Rachel Hart-Malloy

ORCID: 0000-0001-8114-7626
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About
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Research Areas
  • 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,...

10.1001/jamanetworkopen.2020.37069 article EN cc-by-nc-nd JAMA Network Open 2021-02-03

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...

10.15585/mmwr.mm7220a4 article EN MMWR Morbidity and Mortality Weekly Report 2023-05-18

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%)...

10.2105/ajph.2014.302142 article EN American Journal of Public Health 2014-10-08

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...

10.1097/phh.0000000000000483 article EN Journal of Public Health Management and Practice 2016-11-29

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...

10.1101/2020.11.04.20226118 preprint EN medRxiv (Cold Spring Harbor Laboratory) 2020-11-06

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...

10.1097/olq.0000000000001607 article EN cc-by-nc-nd Sexually Transmitted Diseases 2022-02-05

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...

10.1080/09540121.2017.1363851 article EN AIDS Care 2017-08-09

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.

10.1371/journal.pone.0257583 article EN public-domain PLoS ONE 2021-09-20

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...

10.2196/38037 article EN cc-by JMIR Public Health and Surveillance 2022-09-29

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...

10.1371/journal.pone.0226614 article EN cc-by PLoS ONE 2019-12-18

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.

10.2105/ajph.2013.301231 article EN American Journal of Public Health 2013-06-13

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...

10.1097/olq.0000000000001588 article EN cc-by-nc-nd Sexually Transmitted Diseases 2021-12-07

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...

10.1097/qai.0000000000001974 article EN JAIDS Journal of Acquired Immune Deficiency Syndromes 2019-08-17

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...

10.1097/phh.0000000000002022 article EN Journal of Public Health Management and Practice 2024-07-22

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.

10.1177/09564624241309433 article EN International Journal of STD & AIDS 2024-12-24

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.

10.1097/olq.0000000000001377 article EN cc-by-nc-nd Sexually Transmitted Diseases 2021-02-03

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...

10.1097/qai.0000000000001973 article EN JAIDS Journal of Acquired Immune Deficiency Syndromes 2019-08-17

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...

10.7243/2053-7662-2-8 article EN cc-by Journal of Medical Statistics and Informatics 2014-01-01

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.

10.1097/olq.0000000000001459 article EN Sexually Transmitted Diseases 2021-05-07

<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...

10.2196/preprints.38037 preprint EN 2022-03-16
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