- HIV, Drug Use, Sexual Risk
- HIV/AIDS Research and Interventions
- Adolescent Sexual and Reproductive Health
- Syphilis Diagnosis and Treatment
- Reproductive tract infections research
- Sex work and related issues
- Hepatitis C virus research
- Hepatitis B Virus Studies
- COVID-19 Clinical Research Studies
- Food Security and Health in Diverse Populations
- COVID-19 and healthcare impacts
- Public Health Policies and Education
- Data-Driven Disease Surveillance
- COVID-19 Impact on Reproduction
- Healthcare Policy and Management
- Female Genital Mutilation/Cutting Issues
- HIV, TB, and STIs Epidemiology
- Liver Disease Diagnosis and Treatment
- Poxvirus research and outbreaks
- Pneumocystis jirovecii pneumonia detection and treatment
- Homelessness and Social Issues
- Sexuality, Behavior, and Technology
- Herpesvirus Infections and Treatments
- HIV-related health complications and treatments
- Ethics in Clinical Research
University at Albany, State University of New York
2013-2024
New York State Department of Health
2013-2024
Collaborative Research Group
2022
Sexual Health Clinic
2021
East Harlem Tutorial Program
2020
Albany State University
2014-2019
Centers for Disease Control and Prevention
2014
New York State has been an epicenter for both the US coronavirus disease 2019 (COVID-19) and HIV/AIDS epidemics. Persons living with diagnosed HIV may be more prone to COVID-19 infection severe outcomes, yet few studies have assessed this possibility at a population level.To evaluate association between diagnosis diagnosis, hospitalization, in-hospital death in State.This cohort study, conducted State, including City, March 1 June 15, 2020, matched data from surveillance,...
In 2022, an international Monkeypox virus outbreak, characterized by transmission primarily through sexual contact among gay, bisexual, and other men who have sex with (MSM), resulted in 375 monkeypox (mpox) cases the state of New York outside City (NYC).*,† The JYNNEOS vaccine (Modified Vaccinia Ankara vaccine, Bavarian Nordic), licensed U.S. Food Drug Administration (FDA) against mpox as a 2-dose series, doses administered 4 weeks apart,§ was deployed national vaccination campaign.¶ Before...
We investigated a cluster of new hepatitis C cases in rural New York among cohort young people who inject drugs (PWID) and misuse prescription opioid analgesics (POA).We recruited purposive sample PWID from Cortland County for an in-person survey HCV rapid antibody test (March-July 2012). examined sociodemographics, currently injected, lifetime recent injection behaviors to ascertain associations with (anti-HCV) positivity.Of 123 PWID, 76 (61.8%) were younger than 30 years, 100 (81.3%)...
Data to Care (DTC) represents a public health strategy using HIV surveillance data link persons living with diagnosed infection (PLWDHI) HIV-related medical care.To investigate the feasibility of DTC approach applied Partner Services program serving geographically diffuse area New York State.Disease intervention specialists received training function as Expanded (ExPS) advocates. identified PLWDHI presumed be out care (OOC). ExPS advocates attempted locate and reengage OOC individuals in...
Abstract Background New York State (NYS) has been an epicenter for both COVID-19 and HIV/AIDS epidemics. Persons Living with diagnosed HIV (PLWDH) may be more prone to infection severe outcomes, yet few population-based studies have assessed the extent which PLWDH are diagnosed, hospitalized, died COVID-19, relative non-PLWDH. Methods NYS surveillance, laboratory confirmed diagnoses, hospitalization databases were matched. hospitalization, in-hospital death rates comparing non-PLWDH...
Background Syphilis rates have increased substantially over the past decade. Women are an important population because of negative sequalae and adverse maternal outcomes including congenital syphilis. We assessed whether racial ethnic disparities in primary secondary (P&S) syphilis among heterosexually active women differ by region age group. Methods synthesized 4 national surveys to estimate numbers United States from 2014 2018 region, race ethnicity, group (18–24, 25–29, 30–44, ≥45...
To end the HIV/AIDS epidemic, innovative strategies are needed to improve outcomes along HIV care continuum. Data-to-Care is a public health strategy whereby surveillance data used identify people living with for linkage to, or re-engagement in medical care. Three main approaches defined by where persons out of identified and outreach activities initiated: Health Department level, Healthcare Provider combination two (Combination Model). The purpose this evaluation was compare successes...
