A5036905087- HIV/AIDS Research and Interventions
- HIV, Drug Use, Sexual Risk
- LGBTQ Health, Identity, and Policy
- Sex work and related issues
- Health disparities and outcomes
- Adolescent Sexual and Reproductive Health
- Intergenerational Family Dynamics and Caregiving
- Social Capital and Networks
- Ethics in Clinical Research
- Health Policy Implementation Science
- Family Business Performance and Succession
- Homelessness and Social Issues
- Healthcare professionals’ stress and burnout
- Health, psychology, and well-being
- Employment and Welfare Studies
- Religion, Spirituality, and Psychology
- Religion, Society, and Development
- COVID-19 and Mental Health
- Adolescent and Pediatric Healthcare
- Geriatric Care and Nursing Homes
University of North Carolina at Charlotte
2020-2024
Mecklenburg County Government
2023
Louisiana State University Health Sciences Center New Orleans
2017-2019
Medical College of Wisconsin
2017-2019
New Orleans AIDS Task Force
2017-2018
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...
<sec> <title>BACKGROUND</title> In the United States (US), sexual and gender minority (SGM) people of color (POC) are disproportionately impacted by HIV. Persisting new diagnoses in SGM POC make it unlikely that US will meet Ending HIV Epidemic’s (EHE) goal to reduce 90% 2030. Innovative strategies needed address this challenge, particularly South, where Black/African American Latine Social network approaches have led increased testing uptake. interventions responsive individuals’ needs...
Background HIV testing is the gateway to entering care and prevention services. However, rates remain low among young adults (18–29 years old) in Mecklenburg County, North Carolina (NC), an ending epidemic (EHE) priority jurisdiction. We aim utilize community-engaged participatory approaches co-create implementation strategies promote reach uptake of self-testing (HIVST) region. This study protocol outlines phases project proposed outcomes. Methods The Community-engaged Approaches Expand...
Efforts to reduce HIV among gay, bisexual and other men who have sex with include increasing awareness uptake of pre-exposure prophylaxis (PrEP). Social capital may facilitate engagement in prevention. Membership social groups including chosen families (i.e. friends as family relationships) – one potential indicator be protective against risk infection. In this cross-sectional quantitative study, we examined items group membership association PrEP outcomes. 2014, the New Orleans arm National...
Abstract Background Data on behavioral correlates of mental illness among young people who inject drugs (PWID) are limited. We examine injection risks and healthcare use PWID with probable serious (PSMI). Methods People were recruited interviewed in 20 US cities for 2015 National HIV Behavioral Surveillance. Probable was assessed using the Kessler-6 screening scale. Bivariate analyses log-linked Poisson regression generalized estimating equations adjusted design covariates conducted to...
Background Gay, bisexual, and other men who have sex with (GBM) the highest proportion of incident HIV infection. Pre-exposure prophylaxis (PrEP) use screening for sexually transmitted infections (STIs) are primary prevention strategies, however, uptake remains low. Social capital, collective resources generated through social connections, associated lower risk We investigated capital in association PrEP indicators among GBM. Methods Analyses included (N = 376) GBM from 2014 National...
Phylogenetic studies show links between heterosexual women and men who have sex with (MSM) that are more numerous than from to suggesting HIV infections among may stem MSM. Poor communities been associated high rates of women. Our analysis investigates potential transmission MSM female heterosexuals.National Behavioral Surveillance data describe risk behaviors MSM, case reporting the percentages cases attributed categories. We examined correlations were also cases. census characterize each...
HIV pre-exposure prophylaxis (PrEP) remains underutilized among cis and trans women. The PrEP Initiative Program (PIP) is a novel public–private partnership implemented at 12 local clinics in North Carolina. PIP provides HIV/sexually transmitted infection (STI) testing clinical laboratory monitoring for to uninsured/underinsured clients. We sought understand service-related differences both women enrolled PIP, including STIs diagnoses, clinic type, sources of referral, services needed,...
Correct and consistent condom use human immunodeficiency virus (HIV) preexposure prophylaxis (PrEP) are protective against sexual transmission of HIV (1,2). The incidence infection among Hispanic/Latino men who have sex with (MSM) in the United States is increasing (3). risk MSM differs based on their place birth years U.S. residence (4). Data from CDC's National Behavioral Surveillance (NHBS)* for 2011-2017 were analyzed to assess changes behaviors by residence. Overall, condomless anal...
The burden of informal caregiving represents a chronic stressor for the caregivers (ICs). study investigates differences in physical and mental health ICs that non-informal before during COVID-19. We used data from 2019/2020 Behavioral Risk Factor Surveillance System (BRFSS) to investigate rate days poor among compared after COVID-19 National Emergency Declaration (NED). A propensity score model simulated pseudo experimental design, comparing (“treated”) with (“control”)....
Despite previous empirical studies which have linked social capital to a number of health outcomes, few investigated sub-group specific among populations at increased risk for HIV infection such as gay, bisexual and other men who sex with (GBM). Many GBM color belong constructed families in friends refer each kinship terms parents children. No measured provisions within family networks. This study developed preliminary instrument assessing families. The network level scale incorporated the...
This study focuses on identifying COVID-19 related exposure, stress, and mental health concerns in the larger Charlotte, North Carolina region, an area with many low-income under resourced communities. A community-academic partnership conducted a regional needs assessment. Low-income adults (N = 156) completed online-administered survey of demographic information, coping-related factors, health. Frequency data showed that common stressors included job lost job/income, increased home...
Identify factors associated with PrEP awareness, willingness, and future prevention modalities among undergraduate college students.Undergraduates (N = 701) were recruited from a private university, public research historically Black university for an online survey.Upon multiple imputations, multivariate logistic model, multinomial independent ordinal models used to calculate Rubin's rules-pooled adjusted odds ratios HIV methods.Only 33.4% of students had heard 32.4% willing take PrEP....
Participants in the New Orleans arm of National HIV Behavioral Surveillance Heterosexuals at Increased Risk for were asked about potential utilization self-administered home-based tests HIV. The majority (86%) would use a free test if provided by mail and 99% seek treatment based on positive result. In addition, more than half respondents return results some format to provider, whereas most remaining participants preferred discuss only with their doctor. These findings point toward method...
The amount and type of information individuals receive about HIV pre-exposure prophylaxis (PrEP) may influence PrEP uptake. We surveyed 331 HIV-negative sexual gender minorities who have sex with men at a Midwestern Pride festival in 2018 (Mage = 32, 68% White, 87% cisgender men) to assess sources perceived tone associated outcomes. Most participants (88%) had heard PrEP. most common were the internet (70%), social media (59%), friends (54%). Messages from health campaigns as positive those...
Human immunodeficiency virus (HIV) continues to disproportionately affect gay, bisexual, and other men who have sex with (GBM) transgender nonbinary (trans/NB) individuals. This study investigated attitudes toward participation in HIV survey research, guided by Emanuel's framework for ethical clinical research (e.g., risk–benefit ratio, fair participant selection, respect participants, social value, collaborative partnership). GBM ( n = 294) trans/NB 86) persons recruited at a Pride event...