A5034542394- HIV, Drug Use, Sexual Risk
- HIV/AIDS Research and Interventions
- Sex work and related issues
- LGBTQ Health, Identity, and Policy
- Homelessness and Social Issues
- Sexuality, Behavior, and Technology
- Opioid Use Disorder Treatment
- HIV Research and Treatment
- Adolescent Sexual and Reproductive Health
- HIV/AIDS drug development and treatment
- Prenatal Substance Exposure Effects
- Pneumonia and Respiratory Infections
- International Relations in Latin America
- Pharmaceutical Practices and Patient Outcomes
- Neuroendocrine regulation and behavior
- Emergency and Acute Care Studies
- Reliability and Maintenance Optimization
- Advanced Battery Technologies Research
- Discrimination and Equality Law
- Antibiotic Use and Resistance
- Reproductive Health and Technologies
- Advancements in Battery Materials
- Hepatitis C virus research
- Healthcare Decision-Making and Restraints
- Nicotinic Acetylcholine Receptors Study
New York City Department of Health and Mental Hygiene
2017-2023
Columbia University
2011-2016
Columbia Medical Practice
2014
Robert Wood Johnson Foundation
2013
University of Michigan
2013
New York Academy of Medicine
2010-2011
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...
This report examines whether transgender women who behaviors associated with HIV acquisition were more likely to have had discussions their clinician about pre-exposure prophylaxis (PrEP) and used PrEP.
Transgender women experience discrimination in many settings, including employment. Because employment and health insurance are intertwined the United States, might be related to lower coverage care use, gender-affirming care. This analysis used data from transgender (N = 1,608) seven urban areas States collected during 2019-2020 present prevalence of six types (employment, housing, bathroom, businesses, care, abuse) measure association between (defined as trouble getting a job or fired due...
Pre-exposure prophylaxis (PrEP) to reduce the risk of HIV was approved in 2012 and post-exposure (PEP) 2005. We report differences awareness PrEP/PEP factors associated with by examining 3 groups (men who have sex men (MSM), people inject drugs, high-risk heterosexuals).National Behavioral Surveillance system data collected New York City (NYC) Long Island, NY 2011-2013 were used. Logistic regressions region developed estimate adjusted associations [Adjusted Odds Ratios (AOR)] determine...
Psychosocial and structural syndemic conditions, including polydrug use experiencing homelessness, frequently co-occur might jointly increase HIV risk. Limited studies have assessed racial ethnic differences in exposure to conditions behaviors associated with transmission among transgender women. This report examines the relation between condomless anal intercourse (CAI) women seven urban areas United States develop prevention interventions for During 2019-2020, were recruited using...
The fact that people with HIV (PWH) who have an undetectable viral load cannot sexually transmit has been disseminated under the messaging "Undetectable = Untransmittable" (U U). U intends to destigmatize by demonstrating PWH can healthy sexual lives. Among a sample of low-income heterosexually active Black and Latino adults, we aimed (1) measure prevalence awareness (2) determine its association anticipated stigma. Low-income adults were recruited through respondent-driven sampling in New...
Violence and harassment toward transgender women are associated with suicidal thoughts behaviors, social support might moderate such association. This analysis explored the association between certain forms of violence ideation moderation by support. Better understanding these associations could guide mental health services structural interventions appropriate to lived experiences women. cross-sectional used data from CDC's National HIV Behavioral Surveillance Among Transgender Women. During...
Blacks/Hispanics face limited access to HIV testing. We examined in-pharmacy testing among customers in pharmacies participating a nonprescription syringe program New York City. Participants were recruited two complete survey and receive an optional test. Bivariate multivariable analyses performed examine associations of demographics risk behaviors with receiving Most participants male (55%), black (80%), had used hard drugs (88%), 39.5% received Being female (AOR=2.24; 95%CI 1.24–4.05),...
Objective. HIV testing is increasingly available, yet barriers to persist for low-income black and Latino people, especially those who use illicit drugs. exceptionalism, or the idea that a positive diagnosis drastically different from any other disease, may influence testing-related stigma, resulting in reduced willingness undergo testing. This pharmacy-based intervention combined with less stigmatized chronic disease screening tests (e.g., blood pressure, glucose, cholesterol) equate...
In an effort to reduce HIV transmission among injection drug users (IDUs), New York State deregulated pharmacy syringe sales in 2001 through the Expanded Syringe Access Program by removing requirement of a prescription. With evidence suggesting pharmacists' ability expand their public health role, structural, pharmacy-based intervention was implemented determine whether expanding practice include provision risk reduction and social/medical services information during sale would (a) improve...
Structural interventions may help reduce racial/ethnic disparities in HIV. In 2009 to 2011, we randomized pharmacies participating a nonprescription syringe access program minority communities intervention (pharmacy enrolled and delivered HIV risk reduction information injection drug users [IDUs]), primary control only IDUs), secondary did not engage IDUs). Intervention pharmacy staff reported more support for sales than staff. An expanded role be helpful.
Certain transgender women who seek gender-affirming hormone treatment (GAHT) face economic and social barriers that limit or prevent access to medically supervised GAHT.Transgender facing such might acquire GAHT without prescription, potentially proper dosage, administration, health monitoring in the absence of medical supervision.For this report, survey data were analyzed from 1,165 seven urban areas United States examine associations between self-reported use nonprescription known...
We examined characteristics associated with HIV stigma and evaluated a multi-component video designed to normalize reduce stigma. Three pharmacies located in heavy, drug-active neighborhoods New York City registered sell nonprescription syringes were trained recruit their syringe customers who inject drugs under/uninsured customers. Syringe customer participants up three of peers. As part larger intervention increase testing, two study arms viewed the “Health Screenings for Life”...
The scale-up of preexposure prophylaxis (PrEP) represents a paradigm shift in HIV prevention that poses unique challenges for public health programs. Monitoring PrEP implementation at the population level is national priority, with particular significance New York City (NYC) given substantial burden and prominence state local Ending Epidemic program plans. We highlight importance monitoring evaluation outcomes describe experience NYC Health Department, which includes engaging communities,...
Background: Community distribution of naloxone, a medication that reverses opioid overdose, is an effective public health strategy to prevent overdose deaths. However, data are limited on who has naloxone during the current fentanyl wave epidemic in United States. We aim determine correlates ownership among community sample people inject drugs (PWID) from New York City (NYC). Methods: Data were drawn National HIV Behavioral Surveillance Study PWID. Participants recruited via...