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Christian Hui

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Christian Hui, MSW, PhD candidate (he/they) is a first-generation racialized immigrant settler and post-HAART long-term survivor living with HIV, an AIDS and harm reduction advocate and community mobilizer, a CANFAR National Ambassador, and a CIHR Vanier Canada Graduate Scholar in Policy Studies at Toronto Metropolitan University. A co-founder of two independent networks of people living with HIV: Ontario Positive Asians and the Canadian Positive People Network, he served on the Canadian Delegation at the 2016 UN High Level Meeting on Ending AIDS in 2016. He is currently a Senior Global Community Advisor at Prevention Access Campaign (U=U), and the North American NGO Delegate to the UNAIDS Programme Coordinating Board. He is also a co-director of Walking in These Shoes, a Viral Interventions commissioned Poz BIPOC docu-short. Christian’s research interests include democratizing the policy-making and policy evaluation processes, and in bridging qualitative, quantitative and community-led research approaches and methodologies to inform global health and social policies for the advancement of equity for historically oppressed communities, Their doctoral research focuses on engaging global U=U stakeholders in utilizing community-led monitoring in the evaluation of policy uptake, integration and leveraging of U=U within the current Global AIDS Strategy. Christian is a recipient of the Ontario AIDS Network Person Living HIV/AIDS Leadership Award in 2017, and the Poz-TO Award in 2018. You can follow Christian on Twitter at @ch108PhDPolicy.

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For DYee… Walking in These Shoes

IMISCOE research series, Oct 3, 2023

As a first-generation immigrant settler living with HIV originating from Hong Kong, the Dish with... more As a first-generation immigrant settler living with HIV originating from Hong Kong, the Dish with One Spoon Territory has now become my homebase for more than half of my life. While I am presently a doctoral candidate, writing has often been a difficult process for me. Yet when I learned of the opportunity where I can write freely and creatively for StOries: Strangers to Ourselves project, I jumped on C. Hui (he/they; Undetectable) (*) Policy Studies TMU & CIHR

2023 Undetectable = Untransmittable global policy roundtable report: a multistakeholder perspective on Undetectable = Untransmittable research and policy priorities

Sexual health, May 27, 2024

For full list of author affiliations and declarations see end of paper Background. Launched in 20... more

The Psycho-Social and Socio-Cultural Factors of Crystal Methamphetamine Use Among the Gay, Bi and MSM (GBM) Population

Neighbourhood-level material deprivation and response to combination antiretroviral therapy in the Canadian Observational Cohort (CANOC): a longitudinal cohort study

CMAJ open, 2022

F or people living with HIV, combination antiretroviral therapy (ART) has improved risk of HIV-re... more F or people living with HIV, combination antiretroviral therapy (ART) has improved risk of HIV-related morbidity and death by reducing HIV viral load (VL) and increasing the number of CD4 T-lymphocyte cells (CD4). 1 Response to combination ART can be assessed as positive if an individual has an increase in CD4 count of 50 cells/mm 3 (0.05 cells × 10 9 /L) or more (CD4+) and a decrease in viral load to 50 copies/mL or less (VL+) within 6 months of treatment initiation. 2-6 Treatment response can be further categorized as concordant positive (CD4+/VL+), concordant negative (CD4-/VL-) or discordant (CD4+/VL-or CD4-/VL+). Concordant positive responses are preferable, whereas concordant negative and discordant responses are associated with increased risk of death and opportunistic infection. 2,3,5 In general, individuals of lower socioeconomic status have been disproportionately affected by HIV, and indicators of low socioeconomic status have been associated with suboptimal HIV treatment-related outcomes, including higher viral load and lower CD4 counts, at the individual level. 7-10 For example,

Undetectable=Untransmittable=Universal Access (U=U=U): transforming a foundational, community-led HIV/AIDS health informational advocacy campaign into a global HIV/AIDS health equity strategy and policy priority

