Journal ArticleCult Health Sex · December 2024
After nearly a decade of HIV pre-exposure prophylaxis (PrEP) rollout in sub-Saharan Africa, there has been limited study of PrEP messaging in news media. We selected twenty South African newspapers with the highest circulation volumes to retrieve articles ...
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Journal ArticleJournal of Acquired Immune Deficiency Syndromes · September 1, 2024
Background:Among communities with elevated HIV burden, increased uptake of PrEP, including long-acting injectable (LAI) PrEP, could lower HIV incidence. Lack of data on LAI PrEP interest among transgender women in the United States has limited scientific u ...
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Journal ArticleStigma Health · August 2024
Persistent pre-exposure prophylaxis (PrEP) use reduces the risk of HIV infection, yet uptake lags among those with the greatest need. Sexual identity stigma may be a significant barrier to PrEP awareness and use among high-risk communities. The primary aim ...
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Journal ArticleAIDS Educ Prev · August 2024
Young transgender women (YTGW) who sell or trade sex have among the highest HIV incidence rates in Thailand. Using qualitative methods, we assessed perceived acceptability, feasibility, and optimal design of a combination HIV prevention intervention includ ...
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Journal ArticleJ Infect Dis · June 14, 2024
BACKGROUND: Data on the epidemiology of sexually transmitted infections (STIs) among transgender women (TGW) with and without human immunodeficiency virus (HIV) are limited. METHODS: We analyzed baseline data collected from a cohort of adult TGW across 6 e ...
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Journal ArticleJ Clin Microbiol · June 12, 2024
HIV genotyping is used to assess HIV susceptibility to antiretroviral drugs. The Applied Biosystems HIV-1 Genotyping Kit with Integrase (AB kit, Thermo Fisher Scientific) detects resistance-associated mutations (RAMs) in HIV protease (PR), reverse transcri ...
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Journal ArticleJMIR Hum Factors · June 11, 2024
BACKGROUND: Increased pre-exposure prophylaxis (PrEP) use is urgently needed to substantially decrease HIV incidence among Black sexual minority men. Low perceived risk for HIV (PRH) is a key unaddressed PrEP barrier for Black sexual minority men. Peers an ...
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Journal ArticleJ Homosex · May 11, 2024
Including adolescent men who have sex with men (AMSM) in HIV prevention and treatment studies without parental permission is vital, but has often faced barriers. We examine the case of recent Institutional Review Boards (IRB) reviews of an HIV treatment an ...
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Journal ArticleNutrients · February 29, 2024
The prevalence and correlates of food insecurity-the unavailability of food and limited access to it-have not been adequately considered among transgender women (TW), particularly alongside other health-related conditions burdening this population, such as ...
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Journal ArticleJ Nurs Scholarsh · January 2024
INTRODUCTION: Existing literature suggests that transgender women (TW) may be at high risk for adverse mental health due to stress attributed to combined experiences of stigma and complex social and structural vulnerabilities. Little research has examined ...
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Journal ArticleSubst Use Misuse · 2024
Background: Adult studies have demonstrated that polysubstance use increases HIV acquisition risk through increased sexual behaviors, however, few studies have examined polysubstance in young Black and Latinx sexual minority men (SMM) and transgender women ...
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Journal ArticleJ Int AIDS Soc · December 2023
INTRODUCTION: Transgender women in the United States experience high HIV incidence and suboptimal Pre-exposure prophylaxis (PrEP) engagement. We sought to estimate PrEP initiation and discontinuation rates and characterize PrEP discontinuation experiences ...
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Journal ArticleLancet HIV · November 2023
The burden of invasive fungal infections associated with opportunistic fungal pathogens is a persistent challenge, particularly among people with advanced HIV disease. In October, 2022, WHO published the Fungal Priority Pathogens List (FPPL)-the first glob ...
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Journal ArticleNat Rev Dis Primers · August 17, 2023
The AIDS epidemic has been a global public health issue for more than 40 years and has resulted in ~40 million deaths. AIDS is caused by the retrovirus, HIV-1, which is transmitted via body fluids and secretions. After infection, the virus invades host cel ...
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Journal ArticleLancet Reg Health Southeast Asia · August 2023
BACKGROUND: Daily oral pre-exposure prophylaxis (PrEP) is effective in preventing HIV infection, but no study has evaluated combination prevention interventions with PrEP for transgender women (TGW) and men who have sex with men (MSM) who sell sex. METHODS ...
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Journal ArticleLancet HIV · May 2023
BACKGROUND: Epidemiological monitoring of HIV among transgender women is minimal despite prioritisation of this group in the US National HIV/AIDS Strategy (2022-2025). We aimed to estimate HIV incidence in a multisite cohort of transgender women in the eas ...
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Journal ArticleAIDS · May 1, 2023
OBJECTIVE: Female sex workers (FSW) and adolescent girls and young women (AGYW) face a disproportionately high risk of HIV in South Africa. Oral preexposure prophylaxis (PrEP) can avert new infections, but its effectiveness is linked to consistent use. Ear ...
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Journal ArticleThe lancet. HIV · March 2023
BackgroundFew assessments of associations between structural-level factors and HIV among gay men and other men who have sex with men (MSM) have been conducted, especially in sub-Saharan Africa. Our objective was to examine HIV testing history, HIV ...
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Journal ArticleAIDS · February 1, 2023
OBJECTIVES: After identifying and recruiting men who have sex with men living with HIV and virally unsuppressed, this study attempted to enhance treatment and care via case management to increase the proportion who achieved viral suppression. DESIGN: Parti ...
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Journal ArticleJ Correct Health Care · February 2023
This study characterized arrest, incarceration, and risk factors for incident incarceration among transgender women (TW) in the northeastern and southern United States. During semiannual study visits over 24 months in a multicenter cohort study, TW complet ...
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Journal ArticleAJOB Empir Bioeth · 2023
BACKGROUND: COVID-19 has greatly impacted the health of incarcerated individuals in the US. The goal of this study was to examine perspectives of recently incarcerated individuals on greater restrictions on liberty to mitigate COVID-19 transmission. METHOD ...
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Journal ArticlePLOS Glob Public Health · 2023
The COVID-19 pandemic and the expectation of future pandemic threats have generated a global dialogue on strengthening pandemic preparedness and response (PPR). Thus far, this dialogue has largely failed to fully consider the critical role that established ...
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Journal ArticleJ Prim Care Community Health · 2023
INTRODUCTION: Our research assessed associations between stigma-related variables and medical care ratings among clients with HIV in HIV Prevention Trials Network (HPTN) 078 who were men who have sex with men (MSM). METHODS: Logistic regression explored ca ...
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Journal ArticleFront Public Health · 2023
BACKGROUND: People incarcerated during the COVID-19 pandemic face higher vulnerability to infection due to structural and social factors in carceral settings. Additionally, due to the higher prevalence of chronic health conditions among carceral population ...
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Journal ArticleConflict and Health · December 1, 2022
Background: In August 2017, Myanmar’s Armed Forces, the Tatmadaw, launched an orchestrated attack on hundreds of Rohingya-majority villages in northern Rakhine state. This study seeks to validate the consistency of previous reports of violence against the ...
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Journal ArticleConflict and Health · December 1, 2022
Background: Documenting perpetrators of human rights violations enables effective prosecution and can help prevent future atrocities. Doing so calls for collecting reliable data using verifiable and transparent methodology. We present methods used to docum ...
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Journal ArticleAIDS and behavior · November 2022
Intimate partner violence (IPV) has been implicated in HIV acquisition and worse HIV outcomes. Limited research focuses on the experiences of Black gay and bisexual men. Using data from cross-sectional surveys in Baltimore, Maryland, and Jackson, Mississip ...
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Journal ArticleAIDS Care · November 2022
HIV incidence is high and persistent among cisgender men who have sex with men (MSM) and transgender women (TGW) who have sex with men, particularly among those who sell or trade sex. In preparation for an open-label combination HIV pre-exposure prophylaxi ...
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Journal ArticleAIDS Behav · September 2022
Adherence to care and antiretroviral therapy is challenging, especially for people living with HIV (PLWH) with additional co-occurring risk factors. Case management interventions, including motivational interviewing (MI), show promise to improve HIV treatm ...
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Journal ArticleClin Infect Dis · August 24, 2022
The plan for Ending the HIV (human immunodeficiency virus) Epidemic (EHE) in the United States aims to reduce new infections by 75% by 2025 and by 90% by 2030. For EHE to be successful, it is important to accurately measure changes in numbers of new HIV in ...
