A5038112787- HIV, Drug Use, Sexual Risk
- Sex work and related issues
- Sexuality, Behavior, and Technology
- Homelessness and Social Issues
- Opioid Use Disorder Treatment
- Substance Abuse Treatment and Outcomes
- HIV/AIDS Research and Interventions
- Global Cancer Incidence and Screening
- Patient-Provider Communication in Healthcare
- Migration, Health and Trauma
- Posttraumatic Stress Disorder Research
- Vaccine Coverage and Hesitancy
- Prostate Cancer Treatment and Research
- Poisoning and overdose treatments
- Cannabis and Cannabinoid Research
- Employment and Welfare Studies
- Cancer survivorship and care
- Pharmaceutical Economics and Policy
- Pharmaceutical industry and healthcare
- Sexual Assault and Victimization Studies
- Forensic Toxicology and Drug Analysis
- Mental Health Treatment and Access
- Palliative Care and End-of-Life Issues
- Public Health Policies and Education
- Prenatal Substance Exposure Effects
Johns Hopkins University
2017-2025
Johns Hopkins Medicine
2019-2020
The University of Texas at Austin
2020
Georgetown University Medical Center
2013-2016
Georgetown University
2013-2016
IMPORTANCE-The conflicting recommendations for prostate cancer (PCa) screening and the mixed messages communicated to public about effectiveness make it critical assist men in making informed decisions.OBJECTIVE-To assess of 2 decision aids helping PCa decisions.
Pre-exposure prophylaxis (PrEP) has the potential to be an empowering HIV prevention tool among female sex workers (FSW), yet little is known about PrEP awareness and interest in this population. Sex Police Promoting Health Risky Environments (SAPPHIRE) a prospective cohort study of street-based FSW Baltimore, MD. A cross-sectional analysis explored HIV-negative FSW. Multivariable Poisson regressions modeled associations between individual, interpersonal, structural variables interest. Of n...
Background In 2020, Maryland had the fourth-highest opioid overdose mortality rate in USA. We describe substances identified postmortem toxicology screening and designated as cause of death (COD) for decedents Maryland, including specific combinations COD. Methods performed a retrospective analysis N=5442 adult (ie, manner unintentional or undetermined) between January 2020 December 2021. Overdose data from State Unintentional Drug Reporting System. Substances were categorised into five...
Substance use treatment (SUT) and harm reduction are often perceived as having distinct goals despite people who drugs routinely needs that encompass both services. The co-occurring SUT of warrant collaboration between service providers. However, little work has explored such collaborations, or lack thereof. This research explores how providers responded to expanded programming from the perspectives syringe services program (SSP) operators in Michigan. We conducted in-depth, semi-structured...
Female sex workers (FSW) are a marginalized and vulnerable population at high risk of gender-based violence within outside their occupation. However, FSW remain underrepresented in the trauma mental health literature. The aims this study were to (a) characterize exposure among street-based FSW, including type, patterns over life course, key perpetrator groups, (b) examine multivariate associations between posttraumatic stress disorder (PTSD) symptom severity two constructs (revictimization...
Female sex workers ( FSWs) are vulnerable to a number of health issues, but often delay seeking care due structural barriers. Multiservice drop-in centers have been shown increase FSW access services globally, their impact on in the United States is lacking. This study seeks evaluate effect community-level empowerment intervention (the multiservice SPARC center) cumulative sexually transmitted infections (STIs) among city States.Between September 2017 and January 2019, 385 FSWs were...
Abstract Background: Due to the concerns about overtreatment of low-risk prostate cancer, active surveillance (AS) is now a recommended alternative treatments (AT) surgery and radiotherapy. However, AS not widely utilized, partially due psychological decision-making factors associated with treatment preferences. Methods: In longitudinal cohort study, we conducted pretreatment telephone interviews (N = 1,140, 69.3% participation) newly diagnosed, cancer patients (PSA ≤ 10, Gleason 6) from...
Biomedical HIV prevention tools including oral pre-exposure prophylaxis (PrEP) and vaginal microbicidal rings hold unique value for high-risk women who may have limited capacity condom negotiation, the key populations of sex workers drug users. Commercial is a PrEP indicator in CDC guidelines, yet little known about female workers' (FSWs) knowledge attitudes toward or recently developed monthly microbicide rings. We describe sample 60 mostly drug-using FSWs Baltimore, Maryland, high...
Aims To determine the interpersonal and structural factors associated with receptive syringe sharing (RSS) among female sex workers who inject drugs (FSW‐IDU), a group at high risk of HIV/hepatitis C virus (HCV) acquisition. Design Sex And Police Promoting Health In Risky Environments (SAPPHIRE) study, prospective cohort study. Setting Baltimore, MD, USA Participants One hundred eighty FSW‐IDU; mean age = 33 years, 77.1% white 62.9% in relationship/married. Measurements Surveys were...
Female sex workers (FSWs) are an important population for HIV acquisition and transmission. Their risks shaped by behavioral, sexual network, structural level factors. Violence is pervasive associated with risk behavior infection, yet interventions to address the dual epidemics of violence among FSWs limited. We used participatory methods develop a brief, trauma-informed intervention, INSPIRE (Integrating Safety Promotion Risk Reduction), improve safety reduce FSWs. A quasi-experimental,...
Abstract Background Research suggests sexual minority female sex workers (SM-FSW) face elevated structural vulnerability and HIV risk compared to their heterosexual counterparts. Structural vulnerabilities reflect societal level factors (e.g., sexism, homophobia, racism) that constrain an individual’s agency, particularly related health outcomes. This study examines the association between SM status by identity behavior, vulnerability, among a sample of street-based FSW. Methods The current...
Background Cisgender female sex workers (FSWs) experience high rates of HIV and sexually transmitted infections (STIs), including chlamydia gonorrhea. Community empowerment–based responses to the risk environment FSWs have been associated with significant reductions in STI behaviors; however, evaluations US-based interventions targeting are limited. Objective The objective this study is describe design, implementation, planned evaluation strategy an ongoing comprehensive community-level...
This study examines changes in the substance use disorder (SUD) treatment gap and barriers to for low-income adults following Affordable Care Act (ACA) implementation.National Survey on Drug Use Health (NSDUH) data were pooled assess pre-ACA (2009-2013) post-ACA (2015-2019) implementation. The sample (n = 44,622) included respondents 18-64 years old, income <200% federal poverty level, meeting SUD criteria abuse or dependence of heroin, powdered cocaine, crack marijuana, alcohol. primary...
Internalized sex work stigma among cisgender female workers (FSW) is produced within contexts of social marginalization and associated with a range ill-effects, including psychological distress, lower rates healthcare-seeking. This study seeks to uncover latent domains the new Sex Work Stigma Scale (ISWSS) using data from 367 FSW in Baltimore, Maryland, USA. The sample was 56% white high substance use (82% smoked crack cocaine, 58% injected any drug). average ISWSS score 34.8 (s.d. = 5.8,...
Female sex workers (FSWs) have elevated rates of sexually transmitted infections (STIs) including HIV, yet few studies in the United States characterized STI burden this population.Data were derived from EMERALD study, a structural community-based intervention with FSWs Baltimore, MD. Participants (n = 385) recruited through targeted sampling on mobile van. Prevalent positive chlamydia or gonorrhea determined by biological samples. Multivariable logistic regressions modeled correlates...