Sexual Health, Jul 11, 2023

Background. Undetectable=Untransmittable (U=U) first emerged in 2016 as a health information camp... more Background. Undetectable=Untransmittable (U=U) first emerged in 2016 as a health information campaign to promote rigorous scientific evidence that people living with HIV (PLHIV) on effective treatment who have reached an undetectable or suppressed viral load cannot pass on the virus sexually. Within 7 years, U=U underwent transformation from a global community-led, grassroots movement into a global HIV/AIDS health equity strategy and policy priority. Methods. For this narrative review, a targeted literature search on 'history' + 'Undetectable=Untransmittable' and/ or 'U=U' on Google and Google Scholar, in addition to a search of online documents on the Prevention Access Campaign (PAC) website, was conducted. The article utilises an interdisciplinary policy studies approach that recognises the roles of multi-stakeholder, especially that of the community and civil society, to effect policy change. Results. The narrative review first provides a synopsis of the scientific origination of U=U. The second section highlights the progress and leadership on U=U led by the PAC and civil society partners and efforts of the PLHIV and ally communities in advocating for the broad recognition and dissemination of the evidence, which has proven to be a game-changer within the HIV/AIDS response. The third section spotlights the recent developments of U=U within the local, national, and multilateral spheres. Conclusion. The article ends with recommendations for community and HIV/AIDS multi-stakeholders on how they can further integrate, implement, and strategically utilise U=U as an essential and complementary HIV/AIDS pillar to the current Global AIDS Strategy 2021-2026 to end inequalities to end AIDS by 2030.

Global evidence, impact and implementation of U=U

Sexual Health, Jul 18, 2023

Undetectable=Untransmittable=Universal Access (U=U=U): transforming a foundational, community-led HIV/AIDS health informational advocacy campaign into a global HIV/AIDS health equity strategy and policy priority

Sexual Health

Background Undetectable=Untransmittable (U=U) first emerged in 2016 as a health information campa... more Background Undetectable=Untransmittable (U=U) first emerged in 2016 as a health information campaign to promote rigorous scientific evidence that people living with HIV (PLHIV) on effective treatment who have reached an undetectable or suppressed viral load cannot pass on the virus sexually. Within 7 years, U=U underwent transformation from a global community-led, grassroots movement into a global HIV/AIDS health equity strategy and policy priority. Methods For this narrative review, a targeted literature search on ‘history’ + ‘Undetectable=Untransmittable’ and/or ‘U=U’ on Google and Google Scholar, in addition to a search of online documents on the Prevention Access Campaign (PAC) website, was conducted. The article utilises an interdisciplinary policy studies approach that recognises the roles of multi-stakeholder, especially that of the community and civil society, to effect policy change. Results The narrative review first provides a synopsis of the scientific origination of U=U...

Impact of COVID-19 on travel, mobility, and transportation preferences: A mixed method descriptive study

by Christian Hui and Fatih Sekercioglu

International health trends and perspectives, Mar 31, 2023

Understanding COVID-19 Vaccine Confidence in People Living with HIV: A pan-Canadian Survey

Aids and Behavior, Feb 4, 2023

estimates-hiv-incidence-prevalence-canadasprogress-90-90-90.html#s2, Accesssed 6 June 2022[2]. Ef... more estimates-hiv-incidence-prevalence-canadasprogress-90-90-90.html#s2, Accesssed 6 June 2022[2]. Effective antiretroviral therapy (ART) dramatically reduced morbidity and mortality associated with HIV infection Palella FJ, Jr., Delaney KM, Moorman AC, Loveless MO, Fuhrer J, Satten GA, et al. Declining morbidity and mortality among patients with advanced human immunodeficiency virus infection. HIV Outpatient Study Investigators. N Engl

Neighbourhood-level material deprivation and response to combination antiretroviral therapy in the Canadian Observational Cohort (CANOC): a longitudinal cohort study