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Journal ArticleJMIR Form Res · August 10, 2022
BACKGROUND: Increased preexposure prophylaxis (PrEP) initiation is needed to substantially decrease HIV incidence among Black sexual minority men (BSMM). However, BSMM perceive others as PrEP candidates instead of themselves and are less likely than other ...
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Journal ArticleAnnals of epidemiology · August 2022
PurposeTo examine how recent sex work is identified and the HIV risk factors and service needs among Thai cisgender men who have sex with men (MSM) and transgender women (TGW) who exchange sex.MethodsMSM and TGW in Bangkok and Pattaya who ...
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Journal ArticleHealth Hum Rights · June 2022
The COVID-19 pandemic has underscored the lack of resources and oversight that hinders medical care for incarcerated people in the United States. The US Supreme Court has held that "deliberate indifference" to "serious medical needs" violates the Constitut ...
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Journal ArticleAnn Epidemiol · June 2022
PURPOSE: Adherence to pre-exposure prophylaxis (PrEP) during periods of PrEP-indication (i.e., prevention-effective adherence) is critical for preventing HIV. We sought to describe factors associated with prevention-effective adherence trajectories among t ...
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Journal ArticleAIDS Patient Care STDS · May 2022
Pre-exposure prophylaxis (PrEP) has the potential to transform HIV in young Black and Latinx sexual minority men (SMM) and transgender women (TW). Addressing low PrEP uptake in this population depends on the better understanding of barriers to PrEP use. Th ...
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Journal ArticleBMJ Open · April 12, 2022
INTRODUCTION: Emerging evidence indicates that the COVID-19 pandemic, and the responses it has generated, have had disproportionate impacts on lesbian, gay, bisexual, transgender and queer (LGBTQ+) communities. This study seeks to build on existing informa ...
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Journal ArticleAIDS Care · April 2022
HIV self-testing (HIVST) shows promise to improve HIV diagnosis among those seeking privacy and anonymity in HIV testing. This may include sexual and gender diverse populations, who experience disproportionately high burdens of stigma and HIV globally. To ...
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Journal ArticleAIDS Res Hum Retroviruses · March 2022
The Centers for AIDS Research (CFAR) program was established by the National Institutes of Health in 1988 to catalyze and support high-impact HIV research and to develop the next generation of HIV investigators at academic institutions throughout the Unite ...
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Journal ArticleJ Adolesc Health · February 2022
PURPOSE: We sought to explore characteristics and risk factors associated with transactional sex in a sample of young black and Latinx sexual minority cisgender men and transgender women of age 15 to 24 years who were living with or at high risk for HIV in ...
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Journal ArticleJ Law Med Ethics · 2022
The efficacy of pre-exposure prophylaxis, PrEP, with antiviral agents for prevention of HIV infection has been demonstrated in multiple randomized controlled trials and demonstration projects. These trials have studied prevention at the individual level. T ...
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Journal ArticleJ Law Med Ethics · 2022
This special edition of JLME centers on a novel proposal for a national PrEP access program with the potential to break through a failed status quo. ...
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Journal ArticleJ Law Med Ethics · 2022
The U.S. has the tools to end the HIV epidemic, but progress has stagnated. A major gap in U.S. efforts to address HIV is the under-utilization of medications that can virtually eliminate acquisition of the virus, known as pre-exposure prophylaxis (PrEP). ...
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Journal ArticleAm J Mens Health · 2022
Globally and in South African specifically, men account for 56% and 62% of all tuberculosis (TB) cases, respectively. Men are at increased risk of not accessing TB testing or treatment, and having poor treatment outcomes. Unfortunately, no interventions ex ...
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Journal ArticleSouth Afr J HIV Med · 2022
BACKGROUND: HIV prevention programmes that include pre-exposure prophylaxis (PrEP) for men who have sex with men (MSM) and transgender women (TGW) in South Africa have not been widely implemented. OBJECTIVES: The authors examined oral PrEP uptake, adherenc ...
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Journal ArticleHarm Reduct J · December 15, 2021
BACKGROUND: In Rwanda, epidemiological data characterizing people who inject drugs (PWID) and their burden of HIV are limited. We examined injection drug use (IDU) history and practices, and HIV infection in a sample of PWID in Kigali. METHODS: From Octobe ...
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Journal ArticleHealth Hum Rights · December 2021
In response to the COVID-19 pandemic, governments around the world have implemented public health policies that limit individual freedoms in order to control disease transmission. While such limitations on liberties are sometimes necessary for pandemic con ...
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Journal ArticleClin Infect Dis · October 5, 2021
BACKGROUND: Sexual transmission of hepatitis C virus (HCV) is uncommon, yet documented among men who have sex with men (MSM), primarily among those with human immunodeficiency virus (HIV). METHODS: In the HIV Prevention Trials Network 078 study (HPTN 078), ...
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Journal ArticleJ Int AIDS Soc · September 2021
INTRODUCTION: There is an urgent need to identify men who have sex with men (MSM) living with HIV with unsuppressed viral loads to prevent transmission. Though respondent-driven sampling (RDS) is traditionally used for hard-to-reach populations, we compare ...
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Journal ArticleJ Acquir Immune Defic Syndr · September 1, 2021
INTRODUCTION: Preexposure prophylaxis (PrEP) is effective in preventing HIV among adherent users. However, PrEP uptake among transgender women is low, and current prescribing guidelines from the Centers for Disease Control and Prevention (CDC) are not spec ...
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Journal ArticleLancet Infect Dis · September 2021
Adherence to non-pharmaceutical interventions to prevent the transmission of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has been highly variable across settings, particularly in the USA. In this Personal View, we review data supporting th ...
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Journal ArticleJ Interpers Violence · August 2021
Female sex workers (FSW) are a key population in the HIV epidemic and face high levels of violence. While women globally are predominantly at risk of intimate partner violence (IPV), FSW are additionally vulnerable to violence from clients, police, and pim ...
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Journal ArticleJ Int AIDS Soc · July 2021
INTRODUCTION: Despite extraordinary progress in HIV treatment coverage and expanding access to HIV prevention services and that multiple African countries are on track in their efforts to reach 90-90-90 goals, the epidemic continues to persist, with preval ...
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Journal ArticleJ Int AIDS Soc · May 2021
INTRODUCTION: Respondent-driven sampling (RDS) has been an effective sampling strategy for HIV research in many settings, but has had limited success among some youth in the United States. We evaluated a modified RDS approach for sampling Black and Latinx ...
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Journal ArticleJ Acquir Immune Defic Syndr · May 1, 2021
BACKGROUND: The coronavirus pandemic has necessitated a range of population-based measures to stem the spread of infection. These measures may be associated with disruptions to other health services including for gay, bisexual, and other men who have sex w ...
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Journal ArticleJMIR Res Protoc · April 26, 2021
BACKGROUND: The HIV epidemic disproportionately impacts transgender women in the United States. Cohort studies identify unique risks for affected populations, but use of facility-based methods may bias findings towards individuals living in research catchm ...
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Journal ArticleLancet HIV · April 2021
BACKGROUND: During the COVID-19 pandemic, men who have sex with men (MSM) in the USA have reported similar or fewer sexual partners and reduced HIV testing and care access compared with before the pandemic. Pre-exposure prophylaxis (PrEP) use has also decl ...
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Journal ArticleLancet · March 20, 2021
Men who have sex with men (MSM) in the USA were the first population to be identified with AIDS and continue to be at very high risk of HIV acquisition. We did a systematic literature search to identify the factors that explain the reasons for the ongoing ...
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Journal ArticleLancet · March 20, 2021
The opioid epidemic is one of the greatest public health problems that the USA faces. Opioid overdose death rates have increased steadily for more than a decade and doubled in 2013-17, as the highly potent synthetic opioid fentanyl entered the drug supply. ...
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Journal ArticleLancet · March 20, 2021
The HIV epidemic in the USA began as a bicoastal epidemic focused in large cities but, over nearly four decades, the epidemiology of HIV has changed. Public health surveillance data can inform an understanding of the evolution of the HIV epidemic in terms ...
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Journal ArticleLancet · March 20, 2021
With more than 1·2 million people living with HIV in the USA, a complex epidemic across the large and diverse country, and a fragmented health-care system marked by widening health disparities, the US HIV epidemic requires sustained scientific and public h ...
