A5090346965- HIV/AIDS Research and Interventions
- HIV, Drug Use, Sexual Risk
- LGBTQ Health, Identity, and Policy
- Sex work and related issues
- Adolescent Sexual and Reproductive Health
- Sexuality, Behavior, and Technology
- HIV Research and Treatment
- Ethics in Clinical Research
- Privacy, Security, and Data Protection
- Impact of Technology on Adolescents
- Mobile Health and mHealth Applications
- Global Health and Surgery
- Digital Mental Health Interventions
- Homelessness and Social Issues
- Mental Health and Patient Involvement
- Social Media and Politics
- Food Security and Health in Diverse Populations
- Primary Care and Health Outcomes
- Intimate Partner and Family Violence
Vanderbilt University Medical Center
2022-2025
Vanderbilt Health
2023
Yale University
2019-2023
Vanderbilt University
2022
University of Pittsburgh
2018-2022
Emory University
2019-2021
University of Pennsylvania
2020
Fred Hutch Cancer Center
2014
Avenir Health
2014
Pre-exposure prophylaxis (PrEP) is a key HIV prevention technology, and pillar of comprehensive approach for men who have sex with (MSM). Because there been no national data to characterize trends in the PrEP continuum United States, overall demographic groups MSM, we aimed describe extent which awareness, willingness use changed over time, specific MSM critical (e.g. Black Hispanic younger rural areas without health coverage).
Background: Although black transgender women (BTW) experience high prevalence of HIV in the United States, no characterization care continuum exists for this population. This study addresses gap by (1) characterizing continuum, and (2) exploring correlates diagnosis viral suppression among a community-based sample BTW. Methods: Data came from Promoting Our Worth, Equality, Resilience (POWER). From 2014 to 2017, POWER recruited BTW who attended Black Pride events 6 U.S. cities. Participants...
The HIV epidemic among black men who have sex with (BMSM) demands urgent public health attention. Pre-exposure prophylaxis (PrEP) is a highly efficacious option for preventing HIV, but characteristics of PrEP use community samples BMSM are not well-understood.
Mobile health apps are important interventions that increase the scale and reach of prevention services, including HIV testing counseling, pre-exposure prophylaxis, condom distribution, education, which all required to decrease incidence rates. The use these web-based as well fully intervention trials can be challenged by need remove fraudulent or duplicate entries authenticate unique trial participants before randomization protect integrity sample results. It is critical ensure data...
Objectives. We obtained contextual information regarding documented barriers to HIV clinical trial participation among Black men who have sex with (MSM), and explored current preventive attitudes, beliefs, perceptions MSM leaders in the United States. Methods. conducted 2 focus groups attending an annual African American Leadership Conference on HIV/AIDS. Focus group questions biomedical research prevention research, steps that need be taken address these barriers. A feedback member checking...
Men who have sex with men (MSM) continue to be the predominately impacted risk group in United States HIV epidemic and are a priority for reduction national strategic goals prevention. Modeling studies demonstrated that comprehensive package of status-tailored prevention care interventions potential substantially reduce new infections among MSM. However, uptake basic services, including testing, sexually transmitted infection (STI) condom distribution, condom-compatible lubricant preexposure...
Tennessee is in the southern region of United States and has not yet fully benefitted from HIV pre-exposure prophylaxis (PrEP). Relatively little research focused on pivotal roles PrEP navigators. This study examined navigator perceptions implementing long-acting injectable (LAI) Tennessee. Semi-structured interviews with state-funded navigators were audio-recorded, transcribed, systematically coded using a hierarchical system. Coded transcripts aggregated, sorted, analyzed an iterative...
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...
HIV Pre-Exposure Prophylaxis (PrEP) has shown great promise in reducing transmission among affected populations; however, PrEP uptake Black men who have sex with (BMSM) stalled. This study compares BMSM using and at risk for not based on differences behavior, psychosocial conditions the presence of a syndemic (n = 1,411). reporting use were significantly more likely to report three five behaviors four conditions. Odds increased as number such that (AOR 5.65, 95% CI: 3.17, 10.08) 18.34, 5.01,...
Black men who have sex with (BMSM) in the United States experience a disproportionate burden of violence, substance use, physical and mental health conditions relative to other racial groups. BMSM engage work (BMSM-SW) high psychosocial conditions, sexually transmitted infections, including HIV, intersectional stigma. This analysis characterizes remuneration client typologies for BMSM-SW, documents stigma experienced by BMSM-SW BMSM, explores impact on relationship between engagement...
Black men who have sex with (BMSM) the highest HIV incidence rates among all (MSM) and been less likely than other MSM to be diagnosed, linked or retained in care for HIV. The Promoting Our Worth, Equality, Resilience (POWER) study administered a behavioral health survey test BMSM estimate continuum of community-derived sample. Of N = 1,680 living HIV, n 956 (56.9%) were aware their HIV-positive status. had previously diagnosed reported progression through at greater 80% linkage medical...
This secondary analysis of a mixed serostatus sample Black sexual minority men (BSMM) used conditional inference tree methods to explore associations past-year experienced stigma and psychosocial syndemic conditions. Experienced stigmas were attributed race, sexuality, socioeconomic status, HIV status or some "other" reason. Psychosocial conditions studied included physical assault, intimate partner violence, polysubstance use, depression symptomology. Data are from Promoting Our Worth,...
Despite documented efficacy in reducing HIV transmission, pre-exposure prophylaxis (PrEP) uptake among Black sexual minority men (BSMM) is limited. One understudied factor which may impede PrEP PrEP-related interactive toxicity beliefs (i.e., believing it hazardous to use alcohol/drugs while taking PrEP). Data from N = 169 negative BSMM over 4 months showed high rates of agreement with at least one alcohol (78%) or drug (84%) belief. Univariate analyses increased predicted lower uptake....