Amélioration du dépistage et des soins pour les hommes qui ont des relations sexuelles avec d'autres hommes au Québec, grâce à un modèle de soin du VIH multidisciplinaire


Bertrand Lebouche

CUSM - Institut thoracique de Montréal


Domaine : maladies infectieuses et immunitaires

Programme chercheurs-boursiers cliniciens - Junior 1

Concours 2014-2015

In Quebec, gay men are the group most affected by the HIV epidemic. A glimmer of hope can nonetheless be found behind this bleak picture. Simpler and more effective combination antiretroviral therapy (anti-HIV drugs) could change the situation favorably. Among people living with HIV, studies show that antiretrovirals are as effective as condoms for HIV prevention. Unfortunately, too many gay men are not screened or do not regularly consult a  physician. To improve the situation, new actors must be mobilized to complete the HIV physician's work: community workers, nurses, sexologists. These new actors should be integrated in gay men's health services in order to tackle the emerging challenges! If gay men are delaying HIV testing, new HIV screening venues located where they live and play must be developed.

Our first research project will be carried out at l'Actuel sur Rue (Actuel on the street). It is a free, walk-in and confidential point of care in the heart of Montreal's gay village where people can be tested for HIV in two minutes. In this venue, we will study the impact on care of having a community worker and a nurse welcome clients in a gay-friendly atmosphere where they will be offered testing and sexual health follow-up with a physician! Our second research project aims to assess whether or not niacin, a vitamin, can improve antiretrovirals effect on the immune system and positively impact brain function. With our third research project, we hope to demonstrate how a sex therapist can help improve the sexual health of people living with HIV and better their sexuality, while reducing HIV transmission risk. There is still much to do for gay men's health and we hope to show with our research that by combining our strengths we can do better.