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Journal ArticleAIDS Behav · February 2021
There is an urgent need to measure the impacts of COVID-19 among gay men and other men who have sex with men (MSM). We conducted a cross-sectional survey with a global sample of gay men and other MSM (n = 2732) from April 16, 2020 to May 4, 2020, through a ...
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Journal ArticleSexuality and Culture · February 1, 2021
Intimate Partner Violence (IPV) is a prevalent but under recognized issue among sexual minorities broadly, but especially among Black Gay and Bisexual Men (BGBM). Over the last several years, acts of IPV among BGBM made national news, drawing attention to ...
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Journal ArticlePLoS One · 2021
Longstanding social and economic inequities elevate health risks and vulnerabilities for Black, Indigenous and People of Color (BIPOC) communities. Engagement of BIPOC communities in infectious disease research is a critical component in efforts to increas ...
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Journal ArticlePLoS One · 2021
BACKGROUND: Carceral facilities are epicenters of the COVID-19 pandemic, placing incarcerated people at an elevated risk of COVID-19 infection. Due to the initial limited availability of COVID-19 vaccines in the United States, all states have developed all ...
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ConferenceProceedings - Winter Simulation Conference · December 14, 2020
Individuals living with human immunodeficiency virus (HIV) today are living longer, thanks to expanded access to antiretroviral therapy (ART); however, this population is therefore increasingly at risk for many age-associated comorbidities. The future heal ...
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Journal ArticleAnn Epidemiol · December 2020
PURPOSE: The purpose of this study was to ascertain COVID-19 transmission dynamics among Latino communities nationally. METHODS: We compared predictors of COVID-19 cases and deaths between disproportionally Latino counties (≥17.8% Latino population) and al ...
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Journal ArticleJ Antimicrob Chemother · December 1, 2020
OBJECTIVES: To evaluate the performance of a high-throughput research assay for HIV drug resistance testing based on whole genome next-generation sequencing (NGS) that also quantifies HIV viral load. METHODS: Plasma samples (n = 145) were obtained from HIV ...
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Journal ArticleEpidemics · December 2020
BACKGROUND: In cluster-randomized controlled trials (C-RCTs) of HIV prevention strategies, HIV incidence is expensive to measure directly. Surveillance data on HIV diagnoses or viral suppression could provide cheaper incidence estimates. We used mathematic ...
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Journal ArticleJ Gen Intern Med · October 2020
Although the benefit of population-level public facial masking to protect others during the COVID-19 pandemic has received a great deal of attention, we discuss for one of the first times the hypothesis that universal masking reduces the "inoculum" or dose ...
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Journal ArticleJ Urban Health · October 2020
Black men who have sex with men (BMSM) bear a disproportionate burden of HIV in the USA. BMSM face stigma, discrimination and barriers to health care access, and utilization. Peers (male or female) may assist BMSM in navigating their health issues by engag ...
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Journal ArticleJMIR Res Protoc · September 16, 2020
BACKGROUND: The US National HIV/AIDS Strategy 2020 calls for increasing access to care, improving outcomes of people living with HIV, and targeting biomedical prevention efforts, including access to pre-exposure prophylaxis (PrEP) in communities where HIV ...
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Journal ArticleBMC Infect Dis · August 10, 2020
BACKGROUND: Men who have sex with men (MSM) bear a disproportionate burden of HIV in Malawi. Early prevention efforts in Malawi have been largely focused on preventing heterosexual and vertical transmission of HIV, and MSM have rarely been the specific ben ...
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Journal ArticleAnn Epidemiol · July 2020
PURPOSE: Given incomplete data reporting by race, we used data on COVID-19 cases and deaths in U.S. counties to describe racial disparities in COVID-19 disease and death and associated determinants. METHODS: Using publicly available data (accessed April 13 ...
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Journal ArticleJ Acquir Immune Defic Syndr · July 1, 2020
INTRODUCTION: Men who have sex with men (MSM) in the United States are disproportionately affected by HIV. We estimated the impact of past interventions and contribution of different population groups to incident MSM HIV infections. SETTING: Baltimore, US. ...
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Journal ArticleAnn Epidemiol · July 2020
Black communities in the United States are bearing the brunt of the COVID-19 pandemic and the underlying conditions that exacerbate its negative consequences. Syndemic theory provides a useful framework for understanding how such interacting epidemics deve ...
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Journal ArticleBMJ Evid Based Med · June 3, 2020
Health inequities have long defined health and the healthcare system in the USA. The clinical and research capacity across the USA is unparalleled, yet compared to other high and even some middle-income countries, the average health indicators of the popul ...
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Journal ArticleJ Int AIDS Soc · June 2020
INTRODUCTION: As people with HIV age, prevention and management of other communicable and non-communicable diseases (NCDs) will become increasingly important. Integration of screening and treatment for HIV and NCDs is a promising approach for addressing th ...
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Journal ArticleAIDS Care · March 2020
One in five transgender women (TW) are living with HIV, yet little has been published about their health outcomes. We analyzed data from TW (n = 37), cisgender women (CW, n = 165), and cisgender men who have sex with men (MSM, n = 151) in Thailand and Braz ...
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Journal ArticleAIDS Behav · March 2020
Violence is associated with HIV and HIV risk behaviors among female sex workers (FSW). However, few studies assess multiple forms of violence and multiple HIV risk behaviors to build a comprehensive picture of how violence is implicated in HIV risk. Using ...
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Journal ArticleJMIR Res Protoc · January 27, 2020
BACKGROUND: Pre-exposure prophylaxis (PrEP) is highly effective in the prevention of HIV acquisition, particularly for men who have sex with men (MSM). Questions remain on the benefits of PrEP and implementation strategies for those at occupational risk of ...
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Journal ArticleAIDS · January 1, 2020
OBJECTIVE: To analyze HIV drug resistance among MSM recruited for participation in the HPTN 078 study, which evaluated methods for achieving and maintaining viral suppression in HIV-infected MSM. METHODS: Individuals were recruited at four study sites in t ...
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Journal ArticleAIDS Patient Care STDS · January 2020
Young black and Latinx men who have sex with men (YBLMSM) and transgender women (YBLTW) are disproportionately impacted by HIV. Structural and social marginalization, the social barriers, and structures that unevenly distribute benefits and burdens to diff ...
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Journal ArticleJ Homosex · 2020
Malay-Muslim men who have sex with men (MSM) are marginalized and hidden in Malaysia, a predominantly Muslim country in southeast Asia. We explored the policy, network, community, and individual factors related to HIV infection among Malay-Muslim MSM throu ...
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Journal ArticleLancet HIV · November 2019
BACKGROUND: HIV disproportionately affects gay, bisexual, and other men who have sex with men (MSM) in Africa, where many countries criminalise same-sex behaviour. We assessed changes in the engagement of African MSM with HIV testing and treatment cascade ...
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Journal ArticleJMIR Res Protoc · October 3, 2019
BACKGROUND: In the United States, transgender women (TW) are disproportionately burdened by HIV infection. Cohort studies are needed to evaluate factors driving HIV acquisition among TW over time. These will require implementation strategies that are accep ...
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Journal ArticleAIDS Res Hum Retroviruses · September 2019
Condom compatible lubricants (CCLs), including water-based lubricants (WBL) represent one strategy to prevent the breakage of latex condoms and thus decrease the risk of HIV transmission during anal intercourse. The analyses presented here characterize the ...
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Journal ArticleJournal on Migration and Human Security · September 1, 2019
: Venezuela’s economic crisis has triggered mass migration; more than 3.4 million Venezuelans have fled to other countries in the region and beyond. An assessment mission to Cúcuta, in the Colombian border state of North Santander, was undertaken from July ...
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Journal ArticleSoc Sci Med · April 2019
As Venezuela's economic and political crises continues to evolve, hyperinflation, declining food production and food shortages are contributing to the deterioration of the food and nutrition situation. While official data is largely unavailable, food secur ...
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Journal ArticleRes Nurs Health · April 2019
In South Africa, 60% of female sex workers are estimated to be living with human immunodeficiency virus (HIV). Many of these women face structural and individual-level barriers to initiating, accessing, and adhering to antiretroviral therapy (ART). While d ...
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Journal ArticleLancet · March 23, 2019
The economic crisis in Venezuela has eroded the country's health-care infrastructure and threatened the public health of its people. Shortages in medications, health supplies, interruptions of basic utilities at health-care facilities, and the emigration o ...
