- HIV, Drug Use, Sexual Risk
- HIV/AIDS Research and Interventions
- LGBTQ Health, Identity, and Policy
- Sex work and related issues
- Adolescent Sexual and Reproductive Health
- Homelessness and Social Issues
- Substance Abuse Treatment and Outcomes
- HIV Research and Treatment
- Opioid Use Disorder Treatment
- Health disparities and outcomes
- Zoonotic diseases and public health
- Sexuality, Behavior, and Technology
- Food Security and Health in Diverse Populations
- African Sexualities and LGBTQ+ Issues
- Reproductive Health and Technologies
- Mental Health Treatment and Access
- Yersinia bacterium, plague, ectoparasites research
- Urban, Neighborhood, and Segregation Studies
- Cannabis and Cannabinoid Research
- Healthcare cost, quality, practices
- Leptospirosis research and findings
- Obesity and Health Practices
- Animal Ecology and Behavior Studies
- Prenatal Substance Exposure Effects
- Healthcare Policy and Management
Johns Hopkins University
2016-2025
Rutgers, The State University of New Jersey
2024
Cornell University
2024
Bridge University
2023
Lincoln Park Zoo
2023
New York City Department of Health and Mental Hygiene
2022
New York State Psychiatric Institute
2022
Maryland Department of Health
2015
Johns Hopkins Medicine
2015
Centers for Disease Control and Prevention
2014
In 2017, preliminary data show that gay, bisexual, and other men who have sex with (MSM) accounted for 67% of new diagnoses human immunodeficiency virus (HIV) infection, MSM inject drugs an additional 3%, African American/black (black) Hispanic/Latino (Hispanic) were disproportionately affected (1). During 2010-2015, racial/ethnic disparities in HIV incidence increased among MSM; 2015, rates black Hispanic 10.5 4.9 times as high, respectively, the rate white (compared 9.2 3.8 2010) (2)....
In February 2019, the U.S. Department of Health and Human Services proposed a strategic initiative to end human immunodeficiency (HIV) epidemic in United States by reducing new HIV infections 90% during 2020-2030* (1). Phase 1 Ending Epidemic focuses on Washington, DC; San Juan, Puerto Rico; 48 counties where majority diagnoses infection 2016 2017 were concentrated seven states with disproportionate occurrence rural areas relative other states.† One four pillars is protecting persons at risk...
The JEWEL (Jewellery Education for Women Empowering Their Lives) pilot study examined the efficacy of an economic empowerment and HIV prevention intervention targeting illicit drug-using women (n=50) who were involved in prostitution Baltimore, Maryland. was comprised six 2-hour sessions that taught risk reduction making, marketing selling jewellery. Bivariate comparisons behaviour change pre- 3-months post-intervention. intervention's effect on number sex trade partners from baseline to...
Historically, HIV studies have conflated men who sex with (MSM) transgender (trans) women, explicitly excluded trans individuals, or included sample sizes of people that are too small to reach meaningful conclusions. Despite the heavy burden among conflation this population MSM has limited information available on social and behavioural factors increase vulnerability women how these may differ from MSM. Using data sets quantitative (n = 645) 89), as well qualitative in-depth interviews 30 in...
The Institute of Medicine and Joint Commission recommend routine documentation patients' sexual orientation in health care settings. Currently, very few systems collect these data since patient preferences professionals' support regarding collection about are unknown.
Purpose: Research suggests that LGBT populations experience barriers to healthcare. Organizations such as the Institute of Medicine recommend routine documentation sexual orientation (SO) and gender identity (GI) in healthcare, reduce disparities. We explore patient views regarding importance SO/GI collection, provider on risks benefits collection various settings. Methods: surveyed LGBT/non-LGBT patients providers their collection. Weighted data were analyzed with descriptive statistics;...
The National Academy of Medicine and Joint Commission recommend routine documentation sexual orientation (SO) gender identity (GI) in healthcare to address lesbian, gay, bisexual, or transgender (LGBT) health disparities. We explored patient-reported views on the importance SO/GI collection, their willingness disclose, perceived facilitators collection primary care emergency department (ED) settings.We recruited a national sample self-identified patients. Participants completed demographic...
We compared the behavior of two approaches (Cluster Picker and HIV-TRACE) at varying genetic distances to identify transmission clusters. used three HIV gp41 sequence datasets originating from Rakai Community Cohort Study: (1) next-generation (NGS) data nine linked couples; (2) NGS longitudinal sampling 14 individuals; (3) Sanger consensus sequences a cross-sectional dataset (n = 1,022) containing 91 epidemiologically heterosexual couples. calculated optimal distance threshold separate...
In a context with limited attention to mental health and prevalent sexual prejudice, valid measurements are key first step understanding the psychological suffering of minority populations. We adapted Patient Health Questionnaire as depressive symptom severity measure for Vietnamese women, ensuring its cultural relevance suitability Internet-based research. Psychometric evaluation found that scale is mostly unidimensional has good convergent validity, external construct excellent...
<h3>Importance</h3> Health care and government organizations call for routine collection of sexual orientation gender identity (SOGI) information in the clinical setting, yet patient preferences methods remain unknown. <h3>Objective</h3> To assess optimal patient-centered approach SOGI emergency department (ED) setting. <h3>Design, Setting, Participants</h3> This matched cohort study (Emergency Department Query Patient-Centered Approaches to Sexual Orientation Gender Identity [EQUALITY]...
Social capital is a well-established predictor of several behavioral health outcomes. However, we know less about the relationship with prevention, transmission, and treatment HIV/AIDS outcomes in United States (US). In 2017, conducted scoping review empirical studies investigating relationships between social US by searching PubMed, Embase, PsycINFO, Web Science, Sociological Abstracts no restriction on publication date, for articles English language. Sample search terms included: HIV...
Abstract Background Addressing xylazine harms are now a critical harm reduction priority, but relatively little epidemiological information exists to determine prevalence, magnitude, and correlates of use or related outcomes. Methods We conducted rapid behavioral survey among people who inject drugs ( n = 96) in Baltimore November–December 2022. Using novel indicator self-reported presumed effects, we examined prevalence sociodemographic past year effects association with overdose...
Abstract Health outcomes are associated with aggregate neighborhood measures and individual perceptions. In this study, the authors sought to delineate individual, social network, spatial factors that may influence perceptions of disorder. Multilevel regression analysis showed were more negative in neighborhoods higher crime reports. Controlling for crime, disorder younger age, no main partner, nondrug use, depression, network drug time on street. Results suggest based objective factors,...
Background: Given high rates of HIV among Baltimore men who have sex with (MSM), we examined characteristics associated prevalence and unrecognized infection MSM at two time points. Methods: Cross-sectional behavioral surveys testing in 2004-2005 2008 using venue-based sampling adult MSM-identified locations. was defined as a male partner the past year. Bivariate backward stepwise regression identified infection. Results: 37.7% overall (n = 645) 37.5% 448), 51.4% 44.7% black 12.9% 18.3%...