A5054356516- HIV/AIDS Research and Interventions
- HIV, Drug Use, Sexual Risk
- Adolescent Sexual and Reproductive Health
- HIV Research and Treatment
- LGBTQ Health, Identity, and Policy
- Ovarian cancer diagnosis and treatment
- Schizophrenia research and treatment
- Mental Health Treatment and Access
- Bipolar Disorder and Treatment
- Endometrial and Cervical Cancer Treatments
- Surgical Simulation and Training
- Homelessness and Social Issues
- Cardiac, Anesthesia and Surgical Outcomes
- Sex work and related issues
- Family Caregiving in Mental Illness
- Primary Care and Health Outcomes
- Adolescent and Pediatric Healthcare
- HIV-related health complications and treatments
- Intraperitoneal and Appendiceal Malignancies
- Nutrition and Health in Aging
- Endometriosis Research and Treatment
- Frailty in Older Adults
- Anatomy and Medical Technology
- Smoking Behavior and Cessation
- Health Policy Implementation Science
University of California, San Francisco
2014-2025
Community Health Alliance
2021-2025
Barts Health NHS Trust
2019-2024
Queen Mary University of London
2024
Royal London Hospital
2019-2024
Royal Alexandra Hospital
2024
Rutgers, The State University of New Jersey
2023
San Francisco General Hospital
1986-2022
Columbia University
2022
York Teaching Hospital NHS Foundation Trust
2021
Objectives. This study assessed the countervailing effects on HIV incidence of highly active antiretroviral treatment (HAART) among San Francisco men who have sex with (MSM). Methods. Behavioral risk was determined basis responses to cross-sectional community interviews. through application an enzyme-linked immunoassay testing strategy. Results. Use HAART MSM living AIDS increased from 4% in 1995 54% 1999. The percentage reported both unprotected anal intercourse and multiple sexual partners...
Thirteen of 40 patients with acquired immune deficiency syndrome (AIDS) admitted to the wards a large city hospital were seen by staff psychiatric consultation service. Eleven gay men and two bisexual men. "Depression" was stated reason for referral 10 patients; these, met DSM-III criteria major depression, one had dysthymic disorder, seven adjustment disorder depressed mood. Recurrent psychological themes 13 were: dealing life-threatening illness, uncertainty about implications an AIDS...
<b>Background:</b> Sexually transmitted infections (STI) and unprotected anal intercourse (UAI) have been increasing among men who sex with (MSM) in San Francisco. However, HIV incidence has stabilised. <b>Objectives:</b> To describe recent trends sexual risk behaviour, STI, MSM Francisco to assess whether increases serosorting (that is, selective partners of the same status) may contribute preventing further expansion epidemic. <b>Methods:</b> The study applies an ecological approach...
We examined the association between amphetamine use and HIV incidence for 2991 men who have sex with (MSM) tested anonymously in San Francisco. among 290 users was 6.3% per year (95% CI 1.9-10.6%), compared 2.1% 1.3-2.9%) 2701 non-users (RR 3.0, 95% 1.4-6.5). prevention programmes Francisco should include efforts to reduce associated high-risk sexual behaviors.
Abstract Late diagnosis of HIV is associated with increased morbidity, mortality, and health care costs. Despite the availability testing, persons continue to test late in course infection. We used HIV/AIDS case registry San Francisco Department Public Health identify recruit 41 who developed AIDS within 12 months their participate a qualitative quantitative interview regarding HIV. Thirty-one participants were diagnosed because symptomatic disease 50% concurrently. Half subjects had not...
Persons diagnosed late in the course of HIV infection may be unknowingly transmitting and once have worse outcomes greater medical expenses.Persons with AIDS San Francisco between 2001 2005 were included. Late testers persons 12 months or less before their diagnosis. Prevalence trends, demographic risk correlates, predictors testing measured.Among 2139 included, 830 (38.8%) testers. The prevalence was stable 2005. more likely among <30 years old (Odds ratio [OR]: 1.99, 95% confidence...
Journal Article A Randomized Clinical Trial of Smoking Cessation Treatments Provided in HIV Care Settings Get access Gary L. Humfleet, PhD, PhD Department Psychiatry, University California, San Francisco, CA Search for other works by this author on: Oxford Academic PubMed Google Scholar Sharon M. Hall, Kevin Delucchi, James W. Dilley, MD Nicotine & Tobacco Research, Volume 15, Issue 8, August 2013, Pages 1436–1445, https://doi.org/10.1093/ntr/ntt005 Published: 19 February 2013 history...
We assessed whether directly observed fluoxetine treatment reduced depression symptom severity and improved HIV outcomes among homeless marginally housed HIV-positive adults in San Francisco, California, from 2002 to 2008.We conducted a nonblinded, randomized controlled trial of once-weekly fluoxetine, for 24 weeks, then self-administered 12 weeks (n = 137 persons with major or minor depressive disorder dysthymia). Hamilton Depression Rating Scale score was the primary outcome. Response 50%...