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Journal ArticleBMC Int Health Hum Rights · March 5, 2019
BACKGROUND: There have been several barriers in effectively engaging men who have sex with men for STI/HIV prevention and treatment programming in Nigeria including social stigma, policies, and laws criminalizing same-sex practices. The objective of this s ...
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Journal ArticleJ Int AIDS Soc · March 2019
INTRODUCTION: HIV prevalence is high among men who have sex with men (MSM) in Baltimore, Maryland, United States, and the levels of viral suppression among HIV-positive MSM are relatively low. The HIV Prevention Trials Network 078 trial seeks to increase t ...
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Journal ArticleBMC Public Health · January 14, 2019
BACKGROUND: In Myanmar, HIV is concentrated among key populations, yet less than half of the estimated 250,000 men who have sex with men (MSM) and transgender women (TW) report recent HIV testing. As many as 50% of MSM and TW may conceal their same-sex pre ...
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Journal ArticleJ Homosex · 2019
LGBT (lesbian, gay, bisexual, and transgender) populations experience disparities in health outcomes, both physical and mental, compared to their heterosexual and cisgender peers. This commentary confronts the view held by some researchers that the dispara ...
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Chapter · January 1, 2019
This is a time of simultaneous urgency, promise, and injustice for sexual and gender minorities worldwide. Globally, LGBTQ populations face an HIV/AIDS epidemic among men who have sex with men (MSM) and transgender women, higher prevalence of substance use ...
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Journal ArticlePLoS Med · December 2018
In a Policy Forum, Joseph Amon and colleagues discuss human rights indicators for tracking progress toward ending the HIV epidemic. ...
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Journal ArticleSex Transm Dis · December 2018
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 fo ...
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Journal ArticleLancet HIV · October 2018
BACKGROUND: Most new HIV infections among people who inject drugs (PWID) in eastern Europe and central Asia occur in Russia, where PWID have a high risk of overdose. In Russia, use of opioid agonist therapy (OAT) is prohibited, and coverage of needle and s ...
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Journal ArticleLancet HIV · October 2018
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 tr ...
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Journal ArticleLancet · August 25, 2018
Female, male, and transgender sex workers continue to have disproportionately high burdens of HIV infection in low-income, middle-income, and high-income countries in 2018. 4 years since our Lancet Series on HIV and sex work, our updated analysis of the gl ...
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Journal ArticleCad Saude Publica · August 20, 2018
Despite substantial improvement in prognosis and quality of life among people living with HIV/AIDS (PLWHA) in Brazil, inequalities in access to treatment remain. We assessed the impact of these inequalities on survival in Rio de Janeiro over a 12-year peri ...
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Journal ArticleJ Int AIDS Soc · July 2018
INTRODUCTION: Globally, prosecutions for non-disclosure, exposure or transmission of HIV frequently relate to sexual activity, biting, or spitting. This includes instances in which no harm was intended, HIV transmission did not occur, and HIV transmission ...
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Journal ArticleEpidemiol Rev · June 1, 2018
Prisons and other closed facilities create opportunities for transmission of human immunodeficiency virus (HIV) and viral hepatitis during detention and after release. We conducted a systematic review and meta-analysis of peer-reviewed publications (2005-2 ...
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Journal ArticleEpidemiol Rev · June 1, 2018
Transgender people experience a disproportionate burden of human immunodeficiency virus (HIV) and incarceration. Discrimination, victimization, poverty, and poor mental health drive vulnerability to HIV and related infections, as well as risk of arrest, de ...
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Journal ArticlePLoS Med · March 2018
In an essay, Cody Cichowitz and colleagues discuss approaches to preventing the practice of inappropriate anal examination. ...
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Journal ArticleJ Adolesc Health · March 2018
PURPOSE: This study aims to compare the global prevalence of hepatitis B, hepatitis C, HIV, and tuberculosis in incarcerated adolescents and young adults (AYAs) and older prisoners. METHODS: This study is a systematic review and meta-analysis of studies re ...
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Journal ArticleAIDS Behav · February 2018
Youth represent a large proportion of new HIV infections worldwide, yet their utilization of HIV testing and counseling (HTC) remains low. Using the post-intervention, cross-sectional, population-based household survey done in 2011 as part of HPTN 043/NIMH ...
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Journal ArticlePublic Health Rep · 2018
Drug overdose is now the leading cause of injury death in the United States. Most overdose fatalities involve opioids, which include prescription medication, heroin, and illicit fentanyl. Current data reveal that the overdose crisis affects all demographic ...
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Journal ArticleProg Community Health Partnersh · 2018
BACKGROUND: Baltimore is an urban center that has been highly impacted by human immunodeficiency virus (HIV) and hepatitis C virus (HCV); however, many individuals are unaware of their HIV and/or HCV status. In 2013, the Johns Hopkins Center for AIDS Resea ...
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Journal ArticleLGBT Health · 2018
PURPOSE: Men who have sex with men (MSM) have nearly 80 times the lifetime risk of human immunodeficiency virus (HIV) relative to men who have sex with women only (MSW), and young MSM (YMSM) accounted for 95% of estimated HIV diagnoses among adolescents be ...
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Journal ArticleHealth Hum Rights · December 2017
The 2008-2009 Zimbabwe cholera epidemic resulted in 98,585 reported cases and caused more than 4,000 deaths. In this study, we used a mixed-methods approach that combined primary qualitative data from a 2008 Physicians for Human Rights-led investigation wi ...
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Journal ArticlePLoS Med · November 2017
In a Perspective, Chris Beyrer and coauthors discuss the threat of HIV to health in the Russian Federation. ...
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Journal ArticleJ Int AIDS Soc · November 2017
INTRODUCTION: Key populations bear a disproportionate HIV burden and have substantial unmet treatment needs. Routine viral load monitoring represents the gold standard for assessing treatment response at the individual and programme levels; at the populati ...
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Journal ArticleAIDS Care · November 2017
Biomedical HIV prevention tools including oral pre-exposure prophylaxis (PrEP) and vaginal microbicidal rings hold unique value for high-risk women who may have limited capacity for condom negotiation, including the key populations of sex workers and drug ...
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Journal ArticleLancet HIV · August 2017
BACKGROUND: Mounting evidence suggests that laws and policies prohibiting illegal drug use could have a central role in shaping health outcomes among people who inject drugs (PWID). To date, no systematic review has characterised the influence of laws and ...
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Journal ArticleJ Int AIDS Soc · June 30, 2017
INTRODUCTION: The science presented at the 21st International AIDS Conference in Durban, South Africa, in July 2016, addressed the state of the field across basic, clinical, prevention, law and policy and implementation science. METHODS AND RESULTS: The AI ...
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Journal ArticleAIDS Res Hum Retroviruses · June 2017
We studied the prevalence of HIV, syphilis, hepatitis B virus (HBV), and hepatitis C virus (HCV) infection and associated risk behaviors in the prison state system of Guanajuato, Mexico between September 2011 and February 2012. Blood samples were drawn fro ...
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Journal ArticleJ Acquir Immune Defic Syndr · June 1, 2017
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 ...
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Journal ArticleJ Urban Health · June 2017
Depression is a major public health problem in the Russian Federation and is particularly of concern for men who have sex with men (MSM). MSM living in Moscow City were recruited via respondent-driven sampling and participated in a cross-sectional survey f ...
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Journal ArticleLancet HIV · June 2017
BACKGROUND: Epidemiological assessment of geographical heterogeneity of HIV among men who have sex with men (MSM) is necessary to inform HIV prevention and care strategies in the more generalised HIV epidemics across sub-Saharan Africa, including Malawi. W ...
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Journal ArticleJMIR Res Protoc · May 17, 2017
BACKGROUND: Efforts to improve HIV diagnosis and antiretroviral therapy (ART) initiation among people living with HIV and reduce onward transmission of HIV rely on innovative interventions along multiple steps of the HIV care continuum. These innovative me ...
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Journal ArticleJ Int AIDS Soc · April 25, 2017
INTRODUCTION: Global effort to increase early diagnosis and engagement in HIV care emphasize the importance of developing novel approaches to reaching those missed by traditional methods. Such needs are particularly great for men who have sex with men (MSM ...
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Journal ArticleSex Health · February 2017
The goal to effectively prevent new HIV infections among gay, bisexual, and other men who have sex with men (MSM) is more challenging now than ever before. Despite declines in the late 1990s and early 2000s, HIV incidence among MSM is now increasing in man ...
