A5070123217- HIV/AIDS Research and Interventions
- HIV, Drug Use, Sexual Risk
- Adolescent Sexual and Reproductive Health
- LGBTQ Health, Identity, and Policy
- Sex work and related issues
- HIV-related health complications and treatments
- HIV/AIDS drug development and treatment
- Health Sciences Research and Education
- Reproductive tract infections research
- Meta-analysis and systematic reviews
- Healthcare Systems and Challenges
- Power System Optimization and Stability
- Migration, Health and Trauma
- Global Health Workforce Issues
- Syphilis Diagnosis and Treatment
- Homelessness and Social Issues
- Torture, Ethics, and Law
- African Sexualities and LGBTQ+ Issues
- Electric Power System Optimization
- Critical Race Theory in Education
- Latin American and Latino Studies
- Radio, Podcasts, and Digital Media
- Nursing Education, Practice, and Leadership
- Perfectionism, Procrastination, Anxiety Studies
- Health and Medical Research Impacts
University of California, San Francisco
2020-2025
QB3
2020-2022
Yale University
2021-2022
Universidad de Antioquia
2009
Abstract Over the past 2 decades, cases of sexually transmitted infections (STIs) from syphilis, gonorrhea, and chlamydia have been rising in United States, disproportionately among gay, bisexual, other men who sex with men, as well racial ethnic minorities all genders. In this review, we address updates about evidence on doxycycline postexposure prophylaxis for prevention bacterial STIs, including efficacy, safety, antimicrobial resistance, acceptability, modeling population impact,...
Abstract Long-acting injectables (LAIs) for HIV prevention and treatment could dramatically improve health outcomes equity people with those who benefit from pre-exposure prophylaxis. Despite widespread acceptability demand by providers potential users of LAIs, implementation has been extremely limited since the introduction cabotegravir/rilpivirine, first LAI treatment, in January 2021, long-acting cabotegravir, prevention, December 2021. We report results a provider survey, conducted...
Abstract In the United States, 13 million people identify as sexual and gender minorities. The purposes of this article were to (a) examine associations among orientation concealment internalized homophobia with HIV knowledge, health literacy, transactional sex through identity; (b) assess whether expression moderates those relationships in minority men color. A multigroup mediation path model examined association between on identity by expression. Results suggest that, a masculine...
Abstract Background Understanding perspectives of subgroups people with HIV (PWH) who have accessed long-acting cabotegravir/rilpivirine (CAB/RPV-LA) is crucial for optimizing implementation; especially among long-term survivors (LTS) lived through the trauma early epidemic to innovation today. Methods We analyzed semi-structured interviews collected from 08/2022-05/2023 via a parent study at four Ryan White clinics in Atlanta, Chicago, and San Francisco adopters CAB/RPV-LA (received ≥3...
Abstract Leveraging patient preferences can improve satisfaction and engagement in intentional health services. We explored desired services of marginalized populations accessing HIV-related care to inform the implementation an HIV prevention treatment mobile clinic model. conducted a maximum-difference survey with 154 people at community events homeless encampments Oakland, CA. Participants ranked 32 items differentials importance on tablet, which were analyzed Hierarchical Bayesian...
Background. Long-acting injectable cabotegravir and rilpivirine (CAB/RPV-LA) may overcome adherence barriers provide treatment choice among people with HIV (PWH). However, little is known about the factors most likely to facilitate CAB/RPV-LA use. Methods. We conducted a discrete experiment (DCE) at three urban U.S. clinics, stratified by care engagement status (sub-optimal defined as recent RNA ≥200 copies/mL or <2 primary visits no measurement in past year). The DCE had 6 attributes:...
Use of long-acting injectable antiretroviral therapy depends on patient awareness, provider discussion, and willingness to use. We conducted a postvisit survey with patients at 3 HIV clinics in San Francisco, Chicago, Atlanta May 2021 assess for inequities these early implementation phases.
