A5035039635- HIV/AIDS Research and Interventions
- HIV, Drug Use, Sexual Risk
- Homelessness and Social Issues
- Adolescent Sexual and Reproductive Health
- Opioid Use Disorder Treatment
- Sex work and related issues
- Health Policy Implementation Science
- HIV-related health complications and treatments
- Food Security and Health in Diverse Populations
- Mental Health and Patient Involvement
- LGBTQ Health, Identity, and Policy
- Attachment and Relationship Dynamics
- Child Abuse and Trauma
- Mental Health Treatment and Access
- Reproductive tract infections research
- Psychotherapy Techniques and Applications
- Social Representations and Identity
- Child Welfare and Adoption
- HIV/AIDS drug development and treatment
- HIV/AIDS Impact and Responses
- HIV Research and Treatment
- Child Nutrition and Feeding Issues
- Pharmaceutical Practices and Patient Outcomes
- Counseling, Therapy, and Family Dynamics
- Health disparities and outcomes
University of Alabama at Birmingham
2020-2025
Washington University in St. Louis
2025
AIDS United
2022-2024
University of Pittsburgh
2023-2024
Chestnut Health Systems
2024
University of Illinois Chicago
2024
RTI International
2024
Rutgers, The State University of New Jersey
2023
British Psychological Society
2023
University of Roehampton
2020-2023
Clinical trials have demonstrated that preexposure prophylaxis (PrEP) protects against HIV infection; yet, even with its approval by the Food and Drug Administration (FDA) in 2012, less than 10% of eligible users United States are currently taking PrEP. While there multiple factors influence PrEP uptake pose barriers to implementation, here we focus on PrEP’s cost States, which, at current list price $2000 per month high levels sharing, can leave insured more $1000 out-of-pocket costs every...
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...
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...
Background: In addition to structural interventions such as syringe services and naloxone distribution, harm reduction (HR) is also a relational approach care encompassing principles patient autonomy pragmatism that can be implemented in healthcare teams improve outcomes for people with HIV (PWH) who use drugs. Evidence suggests using HR framework operationalize PWH drugs may the patient-provider relationship, thus positively impacting outcomes. We previously found negative attitudes toward...
Understanding the impact of testosterone on vaginal microbiota transgender men (TGM) and non-binary people assigned female sex at birth over time is imperative as dysbiosis incident bacterial vaginosis (iBV) may cause bothersome genital symptoms increase HIV/STI acquisition risk. We investigated shifts in composition TGM initiating for gender-affirming hormone therapy, including development iBV. Participants ages ≥18 years, reporting or identity, interested starting injectable testosterone,...
Background: Supplements were awarded under the National Institutes of Health, ending HIV epidemic (EHE) initiative to foster implementation science through community-engaged research. The objective this study was synthesize lessons learned, identify areas research sufficiently studied, and present an agenda for future on health workforce development from a collaboration across 9 EHE projects in 11 jurisdictions United States. Methods: supplement recipients completed semistructured...
Background: Community–academic partnerships (C-APs) have been central to advancements in HIV research over the past 4 decades and were specifically called for national Ending Epidemic (EHE) initiative. Community engagement research, particularly plays a critical role prioritizing community needs all stages of intervention implementation. Methods: To address known gaps building strong C-APs, 2 EHE Implementation Science Consultation Hubs collaboratively facilitated webinars with panel expert...
Scant research has explored the engagement of transgender (trans) women living with HIV (WLWH) in care cascade, particularly universal health settings like Canada. This convergent parallel, mixed-methods study drew on cross-sectional quantitative data from 50 trans WLWH Canadian Women's Sexual and Reproductive Health Cohort Study (CHIWOS) qualitative semistructured interview a subsample 11 participants. Descriptive analyses were used to describe proportions at five steps cascade bivariate...
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...
Antiretroviral therapy adherence among transgender (trans) women living with HIV (WLWH) is negatively impacted by depression and post-traumatic stress disorder (PTSD). Yet, little known about factors associated or PTSD trans WLWH. Using cross-sectional data from a national community-based study of 1422 WLWH (n = 53 women), we characterized the prevalence depressive symptoms examined associations between (e.g., Trans stigma) symptoms. Nearly half participants reported clinically significant...
Objective To (a) estimate the level of child internalizing problems in a sample Ukrainian school‐age children and (b) examine relationships between psychopathology parenting practices, depression, alcohol use, sociodemographics. Background Most research on behaviors has used samples from high‐income countries, but there is lack information about children's associated risk protective factors low‐ middle‐income countries such as Ukraine. An ecological–transactional model framework was this...
HIV disproportionately affects young Black men who have sex with in the USA, especially high rates Deep South. In this Alabama study, we interviewed 24 pairs of aged 19–24 and their close friends (n = 48) about sexual scripts, dating condom use. Three main themes emerged from study: power dynamics ‘top’ ‘bottom’ positions for use; gender stereotyping iconic style ‘I Love Lucy’ show 1950s; dominance ‘trade’ men. Gender was attributed to cultural mores families South, preferences exerted...
Aim: Pain is a major challenge in the management of HIV/AIDS. This research analyzed prevalence substance use and opioid misuse among people with HIV (PWH) those without (PWoH) USA. Methods: Using data from 2015–2019 National Survey on Drug Use Health, study assessed pain relievers opioids 279,025 individuals. Results: PWH were about 1.88-times more likely to 1.85-times than PWoH, notable rise hydrocodone tramadol misuse. Conclusion: The highlights an imperative for interventions targeting...
Injection-related infections continue to rise, particularly in the South. People who inject drugs are increasingly utilizing hospital services for serious injection-related but may be discharged areas without harm reduction services. We explored availability and travel time HIV substance use Alabama.