Publications - United States

Evaluation of an adapted Project Connect community based intervention among professionals serving young minority men

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2019-03-15

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Sexually Transmitted Diseases

BACKGROUND: To address sexual and reproductive health (SRH) needs of young minority urban males, we developed and evaluated Project Connect Baltimore (Connect), which was adapted from a program with demonstrated effectiveness among young females. The objectives were to determine (1) the feasibility...

Impact of providing preexposure prophylaxis for human immunodeficiency virus at clinics for sexually transmitted infections in Baltimore City: An agent-based model

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2018-12-15

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Sexually Transmitted Diseases

BACKGROUND: Preexposure prophylaxis (PrEP) greatly reduces the risk of human immunodeficiency virus (HIV) acquisition, but its optimal delivery strategy remains uncertain. Clinics for sexually transmitted infections (STIs) can provide an efficient venue for PrEP delivery. METHODS: To quantify the...

Immigration legal services as a structural HIV intervention for Latinx sexual and gender minorities

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2018-11-21

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Lack of legal immigration status is associated with poor HIV-related outcomes for immigrant Latinx sexual and gender minorities (LSGM). LSGM often meet eligibility criteria for legal immigration relief. A Medical-Legal Partnership (MLP) may thus be strategic to improve their health. We know little...

The role of perceived friend depression and perceived stigma on self-reported depression among individuals who use drugs

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2018-11-15

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Journal of Community Psychology

Depression and substance use are highly comorbid, and stigmatized, mental health conditions influenced by social network factors. The objective of this study was to explore the role of perceived depression and perceived mental health stigma among friends on self-reported depression over time...

Missed opportunities to address pregnancy prevention with young men in primary care

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2018-11-15

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Clinical Pediatrics

Young men (aged 15-24 years) have pregnancy prevention needs, yet little is known about whether they perceive they learn about pregnancy prevention in primary care. A sample of 190 young men seen in primary care in one city from April 2014 to September 2016 were assessed on perceived learning about...

Centro SOL: A community-academic partnership to care for undocumented immigrants in an emerging Latino area

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2018-10-30

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Academic Medicine

PROBLEM: From 2000 to 2014, the Latino population in Baltimore city, an emerging Latino settlement area, has experienced rapid growth. Many of these individuals are undocumented and not eligible for coverage. Academic medical centers often lead the way in addressing the health needs of undocumented...

Enhanced immigration enforcement in the USA and the transnational continuity of HIV care for Latinx migrants in deportation proceedings

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2018-10-15

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Lancet HIV

In our work as clinicians, researchers, and immigrant rights advocates, we have noted increased anxiety about the possibility of deportation and disruptions in care among immigrants with HIV. Before the 2016 US elections, patients rarely asked about HIV treatment in their home countries. However,...

Syndemic factors and resiliency among Latina immigrant indirect sex workers in an emergent immigrant city

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2018-08-23

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Journal of Immigrant and Minority Health

Female sex workers (FSW) constitute a highly vulnerable population challenged by numerous co-existing, or syndemic, risk factors. FSW also display resilience to these, and some evidence suggests that resilience may be associated with protective factors that improve health outcomes. We conducted in-...

Antimicrobial susceptibility of Neisseria gonorrhoeae isolates in Baltimore, Maryland – 2016: The importance of sentinel surveillance in the era of multi-drug resistant gonorrhea

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2018-08-17

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Antibiotics

The increasing rates of gonorrhea infections and the global emergence and spread of multi-drug-resistant Neisseria gonorrhoeae (NG) threaten the successful management of gonorrhea. In the era of nucleic acid amplification tests (NAATs), surveillance projects are urgently needed to monitor...

Identifying solutions to improve the sexually transmitted infections testing experience for youth through participatory ideation

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2018-08-15

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AIDS Patient Care and STDs

Sexually transmitted infection (STI) services, including screening, treatment, and counseling among youth, remain suboptimal. In the midst of increasing incidence of bacterial STIs, alarming STI disparities, and persistently low testing rates among youth, solution-focused and action-oriented...

Internal medicine residents' knowledge and practice of pulmonary tuberculosis diagnosis

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2018-06-27

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Open Forum Infectious Diseases

BACKGROUND: Internal medicine physicians are often the first providers to encounter patients with a new diagnosis of tuberculosis. Given the public health risks of missed tuberculosis cases, assessing internal medicine residents' ability to diagnose tuberculosis is important. METHODS: Internal...

Developing an assessment framework for essential internal medicine subspecialty topics

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2018-06-15

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Journal of Graduate Medical Education

Our assessment framework revealed knowledge and practice gaps in tuberculosis diagnosis among internal medicine residents.

MDR-TB in children: back to the basics

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2018-05-01

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The International Journal of Tuberculosis and Lung Disease

IJTLD: Summary of the Pediatric Multidrug-Resistant Tuberculosis Clinical Trials Landscape Meeting: a primer of current directions.

Advancing patient-centered care in tuberculosis management: A mixed-methods appraisal of video directly observed therapy

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2018-04-26

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Open Forum Infectious Diseases

BACKGROUND: Directly observed therapy (DOT) remains an integral component of treatment support and adherence monitoring in tuberculosis care. In-person DOT is resource intensive and often burdensome for patients. Video DOT (vDOT) has been proposed as an alternative to increase treatment flexibility...

¡Vive!: Designing an intervention to improve timely HIV diagnosis among Latino immigrant men

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2018-01-23

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Progress in Community Health Partnerships

Background: Latinos, particularly immigrant men, are more likely to present late to care for human immunodeficiency virus (HIV) infection. Objectives: This manuscript describes the development of ¡Sólo Se Vive Una Vez! (¡Vive!) (You Only Live Once), a multilevel (individual and community)...

What will it take to reduce HIV incidence in the United States: A mathematical modeling analysis

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2018-01-06

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Open Forum Infectious Diseases

Modeling and simulations suggest that cutting HIV incidence in half by 2025 will require 95% of people living with HIV to be engaged in care.

The use of clinical decision support in reducing diagnosis of and treatment of asymptomatic bacteriuria

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2017-12-06

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Journal of Hospital Medicine

Clinical decision support embedded within the electronic health record is a potential antibiotic stewardship strategy for hospitalized patients.

Challenges in the evaluation of interventions to improve engagement along the HIV care continuum in the United States: a systematic review

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2017-07-17

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AIDS and Behavior

Dr. Maunank Shah & colleagues review interventions to keep HIV patients linked to care.

The impact of preexposure prophylaxis among men who have sex with men: An individual-based model

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2017-06-01

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Journal of Acquired Immune Deficiency Syndromes

Objectives Preexposure prophylaxis (PrEP) is recommended for preventing HIV infection among individuals at high risk, including men who have sex with men (MSM). Although its individual-level efficacy is proven, questions remain regarding population-level impact of PrEP implementation. Design We...

Prevalence of HIV testing provision at community organizations serving young people in a mid-Atlantic city, 2013-2014

Post Date:

2017-03-31

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Public Health Reports

Objectives: Little is known about the prevalence of human immunodeficiency virus (HIV) testing at community organizations or the organizational characteristics associated with testing. The objective of this study was to describe (1) the prevalence of HIV testing at community organizations serving...

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