Sheldon D. Fields

ORCID: 0000-0002-5657-7920
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About
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Research Areas
  • HIV/AIDS Research and Interventions
  • HIV, Drug Use, Sexual Risk
  • HIV Research and Treatment
  • Adolescent Sexual and Reproductive Health
  • LGBTQ Health, Identity, and Policy
  • HIV/AIDS drug development and treatment
  • Homelessness and Social Issues
  • HIV-related health complications and treatments
  • Sex work and related issues
  • HIV/AIDS Impact and Responses
  • Child Abuse and Trauma
  • Intimate Partner and Family Violence
  • African Sexualities and LGBTQ+ Issues
  • Nursing Education, Practice, and Leadership
  • Sexuality, Behavior, and Technology
  • Disaster Response and Management
  • Pneumocystis jirovecii pneumonia detection and treatment
  • Geriatric Care and Nursing Homes
  • Nursing education and management
  • Ethics in Clinical Research
  • Education and Critical Thinking Development
  • Cultural Competency in Health Care
  • Gun Ownership and Violence Research
  • Health Promotion and Cardiovascular Prevention
  • Intergenerational Family Dynamics and Caregiving

Pennsylvania State University
2021-2025

Mercy University
2025

New York Institute of Technology
2017-2021

Long Island University
2020-2021

Family Health International 360
2018

Florida International University
2012-2017

Charles R. Drew University of Medicine and Science
2015-2016

George Washington University
2015

Milken Institute
2015

Binghamton University
2015

Background Black men who have sex with (MSM) in the United States (US) are affected by HIV at disproportionate rates compared to MSM of other race/ethnicities. Current incidence estimates this group needed appropriately target prevention efforts. Methods From July 2009 October 2010, reporting unprotected anal intercourse a man past six months were enrolled and followed for one year US cities feasibility study multi-component intervention reduce infection. based on seroconversion was...

10.1371/journal.pone.0070413 article EN cc-by PLoS ONE 2013-07-26

Bullying is a form of violence characterized as an aggressive behavior that unprovoked and intended to cause harm. Prior studies have found lesbian, gay, bisexual, transgender (LGBT) youth experience high levels bullying related their sexuality this harassment can lead engagement in risk behaviors, depression, suicide. Ethnic/racial minority young men who sex with (YMSM) may dual stigma maltreatment due both race. The aim the current study was assess prevalence perceptions racial sexual...

10.1089/apc.2011.9877 article EN AIDS Patient Care and STDs 2011-06-20

Abstract Introduction Randomized clinical trials have demonstrated the efficacy of antiretroviral pre‐exposure prophylaxis (Pr EP ) in preventing HIV acquisition among men who sex with ( MSM ). However, limited research has examined initiation and adherence to Pr Black BMSM United States US are disproportionately represented newly infected late care individuals. This reports on Prevention Trials Network 073 HPTN 073) study aimed examine initiation, utilization utilizing theoretically...

10.1002/jia2.25223 article EN cc-by Journal of the International AIDS Society 2019-02-01

BackgroundInjectable cabotegravir was superior to daily oral tenofovir disoproxil fumarate plus emtricitabine for HIV prevention in two clinical trials. Both trials had the primary aim of establishing efficacy long-acting injectable pre-exposure prophylaxis (PrEP) compared with PrEP. Long-acting PrEP associated diagnostic delays and integrase strand-transfer inhibitor (INSTI) resistance. This report presents findings from first unblinded year Prevention Trials Network (HPTN) 083...

10.1016/s2352-3018(23)00261-8 article EN cc-by The Lancet HIV 2023-11-09

Surveillance points to an urgent public health need for HIV prevention, access, and retention among young men of color who have sex with (YMSM). The purpose this multisite study was evaluate the association between organizational- individual-level characteristics in care HIV-positive YMSM color.Data were collected quarterly via face-to-face interviews chart abstraction June 2006 September 2008. Participants aged 16-24 years, enrolled at 1 8 participating youth-specific demonstration sites,...

10.1097/qai.0b013e3181b56404 article EN JAIDS Journal of Acquired Immune Deficiency Syndromes 2010-03-05

The average reported age of sexual debut for youth in the United States is 14.4 years, with approximately 7% reporting their prior to 13. While research literature on addresses gender and ethnic differences (with males African-American experiencing earlier debut), there limited data regarding factors associated young men who have sex (YMSM). Early poses potential health risks, such as contracting HIV an increased risk unprotected intercourse. Given current high infection rates racial/ethnic...

10.1089/apc.2011.9879 article EN AIDS Patient Care and STDs 2011-06-28

US guidelines recommend at least annual HIV testing for those risk. This analysis assessed frequency and correlates of infrequent late diagnosis among black men who have sex with (BMSM).

