- HIV/AIDS Research and Interventions
- Adolescent Sexual and Reproductive Health
- HIV, Drug Use, Sexual Risk
- LGBTQ Health, Identity, and Policy
- Adolescent and Pediatric Healthcare
- HIV Research and Treatment
- HIV/AIDS drug development and treatment
- HIV-related health complications and treatments
- ICT in Developing Communities
- Sex work and related issues
- Gestational Diabetes Research and Management
- Homelessness and Social Issues
- Reproductive Health and Contraception
- Pharmacological Effects and Toxicity Studies
- Vitamin D Research Studies
- Food Security and Health in Diverse Populations
- Child Development and Digital Technology
- HIV/AIDS Impact and Responses
- Reproductive Health and Technologies
Children's National
2007-2025
National Hospital
2023
Children's Hospital of Philadelphia
2021
George Washington University
2003-2006
Young black and Latinx men who have sex with (YBLMSM) transgender women (YBLTW) are disproportionately impacted by HIV. Structural social marginalization, the barriers, structures that unevenly distribute benefits burdens to different groups, may contribute inability for youth access prevention treatment care services. Yet, few reports examined community health experiences of marginalization among service providers multiple roles in (i.e., serve as a provider member or prior YBLMSM YBLTW...
This paper describes the development of a novel, pilot program in which combined family group and peer approach were used to increase adherence antiretroviral therapy HIV-infected youths. Twenty-three HIV-positive youths, 15-22 years age 23 members or "treatment buddies" participated one three 12-week programs. The intervention had six biweekly youth education sessions youth-only sessions. Devices such as pill boxes, calendars, watch alarms introduced at Eighteen youths completed group....
Tenofovir disoproxil fumarate (TDF) decreases bone mineral density (BMD). We hypothesized that vitamin D3 (VITD3) would increase BMD in youth receiving TDF.This was a randomized, double-blind, placebo-controlled trial of directly observed VITD3 vs placebo every 4 weeks for 48 aged 16-24 years with HIV, RNA load <200 copies/mL, taking TDF-containing combination antiretroviral therapy (TDF-cART) ≥180 days. Participants (N = 214) received daily multivitamin containing 400 IU and calcium 162 mg,...
Background The US National HIV/AIDS Strategy 2020 calls for increasing access to care, improving outcomes of people living with HIV, and targeting biomedical prevention efforts, including pre-exposure prophylaxis (PrEP) in communities where HIV is most heavily concentrated. cities Baltimore, Maryland (MD); Washington, DC; Philadelphia, Pennsylvania (PA) are disproportionately burdened by high rates new cases infection, prevalence among young Black Latinx men who have sex (YBLMSM) transgender...
Pre-exposure prophylaxis (PrEP) has the potential to transform HIV in young Black and Latinx sexual minority men (SMM) transgender women (TW). Addressing low PrEP uptake this population depends on better understanding of barriers use. This article uses an ecological framework explore daily oral a sample SMM TW three geographically prioritized cities United States. In-depth interviews were completed with 33 (22 at risk for 11 recently diagnosed HIV), aged 17–24, participating randomized trial...
Background Despite advances in HIV diagnosis and treatment, adolescents young adults 12-25 years old have high incidence, poor engagement retention low rates of adherence virologic suppression when compared to their older counterparts. has emerged as a chronic disease for which antiretroviral therapy (ART) is critical long-term survival. Virologic been elusive many youth with (YHIV). Novel strategies designed facilitate health care systems’ support YHIV between medical visits are essential...
Two strategies of the US Ending HIV Epidemic initiative are early diagnosis infections via widespread testing and prevention new using pre-exposure prophylaxis (PrEP). These particularly important for adolescents young adults (AYAs) who disproportionately affected by HIV, if they identify as Black and/or lesbian, gay, bisexual, transgender, queer or questioning, others (LGBTQ+). This study will develop test an interactive life-simulation game in which players can enact real-life behaviors...
Adolescents and young adults (AYA) with perinatally-acquired HIV (PHIV) engage in developmentally-expected behaviors such as establishing relationships having children. Previous research has focused on pregnancy management/outcomes of AYA PHIV. However, little the parenting experiences this emerging cohort nor their views disclosure to offspring. This article examines data from a pilot study five parents PHIV child(ren) (n=7, 6 HIV-negative). Disclosure own status children is minds few...
This research explores the perceptions of adolescents and young adults (AYA) living with perinatally acquired HIV (PHIV) as they transition into parenthood. We conducted hour-long, semistructured audio-recorded interviews a purposive sample 17 AYA parents PHIV who were current or former patients at two US pediatric/adolescent infectious diseases clinics. Participants asked about challenges/rewards parenting anticipated future fertility desires/intentions. Analysis transcribed was guided by...
Objective: Adolescents and young adults (AYAs) account for >20% of new HIV diagnoses in the United States, yet >50% are unaware their infection. Digital gaming is widespread among youth has proven efficacious other disease areas; thus, we sought to determine whether a life-and-dating simulation game increase testing would be acceptable AYAs. Materials Methods: Focus groups surveys were administered health care providers AYAs Washington, DC. shown that incorporated Centers Disease Control...
Adolescents and young adults (AYA) in the United States, Washington, District of Columbia (DC), specifically, are disproportionately affected by HIV. Both national Ending HIV Epidemic initiative DC-specific plans emphasize testing, innovative strategies to encourage testing among AYA needed.The purpose this study is identify sexual behaviors, knowledge, perceptions (eg, susceptibility severity), perceived barriers facilitators at risk for DC.This was part a larger determine acceptability...
<sec> <title>BACKGROUND</title> The US National HIV/AIDS Strategy 2020 calls for increasing access to care, improving outcomes of people living with HIV, and targeting biomedical prevention efforts, including pre-exposure prophylaxis (PrEP) in communities where HIV is most heavily concentrated. cities Baltimore, Maryland (MD); Washington, DC; Philadelphia, Pennsylvania (PA) are disproportionately burdened by high rates new cases infection, prevalence among young Black Latinx men who have sex...
<sec> <title>BACKGROUND</title> Despite advances in HIV diagnosis and treatment, adolescents young adults 12-25 years old have high incidence, poor engagement retention low rates of adherence virologic suppression when compared to their older counterparts. has emerged as a chronic disease for which antiretroviral therapy (ART) is critical long-term survival. Virologic been elusive many youth with (YHIV). Novel strategies designed facilitate health care systems’ support YHIV between medical...