- HIV/AIDS Research and Interventions
- HIV, Drug Use, Sexual Risk
- COVID-19 and Mental Health
- HIV Research and Treatment
- Health, psychology, and well-being
- Public Health Policies and Education
- Adolescent Sexual and Reproductive Health
- Healthcare Systems and Public Health
- Health disparities and outcomes
- Hepatitis B Virus Studies
- Viral Infections and Outbreaks Research
- LGBTQ Health, Identity, and Policy
- Cardiac Health and Mental Health
- Data-Driven Disease Surveillance
- HIV-related health complications and treatments
- COVID-19 and healthcare impacts
- Sex work and related issues
Columbia University
2022
Georgetown University
2015-2021
Georgetown University Medical Center
2019-2021
Georgetown-Howard Universities Center for Clinical and Translational Science
2018
Background: HIV-stigma can influence engagement in care and viral suppression rates among persons living with HIV (PLWH). Understanding HIV-provider level stigma its associated factors may aid development of interventions to improve care. Methods: We assessed HIV-related stigma, provider knowledge, practices beliefs healthcare providers using an online survey tool. Generalized linear modeling was used determine score. Results: Among 436 participants, the mean age 42.3 (SD 12.3), 70% female,...
The National HIV/AIDS Strategy calls for active surveillance programs human immunodeficiency virus (HIV) to more accurately measure access and retention in care across the HIV continuum persons living with within their jurisdictions identify who may need public health services. However, traditional methods face substantial technological privacy-related barriers data sharing.This study developed a novel data-sharing approach improve timeliness quality of three where often travel borders...
<h3>Importance</h3> Viral suppression of HIV is an important treatment goal to decrease morbidity, mortality, and risk transmission others. <h3>Objective</h3> To characterize longitudinal viral load outcomes among women enrolled in the Women's Interagency Study (WIHS). <h3>Design, Setting, Participants</h3> A prospective cohort study HIV-positive with semiannual visits a minimum 5 follow-up was conducted from 1994 2017. The WIHS sites included this analysis are Brooklyn Bronx, New York;...
Effective treatment of HIV since 1996 has reduced morbidity and mortality through virologic suppression. Combination antiretroviral therapy (cART) been recognized as key to the prevention drug resistance transmission infection. We used eighteen years outcomes in a long-standing cohort women describe longitudinal viral load trajectories; examine factors associated with sustained viremia mortality. analyzed data from DC WIHS > four semiannual visits using group-based logistic trajectory...
Trust in providers and health care systems (HCSs) has been associated with higher HIV antiretroviral (ART) adherence; however, most previous studies enrolled primarily men did not concurrently assess provider trust, HCS distrust, clinical/biological outcomes. We 239 Washington, DC Women's Interagency Study (WIHS) women: 167 (WWH) 72 without HIV. In 2006 2017–2018, women completed surveys on trust distrust. Clinical, social, demographic covariates were obtained during the 2017–2018 WIHS study...
Focused attention on Data to Care underlines the importance of high-quality HIV surveillance data. This study identified number total duplicate and exact case records in 9 separate Enhanced HIV/AIDS Reporting System (eHARS) databases reported by 8 jurisdictions compared this approach traditional Routine Interstate Duplicate Review resolution.
OBJECTIVES/SPECIFIC AIMS: Discrimination within the healthcare system and physician distrust have been associated with adverse clinical outcomes for people living HIV; however, many studies do not link these variables to biological data. We hypothesize that perceived discrimination associates higher longitudinal viremia among HIV-positive women. METHODS/STUDY POPULATION: A 2006 cross-sectional survey assessed healthcare-based trust in 92 46 high-risk HIV-negative women from Washington DC...