
Linwei Wang
Senior Research Data Scientist – Epidemiologist
Linwei is a Senior Research Data Scientist – Epidemiologist at the MAP Centre for Urban Health Solutions, St Michael’s Hospital, Unity Health Toronto. She holds a bachelor’s degree in Applied Biological Science and a Master of Science degree in Epidemiology. She has extensive experience in the field of infectious diseases, including quantitative epidemiological studies of HIV/AIDS and COVID-19, and mathematical modeling of HIV transmission. She is experienced in working with large health administrative databases, longitudinal cohort studies, disease surveillance data, and various survey data. Her recent work also includes health equity research in the context of COVID-19 and mechanistic explanatory modeling of COVID-19 transmission and mortality using causal inference and quantitative bias analysis methodologies. Her work also includes analyzing epidemic and behavioral data, both to generate fundamental epidemiological insights and to support model parameterization and calibration.
Health equity research and causal inference methodology: Linwei is leading several quantitative epidemiological studies to investigate the patterns and mechanisms of social and structural inequalities in COVID-19 mortality, leveraging provincial health administrative data in Ontario (in collaboration with ICES). The first phase of the project (published in CID 2023) employed competing for risk survival analyses and demonstrated that area-level social determinants of health are associated with COVID-19-related mortality even after accounting for demographic and clinical factors; and COVID-19 has reversed patterns of lower non-COVID-19 mortality among racially minoritized groups.
The second phase of the project includes evaluating the mediating role of vaccination and inequalities in COVID-19 morality by area-level income and teasing apart mediators of the differential patterns of COVID-19 mortality across racialized communities over time. Leveraging the causal mediation analysis along with quantitative bias analysis (E-value approach), the study has found that social inequalities in COVID-19 mortality by area-level income persisted over time, and the vaccination gap accounted for more than half of inequalities in COVID-19 mortality during wave 4&5. The work is currently under review with AJE.
Building upon these projects, she is currently investigating the role of herd immunity in COVID-19 diagnosis and death.
Sexual network contact patterns and transmission modeling: Linwei led the work of developing a new approach to quantify HIV serosorting (mixing matrices by perceived HIV status) using the Engage study sexual behavioral survey data (AJE 2020). Using this new matrix of serosorting, she led the work of evaluating the influence of serosorting on the HIV transmission impact of pre-exposure prophylaxis using a dynamic compartmental transmission model of HIV (AIDS 2021). Her work showed that ignoring HIV serosorting leads to large underestimates of the population-level impact of HIV pre-exposure prophylaxis. Thus, capturing this feature of sexual networks can provide more robust model-based evidence to inform intervention decisions.
Linwei has participated as a first author or co-author on these team papers:
- Wang L, Swayze S, Bodner K, Calzavara A, Harrigan SP, Siddiqi A, Baral SD, Austin PC, Smylie J, Koh M, Sbihi H. (2024). Social inequalities in COVID-19 deaths by area-level income: patterns over time and the mediating role of vaccination in a population of 11.2 million people in Ontario, Canada. medRxiv.
- Wang S, Wang L, Baral SD, Moloney G, Johns J, Huber C, Mistry J, Khan K, Rao A, Janjua N, Williamson T. (2024). Mobility changes following COVID-19 stay-at-home policies varied by socioeconomic measures: An observational study in Ontario, Canada. medRxiv. Also accepted by PLoS Global Health (In press).
- Rucinski K, Knight J, Willis K, Wang L, Rao A, Roach MA, Phaswana-Mafuya R, Bao L, Thiam S, Arimi P, Mishra S. (2024). Challenges and Opportunities in Big Data Science to Address Health Inequities and Focus the HIV Response. Current HIV/AIDS Reports 21(4): 208-19.
- Harrigan SP, Fibke CD, Velásquez García HA, Mak S, Wilton J, Prystajecky N, Tyson J, Wang L, Sander B, Baral S, Mishra S. (2024). The mediating role of SARS-CoV-2 variants between income and hospitalisation due to COVID-19: A period-based mediation analysis. American Journal of Epidemiology kwae266.
- Xiu F, Flores Anato JL, Cox J, Grace D, Hart TA, Skakoon-Sparling S, Dvorakova M, Knight J, Wang L, Gatalo O, Campbell E. (2024). Characteristics of the Sexual Networks of Men Who Have Sex With Men in Montréal, Toronto, and Vancouver: Insights from Canada’s 2022 Mpox Outbreak. The Journal of Infectious Diseases 229(2): S293-304.