CMAJ Open, 2022

F or people living with HIV, combination antiretroviral therapy (ART) has improved risk of HIV-re... more F or people living with HIV, combination antiretroviral therapy (ART) has improved risk of HIV-related morbidity and death by reducing HIV viral load (VL) and increasing the number of CD4 T-lymphocyte cells (CD4). 1 Response to combination ART can be assessed as positive if an individual has an increase in CD4 count of 50 cells/mm 3 (0.05 cells × 10 9 /L) or more (CD4+) and a decrease in viral load to 50 copies/mL or less (VL+) within 6 months of treatment initiation. 2-6 Treatment response can be further categorized as concordant positive (CD4+/VL+), concordant negative (CD4-/VL-) or discordant (CD4+/VL-or CD4-/VL+). Concordant positive responses are preferable, whereas concordant negative and discordant responses are associated with increased risk of death and opportunistic infection. 2,3,5 In general, individuals of lower socioeconomic status have been disproportionately affected by HIV, and indicators of low socioeconomic status have been associated with suboptimal HIV treatment-related outcomes, including higher viral load and lower CD4 counts, at the individual level. 7-10 For example,

Crystal Methamphetamine: What service providers need to know

Reducing HIV vulnerabilities: Resilience Promoting Strategies for Asian men who have sex with men in Toronto, Canada

ABSTRACT

Two Cultures Collide: Sexual Wellbeing Promotion Among Asian Men Living in Western Societies

ABSTRACT

Workshop: Creating pathways to resilience amongst Asian & ethno-racial MSM communities

ABSTRACT

Newcomer Sexual Health Promotion Project (NSHP): An innovative peer driven model to promote sexual health amongst racialized newcomers at risk for STIs and HIV in Toronto

ABSTRACT

Charting the Pathways to Collective Resiliency Amongst Asian and Other Racialized MSM

The Psycho-Social and Socio-Cultural Factors of Crystal Methamphetamine Use Among the Gay, Bi and MSM (GBM) Population

In the United States, men who have sex with men (MSM) remain as the demographic group with the hi... more In the United States, men who have sex with men (MSM) remain as the demographic group with the highest HIV incidence rates and account for 53% of new HIV infections in 2006 (Rajasingham, Mimiaga, White, Pinkston, Baden, & Mitty, 2012). One of the reasons accounting for such high rates of HIV transmission between gay, bisexual and MSM (GBM) can be attributed to poly-substance use and the use of crystal methamphetamine (Solomon, Halkitis, Moeller, & Pappas, 2012; Rajasingham et al., 2012). The U.S. Centre for Disease Control and Prevention (2007) reported methamphetamine use in the MSM community is of particular concern due to the high prevalence of HIV and the use of the stimulant. Meanwhile, researchers have found methamphetamine use is closely corrleated to sexual risk taking among GBM and such intimate link between risky sexual behaviour and methamphetamine use have led to a possible double epidemic (Halkitis, Green, & Carragher, 2006). In particular, the use of methamphetamine ha...

Résultats en ce qui concerne les participants autochtones sondés dans le cadre de l'enquête Track auprès des utilisateurs de drogues injectables au Canada, phase 4, 2017 à 2019

Méthodes : Des informations sur les caractéristiques sociodémographiques, les déterminants sociau... more Méthodes : Des informations sur les caractéristiques sociodémographiques, les déterminants sociaux de la santé, le recours aux services de prévention et au dépistage, la consommation de drogues, les comportements à risque, ainsi que le dépistage, les soins et le traitement du VIH et de l'hépatite C ont été recueillies par l'entremise de questionnaires administrés par un intervieweur. Les échantillons biologiques ont été analysés pour y détecter la présence d'anticorps anti-VIH et anti-hépatite C et l'acide ribonucléique (ARN) de l'hépatite C. Les statistiques descriptives ont été calculées et examinées par un groupe consultatif dirigé par des autochtones, selon l'approche à double perspective (Two-Eyed Seeing).