We evaluated the relationship between frequency and number of substances used HIV risk [ie, serodiscordant unprotected anal intercourse (SDUAI)] among 3173 HIV-negative substance-using MSM. Compared with nonusers, adjusted odds ratio (AOR) for SDUAI episodic at least weekly users, respectively, was 3.31 [95% confidence interval (CI), 2.55 to 4.28] 5.46 (95% CI, 3.80 7.84) methamphetamine, 1.86 1.51 2.29) 3.13 2.12 4.63) cocaine, 2.08 1.68 2.56) 2.54 1.85 3.48) poppers. Heavy alcohol drinkers...
Individuals with severe mental illness (e.g., schizophrenia, bipolar disorder) die 10–25 years earlier than the general population, primarily from premature cardiovascular disease (CVD). Contributing factors are complex, but include systemic-related of poorly integrated primary care and health services. Although evidence-based models exist for integrating into settings, evidence base medical specialty settings is limited. Such referred to as "reverse" integration. In this paper, we describe...
There are widespread efforts to increase symptom awareness of 'pelvic/abdominal pain, increased abdominal size/bloating, difficulty eating/feeling full and urinary frequency/urgency' in an attempt diagnose ovarian cancer earlier. Long-term survival women with these symptoms adjusted for known prognostic factors is yet be determined. This study explored the association symptoms, routes interval diagnosis long-term a population-based cohort postmenopausal diagnosed invasive epithelial...
To test the efficacy and acceptability of a single-session personalized cognitive counseling (PCC) intervention delivered by paraprofessionals during HIV voluntary testing.HIV-negative men who have sex with (MSM; n = 336) were randomly allocated to PCC or usual (UC) between October 2002 September 2004. The primary outcome was number episodes unprotected anal intercourse (UAI) any nonprimary partner nonconcordant serostatus in preceding 90 days, measured at baseline, 6 months, 12 months....
HIV-positive populations have high smoking rates and puts individuals at higher risk for HIV-related health problems. Little information is available on the characteristics of smokers. The present study examines baseline psychosocial 184 cigarette smokers enrolled in a cessation clinical trial. sample was 82% male, 53% Caucasian. Over half were unemployed 43.8% reported an income less than $10,000. Mean cigarettes per day 19.2 mean Fagerström Test Nicotine Dependence score 4.8. majority...
To estimate HIV incidence among male-to-female transgendered persons (MtF persons) who repeatedly tested for antibodies at public San Francisco counseling and testing sites between July 1997 June 2000.HIV seroconversions were identified person-time of observation estimated using the date result current test self-reported previous test. Factors independently associated with seroconversion determined multivariable proportional hazard analysis.HIV was 7.8 per 100 person-years (95% confidence...
Context: High-risk sexual behavior is increasingly prevalent among men who have sex with (MSM) and a history of repeat testing for HIV. Objectives: The study assessed whether one counseling intervention session focusing on self-justifications (thoughts, attitudes, or beliefs that allow the participant to engage in high-risk behaviors) at most recent unprotected anal intercourse (UAI) effective reducing future behaviors HIV-negative men. Design, Setting, Participants: A randomized,...
We examined HIV infection and estimated the population-attributable risk percentage (PAR%) for associated with fellatio among men who have sex (MSM). Among 239 MSM practised exclusively in past 6 months, 50% had three partners, 98% unprotected; 28% an HIV-positive partner; no was detected. PAR%, based on number of ranges from 0.10% one partner to 0.31% partners. The attributable is extremely low. Since identified as being sexually transmitted, there has been considerable interest performing...
The purpose of this study was to evaluate attitudes primary care providers toward barriers metabolic monitoring and characterize their beliefs about providers' responsibility for reducing cardiovascular risk people with severe mental illness.An anonymous survey administered 214 working in 23 public community health clinics San Francisco.The response rate 77% (164 214). Nearly 40% were unaware consensus guidelines who take second-generation antipsychotic medications. Responses showed...
Objective: HIV-related stigma is a major driver of poor prognosis for the treatment and reduced spread HIV. The present article provides qualitative analysis surrounding various themes related to shame as result HIV.Design: Eight gay men recruited from community HIV clinic contacted researchers in response study involving participation structured, eight-week group intervention stigma. Following this group, three took part open-ended interviews about their thoughts experiences.Methods:...
Robotic surgery may improve technical performance and reduce mental demands compared to laparoscopic surgery. However, no studies have directly the impact of robotic techniques on surgeons' brain function. This study aimed assess effect operative platform (robotic or conventional laparoscopy) prefrontal cortical activation during a suturing task performed under temporal demand. Eight surgeons (mean age ± SD = 34.5 2.9 years, male:female ratio 7:1) an intracorporeal in self-paced manner 2 min...