In the USA, young Black gay men are disproportionately impacted upon by HIV. this qualitative study consisting of in-depth interviews with 31 and nine service providers, where we used thematic analysis to guide our interpretations, found that HIV-related stigma homophobia, within larger societal context racism, were related sexual risk behaviour, reluctance obtain HIV testing or care, lower adherence treatment medication, non-disclosure a positive status partners. Participants experienced...

The frequent conflation of transgender ('trans') women with 'men who have sex men (MSM)' in HIV prevention obscures trans women's unique gender identities, social and behavioural vulnerabilities, their disproportionately high rates infection. Pre-exposure prophylaxis (PrEP) is an efficacious biomedical approach. However, are underrepresented PrEP research, often aggregated MSM without consideration for positions within sociocultural contexts. This study examined acceptability among via three...

This article focuses on the construction of homes and families within ballroom community, a prominent feature urban GLBTQ communities color in cities across United States. Based two ethnographic studies with San Francisco Bay Area, California, Detroit, Michigan, we explore importance gender sexual identity informing community practice around HIV prevention treatment. As scene provides African American queer youth support for same-sex desire identity, along multiple forms prevention. Our...

A recent clinical trial demonstrated that a daily dose tenofovir disoproxil fumarate and emtricitabrine (TDF-FTC) can reduce HIV acquisition among men who have sex with (MSM) transgender (TG) women by 44%, up to 90% if taken daily. We explored how medical service providers understand research results plan develop protocols prescribe, support monitor adherence for patients on PrEP in the United States.Using referrals from our community collaborators snowball sampling, we recruited 22...

Abstract Background An international randomized clinical trial (RCT) on pre-exposure prophylaxis (PrEP) as an human immunodeficiency virus (HIV)-prevention intervention found that taken a daily basis, PrEP was safe and effective among men who have sex with (MSM) male-to-female transgender women. Within the context of HIV epidemic in United States (US), MSM women are most appropriate groups to target for implementation at population level; however, their perspectives evidenced-based...

Young black men who have sex with account for 48% of 13-29-year-old HIV-positive in the USA. It is important to develop an effective HIV prevention approach that grounded context young men's lives. Towards this goal, we conducted 31 interviews 18-30-year-old San Francisco-Oakland Bay Area. This paper examines roles religion and spirituality lives, which central lives many African Americans. Six prominent themes emerged: (1) childhood participation formal religious institutions, (2) continued...

The House Ball Community (HBC) is an understudied network of African American men who have sex with and transgender women, join family-like houses that compete in elaborate balls cities across the United States. From 2011 to 2012, we surveyed 274 recent attendees San Francisco Bay Area, focusing on social networks, support, HIV-related behaviours. Participants a high percentage alters were supportive HIV testing significantly more likely tested past six months (p = .02), less engaged...

The Bruthas Project is a community-collaborative intervention to reduce HIV risk behavior among African American men who have sex with and women (MSMW) but do not form an identity around their same-sex behavior. was developed based on formative qualitative research members of the population involved four individualized reduction counseling sessions. Participants review general factors for are offered testing (Session 1); discuss sexual dynamics behaviors female partners 2); male 3);...

The purpose of this study was to explore the psychological impact parenting a child with critical congenital heart defect and feasibility acceptability integrating services into paediatric cardiology care.Children are at an increased risk for long-term behavioural, social emotional difficulties. Data suggest that is partially attributable parental mental health, which stronger predictor behavioural problems in children than disease-specific surgical factors. Parental stress health thus...

Although transgender women of color, specifically Black and Latina experience gender-based violence in a variety contexts, one the most consistently reported is from dating or romantic partner. This qualitative study sought to understand manifestations consequences stigma experienced by color their relationships. Between January February 2019, we purposively recruited 33 participate five focus group discussions complete brief survey. We employed both inductive deductive approaches coding...

Since the scale-up of HIV/AIDS prevention evidence-based interventions (EBIs) has not been simple, it is important to examine processes that occur in translation EBIs into practice affect successful implementation. The goal this paper facilitators and barriers effective implementation arose among 72 community-based organizations as they moved a multilevel HIV intervention EBI, Mpowerment Project, for young gay bisexual men. CBOs were implementing Project participated study assessed at...

