A5046668842- HIV/AIDS Research and Interventions
- HIV, Drug Use, Sexual Risk
- HIV Research and Treatment
- COVID-19 and healthcare impacts
- COVID-19 Impact on Reproduction
- Emergency and Acute Care Studies
- HIV/AIDS drug development and treatment
- Sex work and related issues
University of South Carolina
2024-2025
Milken Institute
2022
George Washington University
2022
Background: Longitudinal measures of viral load (VL) are critical in monitoring the HIV status. While multiple lab indicators exist for VL, research on clustering historical/longitudinal VL is limited. Analyzing longitudinal patterns rather than aggregated offers deeper insights into This study uses functional data to classify and characterize each cluster by demographics, comorbidities, social behaviors, CD4 count. Methods: Adult PWH diagnosed from 2005 2015 South Carolina with a 5‐year...
Routinely monitoring viral rebound (VR) is important in the life course of people with HIV (PWH). This study examined risk factors for time to first VR, number VRs and their association VR history men who have sex (MSM). It includes 8176 adult PWH diagnosed from January 2005 December 2018, followed until July 2021. We used Cox model Poisson a VRs, logistic regression MSM. Younger individuals (50–59 years vs 18–29 years, aHR: 0.43, 95% CI: [0.34, 0.55]) were more likely experience VR. Black...
Monitoring HIV viral rebound (VR) is crucial, as it indicates an increased risk of infection, transmission, disease progression, and drug resistance. This study aims to identify the association between dynamic VR historical load (VL)/CD4 count measures. A 15-year South Carolina population-based electronic health record data were used for study. was defined return detectable levels VL (>200 copies/mL) after stable suppression (VS) (two consecutive VS, i.e., ≤200 copies/mL). generalized linear...
Abstract Introduction The COVID-19 pandemic has created substantial interruptions in healthcare presenting challenges for people with chronic illnesses to access care and treatment services. We aimed assess the impact of on HIV delivery by characterizing pandemic-related clinic-level services mitigation strategies that were developed address them. Methods data comes from a site assessment survey conducted DC Cohort, an observational clinical cohort PWH receiving at 14 outpatient clinics...
This study explored virological outcomes of two-drug (2DRs) and three-drug (3DRs) antiretroviral regimens in adults with HIV the DC Cohort. We analyzed 310 treatment-experienced sustained RNA ≤50 copies/mL at baseline, 53 whom switched to 2DRs 257 continued 3DRs. Adults on 3DRs had similar demographics (median age 53.3 years, 76.8% cisgender male, 76.1% Black). more participants ≥2 comorbidities (62.3% vs. 42.8%, p = .019), a longer time since diagnosis years 20.4 13.2, .017), received...