Carmen Logie

Carmen Logie
University of Toronto | U of T · Factor-Inwentash Faculty of Social Work

MSW, PhD

About

310
Publications
58,119
Reads
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7,258
Citations
Introduction
Carmen Logie is the Canada Research Chair in Global Health Equity and Social Justice. She is an Associate Professor at the Factor-Inwentash Faculty of Social Work, University of Toronto. Her research focuses on stigma and discrimination and their association with sexual and reproductive health and rights, in addition to intervention research. Check out her latest podcast 'Everybody Hates Me' on stigma! https://www.buzzsprout.com/1024792
Additional affiliations
June 2012 - June 2013
The University of Calgary
Position
  • Professor (Assistant)

Publications

Publications (310)
Article
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Forcibly displaced people often lack access to adequate sexual and reproductive health services. Carmen Logie and colleagues examine the role of self care interventions in filling the gap
Article
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Introduction: HIV-related risks may be exacerbated in humanitarian contexts. Uganda hosts 1.3 million refugees, of which60% are aged under 18. There are knowledge gaps regarding HIV testing facilitators and barriers, including HIV and intersecting stigmas, among urban refugee youth. In response, we explored experiences and perspectives towards HIV...
Article
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This commentary explores the missing discourse of sexual rights and sexual pleasure in the Sustainable Development Goals (SDG) that purport to leave no one behind. The SDG propose a welcome focus on sexual health and human rights for all, expanding beyond the Millennium Development Goals. While promising in many ways for advancing global sexual and...
Article
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Background Innovation is needed to produce sustained improvements in bacterial sexually transmitted infections (STI) testing given suboptimal access and uptake among sexually active gay, bisexual or other men who have sex with men (GBM). Yet, the STI testing processes and technologies that best address local testing barriers among GBM in Toronto is...
Article
Clinical trials are considered the gold standard for establishing efficacy of health interventions, determining which interventions are brought to scale in health care and public health programs. Digital clinical trials, broadly defined as trials that have partial to full integration of technology across implementation, interventions, and/or data c...
Article
Objective: The objective of this review is to characterize the state of literature regarding forcibly displaced persons' sexual and reproductive health in urban areas in low- and middle-income countries. Specific objectives include describing the sexual and reproductive health outcomes among forcibly displaced persons relocating in urban environme...
Article
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Among women who exchange sex (WES), social cohesion is associated with multi-level HIV-risk reduction factors, and client condom coercion (CCC) is associated with increased HIV-risk. Sexual minority WES (SM-WES) face exacerbated HIV-risk, yet relevant research is scant. We examined the role of sexual orientation in the relationship between social c...
Article
Sexting is increasing among adolescents globally and may be an indicator of sexual activity. Yet researchers know little about sexting patterns of forcibly displaced urban adolescents. We sought to identify patterns of sexting among these adolescents and to determine how sexting patterns differed by adolescents’ digital technology use, support of e...
Article
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Adolescents in sub-Saharan Africa, specifically adolescent girls and young women, young men who have sex with men, transgender persons, persons who use substances, and adolescents experiencing homelessness experience intersectional stigma, have a high incidence of HIV and are less likely to be engaged in HIV prevention and care. We conducted a them...
Article
Objectives: To explore the associations between intersectional poverty, HIV, gender, and racial stigma, adherence to antiretroviral therapy (ART), and viral suppression among women living with HIV (WLHIV). Design: We examined intersectional stigmas, self-report ART adherence, and viral suppression using cross-sectional data. Methods: Participa...
Article
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Despite the global phenomenon of refugee urbanization, little is known of relational contexts that shape HIV testing among urban refugee youth. We explored perspectives, experiences, and preferences for social support in HIV testing among refugee youth aged 16–24 in Kampala, Uganda. We conducted five focus groups with refugee youth (n = 44) and fiv...
Article
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Background Interactions between substance use, violence, HIV and AIDS, known as the ‘SAVA’ syndemic, are understudied among refugee youth. We assessed the synergistic effects of frequent alcohol use, depression and violence on HIV vulnerability among urban refugee youth aged 16–24 years in Kampala, Uganda. Methods We conducted a cross-sectional su...
Article
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Introduction: Women living with HIV across global contexts are disproportionately impacted by food insecurity and housing insecurity. Food and housing insecurity are resource insecurities associated with poorer health outcomes among people living with HIV. Poverty, a deeply stigmatized phenomenon, is a contributing factor towards food and housing...
Article
The theory of syndemics has received increasing attention in clinical medicine since the onset of the COVID-19 pandemic, due to the synergistic interactions of the disease with pre-existing political, structural, social and health conditions. In simple terms, syndemics are synergistically interacting epidemics that occur in a particular context wit...
