Emily Higgins
A5078974400- HIV/AIDS Research and Interventions
- HIV, Drug Use, Sexual Risk
- Sex work and related issues
- HIV Research and Treatment
- Homelessness and Social Issues
- Orthodontics and Dentofacial Orthopedics
- LGBTQ Health, Identity, and Policy
- Multisensory perception and integration
- Dental Research and COVID-19
- Infant Health and Development
- Health and Well-being Studies
- Temporomandibular Joint Disorders
- Dental Education, Practice, Research
- Opioid Use Disorder Treatment
- Primary Care and Health Outcomes
- Psychotherapy Techniques and Applications
- Suicide and Self-Harm Studies
- Dental Anxiety and Anesthesia Techniques
- Healthcare Policy and Management
- Child Therapy and Development
- Food Security and Health in Diverse Populations
- Substance Abuse Treatment and Outcomes
- Religious Studies and Spiritual Practices
- Counseling, Therapy, and Family Dynamics
- Sexuality, Behavior, and Technology
Michigan Department of Health and Human Services
2017-2024
Dublin Dental University Hospital
2019-2023
Trinity College Dublin
2019-2023
Ollscoil na Gaillimhe – University of Galway
2022
Merlin Park University Hospital
2019
Royal College of Physicians and Surgeons of Glasgow
2019
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...
In the United States, 10% of HIV infections diagnosed in 2018 were attributed to unsafe injection drug use or male-to-male sexual contact among persons who inject drugs (PWID) (1). 2017, PWID men have sex with and (MSM-ID), 76% those received a diagnosis infection lived urban areas* (2). To monitor prevalence associated behaviors reported injecting past 12 months, including MSM-ID, CDC's National Behavioral Surveillance (NHBS) conducts interviews testing populations at high risk for (MSM,...
In 2019, heterosexual sex accounted for 23% of new HIV diagnoses in the United States and six dependent areas (1). Although preexposure prophylaxis (PrEP) can safely reduce risk infection among persons, this group is underrepresented PrEP research (2). CDC analyzed National Behavioral Surveillance (NHBS) data to describe awareness heterosexually active adults cities with high prevalence. Overall, although 32.3% who were eligible aware PrEP, <1% used PrEP. Racial, ethnic, gender disparities...
In the United States (US), sexuality-based stigma continues to undermine HIV prevention and care efforts. We assessed sexual behavior burden across family, healthcare, social domains determined associations with HIV-related outcomes among cisgender gay, bisexual, other men who have sex (MSM) in nine US metropolitan statistical areas. MSM (N = 4,086) recruited at places of congregation via venue-based, time-sampling procedures completed a survey on stigma, PrEP (pre-exposure prophylaxis)...
Abstract Background Medicaid expansion under the Affordable Care Act increased insurance coverage, access to healthcare, and substance use disorder treatment, for many Americans. We assessed differences in healthcare utilization among persons who inject drugs (PWID) by state status. Methods In 2018, PWID were interviewed 22 US cities National HIV Behavioral Surveillance. analyzed data from aged 18–64 years reported illicit of opioids (n = 9957) past 12 months. Poisson regression models with...
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...
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...
Complex manifestation of stigma across personal, community, and structural levels their effect on HIV outcomes are less understood than effects in isolation. Yet, multilevel approaches that jointly assesses criminalization personal sexual behavior relation to testing have not been widely employed or only focused specific subpopulations. The current study the association three types MSM-related behavior-related (family, healthcare, general social stigma) measured at both individual site...
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...
Importance HIV self-testing (HIVST) is a promising strategy to expand the care continuum, particularly among priority populations at high risk of infection. However, little known about HIVST uptake men who have sex with (MSM) outside clinical trial settings. Objective To evaluate use urban MSM in US reported testing within past 12 months. Design, Setting, and Participants A cross-sectional study adult 2017 National Behavioral Surveillance system, which used venue-based sampling methods...
Limited data exist in the United States on prevalence of HIV among women who exchange sex.We estimate sex from a 2016 survey Chicago, Detroit, Houston, and Seattle compare it with low socioeconomic status (SES), did not sex, general population.Women were recruited via respondent-driven sampling some cities participating National Behavioral Surveillance, interviewed, offered testing. We and, using ratios, SES 2013 Surveillance cycle, to population estimated 2015 data.One thousand four hundred...
Men who have sex with men (MSM) in the United States are stigmatized for their same-sex practices, which can lead to risky sexual behavior, potentiating risk human immunodeficiency virus (HIV) infection. Improved measurement is necessary accurately reporting and mitigating behavior stigma. We added 13 stigma items local surveys administered 2017 at 9 sites Centers Disease Control Prevention's National HIV Behavioral Surveillance system, uses venue-based, time-sampling procedures survey...
Abstract HIV rapid testing algorithms (RTAs) using any two orthogonal tests (RTs) allow for on-site confirmation of infection. RTs vary in performance characteristics therefore the selection an algorithm may affect identification infection, particularly if acute. National Behavioral Surveillance (NHBS) assessed RTAs among men who have sex with recruited anonymous venue-based sampling. Different were evaluated participants self-reported never having received a positive test result prior to...
Abstract Alcoholics Anonymous (AA) is an established resource for people suffering from alcohol use disorder (AUD). However, Bill Wilson, the co‐founder of AA, in his second letter to Jung referred its low success rate. One evidence‐based alternative, dating back 1950s, clinical lysergic acid diethylamide (LSD) treating AUD. Wilson was a strong advocate using LSD as preparation alcoholics who had difficulty grasping spiritual aspect 12‐step programme. wrote “secret” four‐page Carl detailing...
The aim of this study was to evaluate whether text reminders influence patient compliance with Twin Block appliances. null hypothesis that there no statistically significant differences in between those who receive and do not.