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Record W4409908317 · doi:10.3138/cjhs-2024-0043

African, Caribbean, or Black participants report lower levels of STI/HIV risk but equal or higher rates of STI/HIV diagnoses: The GetaKit.ca study

2025· article· en· W4409908317 on OpenAlex

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

affAt least one author lists a Canadian institution in the pinned OpenAlex snapshot.
venuePublished in a venue whose home country is Canada.
aboutThe title or abstract carries a Canadian signal from the geographic lexicon.

Bibliographic record

VenueThe Canadian Journal of Human Sexuality · 2025
Typearticle
Languageen
FieldEconomics, Econometrics and Finance
TopicHIV/AIDS Impact and Responses
Canadian institutionsUniversity of TorontoAIDS Committee of TorontoOttawa Public HealthBlack Coalition for AIDS PreventionUniversity of Ottawa
Fundersnot available
KeywordsHuman immunodeficiency virus (HIV)Black africanMedicineMale circumcisionMedical diagnosisDemographyHIV diagnosisVirologyAntiretroviral therapyEnvironmental healthViral loadSociologyPathologyEthnologyPopulationHealth services

Abstract

fetched live from OpenAlex

The COVID-19 pandemic and the HIV epidemic have both highlighted the need of race/ethnicity-based data to inform responses to infectious disease outbreaks. However, no such public health data exist in Canada. To generate some such data, we extracted data from the GetaKit.ca study, which is a website through which persons in Canada could obtain free HIV self-tests. We used data from April 1, 2021, to March 31, 2024. From 8,459 participants, of whom 16% ( n = 1240) identified as Black, we found that Black participants reported low levels of risk factors for STI/HIV acquisition. We also identified that Black compared to White participants reported lower rates of prior STI/HIV testing and prevention services, and lower overall rates of self-reported prior STI/HIV diagnoses, although this difference mainly only applied to prior chlamydia or gonorrhea infections among cis-male participants; there were no differences for the rates of self-reported prior syphilis infections (overall and in gay, bisexual, or other men who have sex with men) or chlamydia infections in cis women. Finally, diagnostic outcomes in the study identified nonsignificantly different rates of HIV diagnoses (from the HIV self-tests) but higher rates of chlamydia (from laboratory testing) among Black participants. These results highlight the need for more race/ethnicity-based data. They also suggest that current metrics of STI/HIV risk may not work well for Black populations.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.006
metaresearch head score (Gemma)0.003
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesInsufficient payload (model declined to judge)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.229
Threshold uncertainty score0.999

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0060.003
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.001
Science and technology studies0.0000.001
Scholarly communication0.0000.000
Open science0.0010.000
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0020.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.174
GPT teacher head0.361
Teacher spread0.187 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it