Article
There is a dearth of evidence-based post-rape clinical care interventions tailored for refugee adolescents and youth in low-income humanitarian settings. Comics, a low-cost, low-literacy and youth-friendly method, integrate visual images with text to spark emotion and share health-promoting information. We evaluated a participatory comic interventi...
Article
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This paper presents empirical and methodological findings from an art-based, participatory process with a group (n = 16) of adolescent and young advisors in the Western Cape Province of South Africa. In a weekend workshop, participants reflected on their participation in 12 years of health and development-related research through theatre, song, vis...
Article
Limited research has evaluated sexual health promotion projects with adolescents living in Arctic regions. The study objective was to examine changes in STI knowledge and safer sex efficacy among youth in the Northwest Territories (NWT), Canada who participated in arts-based sexual health workshops. We used a pre/post-test design with a convenience...
Article
Sex workers may use Information and Communication Technology (ICT) as a means to mitigate occupational health and safety (OHS) risks by exchanging harm reduction techniques (e.g., screening) on blogs and social media. ICTs can also assist sex workers in creating online communities, where community members can act as each other's safety check-ins, a...
Article
Sexual and gender minority populations are at elevated risk of experiencing suicidal thoughts and attempting suicide. The COVID-19 pandemic exacerbated mental health and substance use challenges among this population. We aimed to examine the relative importance and effects of intersectional factors and strong interactions associated with the risk o...
Article
The high burden of HIV in sub-Saharan Africa places significant demands on healthcare services. Interventions such as HIV self-testing, and pre- and post-exposure prophylaxis (PrEP and PEP) could empower individuals to determine their HIV status and prevent HIV acquisition. In 2018, the World Health Organisation disseminated an online, anonymous, g...
Preprint
Background: For the past twenty-five years, sex workers have been using Information and Communication Technologies, such as the Internet, websites, emails, blogs, texting, mobile phones, and social media, to receive and exchange occupational health and safety information. However, previous research has indicated that sex workers would prefer to use...
Article
Background: Sexual relationship power (SRP) inequities, including having a controlling partner, have not been widely examined among women living with HIV (WLWH). We measured prevalence, and key outcomes of relationship control among WLWH in Canada. Methods: Baseline data from WLWH (≥16 years), reporting consensual sex in the last month enrolled...
Article
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Given the global growth of adolescent texting, we evaluate texting-based sexual communication as a potential site for interventions encouraging condom use cascades, particularly among displaced adolescents—a population with disproportionate levels of sexually transmitted infections, including HIV. With data from 242 forcibly displaced adolescents i...
Article
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Action on the World Health Organization Consolidated guideline on sexual and reproductive health and rights of women living with HIV requires evidence-based, equity-oriented, and regionally specific strategies centred on priorities of women living with HIV. Through community–academic partnership, we identified recommendations for developing a natio...
Article
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Introduction: Sex workers are disproportionately impacted by the HIV pandemic across global contexts, in part due to social and structural contexts of stigma and criminalization. Among women living with HIV, there is a dearth of longitudinal information regarding dynamics of sex work engagement and associated social and health outcomes. In order t...
Article
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Critical hope centres optimism and possibilities for change in the midst of struggles for social justice. It was a central tenet of early participatory pedagogy and HIV research. However, critical hope has been overlooked in contemporary HIV research that largely focuses on risk and biomedical interventions in ways that obscure collective agency an...
Article
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Background Urban refugee youth may live in social contexts characterized by structural drivers of HIV such as poverty and violence. Knowledge gaps remain regarding HIV testing practices among urban refugee youth, despite the increasing trend toward refugee settlement in urban contexts. This study examined social contextual factors associated with l...
Article
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Self-care interventions hold the potential to improve sexual and reproductive health (SRH) and well-being. Yet key knowledge gaps remain regarding how knowledge and uptake vary across different types of self-care interventions. There is also limited understanding of health workers' confidence in promoting SRH self-care interventions, and how this m...
Article
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Objectives People living with human immunodeficiency virus in Canada can face criminal charges for human immunodeficiency virus non-disclosure before sex, unless a condom is used and their viral load is <1500 copies/mL. We measured the reported impact of human immunodeficiency virus non-disclosure case law on violence from sexual partners among wom...
Article
Purpose of review: The purpose of this review is to identify themes across articles that aimed to explore HIV-related syndemics in 2020 and 2021 and to discuss their implications for research on syndemics. Recent findings: We identified 189 articles on syndemics between 2020 and 2021. Key themes across studies included COVID-19; mental health an...
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Introduction Extreme weather events caused by climate change pose a risk to mental health. Illustrating this reality, this study estimates the impact of the 2021 Western North American heat dome (June 25th, 2021 – July 1st, 2021) on climate change anxiety among British Columbians. Methods We conducted an online survey of British Columbians, aged ≥...