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Journal ArticleSex Health · February 2017
The multidimensional nature and continued evolution of HIV epidemics among men who have sex with men (MSM) requires innovative intervention approaches. Strategies are needed that recognise the individual, social and structural factors driving HIV transmiss ...
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Journal ArticleJ Int Assoc Provid AIDS Care · 2017
Combination prevention efforts are now recommended toward reducing HIV incidence among men who have sex with men (MSM). Understanding the perceptions of both MSM and service providers is critical to informing the development of prevention packages and ulti ...
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Journal ArticlePLoS One · 2017
OBJECTIVES: To estimate the prevalence of HCV-infection and identify associated factors among inmates in the State Prison System of Guanajuato in Mexico (Sep-2011 to Feb-2012). METHODS: Cross-sectional, observational study in 10 prisons in the State of Gua ...
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Book · January 1, 2017
Effective treatment for HIV and AIDS came in 1996. For sufferers in the developed world, this marked a true watershed moment: the end of the death sentence. But for many in the developing world, including in Southeast Asia, these new treatments remained fa ...
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Journal ArticleJ Adolesc Health · December 2016
PURPOSE: HIV disproportionately impacts young black men who have sex with men (YBMSM). Preexposure prophylaxis (PrEP) is an effective strategy that can avert new HIV infections in YBMSM. Barriers exist for YBMSM to access PrEP. METHODS: We sought to determ ...
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Journal ArticleAIDS Behav · December 2016
Men who have sex with men (MSM) continue to be at elevated risk for HIV acquisition and transmission secondary to biological and behavioral characteristics, social and sexual network characteristics, community environmental factors, and structural factors. ...
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Journal ArticlePublic Health Rep · November 2016
OBJECTIVES: The objective of our study was to measure progress toward the UNAIDS 90-90-90 HIV care targets among key populations in urban areas of 2 countries in West Africa: Burkina Faso and Togo. METHODS: We recruited female sex workers (FSWs) and men wh ...
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Journal ArticlePLoS Med · October 2016
Chris Beyrer and colleagues reflect on an underappreciated trend in multiple African, Asian, and Caribbean settings, in which the provision of HIV and other essential health services for sexual and gender minorities is expanding despite challenging legal a ...
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Journal ArticleLancet · September 17, 2016
Worldwide, a disproportionate burden of HIV, tuberculosis, and hepatitis is present among current and former prisoners. This problem results from laws, policies, and policing practices that unjustly and discriminatorily detain individuals and fail to ensur ...
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Journal ArticleLancet · September 17, 2016
Given the dual epidemics of HIV and tuberculosis in sub-Saharan Africa and evidence suggesting a disproportionate burden of these diseases among detainees in the region, we aimed to investigate the epidemiology of HIV and tuberculosis in prison populations ...
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Journal ArticleLancet · September 10, 2016
The prison setting presents not only challenges, but also opportunities, for the prevention and treatment of HIV, viral hepatitis, and tuberculosis. We did a comprehensive literature search of data published between 2005 and 2015 to understand the global e ...
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Journal ArticleAnn Epidemiol · August 2016
In the context of generalized human immunodeficiency virus (HIV) epidemics, there has been limited recent investment in HIV surveillance and prevention programming for key populations including female sex workers. Often implicit in the decision to limit in ...
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Journal ArticleLancet · July 9, 2016
Gay, bisexual, and other men who have sex with men (MSM) continue to have disproportionately high burdens of HIV infection in countries of low, middle, and high income in 2016. 4 years after publication of a Lancet Series on MSM and HIV, progress on reduci ...
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Journal ArticleLancet · April 2, 2016
UNLABELLED: In September 2015, the member states of the United Nations endorsed sustainable development goals (SDG) for 2030 that aspire to human rights-centered approaches to ensuring the health and well-being of all people. The SDGs embody both the UN Ch ...
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Journal ArticlePLoS Biol · March 2016
In the last 15 years, antiretroviral therapy (ART) has been the most globally impactful life-saving development of medical research. Antiretrovirals (ARVs) are used with great success for both the treatment and prevention of HIV infection. Despite these re ...
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Journal ArticleAIDS Behav · March 2016
Alcohol use is a public health problem in the Russian Federation. This study explored relationships between alcohol use and behavioral risks for HIV transmission among men who have sex with men (MSM) in Moscow, Russia. Alcohol use disorder identification t ...
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Journal ArticleSex Transm Infect · March 2016
OBJECTIVES: Early diagnosis and treatment of HIV infection is critical to improving clinical outcomes for HIV-infected individuals. We sought to characterise the HIV care continuum and identify correlates of being unaware of one's HIV infection among men w ...
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ConferenceProceedings - Winter Simulation Conference · February 16, 2016
Men who have sex with men (MSM) experience over half of new HIV infections annually in Baltimore city. Oral pre-exposure prophylaxis (PrEP) and antiretroviral therapy (ART) are likely to play central roles in reducing the risk of HIV transmission. However, ...
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Journal ArticleJ Int AIDS Soc · 2016
INTRODUCTION: While women and girls are disproportionately at risk of HIV acquisition, particularly in low- and middle-income countries (LMIC), globally men and women comprise similar proportions of people living with HIV who are eligible for antiretrovira ...
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Journal ArticleJ Int AIDS Soc · 2016
BACKGROUND: In this article, we present recent evidence from studies focused on the implementation, effectiveness and cost-effectiveness of pre-exposure prophylaxis (PrEP) for HIV infection; discuss PrEP scale-up to date, including the observed levels of a ...
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Journal ArticlePLoS One · 2016
Analytically distinct estimators have been proposed for the calculation of population-based estimates derived from respondent-driven sampling (RDS), yet there have been few comparisons of the inferences from these estimators using empirical data. We compar ...
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Journal ArticlePLoS One · 2016
OBJECTIVES: We examined whether mobility, migrant status, and risk environments are associated with sexually transmitted infections (STIs) and HIV risk behaviors (e.g. sex trading, multiple partners, and unprotected sex). METHODS: We used Respondent Driven ...
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Journal ArticlePLoS One · 2016
In 1994, South Africa approved a constitution providing freedom from discrimination based on sexual orientation. Other Southern African countries, including Botswana, Malawi, and Namibia, criminalize same-sex behavior. Men who have sex with men (MSM) have ...
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Journal ArticleCult Health Sex · 2016
Despite the high prevalence of HIV among men who have sex with men in South Africa, very little is known about their lived realities, including their social and sexual networks. Given the influence of social network structure on sexual risk behaviours, a b ...
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Journal ArticleInt J Gynaecol Obstet · November 2015
OBJECTIVE: To determine the prevalence of, and factors associated with, use of non-barrier contraception (intrauterine device, hormonal contraceptives, and female sterilization) among female sex workers (FSWs) in three Russian cities. METHODS: A secondary ...
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Journal ArticleCurr Opin HIV AIDS · November 2015
PURPOSE OF REVIEW: People who inject drugs (PWID), sex workers, and MSM simultaneously bear a high burden of HIV and stigma and discrimination. The purpose of this review was to summarize recent information about the understanding of the HIV care cascade a ...
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Journal ArticleConflict and Health · October 6, 2015
Background: The Myanmar army and ethnic armed groups agreed to a preliminary ceasefire in 2012, but a heavy military presence remains in southeastern Myanmar. Qualitative data suggested this militarization can result in human rights abuses in the absence o ...
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Journal ArticleJ Acquir Immune Defic Syndr · October 1, 2015
INTRODUCTION: The use of combination HIV prevention interventions (CHPI) now represent the standard of care to minimize HIV acquisition risks among men who have sex with men (MSM). There has been limited evaluation of these approaches in generalized HIV ep ...
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Journal ArticleInt J Drug Policy · August 2015
BACKGROUND: Female sex workers (FSW) and people who inject drugs (PWID) are at high risk for HIV infection, with FSW-PWID at even greater risk. HIV-related research often focuses on the primary mode of transmission - sexual or parenteral transmission for F ...
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Journal ArticleJ Virol Methods · June 1, 2015
The RV144 Thai vaccine trial has been the only vaccine study to show efficacy in preventing HIV infection. Ongoing molecular surveillance of HIV-1 in Southeast Asia is vital for vaccine development and evaluation. In this study a novel tool, the multi-regi ...