- Wang L, Calzavara A, Baral S, Smylie J, Chan AK, Sander B, Austin PC, Kwong JC, Mishra S. (2023). Differential patterns by area-level social determinants of health in Coronavirus Disease 2019 (COVID-19)-related mortality and non-COVID-19 mortality: a population-based study of 11.8 million people in Ontario, Canada. Clin Infect Dis 76(6): 1110-1120.
- Chen C, Baral S, Comins AC, Mcingana M, Wang L, Phetlhu RD, Mulumba N, Guddera V, Young K, Mishra S, Hausler H, Schwartz RS. (2022). HIV- and sex work-related stigmas and quality of life of female sex workers living with HIV in South Africa: a cross-sectional study. BMC Infect Dis 22: 910.
- Wang L, Dowdy D, Comins C, Young K, Mcingana M, Muluba N, Mhlophe H, Chen C, Hausler H, Schwartz S, Baral S, Mishra S. (2022). Health-related quality of life of female sex workers living with HIV in South Africa: a cross-sectional study with HIV in South Africa. JIAS 25: e25884.
- Mishra S, Silhol R, Knight J, Phaswanamafuya N, Diouf D, Wang L, Schwartz S, Boily MC, Baral S. (2021). Estimating the epidemic consequences of HIV prevention gaps among key populations. J Int AIDS Soc 24(S3): e25739.
- Wang L, Moqueet N, Simkin A, Knight J, Ma H, Lachowsky NJ, Armstrong HL, Tan DHS, Burchell AN, Hart TA, Moore DM, Adam BD, MacFadden DR, Baral S, Mishra S. (2021). Mathematical modelling of the influence of serosorting on the population-level HIV transmission impact of pre-exposure prophylaxis. AIDS 35(7): 1113-1125.
- Wang L, Ma H, Yiu KCY, Calzavara A, Landsman D, Luong L, Chan AK, Kustra R, Kwong JC, Boily MC, Hwang S, Straus S, Baral SD, Mishra S. (2020). Heterogeneity in testing, diagnosis and outcome in SARSCoV-2 infection across outbreak settings in the Greater Toronto Area, Canada: an observational study. CMAJ Open 8(4): E627-E636.
- Mishra S, Wang L, Ma H, Yiu K, Paterson JM, Kim E, Schull MJ, Pequegnat V, Lee A, Ishiguro L, Coomes E, Chan A, Downing M, Landsman D, Straus S, Muller M. (2020). Estimated surge in hospital and intensive care admission because of the coronavirus disease 2019 pandemic in the Greater Toronto Area, Canada: a mathematical modelling study. CMAJ Open 8(3): E593-E604.
- Knight J, Baral S, Schwartz S, Wang L, Ma H, Young K, Hausler H, Mishra S. (2020). Contribution of high risk groups’ unmet needs may be underestimated in epidemic models without risk turnover: a mechanistic modelling analysis. Infect Dis Model 5: 549-562.
- Ma H, Wang L, Gichangi P, Mochache V, Manguro G, Musyoki HK, Bhattacharjee P, Cholette F, Sandstrom P, Becker ML, Mishra S. (2020). Venue-based HIV testing at sex work hotspots to reach adolescent girls and young women living with HIV: a cross-sectional study in Mombasa, Kenya. J Acquir Immune Defic Syndr 84(5): 470-479.
- Wang L, Tan DHS, Mishra S. (2020). Evidence of non-random mixing by pre-exposure prophylaxis use among men who have sex with men partnerships in Melbourne, 2016 to 2018. J Acquir Immune Defic Syndr 84(4): e22-23.
- Wang L, Moqueet N, Lambert G, Grace D, Rodrigues R, Cox J, Lachowsky NJ, Noor SW, Armstrong HL, Tan DH, Burchell AN, Ma H, Apelian H, Knight J, Messier-Peet M, Jollimore J, Baral SD, Hart TA, Moore DM, Mishra S. (2019). Population-level sexual mixing by HIV status and pre-exposure prophylaxis use among men who have sex with men in Montreal, Canada: Implications for HIV prevention. Am J Epidemiol 189(1): 44-54.