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Objectives We assessed the prevalence and correlates of sexual concerns and associated distress among women living with HIV in Canada. Methods We analyzed cross-sectional survey data from the Canadian HIV Women’s Sexual and Reproductive Health Cohort Study (2017–2018). Self-identified women living with HIV were asked about sexual concerns post-HIV...
Article
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Background Men with have sex with men (MSM) in Africa face high levels of stigma due to elevated HIV exposure (actual or perceived), same-sex practices, and gender non-conformity. These stigmas are documented barriers to HIV prevention and treatment. Most stigma-reduction interventions have focused on single-level targets (e.g., health care facilit...
Preprint
BackgroundHIV-related stigma negatively impacts HIV prevention, care, and treatment particularly children and adolescents in sub-Saharan Africa. Interventions that are culturally-grounded and relevant to address the root causes of stigma may reduce the stigma experienced by HIV positive and affected young people. This study in a post-conflict, rura...
Article
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Background: Transgender (trans) women face constrained access to gender-affirming HIV prevention and care. This is fueled in part by the convergence of limited trans knowledge and competency with anti-trans and HIV-related stigmas among social and healthcare providers. To advance gender-affirming HIV service delivery we implemented and evaluated '...
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Introduction The entangled health and economic crises fueled by COVID-19 have exacerbated the challenges facing Venezuelan migrants. There are more than 5.6 million Venezuelan migrants globally and almost 80% reside throughout Latin America. Given the growing number of Venezuelan migrants and COVID-19 vulnerability, this rapid scoping review examin...
Article
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Purpose : There is scant research examining urban refugee youth mental health outcomes, including potential impacts of the COVID-19 pandemic. We examine prevalence and ecosocial risk factors of depression in the periods before and after the COVID-19 pandemic declaration among urban refugee youth in Kampala, Uganda. Methods : Data from a cohort of...
Article
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Introduction With over 82.4 million forcibly displaced persons worldwide, there remains an urgent need to better describe culturally, contextually and age-tailored strategies for preventing COVID-19 in humanitarian contexts. Knowledge gaps are particularly pronounced for urban refugees who experience poverty, overcrowded living conditions and poor...
Article
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Background: Existing data on COVID-19 disparities among vulnerable populations portend excess risk for lesbian, gay, bisexual, transgender (LGBT) and other persons outside of heteronormative and cisgender identities (i.e., LGBT+). Owing to adverse social determinants of health, including pervasive HIV and sexual stigma, harassment, violence, barri...
Preprint
BACKGROUND Existing data on COVID-19 disparities among vulnerable populations portend excess risk for lesbian, gay, bisexual, transgender (LGBT) and other persons outside of heteronormative and cisgender identities (i.e., LGBT+). Owing to adverse social determinants of health, including pervasive HIV and sexual stigma, harassment, violence, barrier...
Article
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Introduction The effects of climate change and associated extreme weather events (EWEs) present substantial threats to well-being. EWEs hold the potential to harm sexual health through pathways including elevated exposure to HIV and other sexually transmitted infections (STIs), disrupted healthcare access, and increased sexual and gender-based viol...
Article
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Previous research has established that gender and sexual minority (2SLGBTQ+) youth experience worse mental health and substance use outcomes than their heterosexual and cisgender counterparts. Research suggests that mental health and substance use concerns have been exacerbated by the COVID-19 pandemic. The current study used self-reported online s...
Article
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Background LGBTQ2S youth are overrepresented among youth experiencing homelessness and experience significantly higher rates of mental health issues compared to heterosexual and cisgender youth. COVID-19 related challenges for LGBTQ2S youth experiencing homelessness remain unknown. To address this gap, this study aimed to understand the impacts of...
Article
Objective To: (1) describe the prevalence of key reproductive health outcomes (e.g., pregnancy, unintended pregnancy; abortion); and (2) examine social-structural correlates, including HIV stigma, of having key sexual and reproductive health (SRH) priorities met by participants’ primary HIV provider, among women living with HIV. Methods Data were...
Article
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With over 1.4 million refugees, Uganda is Sub-Saharan Africa’s largest refugee-hosting nation. Bidi Bidi, Uganda’s largest refugee settlement, hosts over 230,000 residents. There is a dearth of evidence-based sexual violence prevention and post-rape clinical care interventions in low- and middle-income humanitarian contexts tailored for refugee you...
Article
National outrage over the killings of George Floyd and other Black Americans in the United States prompted public outcry against police brutality and racism in law enforcement and drew national attention to systemic racism as a public health crisis. In response, during the summer of 2020 many health organizations issued position statements in respo...
Chapter
This chapter details lessons learned from research with African, Caribbean and Black transgender women on the value of eliciting hope and self-acceptance in HIV research. A reflective conversation with Yasmeen Persad, study co-principal investigator and transgender community leader, illuminates the fatigue that socially excluded communities such as...
