- HIV/AIDS Research and Interventions
- HIV, Drug Use, Sexual Risk
- Sex work and related issues
- Adolescent Sexual and Reproductive Health
- LGBTQ Health, Identity, and Policy
- HIV/AIDS Impact and Responses
- Food Security and Health in Diverse Populations
- Global Public Health Policies and Epidemiology
- Poxvirus research and outbreaks
- Racial and Ethnic Identity Research
- African Sexualities and LGBTQ+ Issues
- Bacillus and Francisella bacterial research
- Health disparities and outcomes
- Physical Activity and Health
- COVID-19 Clinical Research Studies
- Global Maternal and Child Health
- Human Rights and Development
- Migration, Health and Trauma
- Chronic Disease Management Strategies
- Employment and Welfare Studies
- HIV Research and Treatment
- Global Health Care Issues
- Herpesvirus Infections and Treatments
- Healthcare Systems and Reforms
- COVID-19 epidemiological studies
Harvard University
2018-2024
Harvard University Press
2023
University of Pennsylvania
2023
Anova Health Institute
2016-2018
AIDS United
2018
United States Agency for International Development
2018
Médecins Sans Frontières
2018
Global Forum for Health Research
2012-2015
Columbia University
2012
Before April 2022, monkeypox virus infection in humans was seldom reported outside African regions where it is endemic. Currently, cases are occurring worldwide. Transmission, risk factors, clinical presentation, and outcomes of poorly defined.
Introduction. Men who have sex with men (MSM) are disproportionately impacted by HIV globally. Easily accessible combination prevention strategies, tailored to the needs of MSM, needed effectively address AIDS pandemic. Methods and Materials. We conducted a cross-sectional study among MSM (n = 3748) from 145 countries April August 2012. Using multivariable random effects models, we examined factors associated acceptability preexposure prophylaxis (PrEP) access condoms, lubricants, testing,...
We evaluated the relationship among syndemic conditions (defined as a cluster of interconnected psychosocial health conditions), sexual behaviours and self-reported HIV infection in global sample men who have sex with (MSM).We used generalised estimating equations logistic regression models robust SEs to assess relationships cumulative number conditions--including depression, substance use, violence, stigma homelessness--and unprotected anal intercourse (UAI) infection, while accounting for...
Although previous research has examined barriers and facilitators of HIV testing among men who have sex with (MSM) in China, few studies focused on social factors, including homophobia internalized homophobia. This study utilized data from a global online survey to determine correlates as part subanalysis Chinese MSM. Controlling for age, knowledge, number sexual partners, other covariates, ever having tested was significantly correlated lower suggests that stigma associated orientation may...
Introduction Free or low‐cost HIV testing, condoms, and lubricants are foundational prevention strategies, yet often inaccessible for men who have sex with (MSM). In the global context of stigma poor healthcare access, transgender (trans) MSM may face additional barriers to services. Drawing on data from a survey MSM, we aimed describe perceived access services among trans examine associations between compare cisgender (non‐transgender) MSM. Methods The 2014 Global Men's Health Rights online...
Many resource-limited countries are scaling up health services and health-information systems (HISs). The HIV Cascade framework aims to link treatment programs improve outcomes impact. It has been adapted prevention services, other infectious non-communicable diseases, for specific populations. Where successful, it links the use of by individuals across different disease categories, time space. This allows development longitudinal records de-identified individual level information is used...
Men who have sex with men (MSM) are disproportionately impacted by HIV. Criminalisation of homosexuality may impede access to HIV services. We evaluated the effect enforcement laws criminalising on services.Using data from a 2012 global online survey that was published in prior paper, we conducted secondary analysis evaluating differences perceived accessibility health services (ie, 'how accessible ____' services) between MSM responded 'yes'/'no' to: 'have you ever been arrested or convicted...
