A5048445128- HIV/AIDS Research and Interventions
- Adolescent Sexual and Reproductive Health
- Reproductive tract infections research
- HIV, Drug Use, Sexual Risk
- HIV Research and Treatment
- Mobile Health and mHealth Applications
- Homelessness and Social Issues
- LGBTQ Health, Identity, and Policy
- Adolescent and Pediatric Healthcare
- Indigenous Health, Education, and Rights
- Urinary Tract Infections Management
- HIV-related health complications and treatments
- Syphilis Diagnosis and Treatment
Tulane University
2018-2023
America's increasing HIV epidemic among youth suggests the need to identify novel strategies leverage services and settings where at high risk (YAHR) for can be engaged in prevention. Scalable, efficacious, cost-effective are needed, which support during developmental transitions when risks arise. Evidence-based behavioral interventions (EBIs) have typically relied on time-limited, scripted, manualized protocols that were often delivered with low fidelity lacked evidence effectiveness.
Among youth living with HIV (YLH) aged 12-24 years who have health care in the United States, only 30% to 40% are virally suppressed. YLH must achieve viral suppression order reduce probability of infecting others as well increasing length and quality their own life.This randomized controlled trial aimed evaluate efficacy an Enhanced Standard Care condition (n=110) compared Stepped intervention increase among established infection (not acutely infected).YLH (N=220) not suppressed will be...
Background Gay, bisexual, transgender, and homeless youth are at risk of sexually transmitted infections. As part an adolescent human immunodeficiency virus prevention study, we provided same-day Chlamydia trachomatis (CT) Neisseria gonorrhoeae (NG) testing treatment. We aimed to evaluate the feasibility effectiveness CT NG treatment on proportion participants receiving timely Methods recruited adolescents with high sexual behaviors aged 12 24 years from shelters, lesbian, gay, transgender...
Background Gay, bisexual, and transgender youth homeless are at high risk for sexually transmitted infections (STIs). However, little recent data exist describing STI positivity by anatomical site among those groups. We determined the of Chlamydia trachomatis (CT) infection, Neisseria gonorrhoeae (NG) syphilis antibody reactivity lesbian, gay, transgender, youth. Methods recruited 1,264 adolescents with behavior aged 12 to 24 years from shelters, organizations, community health centers,...
Background: Early treatment studies have shown that prompt of HIV with combination antiretroviral therapy (cART) can limit the size latent viral reservoirs, thereby providing clinical and public health benefits. Studies demonstrated adolescents a greater capacity for immune reconstitution than adults. Nevertheless, who acquired through sexual transmission not been included in early because challenges identification adherence to cART.
Sexually transmitted infection (STI) rates are increasing in the United States, with approximately half of new infections occurring among adolescents aged 15-24 years. Gay, bisexual, and transgender youth (GBTY), homeless youth, histories drug use, mental health disorders, incarceration all at uniquely high risk for STIs. However, these often lack access to sexual services.This study aims use point-of-care STI tests community-based settings screen treat STIs adolescents.We recruiting 1500...
Public health organizations have inconsistent recommendations for screening adolescents and young adults Chlamydia trachomatis Neisseria gonorrhoeae infections. Guidelines suggest different combinations of anorectal, pharyngeal, urogenital testing based on age, sex, sexual activity. Further evaluation how identity behaviors impact the anatomic distribution C. N. infection is needed to optimize future practices.
Background The COVID-19 pandemic illuminated the benefits of telemedicine. Self-collected specimens are a promising alternative to clinician-collected when in-person testing is not feasible. In this study, we assessed adequacy self-collected pharyngeal and rectal for detection Chlamydia trachomatis Neisseria gonorrhoeae among individuals undergoing chlamydia gonorrhea screening. Methods We used data from large cohort study that included male female adolescents between ages 12–24 years....
Abstract Sexual and gender minority youth (SGMY) are vulnerable to acquiring HIV need prevention health services, but may have competing needs. A prior analysis found that PrEP use reports increased in a combination intervention study arm with coaching, peer support, automated text-messages. This paper examines ancillary support healthcare services utilization as secondary objectives. SGMY (N = 895, 40% Black, 29% Latino) Los Angeles New Orleans were recruited from May, 2017 August, 2019...
<sec> <title>BACKGROUND</title> America’s increasing HIV epidemic among youth suggests the need to identify novel strategies leverage services and settings where at high risk (YAHR) for can be engaged in prevention. Scalable, efficacious, cost-effective are needed, which support during developmental transitions when risks arise. Evidence-based behavioral interventions (EBIs) have typically relied on time-limited, scripted, manualized protocols that were often delivered with low fidelity...
<sec> <title>BACKGROUND</title> Among youth living with HIV (YLH) aged 12-24 years who have health care in the United States, only 30% to 40% are virally suppressed. YLH must achieve viral suppression order reduce probability of infecting others as well increasing length and quality their own life. </sec> <title>OBJECTIVE</title> This randomized controlled trial aimed evaluate efficacy an Enhanced Standard Care condition (n=110) compared Stepped intervention increase among established...
PurposeGay, bisexual, and other cisgender men who have sex with men, racial minority youth are at elevated risk of acquiring HIV infection. The Adolescent Trials Network 147 recruited acute/recent HIV-infection for early antiretroviral treatment. cohort make-up is described here.MethodsTreatment-naïve, recently identified + youth, aged 12–24 years, from Los Angeles New Orleans were community centers, clinics, social media, a high-risk seronegative (n = 1,727, the 149) using point-of-care...
<sec> <title>BACKGROUND</title> Early treatment studies have shown that prompt of HIV with combination antiretroviral therapy (cART) can limit the size latent viral reservoirs, thereby providing clinical and public health benefits. Studies demonstrated adolescents a greater capacity for immune reconstitution than adults. Nevertheless, who acquired through sexual transmission not been included in early because challenges identification adherence to cART. </sec> <title>OBJECTIVE</title> This...
<sec> <title>BACKGROUND</title> Sexually transmitted infection (STI) rates are increasing in the United States, with approximately half of new infections occurring among adolescents aged 15-24 years. Gay, bisexual, and transgender youth (GBTY), homeless youth, histories drug use, mental health disorders, incarceration all at uniquely high risk for STIs. However, these often lack access to sexual services. </sec> <title>OBJECTIVE</title> This study aims use point-of-care STI tests...
<h3>Background</h3> <i>Chlamydia trachomatis</i> (CT) and <i>Neisseria gonorrhoeae</i> (NG) disproportionately affect adolescents, however, many adolescents receive infrequent sexually transmitted infection (STI) testing. Gay, bisexual, transgender, homeless youth are at increased risk for STIs. Currently, the Centers Disease Control Prevention recommend only annual screening of CT/NG all active gay, other men who have sex with (MSM). <h3>Methods</h3> We recruited aged 12–24 years from...