10.1097/qai.0000000000000334 article EN JAIDS Journal of Acquired Immune Deficiency Syndromes 2014-09-06

Objectives. We assessed the relation of childhood sexual abuse (CSA), intimate partner violence (IPV), and depression to HIV risk behaviors among Black men who have sex with (MSM). Methods. Participants were 1522 MSM recruited from 6 US cities between July 2009 December 2011. Univariate multivariable logistic regression models used. Results. reported before age 12 years someone at least 5 older (31.1%), unwanted when aged 16 (30%), IPV (51.8%), (43.8%). Experiencing CSA was inversely...

10.2105/ajph.2015.302878 article EN American Journal of Public Health 2015-10-15

In The HIV Prevention Trials Network 061 study, 155 human immunodeficiency virus (HIV)–infected men reported no prior diagnosis; 83 of those had RNA levels <1000 copies/mL at enrollment. Antiretroviral drug testing revealed that 65 the (78.3%) were on antiretroviral treatment. can help distinguish between newly diagnosed and previously infection.

10.1093/cid/cit672 article EN Clinical Infectious Diseases 2013-10-02

Combating all forms of oppression to achieve health equity

10.1097/ajn.0000000000000012 article EN AJN American Journal of Nursing 2025-01-23

Abstract Background Black, Indigenous, or People of Color (BIPOC) are overrepresented among heavily treatment-experienced (HTE) people with HIV (PWH). They face complex treatment challenges, exacerbated by socioeconomic disadvantages, and cultural insensitivities in healthcare settings that lead to suboptimal care outcomes. To improve clinician competence integrating long-acting agents into practice providing culturally supportive care, an educational web-based initiative was designed...

10.1093/ofid/ofae631.1169 article EN cc-by Open Forum Infectious Diseases 2025-01-29

This report describes the high prevalence and context of childhood sexual abuse (CSA) among Black men who have sex with (MSM) across 3 independent qualitative studies. Semistructured one-on-one interviews were conducted 87 MSM cities (Rochester, NY, n = 28; Lexington, KY /Atlanta, GA, 30; Atlanta, 29). A combined CSA 32% (28/87) was found samples, despite variation in geographic location, mean age, identification. Common themes emerging samples included prolonged repeated by a close male...

10.1037/1099-9809.14.4.385 article EN Cultural Diversity & Ethnic Minority Psychology 2008-10-01

The Institute of Medicine recommended that 90% clinical decisions should be evidenced based by 2020. Both the IOM and American Association Critical-Care Nurses identified evidenced-based practice (EBP) as a core competency for practice. EBP can reduce costs, improve patient outcomes, ensure optimal nursing interventions. Because faculty may have deficits in knowledge, attitudes, competencies to teach EBP, few students conduct reviews. purpose this project was develop educational resources...

10.3928/00220124-20160817-08 article EN The Journal of Continuing Education in Nursing 2016-08-31

Abstract Background The HIV Prevention Trials Network (HPTN) Study 073 (HPTN 073) assessed the feasibility, acceptability, and safety of preexposure prophylaxis (PrEP) for black men who have sex with (BMSM). purpose this analysis was to characterize relationship between PrEP uptake use incident sexually transmitted infections (STIs) among participants enrolled in HPTN 073. Methods A total 226 human immunodeficiency virus (HIV)–uninfected BMSM were 3 US cities; all received client-centered...

10.1093/cid/ciy1141 article EN Clinical Infectious Diseases 2019-01-04

Adolescents and young adults (ages 13–24) in the USA are frequently exposed to violence their community home. While studies have examined prevalence impact of exposure among adolescents, there is a lack data focusing specifically on adolescent men color who sex with men. Eight demonstration sites funded through Special Projects National Significance (SPNS) Initiative recruited 363 HIV-positive racial/ethnic minority (YMSM) for longitudinal study between 2006 2009. Over two-thirds...

10.1080/09540121.2013.861571 article EN AIDS Care 2013-11-26

Background: HIV Prevention Trials Network (HPTN) 061 enrolled black men who have sex with in the United States. Some low/undetectable RNA had unusual patterns of antiretroviral (ARV) drug use or drugs detected absence viral suppression. This report includes a comprehensive analysis ARV and resistance among HPTN were not virally suppressed. Methods: The included 169 loads >400 copies per milliliter at enrollment, including 3 acute infection 13 recent infection. By self-report, 88 previously...

10.1097/qai.0000000000000633 article EN JAIDS Journal of Acquired Immune Deficiency Syndromes 2015-04-10

The sub-population at greatest risk for HIV infection in the United States is Black men who have sex with (BMSM), and there an urgent need effective prevention interventions among them 1. Despite advances biomedical behavioural interventions, healthcare systems continue to fail slow epidemic BMSM. This particularly case young 2, estimated lifetime of up 50% 3. It has been well demonstrated that tenfovir disiproxil fumarate (TDF) emtricitabine (FTC) as pre-exposure prophylaxis (PrEP) are...

10.1002/jia2.25180 article EN cc-by Journal of the International AIDS Society 2018-10-01
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