Negotiating safety, access, disclosure and self care: Resiliency pathways of Asian MSM PHAs

Findings among Indigenous participants of the Tracks survey of people who inject drugs in Canada, Phase 4, 2017-2019

Background The Tracks survey of people who inject drugs (PWID) collected data in 14 sentinel site... more Background The Tracks survey of people who inject drugs (PWID) collected data in 14 sentinel sites across Canada (2017-2019). These findings describe the prevalence of human immunodeficiency virus (HIV), hepatitis C and associated risk behaviours among Indigenous participants. Methods Information regarding socio-demographics, social determinants of health, use of prevention services and testing, drug use, risk behaviours, and HIV and hepatitis C testing, care and treatment was collected through interviewer-administered questionnaires. Biological samples were tested for HIV, hepatitis C antibodies and hepatitis C ribonucleic acid (RNA). Descriptive statistics were calculated and reviewed by an Indigenous-led advisory group using the Two-Eyed Seeing approach. Results Of the 2,383 participants, 997 were Indigenous (82.9% First Nations, 14.9% Métis, 2.2% Inuit). Over half (54.5%) were cisgender male and the average age was 38.9 years. A large proportion (84.0%) reported their mental hea...

For DYee… Walking in These Shoes

IMISCOE research series, Oct 3, 2023

As a first-generation immigrant settler living with HIV originating from Hong Kong, the Dish with... more As a first-generation immigrant settler living with HIV originating from Hong Kong, the Dish with One Spoon Territory has now become my homebase for more than half of my life. While I am presently a doctoral candidate, writing has often been a difficult process for me. Yet when I learned of the opportunity where I can write freely and creatively for StOries: Strangers to Ourselves project, I jumped on C. Hui (he/they; Undetectable) (*) Policy Studies TMU & CIHR

2023 Undetectable = Untransmittable global policy roundtable report: a multistakeholder perspective on Undetectable = Untransmittable research and policy priorities

Sexual health, May 27, 2024

For full list of author affiliations and declarations see end of paper Background. Launched in 20... more

The Psycho-Social and Socio-Cultural Factors of Crystal Methamphetamine Use Among the Gay, Bi and MSM (GBM) Population

Neighbourhood-level material deprivation and response to combination antiretroviral therapy in the Canadian Observational Cohort (CANOC): a longitudinal cohort study

CMAJ open, 2022

F or people living with HIV, combination antiretroviral therapy (ART) has improved risk of HIV-re... more F or people living with HIV, combination antiretroviral therapy (ART) has improved risk of HIV-related morbidity and death by reducing HIV viral load (VL) and increasing the number of CD4 T-lymphocyte cells (CD4). 1 Response to combination ART can be assessed as positive if an individual has an increase in CD4 count of 50 cells/mm 3 (0.05 cells × 10 9 /L) or more (CD4+) and a decrease in viral load to 50 copies/mL or less (VL+) within 6 months of treatment initiation. 2-6 Treatment response can be further categorized as concordant positive (CD4+/VL+), concordant negative (CD4-/VL-) or discordant (CD4+/VL-or CD4-/VL+). Concordant positive responses are preferable, whereas concordant negative and discordant responses are associated with increased risk of death and opportunistic infection. 2,3,5 In general, individuals of lower socioeconomic status have been disproportionately affected by HIV, and indicators of low socioeconomic status have been associated with suboptimal HIV treatment-related outcomes, including higher viral load and lower CD4 counts, at the individual level. 7-10 For example,

Undetectable=Untransmittable=Universal Access (U=U=U): transforming a foundational, community-led HIV/AIDS health informational advocacy campaign into a global HIV/AIDS health equity strategy and policy priority

Sexual Health, Jul 11, 2023

Background. Undetectable=Untransmittable (U=U) first emerged in 2016 as a health information camp... more Background. Undetectable=Untransmittable (U=U) first emerged in 2016 as a health information campaign to promote rigorous scientific evidence that people living with HIV (PLHIV) on effective treatment who have reached an undetectable or suppressed viral load cannot pass on the virus sexually. Within 7 years, U=U underwent transformation from a global community-led, grassroots movement into a global HIV/AIDS health equity strategy and policy priority. Methods. For this narrative review, a targeted literature search on 'history' + 'Undetectable=Untransmittable' and/ or 'U=U' on Google and Google Scholar, in addition to a search of online documents on the Prevention Access Campaign (PAC) website, was conducted. The article utilises an interdisciplinary policy studies approach that recognises the roles of multi-stakeholder, especially that of the community and civil society, to effect policy change. Results. The narrative review first provides a synopsis of the scientific origination of U=U. The second section highlights the progress and leadership on U=U led by the PAC and civil society partners and efforts of the PLHIV and ally communities in advocating for the broad recognition and dissemination of the evidence, which has proven to be a game-changer within the HIV/AIDS response. The third section spotlights the recent developments of U=U within the local, national, and multilateral spheres. Conclusion. The article ends with recommendations for community and HIV/AIDS multi-stakeholders on how they can further integrate, implement, and strategically utilise U=U as an essential and complementary HIV/AIDS pillar to the current Global AIDS Strategy 2021-2026 to end inequalities to end AIDS by 2030.

