A5037726488- HIV/AIDS Research and Interventions
- Hepatitis B Virus Studies
- Hepatitis C virus research
- Hepatitis Viruses Studies and Epidemiology
- HIV, Drug Use, Sexual Risk
- Vaccine Coverage and Hesitancy
- HIV/AIDS drug development and treatment
- Liver Disease Diagnosis and Treatment
- Pneumocystis jirovecii pneumonia detection and treatment
- HIV Research and Treatment
- Homelessness and Social Issues
- Viral gastroenteritis research and epidemiology
- Food Security and Health in Diverse Populations
- Medication Adherence and Compliance
- Antimicrobial Resistance in Staphylococcus
- Adolescent and Pediatric Healthcare
- Liver Diseases and Immunity
- Streptococcal Infections and Treatments
- Tuberculosis Research and Epidemiology
- Animal Disease Management and Epidemiology
- Turtle Biology and Conservation
- Animal Behavior and Reproduction
- Adolescent Sexual and Reproductive Health
- Amphibian and Reptile Biology
- Statistical Methods and Inference
Centers for Disease Control and Prevention
2013-2023
National Center for HIV/AIDS Viral Hepatitis STD and TB Prevention
2011-2022
AID Atlanta
2017
Center for Surveillance, Epidemiology, and Laboratory Services
2017
Epidemic Intelligence Service
2009-2014
Indian Health Service
2011-2014
American Indian Cancer Foundation
2014
University of New Mexico
2014
Prevention Institute
2012
Johns Hopkins University
2011
Background: A benchmark of near-perfect adherence (≥95%) to antiretroviral therapy (ART) is often cited as necessary for HIV viral suppression. However, given newer, more effective ART medications, the threshold suppression may be lower. We estimated minimum level achieve Settings: The Patient-centered Care Model demonstration project. Methods: Adherence was calculated using proportion days covered measure 365-day period before each load test result, and grouped into 5 categories (<50%,...
HIV testing is a core strategy for the Ending Epidemic in U.S. (EHE) initiative, which has aim of reducing new infections by at least 90% 2030.* During 2016-2017, jurisdictions with highest diagnosis rates were those higher prevalences testing; past-year was among persons who reported recent risk behaviors compared did not report these risks (1). 2020-2021, COVID-19 pandemic disrupted health care delivery, including part because many avoided services to comply mitigation efforts (2). In...
Reproductive and body size data from 169 populations of 146 species (56% those recognized), 65 genera (75%), 11 families (92%) turtles were tabulated to test for latitudinal variation in egg clutch size. Body-size-adjusted correlation analysis all (as well as within most families) revealed (i) a significant negative relationship (r 2 = 0.26) between latitude size, (ii) positive 0.21) (iii) no mass. Phylogenetic contrast analyses corroborated these patterns. Clutch was also negatively...
Objectives. We compared self-reported hepatitis B (HepB) vaccine coverage among health-care personnel (HCP) with HepB the general population and determined trends in vaccination HCP. Methods. used 2010 National Health Interview Survey (NHIS) to determine weighted proportion of ≥1- ≥3-dose HCP aged ≥18 years. logistic regression independent predictors performed a trend analysis changes from 2004 using data 2004–2010 NHIS. Results. Overall, 69.5% (95% confidence interval [CI] 67.2, 71.8) 63.4%...
OBJECTIVE To examine the cost-effectiveness of a hepatitis B vaccination program for unvaccinated adults with diagnosed diabetes in U.S. RESEARCH DESIGN AND METHODS We used simulation model to estimate vaccinating 20-59 years age not previously vaccinated or infected by virus (HBV). The estimated acute and chronic HBV infections, complications, quality-adjusted life-years (QALYs), incremental ratios. Data sources included surveillance data, epidemiological studies, vaccine prices. RESULTS...
Abstract Background Human immunodeficiency virus (HIV) viral suppression (VS) decreases morbidity, mortality, and transmission risk. Methods The Patient-centered HIV Care Model integrated community-based pharmacists with medical providers required them to share patient clinical information, identify therapy-related problems, develop action plans. Proportions adherent antiretroviral therapy (proportion of days covered [PDC] ≥90%) virally suppressed (HIV RNA &lt;200 copies/mL), before...
In 2019, President Trump announced a new initiative, Ending the HIV Epidemic: A Plan for America (EHE). EHE will use 3 key strategies—diagnose, treat, and prevent—to reduce infections at least 90% by 2030, as well laboratory methods epidemiological techniques to respond quickly potential outbreaks. Partnerships are an important component in initiative’s success. Pharmacists pharmacies can play roles EHE, including dispensing antiretroviral therapy providing screening, adherence counseling,...