Abstract Introduction Gay social networking apps have grown in popularity among men who sex with offering opportunities for rapid and confidential collection of vital data as well connection. The goal our study was to explore factors associated utilization pre‐exposure prophylaxis (PrEP) antiretroviral treatment (ART), self‐reported undetectable viral load (UVL) using collected by the gay app Hornet. Methods In 2016, Global Forum on MSM & HIV (MSMGF) partnered Hornet, support an...
Through an analysis of AIDS National Strategic Plans (NSPs), this study investigated the responses African governments to HIV epidemics faced by men who have sex with (MSM). NSPs from 46 countries were systematically analysed, attention focused on (1) representation MSM and their risk, (2) inclusion epidemiologic information epidemic among (3) government-led interventions addressing MSM. Out NSPs, 34 mentioned While two-thirds these acknowledged vulnerability infection, fewer than half role...
Global health practice is rooted in a colonial understanding and use of knowledge; organizations the North produce knowledge for South, whereas produced South often overlooked North.Over past decade, however, some authors this piece have participated successful effort by key population civil society to root global HIV program policy guidance experiences experts who South.We reflect on influence principles elaborated work implicitly shaped our community-led response mpox epidemic as...
Objectives:The health and prevention benefits of antiretroviral therapies (ART), delivered as part comprehensive HIV care programs remain unrealized for men who have sex with (MSM).This multilevel study explores the correlates drop-off from continuum in an international MSM, taking into account individual regional differences access to utilization care. Methods:We conducted a diagnosis among 6095 MSM using data collected online survey 2012.In this model treatment cascade, we treated each...
The past 20 years have seen an unprecedented increase in the visibility of lesbian, gay, bisexual and transgender people Africa. activities advocate...
Despite sustained opposition, legislation criminalising homosexuality persists and threatens human security in Africa numerous ways. This paper explores the circumstances around enactment of new anti-homosexual Nigeria Uganda, examining five categories insecurity faced by lesbian, gay, bisexual, transgender (LGBT) people context these laws: physical violence; extortion blackmail; arbitrary arrest detention; displacement from home; loss work.
Abstract Introduction As the HIV field evolves to better serve populations which are diverse in risk and access services, it is crucial understand adapt conceptual tools used make sense of pandemic. In this commentary, we discuss concept general population . Using a synthetic historical review, reflect on genesis usage research programme literature, pointing its moral connotations impact epidemiologic reasoning. Discussion From early days pandemic, category has carried implicit normative...
Background: Substance use is common among men who have sex with (MSM) worldwide, and epidemiologic data suggest that alcohol/substance-using MSM are at greater risk for HIV. However, there scarce on substance abuse treatment programs (SATPs) substance-using MSM. Objectives: We examined proportions of as well SATP availability use. used multivariable regression models, controlling potential confounders, to examine behavioral demographic correlates Methods: This a cross-sectional study...
There are limited in-depth analyses of COVID-19 differential impacts, especially in resource-limited settings such as South Africa (SA). To explore context-specific sociodemographic heterogeneities order to understand the impacts COVID-19. Descriptive epidemiological hospitalisation and mortality data were drawn from daily hospital surveillance data, National Institute for Communicable Diseases (NICD) update reports (6 March 2020 - 24 January 2021) Eastern Cape Daily Epidemiological Report...
Despite the expansion of HIV prevention and treatment services across sub-Saharan Africa, new infections remain stubbornly high [1]. It has been suggested that this is a result failure to extend groups such as men who have sex with men, risk acquiring transmitting [2]. In Viewpoint, we argue community-based organizations, which are largely responsible for delivering should be understood in relation communities from they emerge embedded. This understanding can help programmes improve reach...
The mechanisms connecting various types of social support to mortality have been well-studied in high-income countries. However, less is known about how these relationships function different socioeconomic contexts. We examined four domains support—emotional, physical, financial, and informational—impact within a sample older adults living rural resource-constrained setting. Using baseline survey longitudinal data from HAALSI, we assessed affects cohort 5059 individuals aged 40 years or...