Global evidence, impact and implementation of U=U

Sexual Health, Jul 18, 2023

Undetectable=Untransmittable=Universal Access (U=U=U): transforming a foundational, community-led HIV/AIDS health informational advocacy campaign into a global HIV/AIDS health equity strategy and policy priority

Sexual Health

Background Undetectable=Untransmittable (U=U) first emerged in 2016 as a health information campa... more Background Undetectable=Untransmittable (U=U) first emerged in 2016 as a health information campaign to promote rigorous scientific evidence that people living with HIV (PLHIV) on effective treatment who have reached an undetectable or suppressed viral load cannot pass on the virus sexually. Within 7 years, U=U underwent transformation from a global community-led, grassroots movement into a global HIV/AIDS health equity strategy and policy priority. Methods For this narrative review, a targeted literature search on ‘history’ + ‘Undetectable=Untransmittable’ and/or ‘U=U’ on Google and Google Scholar, in addition to a search of online documents on the Prevention Access Campaign (PAC) website, was conducted. The article utilises an interdisciplinary policy studies approach that recognises the roles of multi-stakeholder, especially that of the community and civil society, to effect policy change. Results The narrative review first provides a synopsis of the scientific origination of U=U...

Impact of COVID-19 on travel, mobility, and transportation preferences: A mixed method descriptive study

by Christian Hui and Fatih Sekercioglu

International health trends and perspectives, Mar 31, 2023

Understanding COVID-19 Vaccine Confidence in People Living with HIV: A pan-Canadian Survey

Aids and Behavior, Feb 4, 2023

estimates-hiv-incidence-prevalence-canadasprogress-90-90-90.html#s2, Accesssed 6 June 2022[2]. Ef... more estimates-hiv-incidence-prevalence-canadasprogress-90-90-90.html#s2, Accesssed 6 June 2022[2]. Effective antiretroviral therapy (ART) dramatically reduced morbidity and mortality associated with HIV infection Palella FJ, Jr., Delaney KM, Moorman AC, Loveless MO, Fuhrer J, Satten GA, et al. Declining morbidity and mortality among patients with advanced human immunodeficiency virus infection. HIV Outpatient Study Investigators. N Engl

Neighbourhood-level material deprivation and response to combination antiretroviral therapy in the Canadian Observational Cohort (CANOC): a longitudinal cohort study

CMAJ Open, 2022

F or people living with HIV, combination antiretroviral therapy (ART) has improved risk of HIV-re... more F or people living with HIV, combination antiretroviral therapy (ART) has improved risk of HIV-related morbidity and death by reducing HIV viral load (VL) and increasing the number of CD4 T-lymphocyte cells (CD4). 1 Response to combination ART can be assessed as positive if an individual has an increase in CD4 count of 50 cells/mm 3 (0.05 cells × 10 9 /L) or more (CD4+) and a decrease in viral load to 50 copies/mL or less (VL+) within 6 months of treatment initiation. 2-6 Treatment response can be further categorized as concordant positive (CD4+/VL+), concordant negative (CD4-/VL-) or discordant (CD4+/VL-or CD4-/VL+). Concordant positive responses are preferable, whereas concordant negative and discordant responses are associated with increased risk of death and opportunistic infection. 2,3,5 In general, individuals of lower socioeconomic status have been disproportionately affected by HIV, and indicators of low socioeconomic status have been associated with suboptimal HIV treatment-related outcomes, including higher viral load and lower CD4 counts, at the individual level. 7-10 For example,

