- HIV, Drug Use, Sexual Risk
- HIV/AIDS Research and Interventions
- Opioid Use Disorder Treatment
- Homelessness and Social Issues
- Sex work and related issues
- Adolescent Sexual and Reproductive Health
- Substance Abuse Treatment and Outcomes
- Medication Adherence and Compliance
- Community Health and Development
- Health Policy Implementation Science
- BRCA gene mutations in cancer
- Food Security and Health in Diverse Populations
- Palliative Care and End-of-Life Issues
- Healthcare cost, quality, practices
- Pharmaceutical Practices and Patient Outcomes
- Pneumocystis jirovecii pneumonia detection and treatment
- Childhood Cancer Survivors' Quality of Life
- Criminal Justice and Corrections Analysis
- Migration, Health and Trauma
- HIV, TB, and STIs Epidemiology
- Forensic Toxicology and Drug Analysis
- HIV/AIDS drug development and treatment
- HIV/AIDS Impact and Responses
- Cancer survivorship and care
- Ethics in Clinical Research
Johns Hopkins University
2016-2025
Health First
2024
Johns Hopkins Medicine
2022
Universidad del Desarrollo del Estado de Puebla
2022
National Human Genome Research Institute
2022
Medical College of Wisconsin
2008-2019
University of Kentucky
2011
Accurate diagnosis is essential to proper patient care.To explore practitioner understanding of diagnostic reasoning.In this survey study, 723 practitioners at outpatient clinics in 8 US states were asked estimate the probability disease for 4 scenarios common primary care (pneumonia, cardiac ischemia, breast cancer screening, and urinary tract infection) association positive negative test results with from June 1, 2018, November 26, 2019. Of these practitioners, 585 responded survey, 553...
Abstract Introduction: Disparities in access to palliative care persist, particularly among underserved populations. We elicited recommendations for integrating community health workers (CHWs) into clinical teams, by exploring perspectives on potential barriers and facilitators, ultimately aiming facilitate equitable care. Materials Methods: Twenty-five stakeholders were recruited semi-structured interviews through purposive snowball sampling at three enrollment sites the USA. Interviews...
Transgender and gender diverse (TGD) individuals are a significant yet underrepresented population within genetic counseling research broader LGBTQI+ health studies. This underrepresentation perpetuates cycle of exclusion from the production medical knowledge, impacting quality equity care received by TGD individuals. issue is particularly poignant in cancer counseling, where with elevated risk receive assessment, referral to support based on figures standards developed for cisgender The...
The introduction to this special section explores the ways in which postcolonial studies contribute a deeper understanding of postsocialist change Central and Eastern Europe. Since collapse socialism, anthropological other social science Europe have highlighted deep divides between “East” “West” drawn attention socialist practices persist into period. We seek move beyond discourses East/West divide by examining context through lens studies. look at four aspects explore their relevance for...
Contemporary antiretroviral therapy (ART) can produce viral suppression of HIV, maintain health, and prevent onward HIV transmission from infected persons to their sexual partners, giving rise the concept treatment as prevention. Successful implementation test-and-treat strategies rests on early detection infection through voluntary counseling testing (VCT) followed by entry retention in care, ART initiation adherence, subsequent suppression. In United States, African American men who have...
Background Rates of death from opioid overdose continue to rise in the United States. One harm reduction strategy designed reduce fatal risk among people who inject drugs (PWID) is an advisory not use alone. However, feasibility and acceptability this message have been evaluated. Objectives: This paper explores drug practices young PWID related injecting alone reasons for doing so. Methods: From 2015 2016, 23 in-depth interviews were completed Baltimore, Maryland with PWID. Participants...
Community-based distribution of naloxone has continued to serve as an important strategy in combatting the U.S. opioid overdose crisis. People who use drugs are first responders this crisis, administering and disseminating knowledge about among their social networks. However, it is unclear how evolves over time across individuals, especially amid a volatile, unregulated drug market. We conducted 22 qualitative interviews with people rural, suburban, urban regions Maryland. Interviews focused...
In South Africa, there is no provision of medication for opioid use disorder (MOUD) people who are incarcerated or were recently incarcerated. This study aimed to describe MOUD uptake and barriers among living with human immunodeficiency virus using illicit opioids reentering the community from incarceration. A mixed-method exploratory was conducted between September 2021 2022 in during which we offered low-barrier harm reduction services. We followed 23 participants postrelease observed a...
Abstract Introduction Russia's invasion of Ukraine in February 2022 has severely impacted the healthcare system, including provision HIV care. The ongoing war is a human‐caused mass trauma, severe ecological and psychosocial disruption that greatly exceeds coping capacity community. bioecological model trauma builds on Bronfenbrenner's concept interaction between nested systems to argue social context determines impact life events individual how an responds. This paper uses explore...
Abstract Reproductive decision‐making is a complex process, especially for carriers of pathogenic X‐linked genetic variant. Studies have identified various personal values and concerns that influence reproductive decisions, but these studies provide limited insight into decisional conflict during the process. This study aims to explore how variants known cause Barth syndrome, rare disorder, navigate experience decision‐making. Semi‐structured interviews were conducted with 27 syndrome...
Much research has shown an association between homelessness and unstable housing HIV risk but most relied on relatively narrow definitions of status that preclude a deeper understanding this relationship. Fewer studies have examined access to subsidies supportive programs among low-income populations with different personal characteristics. This paper explores characteristics associated housing, the relationship status, sexual behaviors urban residents. Surveys were conducted 392 residents...
Since the beginning of HIV/AIDS epidemic, community-based organizations (CBOs) have been key players in combating this disease through grassroots prevention programs and close ties to at-risk populations. Increasingly, both funding agencies public health institutions require that CBOs implement evidence-based HIV interventions, most which are researcher developed. However, after completing training for these interventions (EBIs), may either abandon plans them or significantly modify...