- HIV/AIDS Research and Interventions
- LGBTQ Health, Identity, and Policy
- HIV, Drug Use, Sexual Risk
- Adolescent Sexual and Reproductive Health
- Sex work and related issues
- Homelessness and Social Issues
- Sexuality, Behavior, and Technology
- Health disparities and outcomes
- HIV-related health complications and treatments
- Food Security and Health in Diverse Populations
- Health Policy Implementation Science
- Attachment and Relationship Dynamics
- Racial and Ethnic Identity Research
- Resilience and Mental Health
- Ethics in Clinical Research
- Eating Disorders and Behaviors
- HIV Research and Treatment
- Family Support in Illness
- Gender, Feminism, and Media
- African Sexualities and LGBTQ+ Issues
- Chronic Disease Management Strategies
- Frailty in Older Adults
- Community Health and Development
- HIV/AIDS drug development and treatment
- Religion, Spirituality, and Psychology
University of Pennsylvania
2018-2025
Research for Action
2019-2022
Johns Hopkins University
2022
University of Pittsburgh
2016-2022
Yale University
2019-2021
Philadelphia University
2016
University of Michigan
2013-2015
Pre-exposure prophylaxis (PrEP) has the potential to help reduce new HIV infections among young men who have sex with (YMSM). Using a cross-sectional survey of YMSM (N=1,507; ages 18-24), we gauged YMSM's PrEP awareness and PrEP-related beliefs regarding side effects, accessibility, affordability. Overall, 27% sample had heard about PrEP; 1% reported ever using prior sex. In multivariate logistic regression, found that were more likely if they older, educated, residentially unstable in 30...
Transactional sex refers to the commodification of body in exchange for shelter, food, and other goods needs. has been associated with negative health outcomes including HIV infection, psychological distress, substance use abuse. Compared research examining transactional among women, less is known about prevalence correlates men. Using data from a cross-sectional survey young men who have (ages 18-29) living Detroit Metro Area ( N = 357; 9% infected; 49% Black, 26% White, 16% Latino, Other...
Testing for both HIV and STIs is an essential component of comprehensive sexual healthcare young men who have sex with (YMSM). Using data collected from YMSM living in the Detroit metropolitan area (N = 304, ages 18–29; 51% Black, 25% White, 14% Latino), we examined YMSM's access to a medical provider prior year tested whether provider's conversation regarding HIV/STI prevention was associated their type testing behavior: Non-Testers, HIV-Only Testing, STI Testing. Over half (56.7%) reported...
Abstract Background and Objectives Conversion therapies to minimize same-sex attractions are classified as a dangerous practice by numerous scientific institutions in the United States. These practices may contribute poor long-term psychosocial health, thereby interrupting processes of healthy aging. Few studies have examined differences between persons with without prior experiences conversion therapy. We assessed associations therapy health among midlife older men who sex (MSM; age 40+...
We sought to test whether discrimination salience and multifactorial were associated with prevalent experiences of internalized homophobia among middle-aged older men who have sex (MSM).
Background With the graying of sexual and gender minority communities growing number people aged ≥50 years living with HIV, it is increasingly important to understand resilience in context psychosocial aspects aging well. Objective This paper aims describe methods sample for Understanding Patterns Healthy Aging Among Men Who Have Sex study. Methods observational cohort study was conducted within Multisite AIDS Cohort Study (MACS) designed explore resiliencies explain patterns health illness...
Current trials toward an HIV cure involve combination strategies aimed at achieving durable antiretroviral treatment (ART)-free viral control or elimination, many relying on analytical interruptions (ATIs) to evaluate efficacy. Given the physical, psychosocial, and interpersonal risks associated with ATIs, it is critical monitor participants' experiences so that support can be provided when needed. While qualitative approaches have been used in similar settings, we designed implemented a...
This mixed-methods study explored self-image among people with HIV participating in an cure-related involving analytical treatment interruptions (ATIs). Using both quantitative and qualitative approaches, we described how emerged across participation, focusing on internalized stigma, emotional strengths, the psychosocial dimensions of participation. Data come from SCOPE-ATI substudy (NCT00187512) University California San Francisco SCOPE cohort (NCT04359186). Quantitative data were collected...
Background Increasing HIV testing among priority populations is a primary strategy of the Ending Epidemic initiative. In October 2019, Philadelphia Department Public Health (PDPH) established program to distribute publicly-funded self-testing (HIVST) kits County residents aged 16 years and older. Methods Through community-academic partnership, we used cross-sectional sequential transformative mixed-methods design examine perceived organizational factors, opportunities, challenges HIVST...
HIV criminalization statutes continue to disproportionately impact Black queer and trans individuals, particularly transgender gender-expansive people sex workers, have historically served as a way inequitably punish communities for disease that affects them because of inequitable systems rooted in the legacy slavery. To achieve Centers Disease Control Prevention’s 2030 goals Ending Epidemic US, it is essential take bold steps decriminalize interrogate role reinforcing stigma, exacerbating...
Cisgender sexual minority men (SMM) are disproportionately affected by loneliness in transitions to older adulthood relative their heterosexual counterparts. This study sought evaluate whether strengths mediated the associations between stressors and among midlife adult SMM. Data (N = 1203 SMM age 40+) came from three visits of Multicenter AIDS Cohort Study's (MACS) Healthy Aging Substudy (2016-2019). Evaluated included orientation discrimination internalized homophobia. Sexual gay community...
The purposes of this study were to identify the sexuality-related topics parents and gay, bisexual, or queer (GBQ) adolescent males discussed at home describe GBQ recommend for discuss with future cohorts youth. Minimal research on parent-child sex communication sexual minority adolescents prevents development interventions that would benefit same-sex attractions, behaviors identities. As part a multimethod qualitative study, we interviewed 30 ages 15-20 asked them perform card sorts. From...
Sexual minority stressors (community homophobia, sexuality-related discrimination, and internalized homonegativity) are negatively associated with accessing HIV prevention services among men who have sex (MSM). Few studies tested stressors' associations PrEP engagement high-HIV risk young MSM (YMSM). Therefore, we assessed the between PrEP-indicated YMSM's progression along continuum their experiences of stress. N = 229 YMSM completed a web-survey on PrEP-related behaviors Adjusted for...