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Journal ArticleEuro Surveill · April 16, 2015
Anal human papillomavirus (HPV) is prevalent among men who have sex with men (MSM), but has not been studied in the Russian Federation. A cross-sectional survey and HPV genotyping were conducted among HIV seropositive (n=58) and seronegative MSM (n=65)in M ...
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Journal ArticleBMC Public Health · March 7, 2015
BACKGROUND: In 1996, Brazil became the first developing country to provide free, universal access to HAART, laboratory monitoring, and clinical care to any eligible patient. As of June 2014, approximately 400,000 patients were under treatment, making it th ...
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Journal ArticleStud Fam Plann · March 2015
Understanding the pregnancy experiences of female sex workers (FSWs), especially in the context of high rates of HIV and sexually transmitted infections (STIs), is essential to tailoring services to meet their needs. This study explores FSWs' experiences w ...
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Journal ArticleLancet · January 17, 2015
The women, men, and transgender people who sell sex globally have disproportionate risks and burdens of HIV in countries of low, middle, and high income, and in concentrated and generalised epidemic contexts. The greatest HIV burdens continue to be in Afri ...
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Journal ArticleLancet · January 10, 2015
We reviewed evidence from more than 800 studies and reports on the burden and HIV implications of human rights violations against sex workers. Published research documents widespread abuses of human rights perpetrated by both state and non-state actors. Su ...
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Journal ArticleJ Int Assoc Provid AIDS Care · 2015
BACKGROUND: An estimated 50% of people living with HIV (PLHIV) globally are unaware of their status. Among those who know their HIV status, many do not receive antiretroviral therapy (ART) in a timely manner, fail to remain engaged in care, or do not achie ...
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Journal ArticlePLoS One · 2015
BACKGROUND: Decades of conflict in eastern Myanmar have resulted in high prevalence of human rights violations and poor health outcomes. While recent ceasefire agreements have reduced conflict in this area, it is unknown whether this has resulted in concom ...
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Journal ArticleCult Health Sex · 2015
Many female sex workers begin sex work as mothers, or because they are mothers, and others seek childbearing. Motherhood may influence women's livelihoods as sex workers and their subsequent HIV risks. We used qualitative research methods (30 in-depth inte ...
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Journal ArticleInt J Drug Policy · November 2014
BACKGROUND: Kazakhstan and other countries in Central Asia are experiencing a rapidly growing HIV epidemic, which has historically been driven by injection drug use, but is more recently being fueled by heterosexual transmission. METHODS: This paper examin ...
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Journal ArticleJMIR Res Protoc · October 16, 2014
BACKGROUND: Human immunodeficiency virus (HIV) prevention intervention programs and related research for men who have sex with men (MSM) in the southern African region remain limited, despite the emergence of a severe epidemic among this group. With a lack ...
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Journal ArticleJ Acquir Immune Defic Syndr · October 1, 2014
OBJECTIVE: Project Renaissance is a randomized controlled trial of an HIV/hepatitis C virus (HCV)/sexually transmitted infection (STI) prevention intervention conducted in Almaty, Kazakhstan. We hypothesized that couples assigned to the intervention of int ...
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Journal ArticleStat Med · September 28, 2014
Important sources of variation in the spread of HIV in communities arise from overlapping sexual networks and heterogeneity in biological and behavioral risk factors in populations. These sources of variation are not routinely accounted for in the design o ...
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Journal ArticleJ Acquir Immune Defic Syndr · August 15, 2014
Studies completed over the past 15 years have consistently demonstrated the importance of community-level determinants in potentiating or mitigating risks for the acquisition and transmission of HIV. Structural determinants are especially important in medi ...
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Journal ArticleSex Transm Infect · August 2014
OBJECTIVES: To determine whether the current HIV prevalence in militaries of low-income and middle-income countries is higher, the same, or lower than the HIV prevalence in the adult male population of those countries. METHODS: HIV prevalence data from low ...
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Journal ArticleBMC International Health and Human Rights · June 3, 2014
Background: In the context of a generalized epidemic and criminalization of homosexuality, men who have sex with men (MSM) in Malawi have a disproportionate burden of HIV compared to other adults. Past research has documented low uptake of HIV prevention a ...
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Journal ArticlePLoS Med · June 2014
Chris Beyrer discusses the worrying global trend towards the increasing criminalization of homosexuality. Please see later in the article for the Editors' Summary ...
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Journal ArticlePLoS Med · March 2014
BACKGROUND: It is often assumed that local sexual networks play a dominant role in HIV spread in sub-Saharan Africa. The aim of this study was to determine the extent to which continued HIV transmission in rural communities--home to two-thirds of the Afric ...
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Journal ArticleAIDS Behav · March 2014
Within Eastern Europe/Central Asia's expanding HIV epidemic, relatively little is known about female sex workers (FSWs). Using mixed methods, we report on sex work context, HIV prevalence and contextual risk factors, and exposure to FSW-targeted prevention ...
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Journal ArticleCurr Opin Infect Dis · February 2014
PURPOSE OF REVIEW: HIV epidemic spread continues among gay, bisexual, and other MSM globally in 2013. These epidemics are occurring in rapidly shifting contexts among these men, which have important impacts on HIV spread, HIV programs, access to services a ...
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Journal ArticlePLoS One · 2014
INTRODUCTION: NIMH Project Accept (HPTN 043) is a community- randomized trial to test the safety and efficacy of a community-level intervention designed to increase testing and lower HIV incidence in Tanzania, Zimbabwe, South Africa and Thailand. The evalu ...
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Journal ArticlePLoS One · 2014
HIV prevention trials have demonstrated the effectiveness of a number of behavioral and biomedical interventions. HIV prevention packages are combinations of interventions and offer potential to significantly increase the effectiveness of any single interv ...
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Journal ArticleJ Int AIDS Soc · 2014
INTRODUCTION: Scientific research has demonstrated the clinical benefits of earlier initiation of antiretroviral treatment (ART), and that ART can markedly reduce HIV transmission to sexual partners. Ensuring universal access to ART for those who need it h ...
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Journal ArticlePLoS One · 2014
INTRODUCTION: Sex workers have endured a high burden of HIV infection in and across HIV epidemics. A comprehensive, community empowerment-based HIV prevention intervention emphasizes sex worker organization and mobilization to address HIV risk and often in ...
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Journal ArticleInt J Drug Policy · January 2014
BACKGROUND: We sought to describe the epidemiology of HIV in Pakistan and prioritize interventions to improve the effectiveness and efficiency of the response to HIV. METHODS: We conducted a systematic review of the epidemiology of HIV in Pakistan. Data so ...
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Journal ArticleInt J Drug Policy · January 2014
OBJECTIVE: In 2010 the international HIV/AIDS community called on countries to take action to prevent HIV transmission among people who inject drugs (PWID). To set a baseline we proposed an "accountability matrix", focusing upon six countries accounting fo ...
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Journal ArticleCult Health Sex · 2014
Despite the high prevalence of HIV and STIs among women in Africa and the growing literature on HIV and STIs among women who have sex with women, research on the sexual health of women who have sex with women in Africa is scant. This study used mixed metho ...
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Journal ArticleAIDS Care · 2014
Moscow has a large population of immigrants and migrants from across the Former Soviet Union. Little is studied about men who have sex with men (MSM) within these groups. Qualitative research methods were used to explore identities, practices, and factors ...
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Journal ArticleJ Int AIDS Soc · December 2, 2013
INTRODUCTION: Men who have sex with men (MSM) are disproportionately burdened by HIV in Senegal, across sub-Saharan Africa and throughout the world. This is driven in part by stigma, and limits health achievements and social capital among these populations ...
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Journal ArticleJ Int AIDS Soc · December 2, 2013
INTRODUCTION: There are limited data characterizing the burden of HIV among men who have sex with men (MSM) in Malawi. Epidemiologic research and access to HIV prevention, treatment and care services have been traditionally limited in Malawi by criminaliza ...
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Journal ArticleAIDS · November 13, 2013
Epidemics of HIV in MSM continue to expand in most low, middle, and upper income countries in 2013 and rates of new infection have been consistently high among young MSM. Current prevention and treatment strategies are insufficient for this next wave of HI ...
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Journal ArticleDrug Alcohol Depend · November 2013
BACKGROUND: Research among people who inject drugs (PWID) in Central Asia has described same sex behavior among male PWID and may be associated with HIV and other infections. Little is known about the population of men who have sex with men (MSM) and the b ...
