A5070569046- Cervical Cancer and HPV Research
- Adolescent Sexual and Reproductive Health
- HIV/AIDS Research and Interventions
- Reproductive tract infections research
- Genital Health and Disease
- HIV, Drug Use, Sexual Risk
- Hepatitis B Virus Studies
- Vaccine Coverage and Hesitancy
- Sex work and related issues
- Global Cancer Incidence and Screening
- Homelessness and Social Issues
- Sexuality, Behavior, and Technology
- HIV Research and Treatment
- Influenza Virus Research Studies
- Food Security and Health in Diverse Populations
- COVID-19 epidemiological studies
- COVID-19 Digital Contact Tracing
- Health disparities and outcomes
- Herpesvirus Infections and Treatments
- Vector-borne infectious diseases
- Attachment and Relationship Dynamics
- Syphilis Diagnosis and Treatment
- Viral Infections and Vectors
- AI in cancer detection
- Vector-Borne Animal Diseases
Yale University
2015-2025
University of North Carolina at Chapel Hill
2025
UNC Lineberger Comprehensive Cancer Center
2025
Yale New Haven Health System
2017-2023
University of California, Irvine
2023
Connecticut Department of Public Health
2013-2021
Hinckley and District Hospital
2021
Community Link
2020
American University
2020
Drexel University
2020
Since SARS-CoV-2, the novel coronavirus that causes disease 2019 (COVID-19), was first detected in December (1), approximately 1.3 million cases have been reported worldwide (2), including 330,000 United States (3). To conduct population-based surveillance for laboratory-confirmed COVID-19-associated hospitalizations States, COVID-19-Associated Hospitalization Surveillance Network (COVID-NET) created using existing infrastructure of Influenza (FluSurv-NET) (4) and Respiratory Syncytial Virus...
COVID-NET conducts population-based surveillance for laboratory-confirmed COVID-19-associated hospitalizations in 99 counties † 14 states (California, Connecticut, Colorado, Georgia, Iowa, Maryland, Michigan, Minnesota, New Mexico, York, Ohio, Oregon, Tennessee, and Utah), representing all 10 U.S. Department of Health Human Services regions (2,3).Laboratory-confirmed COVID-19associated among residents a predefined catchment area who had positive SARS-CoV-2 molecular test during...
As of March 31, 2023, more than 30,000 monkeypox (mpox) cases had been reported in the United States an outbreak that has disproportionately affected gay, bisexual, and other men who have sex with (MSM) transgender persons (1). JYNNEOS vaccine (Modified Vaccinia Ankara vaccine, Bavarian Nordic) was approved by Food Drug Administration (FDA) 2019 for prevention smallpox mpox via subcutaneous injection as a 2-dose series (0.5 mL per dose, administered 4 weeks apart) (2). To expand access,...
We examined patterns of sexual behavior and risk for sexually transmitted infections (STIs) in young adulthood Black, Hispanic, White females.We used a nationally representative sample 7015 female adults from wave III the National Longitudinal Study Adolescent Health. Sexual items assessed behaviors occurring previous 6 years past year to determine classes links STIs adulthood.Latent class analysis revealed 3 Black Hispanic youths 4 youths. The moderate high had highest probabilities risky...
The coronavirus disease 2019 (COVID-19) pandemic has significantly affected utilization of preventative health care, including vaccines. We aimed to assess HPV vaccination rates during the pandemic, and conduct a simulation model-based analysis estimate impact current coverage future recovery scenarios on outcomes. model population included females males all ages in US. compares pre-COVID vaccine uptake 3 reduced with varying speed. Vaccine was obtained from Truven Marketscan™. Substantially...
Abstract Background: The impact of human papillomavirus (HPV) vaccination has been observed in the United States through declining cervical precancer incidence young women. To further evaluate vaccine impact, we described trends HPV types 16/18 precancers, 2008–2014. Methods: We analyzed data from a 5-site, population-based surveillance system. Archived specimens women age 18–39 years diagnosed with intraepithelial neoplasia grades 2–3 or adenocarcinoma situ (CIN2+) were tested for 37 types....
