Introduction African, Caribbean and Black (ACB) communities are disproportionately infected by HIV in Ontario, Canada. They constitute only 5% of the population of Ontario yet account for 25% of new diagnoses of HIV. The aim of this study is to understand underlying factors that augment the HIV risk in ACB communities and to inform policy and practice in Ontario.
Methods and analysis We will conduct a cross-sectional study of first-generation and second-generation ACB adults aged 15–64 in Toronto (n=1000) and Ottawa (n=500) and collect data on sociodemographic information, sexual behaviours, substance use, blood donation, access and use of health services and HIV-related care. We will use dried blood spot testing to determine the incidence and prevalence of HIV infection among ACB people, and link participant data to administrative databases to investigate health service access and use. Factors associated with key outcomes (HIV infection, testing behaviours, knowledge about HIV transmission and acquisition, HIV vulnerability, access and use of health services) will be evaluated using generalised linear mixed models, adjusted for relevant covariates.
Ethics and dissemination This study has been reviewed and approved by the following Research Ethics Boards: Toronto Public Health, Ottawa Public Health, Laurentian University; the University of Ottawa and the University of Toronto. Our findings will be disseminated as community reports, fact sheets, digital stories, oral and poster presentations, peer-reviewed manuscripts and social media.
- HIV & AIDS
- public health
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Correction notice This article has been corrected since it was published. The author name has been updated as Akalewold Gebremeskel.
Contributors LM wrote the first draft. LM, WT, WH, LEN, MA, KA, SB, CD, OD, EE, JH, FJ-B, BK, DOL, ALK, HL, TM, PM, MN, AN, SO, CO-Z, CO, RS, SY, AH, AG, HI and JE codesigned the study and developed data collection instruments. All authors reviewed and approved the final version.
Funding This work is supported by an award/grant from The Ontario HIV Treatment Network (OHTN).This study was supported by the Canadian Institutes of Health Research through an Operating Grant in the HIV/AIDS Community Based Research (CBR) Programme.
Competing interests None declared.
Patient and public involvement Patients and/or the public were involved in the design, or conduct, or reporting, or dissemination plans of this research. Refer to the Methods section for further details.
Patient consent for publication Not required.
Provenance and peer review Not commissioned; externally peer reviewed.
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