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Journal ArticleAIDS Behav · September 2013
This paper examines prevalence rates of HIV, HCV, and syphilis among a sample of injecting drug users (IDUs) and their heterosexual intimate partners (NÂ =Â 728) from Almaty, Kazakhstan. The study uses baseline data from Project Renaissance, a couple-based H ...
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Journal ArticleCurr Opin HIV AIDS · July 2013
PURPOSE OF REVIEW: We sought to review the recent epidemiology of HIV-1 and to identify emerging challenges in HIV surveillance and epidemic control. RECENT FINDINGS: There is increasing evidence that HIV epidemics are in decline among general populations ...
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Journal ArticleJ Acquir Immune Defic Syndr · July 2013
Men who have sex with men (MSM), including transgender women, comprise a heterogeneous group of individuals whose sexual behaviors and gender identities may vary widely between cultures and among individuals. Their sources of increased vulnerability to HIV ...
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Journal ArticleBMC Public Health · May 17, 2013
BACKGROUND: Social and structural factors are now well accepted as determinants of HIV vulnerabilities. These factors are representative of social, economic, organizational and political inequities. Associated with an improved understanding of multiple lev ...
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Journal ArticleAIDS Behav · May 2013
A consultation was hosted in South Africa (March 2011) to assess the combination HIV prevention research priorities of academics, implementers and MSM community leaders. Sixty-nine participants, representing 17 African countries, participated. Interactive ...
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Journal ArticleAIDS · April 24, 2013
In recent years, evidence has accumulated regarding the ability of HAART to prevent HIV transmission. Early supportive evidence was derived from observational, ecological and population-based studies. More recently, a randomized clinical trial showed that ...
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Journal ArticleBMC Infect Dis · March 1, 2013
BACKGROUND: Predictors of immuno-virologic outcomes and discordance and their associations with clinical, demographic, socio-economic and behavioral risk factors are not well described in Nigeria since HIV viral load testing is not routinely offered in pub ...
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Journal ArticleLancet Infect Dis · March 2013
BACKGROUND: Previous systematic reviews have identified a high prevalence of HIV infection in transgender women in the USA and in those who sell sex (compared with both female and male sex workers). However, little is known about the burden of HIV infectio ...
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Journal ArticleAm J Reprod Immunol · February 2013
PROBLEM: Female sex workers (FSWs) worldwide suffer disproportionate burdens of HIV and gender-based violence. Despite evidence linking these threats, little is known about the potential HIV epidemic impact of reducing abuse. METHOD OF STUDY: The Goals mod ...
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Journal ArticlePLoS One · 2013
BACKGROUND: Northern Thailand has a high burden HIV epidemic among MSM and TG. Oral pre-exposure prophylaxis (PrEP) with tenofovir-emtricitabine has demonstrated efficacy in preventing HIV among MSM and TG in Chiang Mai, Thailand. Determinants of PrEP acce ...
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Journal ArticleInt J STD AIDS · January 2013
Little is known about the impact of combination HIV prevention interventions for men who have sex with men (MSM) and the impacts on the wider epidemics. Modelling analyses of MSM-specific interventions across varied HIV epidemics may inform evidence-based ...
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Journal ArticleInt J Gynaecol Obstet · January 2013
OBJECTIVE: To describe abortion history and current contraceptive use among female sex workers (FSWs) in Moscow, Russia. METHODS: A clinic-based survey was conducted among 147 FSWs in Moscow during an 8-month period in 2005. RESULTS: In total, 83 of 143 (5 ...
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Journal ArticleAIDS Care · 2013
Little is known about the effect of the social environment on HIV risk in gay men in northern Vietnam, particularly in rural areas. This qualitative research study conducted 4 key informant interviews and 30 in-depth interviews of men in two northern Vietn ...
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Journal ArticleAIDS Res Hum Retroviruses · December 2012
The objective of the study was to characterize factors associated with consistent condom use among men who had sex with men (MSM) in Abuja, Nigeria. A convenience sample consisting of 297 MSM was recruited during 2008 using a combination of peer referral a ...
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Journal ArticleCurr Opin HIV AIDS · November 2012
PURPOSE OF REVIEW: Oral preexposure prophylaxis (PrEP) has shown HIV preventive efficacy for several key populations at risk for HIV infection including MSM and heterosexual men and women in HIV serodiscordant relationships. An efficacy trial of daily oral ...
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Journal ArticleMalar J · September 19, 2012
BACKGROUND: Confirmation of artemisinin-delayed parasite clearance in Plasmodium falciparum along the Thai-Myanmar border has inspired a global response to contain and monitor drug resistance to avert the disastrous consequences of a potential spread to Af ...
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Journal ArticleJ Acquir Immune Defic Syndr · August 15, 2012
In most countries, the burden of HIV among people who inject drugs, men who have sex with men, and sex workers is disproportionately high compared with that in the general population. Meanwhile, coverage rates of effective interventions among those key pop ...
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Journal ArticleCold Spring Harb Perspect Med · August 1, 2012
Around 2.5 million people become infected with HIV each year. This extraordinary toll on human life and public health worldwide will only be reversed with effective prevention. What's more, in the next few years, it is likely at least, that no single preve ...
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Journal ArticleAIDS Res Hum Retroviruses · August 2012
The majority of early cases of HIV in Russia were among men who have sex with men (MSM). Despite this and the current resurgence of HIV among MSM globally, little systematic work has been done to assess current HIV risks. We conducted a rapid assessment of ...
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Journal ArticleLancet · July 28, 2012
Epidemics of HIV in men who have sex with men (MSM) continue to expand in most countries. We sought to understand the epidemiological drivers of the global epidemic in MSM and why it continues unabated. We did a comprehensive review of available data for H ...
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Journal ArticleLancet · July 28, 2012
Community leadership and participation by gay men and men who have sex with men (MSM) have been central to the response to HIV since the beginning of the epidemic. Through a wide array of actions, engagement of MSM has been important in the protection of c ...
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Journal ArticleLancet · July 28, 2012
Where surveillance has been done, it has shown that men (MSM) who have sex with men bear a disproportionate burden of HIV. Yet they continue to be excluded, sometimes systematically, from HIV services because of stigma, discrimination, and criminalisation. ...
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Journal ArticleLancet Infect Dis · July 2012
BACKGROUND: Female sex workers are a population who are at heightened risk of HIV infection secondary to biological, behavioural, and structural risk factors. However, three decades into the HIV pandemic, understanding of the burden of HIV among these wome ...
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Journal ArticleCurr Opin HIV AIDS · July 2012
PURPOSE OF REVIEW: HIV infection rates continue to rise among people who inject drugs (PWID) in many lower- and middle-income countries (LMICs). Although progress is being made in prevention and care for PWID in some settings, coverage of essential service ...
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Journal ArticleSex Transm Infect · June 2012
BACKGROUND/OBJECTIVES: The HIV prevalence in Eastern Europe and Central Asia continues to increase. While injection drug use (IDU) is leading factor, heterosexual transmission is on the rise. Little is known about female sex workers (FSWs) in the region de ...
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Journal ArticlePLoS Med · February 2012
Ed Mills and colleagues argue that a more balanced approach to gender is needed so that both men and women are involved in HIV treatment and prevention. ...
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Journal ArticleSAHARA J · 2012
LGBT communities are emerging across Africa in 2012. Many are emerging in the context of the continents severe HIV epidemic. Homophobia is a barrier to social acceptance and to health and other social services, but African communities are showing reliance ...
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Journal ArticlePLoS Med · 2012
Joseph Amon and colleagues discuss the challenges of conducting human rights research in settings where local research ethics committees may favor the interests of the state over the interests of research participants. ...
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Journal ArticleSAHARA J · 2012
Uganda's response to the HIV epidemic has been lauded for its robustness and achievements. However, a key component of HIV prevention programming has been missing, for men who have sex with men (MSM). The main reason cited has been criminalization of male ...
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Journal ArticlePublic Health Rep · 2012
OBJECTIVES: Evidence-driven decisions have become a standard for health interventions, policy, and programs. While randomized controlled trials (RCTs) are encouraged for public health interventions, there are limitations with RCTs as the gold standard of e ...
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Journal ArticlePLoS One · 2012
INTRODUCTION: Men who have sex with men (MSM) are at high risk for HIV infection. MSM in Central Asia, however, are not adequately studied to assess their risk of HIV transmission. METHODS: This study used respondent driven sampling methods to recruit 400 ...
