Publications by authors named "Trevor Hart"

Background: Oral human papillomavirus (HPV) infections are a leading cause of oropharyngeal cancers. In 2015 and 2016, HPV vaccines became publicly funded for gay, bisexual, and other men who have sex with men (GBM) under 27 years of age in most Canadian provinces.

Methods: Between 2017 and 2019, sexually active GBM in Montreal, Toronto, and Vancouver were recruited through respondent-driven sampling.

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  • The study examined the prevalence and factors associated with intimate partner violence (IPV) among gay, bisexual, and other men who have sex with men (GBM) in Canada from 2017 to 2022, revealing high rates of both IPV experience (31%) and perpetration (17%) among participants.
  • Data from 1455 GBM showed that during follow-up, IPV experience (6%) was more common than perpetration (4%), and certain factors like prior IPV experience and substance use significantly increased the risk of both experiencing and perpetrating IPV.
  • Despite the COVID-19 pandemic, rates of IPV remained stable over time, indicating a need for targeted interventions that address underlying determinants such as marginalization and substance use
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Background And Purpose: Minority stressors have been linked with alcohol use among transgender and gender diverse (TGD); however, no ecological momentary assessment studies have examined daily links between minority stress and alcohol use specifically among TGD. This study examined gender minority stressors and resilience as predictors of same-day or momentary alcohol-related outcomes. Feasibility and acceptability of procedures were evaluated.

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Background: The bacteria has been identified as a causative agent of urethritis in men, especially in gay, bisexual and other men who have sex with men (gbMSM). Canadian clinic-based data have identified a high prevalence of and resistance to antibiotic treatments. This article estimates the prevalence of infections among Montréal gbMSM, explores correlates for infection and estimates the prevalence of mutations associated with antimicrobial resistance (AMR).

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Aims: To cope with homonegativity-generated stress, gay, bisexual and other men who have sex with men (GBM) use more mental health services (MHS) compared with heterosexual men. Most previous research on MHS among GBM uses data from largely white HIV-negative samples. Using an intersectionality-based approach, we evaluated the concomitant impact of racialization and HIV stigma on MHS use among GBM, through the mediating role of perceived discrimination (PD).

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  • The study examines how both distal (external) and proximal (internal) stressors affect alcohol use among gay, bisexual, and other men who have sex with men (GBM), considering the impact of anxiety and depression as mediators.
  • Researchers analyzed data from 2,449 GBM across major Canadian cities, using advanced statistical methods to identify relationships between stressors, mental health, and alcohol consumption.
  • The findings indicate that while distal stress leads to increased proximal stress and mental health issues, the direct effects on alcohol use are more complex, with anxiety and depression playing differing roles in alcohol consumption and problems.
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  • Positive attitudes towards HIV treatment among gay, bisexual, and other men who have sex with men (GBM) may lead to riskier sexual behaviors that increase the chances of bacterial STIs.
  • A study involving 2449 GBM discovered a direct link between favorable HIV treatment attitudes and higher rates of current STI diagnoses, particularly through pathways of having more male anal sex partners and engaging in condomless anal sex.
  • The findings stress the need for healthcare providers to educate GBM about the risks attached to these attitudes in order to improve sexual health counseling, testing, and prevention strategies.
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Introduction: Erectile dysfunction (ED) has been established as a comorbidity among men living with HIV, but comparisons by HIV serostatus of ED incidence in a longitudinal follow-up cohort of men are lacking. We sought to evaluate the incidence of ED spanning a period of 12 years in a longitudinal cohort of sexual minority men (SMM) living with and without HIV.

Methods: We analyzed ED incidence data for 625 participants in the longitudinal Multicenter AIDS Cohort Study from visits spanning October 2006 to April 2019.

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Background: The 2022-2023 global mpox outbreak disproportionately affected gay, bisexual, and other men who have sex with men (GBM). We investigated differences in GBM's sexual partner distributions across Canada's 3 largest cities and over time, and how they shaped transmission.

Methods: The Engage Cohort Study (2017-2023) recruited GBM via respondent-driven sampling in Montréal, Toronto, and Vancouver (n = 2449).

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Background: The secondary impacts of the COVID-19 pandemic may disproportionately affect gay, bisexual, and other men who have sex with men (GBM), particularly related to HIV prevention and treatment outcomes. We applied syndemic theory to examine PrEP disruptions during the during the height of the COVID-19 pandemic in Vancouver, Canada.

Methods: Sexually-active GBM, aged 16 + years, were enrolled through respondent-driven sampling (RDS) from February 2017 to August 2019.

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  • The study investigated the attitudes of gay, bisexual, and other men who have sex with men (GBM) towards amphetamine use and factors influencing the reduction of such use over time in Canadian cities.
  • A total of 2,449 participants were recruited, with a significant percentage reporting past six-month amphetamine use, but only a small fraction felt they needed substantial help to reduce it.
  • The research found that those who perceived their amphetamine use as problematic were less likely to successfully reduce their consumption, highlighting the need for tailored interventions for individuals struggling with substance use perceptions.
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Bidirectional intimate partner violence (IPV), the reporting of both IPV victimization and perpetration, is likely the most common form of violence among gay, bisexual, and other sexual minority men (GBM) and is thought to be part of a larger syndemic of stressors. This purpose of this study was to examine associations between syndemic factors and lifetime bidirectional IPV among GBM in three Canadian cities to inform future interventions. Data from GBM ( = 2449) were used to fit three logistic regression models with lifetime bidirectional IPV as the outcome and four syndemic factors (i.

