ontario, South Asians are more likely to reside in areas with lower rates of appropriate breast, cervical and colorectal cancer screening. We have identified a high-risk area appropriate for both patient- and provider-focused interventions. Geographic Information Systems, in particular LISA analyses, can be invaluable when working with health service and community organizations to define areas with the greatest need for…
Using Organizational Network Analysis to Plan Cancer Screening Programs for Vulnerable Populations
Objectives. We examined relationships among organizations in a cancer screening network to inform the development of interventions to improve cancer screening for South Asians living in the Peel region of Ontario. Methods. From April to July 2012, we surveyed decision-makers, program managers, and program staff in 22 organizations in the South Asian cancer screening network in the Peel region. We used a network analytic approach to evaluate densi…
The validity of self-reported cancer screening history and the role of social disadvantage in Ontario, Canada
We have found that in Ontario, as in other jurisdictions, there is a pervasive tendency for people to over-report their cancer screening histories. Sociodemographic status also appears to influence over-reporting. Public health practitioners and policymakers need to be aware of the limitations of self-report and adjust their methods and interpretations accordingly
Breast cancer screening disparities among urban immigrants
To enhance immigrant women screening rates efforts should made to increase their access to primary care patient enrolment models and preferably female health professionals. Support should be provided to interventions that address screening barriers like language, acculturation limitations and knowledge deficit. Health professionals need to be educated and take an active role in offering screening guidelines during health encounters
Using Knowledge Exchange to Build and Sustain Community Support to Reduce Cancer Screening Inequities
The experiences of the PCSS illustrate the benefits of KE for researchers and community members
Cancer Screening Among Patients Who Self-Identify as Muslim
I want to save my life”
The experience of South Asian and Chinese immigrant women suggests that under and never-screened newcomers may be effectively integrated into screening programs through existing primary care networks, cultural-group specific outreach, and expanding access to convenient community -based screening
Muslim immigrant women’s views on cervical cancer screening and HPV self-sampling in Ontario, Canada
To enhance Muslim immigrant women screening uptake, efforts should made to increase 1) their knowledge of the Canadian health care system and preventive services at the time of entry to Canada, and 2) access to culturally sensitive education programs, female health professionals, and alternative modes of screening like HPV self-sampling. Health professionals need to take an active role in offering screening during health encounters, be educated a…
Expanding the meaning of ‘being a peer leader’
Engagement of community members to act as peer workers is a key feature of many community-centred health promotion programmes. However, little is known about their experiences beyond the commonly reported themes of fulfilment through helping people in need and improvement of personal confidence, self-esteem and self-care. This gap in the literature is of particular interest given increasing involvement of peer workers in community-centred program…
Better Health
NCT03052959, registered February 10, 2017
Addressing health inequities in Ontario, Canada
Findings indicate that the Ontario public is more supportive of targeted health equity interventions, but that attributions of inequities and political affiliation are important predictors of support. The Ontario public may be accepting of messaging around health inequities and the social determinants of health depending on how the message is framed (e.g., plight of the poor vs. privilege of the rich). These findings may be instructive for advoca…
Breast and Colorectal Cancer Screening Barriers Among Immigrants and Refugees
Migrant Live-in Caregivers Mental Health in Canada
Vagueness, power and public health
Amy S. Katz*a, Billie-Jo Hardyb, Michelle Firestonec, Aisha Loftersde & Melody E. Morton-Ninomiyaf a Centre for Urban Health Solutions, St. Michael's Hospital, Toronto, Canadab Well Living House, Centre for Urban Health Solutions, St. Michael's Hospital, Toronto, Canadac Well Living House, Centre for Urban Health Solutions, St. Michael's Hospital; and, Dalla Lana School of Public Health, University of Toronto, Toronto, Canadae Department of Famil…
Patients, Pride, and Prejudice
PURPOSE: Black physicians' and trainees' experiences of racism are not well documented in Canada, reflecting a knowledge gap needing correction to combat racism in Canadian health care. The authors undertook a descriptive study of Black physicians and trainees in the Canadian province of Ontario. The goal of this study was to report upon racism experienced by participant Ontarian physicians to challenge the purported rarity of racism in Canadian …
Implementing Anti-Racism Interventions in Healthcare Settings
Racism towards Black, Indigenous and people of colour continues to exist in the healthcare system. This leads to profound harm for people who use and work within these settings. This is a scoping review to identify anti-racism interventions in outpatient healthcare settings. Searching the peer-reviewed and grey literature, articles were screened for inclusion by at least two independent reviewers. Synthesizing the socio-ecological levels of inter…
Effectiveness of Narrative Messaging Styles about the Social Determinants of Health and Health Inequities in Ontario, Canada
Health inequities are systemic, avoidable, and unjust differences in health between populations. These differences are often determined by social and structural factors, such as income and social status, employment and working conditions, or race/racism, which are referred to as the social determinants of health (SDOH). According to public opinion, health is considered to be largely determined by the choices and behaviours of individuals. However…
Understanding the Acceptability and Uptake of HPV Self-Sampling Amongst Women Under- or Never-Screened for Cervical Cancer in Toronto (Ontario, Canada)
Cervical cancer remains a global public health concern, even though scientific advancements have made the disease almost entirely preventable. With the link between human papillomavirus (HPV) and cervical cancer, and the subsequent improvement in screening technology, there is potential to improve access and coverage of cervical screening with the introduction of HPV self-sampling. In Ontario, Canada, a province with a cytology-based screening pr…
Building on existing tools to improve chronic disease prevention and screening in public health
NCT03052959 , registered February 10, 2017
Classism and Everyday Racism as Experienced by Racialized Health Care Users
In Toronto, Canada, 51.5 % of the population are members of racialized groups. Systemic labor market racism has resulted in an overrepresentation of racialized groups in low-income and precarious jobs, a racialization of poverty, and poor health. Yet, the health care system is structured around a model of service delivery and policies that fail to consider unequal power social relations or racism. This study examines how racialized health care us…
Medicine (43 obras) · Nursing (28 obras) · Public health (23 obras) · Family medicine (22 obras) · Political science (19 obras) · Health care (17 obras) · Environmental health (15 obras) · Global Cancer Incidence and Screening (15 obras) · Cancer (14 obras) · Sociology (13 obras)