The year 2021 was the most deadly for overdose deaths in USA and Canada. stress social isolation stemming from COVID-19 pandemic coupled with a flood of fentanyl into local drug markets created conditions which people who use drugs were more susceptible to accidental overdose. Within territorial, state, policy communities, there have been longstanding efforts reduce morbidity mortality within this population; however, current crisis clearly indicates an urgent need additional, easily...

Organ transplant centers are under increasing scrutiny to maintain outcomes while controlling cost in a challenging population of patients. Throughout health care and specifically, length stay is used as benchmark for both quality resource utilization.To decrease our liver by using Lean Six Sigma methods.The DMAIC (Define, Measure, Analyze, Improve, Control) method was systematically analyze process from listing hospital discharge after transplant, identifying many factors affecting...

Implementation science in public health has facilitated the translation of research findings into effective programming and evidence-based policy decision-making. One most prominent implementation methodologies is intervention mapping, briefly defined as a rigorous protocol that guides design multi-level promotion interventions strategies. In this manuscript, we describe our use adaption mapping Medical-Legal Partnerships, which are an integration comprehensive legal services within primary...

There is little research regarding the ability of Black men who have sex with and women (BMSMW) to access maintain HIV-related health care treatment adherence. This population, often insist on secrecy about their same-sex desire, may experience unique barriers seeking regular treatment. From March 2011-April 2014, we recruited 396 BMSMW in San Francisco Bay Area be enrolled our randomized controlled trial. At baseline administered a behavioral survey assessing: demographics, homelessness,...

In this longitudinal qualitative study we explored the lived experiences of young Black men who have sex with in Dallas, Texas relation to methamphetamine use, intimate partner violence and a history incarceration as syndemic conditions that may contribute their risk transmitting or acquiring HIV. We conducted total 106 interviews (four repeat every six months) cohort 30 participants. Some reported condomless no discussion about condom use HIV status sexual partners. Fifteen participants...

Background: People with schizophrenia spectrum disorders are at elevated risk of HIV, and people both HIV death compared to individuals either diagnosis alone. Limited research has assessed the care cascade, in particular retention care, among (PWH) U.S. Methods: This population-based retrospective cohort used Medicaid claims data compare between PWH (n=38,217) matched controls without (n=29,455) from 2001-2012. The primary outcome annual was least 2 tests for CD4+ T-cell count or viral load...

Background Overdose deaths have continued to rise in the US despite heightened public attention and resources. Drug checking shows promise for integration into existing services people who use drugs (PWUD) across North America. Amidst backdrop of rising overdose emerging funds harm reduction initiatives, this manuscript explores landscape drug America perspectives on improved with a diverse set PWUD based San Francisco American experts. Methods Two separate samples stakeholders, ‘providers’...

Background Climate-related events, including hurricanes in New Orleans, Louisiana (NOLA), are becoming more intense and frequent, presenting challenges to HIV-related health care system facilities, staff, patients. Addressing these through quality improvement collaboratives (QICs) may blunt their impact redesign of systems, leading improved retention HIV during severe disruptions. We present a case study federally-supported QIC that was progress improve engagement when Hurricane Ida struck...

Over the past decade, multiple federal, state and local government mission statements have employed syndemic theory in proposed policies practices. We interviewed 20 key informants from academia, non-governmental organisations public health officials on range of topics relating to how is shaping healthcare policy practice. Informants highlighted role providing person-centred services. They also provided examples HIV-related care services organisational change that been influenced or shaped...

<h2>Abstract</h2><h3>Objective</h3> Increasing access to human immunodeficiency virus (HIV) pre-exposure prophylaxis (PrEP) and postexposure (PEP) is a high priority for the Ending HIV Epidemic Initiative. Expanding PrEP PEP through variety of health care settings, including community pharmacies, may increase in communities most need. California first state allow pharmacists furnish directly consumers. Our objective was assess attitudes among key stakeholders about policy PEP....

In the United States, there is an urgent need to provide HIV prevention services African American men who have sex with and women (MSMW) but do not identify as gay or homosexual. Engaging these in has historically been challenging. This study used qualitative methodology explore beliefs experiences from community-based service providers (n = 21) MSMW regarding provision of education counseling men. Data analysis revealed that (a) can challenge providers' assumptions about sexual behavior...