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Objective: Epidemics impact individuals unevenly across race, gender, and sexuality. In addition to being more vulnerable to COVID-19 infection, evidence suggests racialized gender and sexual minorities experienced disproportionate levels of discrimination and stigma during the COVID-19 epidemic. Drawing on Critical Race Theory (CRT), we examined the experiences of gay, bisexual, queer, and other men who have sex with men (GBQM) of colour facing discrimination during COVID-19.

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This is an introduction to the special issue "Vaccine Hesitancy and Refusal." This special issue of examines various aspects of vaccine hesitancy using a health psychology lens. The timing of this issue, following a call for papers issued in the summer of 2021, in the midst of the COVID-19 pandemic, is reflected in the focus on COVID-19 vaccine hesitancy in the papers included here.

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The COVID-19 pandemic led to the widespread adoption of virtual care-the use of communication technologies to receive health care at home. We explored the differential impacts of the rapid transition to virtual care during the COVID-19 pandemic on health-care access and delivery for gay, bisexual and queer men (GBQM), a population that disproportionately experiences sexual and mental health disparities in Canada. Adopting a sociomaterial theoretical perspective, we analysed 93 semi-structured interviews with GBQM (n = 93) in Montreal, Toronto and Vancouver, Canada, conducted between November 2020 and February 2021 (n = 42) and June-October 2021 (n = 51).

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Background: The Engage Study is a longitudinal biobehavioral cohort study of gay, bisexual and other men who have sex with men (GBM) in Toronto, Montreal, and Vancouver. Baseline data (2,449 participants) were collected from February 2017 - August 2019 using respondent-driven sampling (RDS). Recruitment in Montreal required fewer seeds, had a much shorter recruitment period, and recruited the largest sample.

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  • In Canada, gay, bisexual, and other men who have sex with men (GBMSM) historically faced deferrals from donating blood due to HIV risk concerns, but new shorter deferral policies have changed the landscape.
  • The study examined the willingness and eligibility of GBMSM to donate blood under both the 12-month and 3-month deferral policies using data from the #iCruise study, which surveyed 447 participants.
  • Results showed that under the 12-month policy, only 5.4% were both willing and eligible to donate blood, but this significantly improved to 12.3% under the 3-month policy, indicating a trend towards increased willingness based on factors like age, ethnicity, and
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This study evaluated the association between resilience and PrEP use among a population-based sample of Canadian gay, bisexual, and other men who have sex with men (GBM). Sexually active GBM aged ≥ 16 years old were recruited via respondent-driven sampling (RDS) in Toronto, Montreal, and Vancouver from 02/2017 to 07/2019. We conducted a pooled cross-sectional analysis of HIV-negative/unknown GBM who met clinical eligibility for PrEP.

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Background: Self-report of human papillomavirus (HPV) vaccination has ~80-90% sensitivity and ~75-85% specificity. We measured the effect of nondifferential exposure misclassification associated with self-reported vaccination on vaccine effectiveness (VE) estimates.

Methods: Between 2017-2019, we recruited sexually active gay, bisexual, and other men who have sex with men aged 16-30 years in Canada.

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Background: Real-world evidence of human papillomavirus (HPV) vaccine effectiveness (VE) against longitudinal outcomes is lacking among gay, bisexual, and other men who have sex with men (GBM). We compared 12-month incidence and persistence of anal HPV infection between vaccinated and unvaccinated GBM.

Methods: We recruited GBM aged 16-30 years in Montreal, Toronto, and Vancouver, Canada, from 2017 to 2019.

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  • The study investigates how crystal methamphetamine use impacts the risk of sexually transmitted infections (STIs) among gay, bisexual, and other men who have sex with men (GBM) by exploring attitudes toward condoms and sexual escape motives.
  • Using data from over 2400 sexually active GBM in Canada, researchers identified indirect relationships linking crystal methamphetamine risk with bacterial STI diagnoses through sexual behaviors and attitudes.
  • Findings suggest that public health interventions should focus on addressing the attitudes and practices related to sexual health to effectively reduce STI risks among GBM who use crystal meth.
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In efforts to prevent the spread of COVID-19, jurisdictions across the globe, including Canada, enacted containment measures that affected intimacy and sexual relations. This article examines how public health measures during COVID-19 impacted the sexual practices of sexual minority men- gay, bisexual, queer and other men who have sex with men-and how they adopted and modified guidelines to prevent the transmission of COVID-19, HIV and other sexually transmitted infections (STIs). We conducted 93 semi-structured interviews with men ( = 93) in Montreal, Toronto and Vancouver, Canada, between November 2020 to February 2021 ( = 42) and June to October 2021 ( = 51).

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  • Accessibility of pre-exposure prophylaxis (PrEP) in Canada varies by province, with British Columbia offering full public funding since January 2018, while Ontario and Montreal have more limited coverage and potential out-of-pocket costs.
  • A study involving 2,008 gay, bisexual, and other men who have sex with men (GBM) from Toronto, Vancouver, and Montreal found that PrEP awareness was high (88%), but initial use was only 22.5%, with significant increases in usage over time across all cities.
  • The results indicated that Vancouver had the highest PrEP usage rates compared to Montreal, attributed partly to the availability of free public funding in BC; enhancing public funding for PrEP could help further improve
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