Despite declining HIV infection rates, persistent racial and ethnic disparities remain. Appropriate calculations of diagnosis rates by transmission category, race ethnicity, geography are needed to monitor progress towards reducing systematic in health outcomes. We estimated the number heterosexually active adults (HAAs) sex state calculate appropriate disparity measures within subnational regions.
Monitoring progress toward population health equity goals requires developing robust disparity indicators. However, surveillance data gaps that result in undercounting racial and ethnic minority groups might influence the observed measures.This study aimed to assess impact of missing race ethnicity systems on measures.We explored variations information reported annual chlamydia gonorrhea diagnoses United States from 2007 2018 by state, year, sex, infection. For with incomplete demographic...
Since 2009, syphilis has been increasing in New York State (NYS) excluding City (NYC) among men with a history of male-to-male sexual contact (MSM). Because MSM make up disproportionate number new HIV infections, this study aims to: 1) establish yearly rates early diagnosis, 2) assess factors associated and 3) describe missed opportunities for earlier diagnosis living diagnosed HIV(MSMLWDH) NYS, NYC. A cohort adult MSMLWDH alive 2013 were followed through 2016 to identify individuals at...
The degree to which case surveillance captures persons ever infected with HCV is unknown. We determined the discrepancy between seroprevalence, estimated from national survey data, among adults in New York State 2008 (n = 286 262, or 1.95%) and number of reported state's hepatitis registries 144 015). Findings suggest need strengthen existing system.
In 2019, more than half of the United States reported increases both syphilis among females reproductive ages and congenital (CS), with 49 states reporting at least 1 CS case, totaling 1870 cases. From 2013 to cases quadrupled in States.1–3 New York State (NYS) morbidity mirrors a similar trend, doubling from 2019. Although successful prevention requires systemic changes health public infrastructures, one route identify best practices is seek areas documented high aversion rate (the number...
Data-to-Care (D2C) programming is an important strategy in locating and relinking persons with HIV who are not care (NIC), back to care. However, Health Department D2C programs have found a large proportion of individuals seem NIC living outside their jurisdiction. Jurisdictions limited ability cross-communicate regarding such individuals.Two [New York State (NYS) Florida (FL)] funded through the Partnerships-for-Care Demonstration Project, partnered conduct feasibility pilot project test...
Background: In New York State, excluding City, chlamydia remains a persistent health concern. Our aim was to characterize epidemiology and identify groups at higher risk of repeat positivity inform targeted public interventions. Methods: We analyzed demographic clinical data laboratory-confirmed cases in State from 2015 2019. Repeat defined as second positive test within 31 365 days the initial test. compared characteristics individuals with single evaluated associations using multivariable...
Bacterial sexually transmitted infections (STIs) continue to increase in the United States. Despite evidence of effectiveness doxycycline post-exposure prophylaxis (Doxy-PEP) prevent STIs, little is known about providers' attitudes and willingness implement Doxy-PEP.
During the initial height of COVID-19 in New York State excluding City March 2020, reports sexually transmitted infections declined. Prediction models developed to estimate incidence early syphilis and gonorrhea during pandemic were used study impact on STI diagnoses/reporting inform sexual health program planning.
Data to care (D2C) is an effective strategy using HIV surveillance data link/relink persons living with into medical care. However, some appearing be not in (NIC) report being (persons "current care").New York State's Expanded Partner Services (ExPS) D2C program has identified many reported as care." This evaluation describes these after 24 months of follow-up and identifies HIV-related laboratory-based testing patterns results determine whether this cohort could benefit from further...
Background:The use of mathematic modeling to better understand the spread Hepatitis C and impact interventions can be invaluable for localities, states countries with a large burden injection drug use.New York State (NYS) is estimated home number people who inject drugs (PWID), however hepatitis among this population are not known and/or fully understood.Since accurate complex require costly data analysis software implement, purpose paper was derive methodology accurately model prevalence at...
This evaluation describes an increase in reported drug-related risk behaviors among females who are diagnosed with early syphilis over a 5-year span New York State, excluding City. Integrating sexually transmitted infection prevention efforts harm reduction services may help decrease rates areas where behavior high.
<sec> <title>BACKGROUND</title> Monitoring progress towards population health equity goals requires developing robust disparity indicators. However, surveillance data gaps that result in undercounting racial/ethnic minority groups might influence observed measures. </sec> <title>OBJECTIVE</title> To assess the impact of missing race and ethnicity systems on <title>METHODS</title> We explored variation race/ethnicity information reported annual chlamydia gonorrhea diagnoses United States from...