A5019105741- HIV/AIDS Research and Interventions
- Adolescent Sexual and Reproductive Health
- Disaster Response and Management
- Viral Infections and Outbreaks Research
- HIV/AIDS drug development and treatment
- HIV, Drug Use, Sexual Risk
- HIV Research and Treatment
- Global Health Workforce Issues
- Homelessness and Social Issues
- Ethics in Clinical Research
- Neuroethics, Human Enhancement, Biomedical Innovations
- Organ Transplantation Techniques and Outcomes
- Sex work and related issues
- Climate Change and Health Impacts
- Organ Donation and Transplantation
- Qualitative Research Methods and Ethics
- Focus Groups and Qualitative Methods
- Healthcare professionals’ stress and burnout
- Global Security and Public Health
- Nursing education and management
- Migration, Health and Trauma
- HIV-related health complications and treatments
- Counseling Practices and Supervision
- LGBTQ Health, Identity, and Policy
- Ethics and Legal Issues in Pediatric Healthcare
Davidson College
2020-2023
National Center for HIV/AIDS Viral Hepatitis STD and TB Prevention
2002-2018
Centers for Disease Control and Prevention
2002-2013
CDC Foundation
2008
Centers for Disease Control and Prevention
2003
University of Pittsburgh
2000
Preexposure prophylaxis with antiretroviral agents has been shown to reduce the transmission of human immunodeficiency virus (HIV) among men who have sex men; however, efficacy heterosexuals is uncertain.
Objectives: To evaluate the clinical safety of daily tenofovir disoproxil fumarate (TDF) among HIV-negative men who have sex with men. Design: Randomized, double-blind, placebo-controlled trial. Participants were randomized 1:1:1:1 to immediate or delayed study drug (TDF, 300 mg orally per day, placebo). Methods: Four hundred healthy HIV-uninfected reporting anal another man within previous 12 months enrolled in Atlanta, Boston, and San Francisco. HIV serostatus, laboratory adverse events...
Background Pre-exposure prophylaxis (PrEP) trials are evaluating regimens containing tenofovir-disoproxil fumarate (TDF) for HIV prevention. We determined the baseline prevalence of low bone mineral density (BMD) and effect TDF on BMD in men who have sex with (MSM) a PrEP trial San Francisco. Methods/Findings evaluated 1) using Dual Energy X-ray Absorptiometry (DEXA) cohort 210 HIV-uninfected MSM screened randomized clinical daily vs. placebo, 2) effects longitudinal 184 enrolled men. Half...
To evaluate for changes in sexual behaviors associated with daily pill use among men who have sex (MSM) participating a preexposure prophylaxis trial.Randomized, double-blind, placebo-controlled trial. Participants were randomized 1:1:1:1 to receive tenofovir disoproxil fumarate or placebo at enrollment after 9-month delay and followed 24 months.Four hundred HIV-negative MSM reporting anal man the past 12 months meeting other eligibility criteria enrolled San Francisco, Atlanta, Boston....
Community based organizations (CBOs) play a frontline role in HIV/AIDS prevention activities. CBOs face formidable challenges to effective delivery of HIV services including client characteristics such as homelessness and CBO limited resources staff turnover. Despite these obstacles, are generally well positioned deliver specific high-risk populations because they understand their local communities connected the groups serve. [C1]This qualitative study illustrates that structural,...
It is critical to assess adherence pre-exposure prophylaxis (PrEP) in clinical trials. The relationship between pharmacokinetic measures of PrEP and other used trials requires further characterization. Plasma, peripheral blood mononuclear cells (PBMCs), hair samples were collected from 88 HIV-uninfected men who have sex with a placebo-controlled randomized trial; announced pill counts, medication electronic monitoring (MEMS), self-report using visual analog scale (VAS) also collected....
Evaluations of the safety, effectiveness, and feasibility HIV prevention interventions rely on self-reported sexual behaviour data. The accuracy such data has sometimes been questioned. absence a so-called objective measure complicates this. Social desirability bias (SDB) is key factor affecting self-reports. Individual, semi-structured interviews focusing possible causes solutions to SDB were conducted with 30 Batswana women as those who might enrol in planned vaginal microbicide trials....
Public health emergencies expose social injustice and disparities, resulting in calls to address their structural causes once the acute crisis has passed. The COVID-19 pandemic is highlighting exacerbating global, national, regional disparities relation benefits burdens of undertaking critical basic public mitigation measures such as physical distancing. In United States, attempts are complicated by striking racial, economic, geographic inequities. These synergistic inequities exist both...
As neuroscience research advances, researchers, clinicians, and other stakeholders will face a host of ethical challenges. The Presidential Commission for the Study Bioethical Issues (Bioethics Commission) has published two reports that provide recommendations on how to advance endeavors ethically. commission addressed, among issues, prioritize different types include participants who have impaired consent capacity. Bioethics Commission's foundation guidelines as advances progresses.
During a period of evolving international consensus on how to engage communities in research, facilitators and barriers participation HIV prevention research were explored rural plantation community the coastal region Cameroon.A formative rapid assessment using structured observations, focus group discussions (FGD), key informant interviews (KIIs) was conducted with purposive non-probabilistic sample workers their household members. Eligibility criteria included living or working >1 year...
Health worker shortages in many countries are reaching crisis levels, exacerbated by factors associated with the COVID-19 pandemic. In New Zealand, medical specialists union has called for a health workforce emergency to be declared, yet at same time, foreign-trained healthcare workers unable stay country or work. While their systems differ, such as USA and UK least partially rely on international graduates (IMGs) ensure access services, particularly underserved communities. This paper...
Since 2000, rapid ethnographic assessment has been used by the Centers for Disease Control and Prevention's Division of Sexually Transmitted Prevention (DSTDP) to assist local health departments providing technical assistance develop disease prevention strategies. To facilitate this, Dr. Frederick Bloom was hired as a Research Anthropologist Behavioral Interventions Branch DSTDP in 1998. An anthropologist sought specifically address need someone with education skills needed conduct...