Chapter
This chapter draws on learning moments from research with lesbian, gay, bisexual and transgender (LGBT) young persons in Jamaica to explore the importance of understanding how concerns for LGBT liberation and other priorities vary across contexts. A reflective conversation with Nicolette Richardson, the study coordinator, highlights the role of wor...
Chapter
The final chapter, this chapter, invites readers to expand their methodological imagination. Drawing from core themes across chapters, three principles of context, hope and love are offered for consideration when conducting research with persons too often categorized as hard to reach. Recommendations for HIV researchers in particular are synthesize...
Chapter
This chapter identifies key learning moments in research with Indigenous adolescents in Arctic Canada that point to the importance of decolonizing research to center Indigenous knowledge, culture, and values. A reflective conversation with Candice Lys, the co-principal investigator and founder of a collaborating Indigenous and Northern youth sexual...
Chapter
This chapter tracks critical junctures following the decision to enter the spaces of knowledge production in a participatory theatre research project in Eswatini which aimed to challenge and disrupt LGBT stigma. It also explores the experience of losing a close friend and research colleague. In reflective conversation with Veli Madau, a research as...
Chapter
This chapter examines the importance of solidarity and social support for work with internally displaced women as part of an HIV prevention intervention project in post-earthquake Haiti. A reflective conversation with CarolAnn Daniel, the study’s co-principal investigator, revealed how community relationships were strongly valued and how, in turn,...
Conference Paper
Background Social inequities elevate HIV vulnerabilities among youth in humanitarian contexts. Condom efficacy—knowledge, intention, and relationship dynamics that facilitate condom negotiation—is understudied among refugee youth. We examined social-ecological factors (stigma, gender equitable norms [GEN], depression) associated with condom efficac...
Conference Paper
Background HIV prevention needs are understudied with urban refugee youth. We explored experiences, preferences and engagement with HIV testing and prevention among urban refugee adolescents and youth in Kampala, Uganda, with a focus on the role of contextual factors in shaping access and uptake. Methods This qualitative community-based study with...
Conference Paper
Background Canadian clinical guidelines recommend at least annual and quarterly sexually transmitted infection (STI) testing among sexually active men who have sex with men (MSM), including those on HIV PrEP or in HIV care. We built consensus around interventions to improve local STI testing services for MSM using a web-based ‘e-Delphi’ process. M...
Article
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Background Persons in Arctic regions disproportionately experience depression. Knowledge gaps remain regarding factors associated with depression among adolescents in the Northwest Territories (NWT), Canada, where child and adolescent mental health hospitalizations are nearly 2.5 times the national rate. This study assesses correlates of depression...
Article
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Epidemics and pandemics, like COVID-19, are not gender neutral. Much of the current work on gender, sex, and COVID-19, however, has seemed implicitly or explicitly to be attempting to demonstrate that either men or women have been hardest hit, treating differences between women and men as though it is not important to understand how each group is a...
Article
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This study elucidated the prevalence and correlates of four types of HIV stigma among women living with HIV (WLWH). Data were drawn from 2 years (September 1/15 to August 31/17) of follow-up from a longitudinal community-based open cohort of 215 cisgender or transgender WLWH who lived and/or accessed care in Metro Vancouver, Canada (2014-present)....
Article
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The genesis of the concept of intersectionality was a call to dismantle interlocking systems of oppression – racial, sexual, heterosexual, and class-based – in order to realise liberation of Black women and other women of colour. Intersectionality holds the radical potential to amplify collective efficacy, community solidarity, and liberation. The...
Article
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This special issue of Global Public Health brings together papers examining how sexuality, gender, health and human rights have become increasing visible and highly contested within global health. The papers included here question and explore the often contradictory processes through which global equity-seeking populations negotiate pleasure and da...
Chapter
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Background : Sex work social cohesion (SWSC) is associated with reduced HIV vulnerabilities, yet little is known of its associations with mental health or violence. This is particularly salient to understand among gender-diverse sex workers who may experience criminalisation of sex work and same-gender sexual practices. This chapter explores SWSC a...
Article
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Background Self-care strategies for sexual and reproductive health (SRH) include practices, tools, and strategies for people to manage their health. Access to SRH services has increased in the Eastern Mediterranean Region (EMR) in the past decade. The objective of this manuscript is to provide a preliminary assessment of self-care SRH interventions...
Preprint
BACKGROUND As a result of the novel coronavirus 2019 (COVID-19) pandemic, fewer patients are able to communicate with their health care professionals due to widely encouraged physical distancing. This provides a unique opportunity to evaluate and test the effectiveness of virtual care globally, especially mobile phone facilitated health interventio...
Article
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Background Knowledge of HIV drug resistance informs the choice of regimens and ensures that the most efficacious options are selected. In January 2014, a policy change to routine resistance testing was implemented in Ontario, Canada. The objective of this study was to investigate the policy change impact of routine resistance testing in people with...