A5030279350- HIV/AIDS Research and Interventions
- HIV, Drug Use, Sexual Risk
- Adolescent Sexual and Reproductive Health
- HIV-related health complications and treatments
- HIV Research and Treatment
- Homelessness and Social Issues
- Mobile Health and mHealth Applications
- LGBTQ Health, Identity, and Policy
- Sex work and related issues
- Family Caregiving in Mental Illness
- HIV/AIDS drug development and treatment
- Sexuality, Behavior, and Technology
- Maternal Mental Health During Pregnancy and Postpartum
- Diabetes Management and Education
- Health disparities and outcomes
- Adolescent and Pediatric Healthcare
- Focus Groups and Qualitative Methods
- Medication Adherence and Compliance
- Intimate Partner and Family Violence
- Skin Protection and Aging
- Hate Speech and Cyberbullying Detection
- Urban, Neighborhood, and Segregation Studies
- Social and Behavioral Studies
- Healthcare Policy and Management
- Health Literacy and Information Accessibility
Tulane University
2022-2025
University of Alabama at Birmingham
2015-2024
Lurie Children's Hospital
2023
Northwestern University
2023
Seattle University
2019
University of Alabama
2010-2018
AIDS United
2018
Baylor College of Medicine
2015-2016
Center for Innovation
2016
Harris Health System
2016
There are multiple dimensions of HIV-related stigma that can compromise the mental and physical health people living with HIV. We focused on dimension experienced stigma, defined as exposure to acts discrimination, devaluation, prejudice, investigated its relationship HIV psychosocial outcomes.We examined associations between in community care settings outcomes for (N = 203) receiving at an urban clinic Southeastern United States. also whether those effects unique or mediated by other...
Background. Human immunodeficiency virus (HIV) and AIDS continue to be associated with an underrecognized risk for suicidal ideation, attempted suicide, completed suicide. Suicidal ideation represents important predictor subsequent We sought implement routine screening of conditions using computerized patient-reported outcome (PRO) assessments. Methods. Two geographically distinct academic HIV primary care clinics enrolled patients who attended scheduled visits from December 2005 through...
HIV-related stigma has been shown to have profound effects on people living with HIV (PLWH). When is experienced in a healthcare setting, negative health outcomes are exacerbated. We sought assess the feasibility and acceptability of setting stigma-reduction intervention, Finding Respect Ending Stigma around (FRESH) Workshop, United States. This adapted from similar strategy implemented Africa, brought together workers (HW) PLWH address stigma. Two pilot workshops were conducted Alabama...
Importance HIV transmission rates in the United States have increased among men who sex with men. However, there are no published randomized trials examining interventions to reduce sexual risk for acquisition males younger than 18 years. Objective To determine efficacy of MyPEEPS Mobile, a mobile-delivered prevention intervention, behavior same-sex attracted young males. Design, Setting, and Participants This was national clinical trial Mobile vs delayed intervention aged 13 years prevent...
We explored the contribution of missed primary HIV care visits ("no-show") to observed disparities in virological failure (VF) among Black persons and with injection drug use (IDU) history.We used patient-level data from 6 academic clinics, before Centers for Disease Control Prevention Health Resources Services Administration Retention Care intervention. employed staged multivariable logistic regression models stratified by no-show visit frequency evaluate association sociodemographic...
We sought to understand how HIV-infected patients, their providers, and HIV care researchers prioritize self-reported domains of clinical care. Participants rank-ordered two lists domains. A modified Delphi process was used for providers researchers. Approximately 25% patients were interviewed discuss rationale rank order choices. List 1 included anger, anxiety, depression, fatigue, physical function, pain, sleep disturbance. 2 alcohol abuse, cognitive stigma, treatment symptoms, medication...
Abstract Background Young sexual minority men in the United States have a high incidence rate of HIV infection. Early intervention among this group, that is timed to precede or coincide with initiation, critical importance prevent Despite this, there are very few published randomized controlled efficacy trials testing interventions reduce vulnerability for acquisition racially/ethnically diverse, young, (aged ≤18 years). This paper describes design mobile app-based trial risk and promote...
Persons with HIV (PWH) can now achieve a near-normal life expectancy due to antiretroviral therapy (ART). Despite widespread availability of ART in the United States (US), many country's approximate 1.1 million PWH are not achieving viral suppression poor adherence. Viral rates particularly low Alabama (AL, 62%) and New York City (NYC, 67%). There is mixed evidence on efficacy community health workers (CHW) mHealth interventions for improving adherence thus, we sought combine these test...
To identify demographic, social, and clinical factors associated with HIV self-management evaluate whether the CHAMPS intervention is changes in an individual's self-management. This study was a secondary data analysis from randomized controlled trial evaluating effects of CHAMPS, mHealth community health worker sessions, on New York City (NYC) Birmingham. Group comparisons linear regression analyses identified We calculated interactions between groups (CHAMPS standard care) over time (6 12...