Background: Contact tracing is a core element of the public health response to emerging infectious diseases including COVID-19. Better understanding implementation context contact for pandemics, individual- and systems-level predictors success, critical preparing future epidemics. Methods: We carried out prospective study an emergency volunteer program established in New Haven, Connecticut between April 4 May 19, 2020. assessed yield timeliness case outreach reference CDC benchmarks,...
Objectives. Racial/ethnic disparities in heterosexual transmission of human immunodeficiency virus (HIV) and other sexually transmitted infections (STIs) have been hypothesized to be related the high rate incarceration shortage men black communities. This study tested associations having multiple sex partners with these factors. Methods. Racial/ethnic-specific Census data on ratio male were categorized into tertiles matched individual from National Health Nutrition Examination Survey...
Peridomestic exposure to Borrelia burgdorferi-infected Ixodes scapularis nymphs is considered the dominant means of infection with black-legged tick-borne pathogens in eastern United States. Population level studies have detected a positive association between density infected and Lyme disease incidence. At finer spatial scale within endemic communities, focused on individual risk behaviors, without accounting for differences peridomestic nymphal density. This study simultaneously assessed...
Head and neck cancer (HNC) is responsible for substantial morbidity, mortality, cost in the United States. Early detection lifestyle risk factors associated with HNC, both determinants of disease burden outcomes, are interrelated public knowledge this disease. Understanding current HNC lacking.To assess awareness among US adults.Online survey 2126 randomly selected adults States conducted 2013.Online administration.Subjective objective assessment including symptoms, factors, association...
South Africa has the largest global HIV/AIDS epidemic, but barriers along HIV care continuum prevent patients from initiating and adhering to antiretroviral therapy (ART). To qualitatively explore reasons for poor ART initiation adherence rates unique perspective of community health workers (CHWs), we conducted focus groups during May-August 2014 with 21 CHWs in rural Msinga, KwaZulu-Natal. Interviews were audio-recorded, transcribed, translated Zulu into English. Hybrid deductive inductive...
Human papillomavirus (HPV) causes approximately 30,000 cancers in the United States annually (1). HPV vaccination was introduced 2006 to prevent HPV-associated and diseases Cervical cancer is most common women Whereas typically take decades develop, screen-detected high-grade cervical lesions (cervical intraepithelial neoplasia grades 2 [CIN2], 3 [CIN3], adenocarcinoma situ, collectively CIN2+) develop within a few years after infection have been used monitor vaccine impact (1-3). CDC...
Abstract Effectively monitoring the spread of SARS-CoV-2 mutants is essential to efforts counter ongoing pandemic. Predicting lineage abundance from wastewater, however, technically challenging. We show that by sequencing RNA in wastewater and applying algorithms initially used for transcriptome quantification, we can estimate samples. find high variability signal among individual samples, but overall trends match those observed clinical Thus, while remains a more sensitive technique...
This study of 411 urban female adolescents had 3 objectives: (a) assess the relationship between perceived risk and sexual behavior (condom use, number partners, partner risk, presence STDs, aggregate risk), (b) accuracy perceptions, (c) identify variables related to inaccurate perceptions. Participants were classified as accurate or perceivers on basis actual risk. Accurate versus compared psychological maintenance (self-esteem, distress, coping), context (partnership duration pressure have...
Abstract This study assessed the extent and correlates of practice engaging in unprotected intercourse for extra money among commercial sex workers (CSWs) Kinshasa, Democratic Republic Congo. We conducted a cross-sectional survey using structured, interviewer-administered questionnaire convenience sample 136 CSWs. More than one-quarter CSWs (26.5%) engaged money. These charged about 3.5 times more protected intercourse. Multivariate logistic regression showed that who were significantly...