Poor retention in HIV care is associated with higher morbidity and mortality greater risk of transmission. The Patient-Centered Care Model (PCHCM) integrated community-based pharmacists medical providers. model required sharing patient clinical information collaborative therapy-related action planning. proportion persons retained (≥1 visit each 6-month period a 12-month measurement ≥60 days between visits), pre- post-PCHCM implementation, was modeled using log binomial regression. Factors...
We compared chronic liver disease (CLD) mortality from 1999 to 2009 between American Indians and Alaska Natives (AI/ANs) Whites in the United States after improving CLD case ascertainment AI/AN race classification.We defined deaths causes by comprehensive death certificate-based diagnostic codes. To improve classification, we linked US data Indian Health Service enrollment records, restricted analyses Contract Delivery Areas non-Hispanic populations. calculated rates (per 100,000) 6...
The Centers for Disease Control and Prevention recommends hepatitis A virus (HAV) vaccination all children at age 1 year high-risk adults. vaccine is highly effective; however, protection duration unknown. We report HAV antibody concentrations 17 years after childhood immunization, demonstrating that protective levels remain have stabilized over the past 7 years.
Background Highly pathogenic avian influenza A ( HPAI ) H5N1 viruses have infected poultry and wild birds on three continents with more than 600 reported human cases (59% mortality) since 2003. Wild aquatic are the natural reservoir for viruses, migratory been documented virus infection. Since 2005, clade 2.2 spread from Asia to many countries. Objectives We conducted a cross‐sectional seroepidemiological survey in Anchorage western Alaska identify possible behaviors associated bird exposure...
Hepatitis A infection causes severe disease among adolescents and adults. The Advisory Committee on Immunization Practices instituted incremental recommendations for hepatitis vaccination (HepA) at 2 years of age based risk (1996), in selected states (1999), universally 1 year age, with through 18 or desire protection (2006). We assessed adolescent HepA coverage the United States factors independently associated vaccination.Data from 2009 National Survey-Teen (n = 20 066) were analyzed to...
American Indians and Alaska Natives (AI/ANs) have had documented outbreaks of methicillin-resistant Staphylococcus aureus (MRSA) infection but, to our knowledge, no studies examined MRSA among this population nationally. We describe MRSA-associated hospitalizations the approximately 1.6 million AI/ANs who receive care at Indian Health Service health facilities nationwide.We used hospital discharge data from National Patient Information Reporting System determine rate in 1996-2005 comparison...
We used the US-based MarketScan® Medicaid Multi-state Databases to determine un-weighted proportion of publically insured persons with HIV that were retained, continued, and re-engaged in care. Persons followed for up 84 months. Cox proportional hazards models conducted factors associated gaps Of 6463 cases identified 2006, 61% retained during first 24 months, 53% continued care through 78 Between 8% 30% experienced a gap care, 59% who later one or more Charlson co-morbidities (HR 0.72, 95%...
The patient-centered HIV care model (PCHCM) is an evidence-informed structural intervention that integrates community-based pharmacists with primary medical providers to improve rates of viral suppression. This report assesses the costs and cost-effectiveness PCHCM.Patient-centered model.Three project sites, each composed a clinic 1 or 2 HIV-specialized pharmacies, were included in analyses. PCHCM required patient data sharing between collaborative therapy-related decision making....
We sought to assess the performance of self-reported vaccination with hepatitis B vaccine (HepB) compared serological status for markers in general US civilian population.Using 1999 through 2008 National Health and Nutrition Examination Survey data, we calculated 3 measures agreement between HepB status: percent concordance, positive (PPV) negative predictive values (NPV) self-report. Logistic regression was used identify factors associated self-report status.Overall 83% (95% CI = 82.3,...
We used race-corrected data and comprehensive diagnostic codes to better compare HIV tuberculosis (TB) mortality from 1999 2009 between American Indian/Alaska Natives (AI/ANs) Whites.National Vital Statistics Surveillance System were adjusted for AI/AN racial misclassification through linkage with Indian Health Service registration records. compared average annual 1990 TB death rates (per 100,000 people) persons those Whites; Hispanics excluded.Although in significantly lower than Whites...
Objective. We described the changing epidemiology of viral hepatitis among American Indian/Alaska Native (AI/AN) population that uses Indian Health Service (IHS) health care. Methods. used hospital discharge data from IHS National Patient Information Reporting System to determine rates A-, B-, and C-associated hospitalization AI/ANs using care 1995–2007 summary periods 1995–1997 2005–2007. Results. Hepatitis A-associated AI/AN people decreased 4.9 per 100,000 during 0.8 2005–2007 (risk ratio...