Given the significant syndemic of HIV and substance use in U.S., this study sought to examine patterns (consistent user, former recent adopter, abstainers) identify sociodemographic disparities among people with (PWH). Using 2015–2019 National Survey on Drug Use Health data (N = 212,411), we estimated prevalence rates conducted multinomial logistic regression assess associations between status (1) (2) factors. Results show PWH have higher consistent a range substances, including inhalants,...
Despite the availability of antiretroviral therapy (ART), only 66% people with HIV in United States achieve viral suppression, largely due to suboptimal ART adherence. Barriers such as limited access care and forgetfulness impact adherence rates, which must be maintained at ≥95% prevent load rebound. Combination interventions leveraging community health worker (CHW) support mobile (mHealth) technologies have potential overcome previously identified barriers provide cost-effective for...
Abstract Young Black and Latino men who have sex with are disproportionately affected by the U.S. HIV Epidemic, yet pre-exposure prophylaxis (PrEP) uptake remains low. To understand barriers facilitators to PrEP persistence, we used a concurrent mixed methods design (quantitative: online surveys, n = 19; qualitative: individual interviews, 15) from providers (e.g., nurse practitioners, clinicians, social workers) at 4 clinics providing services in Birmingham, Alabama New York City. Although...
Researchers have shown increasing interest in technology use among youths and emerging adults (Bleakley, Merzel, VanDevanter, & Messeri, 2004; Redpath et al., 2006; Valentine Bernhisel, 2008). However, no research to date examines this issue adult homeless. As these young people are more difficult engage services (Ensign Bell, Hudson, Nyamathi, Sweat, 2008) higher rates of mental illness (Merscham, Van Leeuwen, McGuire, 2009) substance abuse (Barczyk Thompson, than the general population,...
Objective: We evaluated whether heavy alcohol use, illicit drug use or high levels of anxiety, and depression symptoms were modifiers the retention through enhanced personal contact intervention. The intervention had previously demonstrated overall efficacy in parent study. Design: Randomized trial. Methods: A total 1838 patients from six US HIV clinics enrolled into a randomized trial which received an ‘enhanced contact’ protocol for 12 months. All participants completed audio...
Low perceived social support (SS) negatively impacts health outcomes. We developed a measure of SS for use in HIV care. sought and categorized legacy items, selecting strongest items within categories. elicited concepts from patients English/Spanish, coded transcripts to match item pool content, new salient unrepresented content. In focus groups, prioritized highly-matched items. conducted cognitive interviews on high-priority validity testing final against two measures. From (n = 32), we...
Mental health (MH) comorbidities reduce retention in care for persons living with HIV (PLWH) and are associated poor outcomes. Optimizing primary is vital, as delayed receipt of antiretroviral (ARV) therapy, ARV non-adherence, outcomes, including failure to suppress viral load, decreased CD4 counts, clinically significant drug resistance. We hypothesized that MH service utilization would be improved patients comorbidities. This a retrospective analysis PLWH initiating outpatient at...
Substance use in the U.S. varies by geographic region. Opioid prescribing practices and marijuana, heroin, methamphetamine availability are evolving differently across regions. We examined self-reported substance among people living with HIV (PLWH) care at seven sites from 2017-2019 to understand current regional patterns. calculated percentage standardized of PLWH reporting drug at-risk binge alcohol Census Bureau region associations adjusted logistic regression analyses. Among 7,686 PLWH,...
Objective: To analyze HIV drug resistance among MSM recruited for participation in the HPTN 078 study, which evaluated methods achieving and maintaining viral suppression HIV-infected MSM. Methods: Individuals were at four study sites United States (Atlanta, Georgia; Baltimore, Maryland; Birmingham, Alabama; Boston, Massachusetts; 2016–2017). genotyping was performed using samples collected screening or enrollment. Stanford v8.7 algorithm. A multiassay algorithm used to identify individuals...
The CDC released revised HIV testing guidelines in 2006 recommending routine, opt-out acute care settings including emergency departments (ED). Patient attitudes have been cited as a barrier to implementation of routine the ED. We assessed patients' perceptions ED through contextual qualitative approach. study was conducted during 72-h period. All adults presenting without life-threatening trauma or psychiatric crisis completed standardized questionnaire. questionnaire explored history,...
Regional variability in human immunodeficiency virus (HIV) care engagement remains underexplored. Multiple logistic models compared HIV outcomes for participants from 5 Southern (n = 557) and 6 non-Southern 670) sites. were less likely to experience viral suppression (adjusted odds ratio [aOR], 0.52; 95% confidence interval [CI], .37-.72) had a higher likelihood of CD4+ count <200 cells/µL (aOR, 1.53; CI, 1.17-2.00). intervention social safety net programs should be expanded.NCT01612169.