A5070420229- HIV, Drug Use, Sexual Risk
- HIV/AIDS Research and Interventions
- HIV Research and Treatment
- Reproductive tract infections research
- Adolescent Sexual and Reproductive Health
- Syphilis Diagnosis and Treatment
- Food Security and Health in Diverse Populations
- Psychopathy, Forensic Psychiatry, Sexual Offending
- Data-Driven Disease Surveillance
- Sex work and related issues
- HIV/AIDS oral health manifestations
- Crime Patterns and Interventions
- Ethics in Clinical Research
- Palliative Care and End-of-Life Issues
- Animal Disease Management and Epidemiology
- Influenza Virus Research Studies
- Nutritional Studies and Diet
- Geriatric Care and Nursing Homes
- Identification and Quantification in Food
- Virology and Viral Diseases
- Grief, Bereavement, and Mental Health
- Criminal Justice and Corrections Analysis
- Nutrition, Health and Food Behavior
- Homelessness and Social Issues
University of North Carolina at Chapel Hill
2005-2021
NC Department of Health and Human Services
2015-2018
Infectious Disease Research Institute
2018
North Carolina Division of Public Health
2006-2015
Brigham and Women's Hospital
2005
To better understand the role that men who have sex with and women (MSM/W) play in spread of HIV young adults North Carolina, we determined prevalence MSM/W among newly diagnosed HIV-infected men, compared social behavioral characteristics this group MSM MSW, examined sexual networks associated college students these groups.We reviewed state surveillance records for all new diagnoses males 18 to 30 years living Carolina between January 1, 2000, December 31, 2004.Of 1,105 available review,...
The United States has the highest rate of incarceration in world. Some populations experience both high rates and sexually transmitted infections (STIs).To estimate strength this correlation, we calculated age-adjusted Pearson correlation coefficients between reportable STIs 100 counties North Carolina 1999.Moderately strong correlations were found for chlamydia (r=0.577) gonorrhea (r=0.521). reported cases acquired immunodeficiency syndrome syphilis weak (r=0.205 0.004,...
Background: Partner notification is an important component of public health test and treat interventions. To enhance this essential function, we assessed the potential for molecular methods to supplement routine partner corroborate HIV networks. Methods: All persons diagnosed with infection in Wake County, NC, during 2012–2013 their disclosed sexual partners were included a network. A data set containing HIV-1 pol sequences collected NC 1997–2014 from 15,246 was matched HIV-positive network...
The HIV care continuum is a critical framework for situational awareness of the epidemic; yet challenges to accurate enumeration components hamper estimation in practice. We describe local surveillance-based United States, reviewing common practices as recommended by Centers Disease Control and Prevention. Furthermore, we review some biases likely threaten existing estimates. Current estimates rely heavily on use CD4 cell count viral load laboratory results reported surveillance programs...
Objective: To describe demographic and behavioral characteristics of persons with acute HIV infection (AHI) over time. Methods: We conducted a retrospective assessment AHI identified through the Screening Tracing Active Transmission (STAT) program from 2003 to 2012 in North Carolina (NC). was using pooled nucleic acid amplification for antibody negative samples individual HIV-1 RNA indeterminate samples. The STAT provides rapid notification evaluation. compared STAT-collected risk all...
Long-term HIV care and treatment engagement is required for maximal clinical prevention benefits, but longitudinal patterns are poorly understood. We used the last 10 years' worth of surveillance data from North Carolina to describe trajectories diagnosis.We conducted a retrospective, population-based cohort study all persons newly diagnosed with in between March 31, 2006 2015 (N = 16,207). defined attendance each 3-month 6-month interval after diagnosis as presence viral load and/or CD4...
Background: HIV testing and linkage to care are critical first steps along the continuum. Targeted efforts needed in South achieve goals of National HIV/AIDS Strategy, qualitative examination from perspective professionals field can provide nuanced insight into strengths limitations a system inform improvement efforts. These issues explored North Carolina (NC), with potential applicability other Southern states. Methods: Twenty-one interviews were conducted prevention systems NC. Interviews...
**BACKGROUND** Statewide interventions are critical to meeting the goals of National HIV/AIDS Strategy in this country. In 2012, North Carolina Division Public Health developed State Bridge Counselor program improve linkage and reengagement care for newly diagnosed persons living with HIV who were out-of-care. **METHODS** We reviewed planning process program, which involved a review existing strengths-based counseling models HIV, implementation these models, communication strategies other...
Background Successful partner notification can improve community-level outcomes by increasing the proportion of persons living with human immunodeficiency virus (HIV) who are linked to HIV care and virally suppressed, but it is resource intensive. Understanding where transmission pathways may be undetected routine help case finding strategies. Methods We combined interview sequence data for diagnosed in Wake County, NC 2012 2013 evaluate contact networks among pol gene sequences 2% or less...
among inmates of jails, prisons, and juvenile detention facilities is many times higher than the general population. Surveillance projects at Centers for Disease Control Prevention (CDC) have found high rates chlamydial infection, gonorrhea, reactive syphilis serology entering both adult correctional (Table 1). The Bureau Justice Statistics also reports that 1.8% male prison 2.6% female in US are infected with HIV. association STDs incarcerated populations should not, however, imply...
Understanding of repeat human immunodeficiency virus (HIV) testing (RHT) is limited and the impact rural residence as a potential barrier to RHT unknown. Rural populations are particular interest in Southeastern United States because their disproportionate HIV burden.We used surveillance data from publicly funded sites North Carolina assess by transmission risk group residential rurality retrospective cohort study. Linear binomial regression models were estimate adjusted, 1-year cumulative...
Despite the disproportionate burden of HIV among Latinxs, there is a paucity culturally appropriate interventions that have shown efficacy at increasing their engagement and retention in care. We describe development implementation Enlaces, six-session, individual-level intervention, guided by transnational framework, to improve care outcomes for newly diagnosed out-of-care Mexican men transgender women (TW). Descriptive statistics summarizing baseline data are provided. 91 participants...
Background In 1999 North Carolina initiated STI screening programs in seven county jails as part of the CDC Syphilis Elimination Effort (SEE). All were willing to permit for syphilis but only two also screened HIV. 2007 SEE funding was depleted and 7 jail projects converted HIV under Expanded Testing Initiative (ETI). New added (n=21) several have other STIs. is supported by 10 local health departments 5 non-traditional testing sites which assure treatment STDs make referrals care services....
Background In North Carolina, the funding environment for jail screening has shifted from a syphilis-centred model to one based on integrating HIV and STI testing. We developed evaluated risk score algorithms with without addition of syphilis in Carolina county jails. Methods This study included 3610 inmates screened both two jails, 2002–2005. verified reactive tests against surveillance records identify new cases. created logistic regression models predict different outcomes: only or...