Long-acting injectable (LAI) cabotegravir/rilpivirine (CAB/RPV) offers a novel drug delivery option for persons with human immunodeficiency virus (PWH) but requires administration every 4 or 8 weeks by medical professional. To facilitate LAI antiretroviral therapy (ART) scale-up, we evaluated patient interest in alternative approaches via mixed-methods, serial cross-sectional study across 3 US HIV clinics. We surveyed PWH (December 2021 to May 2022) on appeal of self-...
Abstract Introduction Perspectives on long‐acting injectable cabotegravir/rilpivirine (CAB/RPV‐LA) from HIV health disparity populations are under‐represented in current literature yet crucial to optimize delivery. Methods Between August 2022 and May 2023, we conducted in‐depth interviews with people (PWH) at four clinics Atlanta, Chicago San Francisco. Eligibility criteria were CAB/RPV‐LA use receipt of ≥3 injections or discontinuation. We purposefully sampled for PWH who initiated viraemia...
Men who have sex with men (MSM) in Malaysia are disproportionately affected by HIV. As pre-exposure prophylaxis (PrEP) is being introduced, we assessed population-based PrEP delivery preferences among MSM Malaysia. We conducted a discrete choice experiment through an online survey 718 MSM. The included 14 tasks presenting experimentally varied combinations of five attributes related to (i.e., cost, dosing strategy, clinician interaction dispensing venue, and burden visits start PrEP). used...
Abstract Background Pre-exposure prophylaxis (PrEP) prevents human immunodeficiency virus (HIV) infection, but its use remains low among U.S. military men who have sex with (MSM), likely due to mis-matching personal preferences. We conducted a study characterize preferences PrEP measures within this population. Methods HIV-negative MSM were recruited through closed, Lesbian, Gay, Bisexual, and Transgendered (LGBT) social media group. The survey was anonymous, consisted of five experimentally...
Though the transmission of HIV is preventable, there were still 37,968 new documented cases in United States 2018. incidence disproportionate sexual minority men color. The purpose this study was to examine relationship power risk profiles identify distinct subgroups within who carry highest risk. Latent class profile analysis used color at for contracting based on their profiles. Among 322 men, we identified four latent Profile 1: Low transactional sex and high (n = 133; 14.3%); 2:...
Abstract The use of pre-exposure prophylaxis (PrEP) for HIV prevention within the U.S. military is low. Implementing preference-based alternative modalities PrEP delivery, however, can be an innovative strategy to address specific barriers uptake among MSM. We sought identify population-based, segment-specific preferences longer-acting and delivery guide patient-centered strategies optimize military-serving healthcare systems. HIV-negative men who have sex with (MSM) completed anonymous,...
Abstract Background Pre-exposure prophylaxis (PrEP) effectively prevents HIV infection, yet its uptake remains low among U.S. military men who have sex with (MSM). Research shows that health services matching preferences produce favorable outcomes. Therefore, an early step for planning program design is to characterize and identify improved PrEP delivery within this population. Methods HIV-negative MSM were recruited through a closed, LGBT social media group. Participants completed anonymous...
Abstract BACKGROUND . Pre-exposure prophylaxis (PrEP) effectively prevents HIV infection, yet its uptake remains low among U.S. military men who have sex with (MSM). Research shows that health services matching preferences produce favorable outcomes. Therefore, an early step for planning program design is to characterize and identify improved PrEP delivery within this population. METHODS HIV-negative MSM were recruited through a closed, LGBT social media group. Participants completed...
Each interconnected electric system has to define its operating mode and how expansion operation planning are made. This paper presents the first phase of work implementing a tool with application Colombian power operative planning. The uses genetic algorithms optimize cost functions that arise in which elements variables can be operated reduce losses fulfill restrictions. Tests results IEEE systems two fitness proposed by authors presented this work; from those is estimated computing time...
Abstract BACKGROUNDPre-exposure prophylaxis (PrEP) effectively prevents HIV infection, yet its uptake remains low among U.S. military men who have sex with (MSM). Research shows that health services matching preferences produce favorable outcomes. Therefore, an early step for planning program design is to characterize and identify improved PrEP delivery within this population. METHODSHIV-negative MSM were recruited through a closed, LGBT social media group. Participants completed anonymous...