Crystal Methamphetamine: What service providers need to know

Reducing HIV vulnerabilities: Resilience Promoting Strategies for Asian men who have sex with men in Toronto, Canada

ABSTRACT

Two Cultures Collide: Sexual Wellbeing Promotion Among Asian Men Living in Western Societies

ABSTRACT

Workshop: Creating pathways to resilience amongst Asian & ethno-racial MSM communities

ABSTRACT

Newcomer Sexual Health Promotion Project (NSHP): An innovative peer driven model to promote sexual health amongst racialized newcomers at risk for STIs and HIV in Toronto

ABSTRACT

Charting the Pathways to Collective Resiliency Amongst Asian and Other Racialized MSM

The Psycho-Social and Socio-Cultural Factors of Crystal Methamphetamine Use Among the Gay, Bi and MSM (GBM) Population

In the United States, men who have sex with men (MSM) remain as the demographic group with the hi... more In the United States, men who have sex with men (MSM) remain as the demographic group with the highest HIV incidence rates and account for 53% of new HIV infections in 2006 (Rajasingham, Mimiaga, White, Pinkston, Baden, & Mitty, 2012). One of the reasons accounting for such high rates of HIV transmission between gay, bisexual and MSM (GBM) can be attributed to poly-substance use and the use of crystal methamphetamine (Solomon, Halkitis, Moeller, & Pappas, 2012; Rajasingham et al., 2012). The U.S. Centre for Disease Control and Prevention (2007) reported methamphetamine use in the MSM community is of particular concern due to the high prevalence of HIV and the use of the stimulant. Meanwhile, researchers have found methamphetamine use is closely corrleated to sexual risk taking among GBM and such intimate link between risky sexual behaviour and methamphetamine use have led to a possible double epidemic (Halkitis, Green, & Carragher, 2006). In particular, the use of methamphetamine ha...

Résultats en ce qui concerne les participants autochtones sondés dans le cadre de l'enquête Track auprès des utilisateurs de drogues injectables au Canada, phase 4, 2017 à 2019

Méthodes : Des informations sur les caractéristiques sociodémographiques, les déterminants sociau... more Méthodes : Des informations sur les caractéristiques sociodémographiques, les déterminants sociaux de la santé, le recours aux services de prévention et au dépistage, la consommation de drogues, les comportements à risque, ainsi que le dépistage, les soins et le traitement du VIH et de l'hépatite C ont été recueillies par l'entremise de questionnaires administrés par un intervieweur. Les échantillons biologiques ont été analysés pour y détecter la présence d'anticorps anti-VIH et anti-hépatite C et l'acide ribonucléique (ARN) de l'hépatite C. Les statistiques descriptives ont été calculées et examinées par un groupe consultatif dirigé par des autochtones, selon l'approche à double perspective (Two-Eyed Seeing).

Negotiating safety, access, disclosure and self care: Resiliency pathways of Asian MSM PHAs

Findings among Indigenous participants of the Tracks survey of people who inject drugs in Canada, Phase 4, 2017-2019

Background The Tracks survey of people who inject drugs (PWID) collected data in 14 sentinel site... more Background The Tracks survey of people who inject drugs (PWID) collected data in 14 sentinel sites across Canada (2017-2019). These findings describe the prevalence of human immunodeficiency virus (HIV), hepatitis C and associated risk behaviours among Indigenous participants. Methods Information regarding socio-demographics, social determinants of health, use of prevention services and testing, drug use, risk behaviours, and HIV and hepatitis C testing, care and treatment was collected through interviewer-administered questionnaires. Biological samples were tested for HIV, hepatitis C antibodies and hepatitis C ribonucleic acid (RNA). Descriptive statistics were calculated and reviewed by an Indigenous-led advisory group using the Two-Eyed Seeing approach. Results Of the 2,383 participants, 997 were Indigenous (82.9% First Nations, 14.9% Métis, 2.2% Inuit). Over half (54.5%) were cisgender male and the average age was 38.9 years. A large proportion (84.0%) reported their mental hea...