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Journal ArticleJ Int Assoc Physicians AIDS Care (Chic) · 2012
BACKGROUND: Little is known globally about the perspectives of people living with HIV/AIDS (PLWHA) on perceived HIV-related stigma and its consequences. METHODS: Cross-sectional study (January-March 2010) of perceived HIV-related stigma among PLWHA (N = 20 ...
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Journal ArticleBMC Public Health · October 5, 2011
BACKGROUND: The HIV epidemic in Sub Saharan Africa has been traditionally assumed to be driven by high risk heterosexual and vertical transmission. However, there is an increasing body of data highlighting the disproportionate burden of HIV infection among ...
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Journal ArticleAIDS Behav · August 2011
Same-sex practices are stigmatized in much of sub-Saharan Africa. Cross-sectional relationships between discrimination, access to and use of health care services, and HIV knowledge among men who have sex with men (MSM) were assessed in Malawi, Namibia, and ...
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Journal ArticleJ Acquir Immune Defic Syndr · August 2011
The provision of appropriate HIV prevention, treatment, and care services for most-at-risk populations (MARP) will challenge many health care systems. For people who sell sex or inject drugs and for men who have sex with men, stigma, discrimination, and cr ...
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Journal ArticleJ Int AIDS Soc · July 4, 2011
BACKGROUND: Evidence is increasing of high HIV risks among southern African men who have sex with men (MSM). This represents the first study of HIV risks and human rights contexts among MSM in Lesotho. METHODS: Two hundred and fifty-two men who reported ev ...
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Journal ArticleDrug Alcohol Depend · July 1, 2011
BACKGROUND: Dual infection with diverse HIV strains can foster the emergence of recombinants. The resulting increase in viral genetic diversity is a major challenge for vaccine development HIV treatment. In this study we aim to investigate the socio demogr ...
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Journal ArticleInt J STD AIDS · May 2011
We identified demographic, clinical and biological determinants of herpes simplex virus type 2 (HSV-2) shedding among HIV-infected participants in the Women's HIV Interagency Study (WIHS). Cervicovaginal lavage (CVL) specimens from 369 HIV-infected HSV ser ...
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Journal ArticleInt J Drug Policy · March 2011
BACKGROUND: Human rights abuses, denial of care, police surveillance, and violence directed at IDUs have been found to impact HIV prevention efforts due to decreased attendance in harm reduction programs. The association of mental health status with rights ...
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Journal ArticlePLoS Med · February 8, 2011
BACKGROUND: The Chin State of Burma (also known as Myanmar) is an isolated ethnic minority area with poor health outcomes and reports of food insecurity and human rights violations. We report on a population-based assessment of health and human rights in C ...
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Journal ArticleGlob Public Health · 2011
Afghanistan has become the world's largest producer of illicit opiates. Opium and its derivative heroin are widespread substances of use, abuse and dependency in Central Asia. The region is currently undergoing expanding HIV epidemics driven largely by nee ...
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Journal ArticlePLoS One · 2011
Men who have sex with men (MSM) are at high risk for HIV in Senegal, with a prevalence of 21.5%. In December 2008, nine male HIV prevention workers were imprisoned for "acts against nature" prohibited by Senegalese law. This qualitative study assessed the ...
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Journal ArticlePLoS One · 2011
BACKGROUND: HIV prevalence among men who have sex with men (MSM) and transgender (TG) persons is high and increasing in Chiang Mai, northern Thailand. OBJECTIVES: To describe demographic, socioeconomic, sexual behavior and interest in future HIV prevention ...
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Journal ArticleConflict and Health · December 1, 2010
Introduction. Cyclone Nargis hit Burma on May 2, 2008, killing over 138,000 and affecting at least 2.4 million people. The Burmese military junta, the State Peace and Development Council (SPDC), initially blocked international aid to storm victims, forcing ...
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Journal ArticleAIDS Res Hum Retroviruses · December 2010
The crucial role of recombination in HIV-1 biology is being increasingly recognized. In vitro studies have shown that up to 30 strand-transfer events may occur per viral replication cycle. Thus, recombination may surpass mutation as a major mechanism drivi ...
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Journal ArticleJ Acquir Immune Defic Syndr · December 2010
Injecting use of heroin has been the highest risk substance use behavior for HIV since the beginning of the pandemic. These risks extend beyond individual levels to networks of drugs users and to wider social contexts that have been referred to collectivel ...
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Journal ArticleVirol J · November 18, 2010
OBJECTIVE: To evaluate the utility of a single quantitative PCR (qPCR) measurement of HSV (HSV-1&2) DNA in cervicovaginal lavage (CVL) specimens collected from women with predominantly chronic HSV-2 infection in assessing genital HSV shedding and the clini ...
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Journal ArticleLancet · August 14, 2010
The published work on HIV in people who use drugs shows that the global burden of HIV infection in this group can be reduced. Concerted action by governments, multilateral organisations, health systems, and individuals could lead to enormous benefits for f ...
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Journal ArticleLancet · August 7, 2010
We reviewed evidence from more than 900 studies and reports on the link between human rights abuses experienced by people who use drugs and vulnerability to HIV infection and access to services. Published work documents widespread abuses of human rights, w ...
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Journal ArticlePLoS Med · August 3, 2010
BACKGROUND: Access to essential maternal and reproductive health care is poor throughout Burma, but is particularly lacking among internally displaced communities in the eastern border regions. In such settings, innovative strategies for accessing vulnerab ...
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Journal ArticleSex Transm Infect · August 2010
OBJECTIVES: The sexual behaviour of men who have sex with men (MSM) in southern Africa has been little studied. We present here the first data on bisexual partnerships and bisexual concurrency among MSM in Malawi, Namibia and Botswana. METHODS: A cross-sec ...
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Journal ArticleJ Int AIDS Soc · June 23, 2010
The HIV epidemic continues to place a great burden on children, from loss of parents and income to severe disruptions of their homes and families. Underpinned by the understanding that a healthy family constitutes the foundation for a child's wellbeing, th ...
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Journal ArticleGlobalization and Health · May 29, 2010
Background: The link between political freedom and health is unclear. We aimed to determine the association by exploring the relationship of historical and cumulative freedom levels with important health outcomes.Methods: We obtained countrywide health ind ...
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Journal ArticleClin Infect Dis · May 15, 2010
The global epidemiology of human immunodeficiency virus (HIV) infection among men who have sex with men (MSM) suggests both reemergent spread among men in resource-sufficient countries since 2000 and emerging epidemics among MSM in resource-limited countri ...
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Journal ArticleAIDS Care · May 2010
This paper reports demographic characteristics, HIV prevalence, and correlates among male sex workers (MSW) in Chiangmai, Thailand. A behavioral assessment survey was included as part of the Thailand Ministry of Public Health HIV sentinel surveillance cond ...
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Journal ArticlePLoS One · April 1, 2010
BACKGROUND: The natural history of HSV-2 infection and role of HSV-2 reactivations in HIV disease progression are unclear. METHODS: Clinical symptoms of active HSV-2 infection were used to classify 1,938 HIV/HSV-2 co-infected participants of the Women's In ...
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Journal ArticleAsian Biomedicine · January 1, 2010
Biomedical HIV prevention strategies for primary or secondary prevention of HIV transmission can be seen as an adjunct to behavioral prevention approaches. These interventions include vaccination, female controlled vaginal microbicides, male circumcision, ...
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Journal ArticleAIDS Care · January 2010
The Russian federation has been undergoing a concentrated epidemic of HIV-1 with high rates of infection among injecting drug users. Less is known about the relative risk and contribution to the country's HIV epidemic by other at-risk populations including ...
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Journal ArticleEpidemiol Rev · 2010
Men who have sex with men (MSM) have borne a disproportionate burden of human immunodeficiency virus (HIV) infection and remain a markedly underresourced population globally. To better describe HIV epidemics among MSM in low- and middle-income countries, t ...
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Chapter · December 1, 2009
Despite vigorous efforts on the part of the international community, and an unprecedented level of research across an enormous variety of fields, HIV/AIDS has become the most severe infectious disease epidemic of modern times. HIV spread is either accelera ...
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Journal ArticleAIDS Res Hum Retroviruses · September 2009
This study aimed to determine HIV, HCV, and syphilis prevalence and correlates, and to characterize the molecular epidemiology of HIV-1 among injecting drug users (IDUs) in Dushanbe, Tajikistan. A cross-sectional study assessing risk factors for HIV and HC ...
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Journal ArticleSoc Sci Med · April 2009
In settings where active conflict, resource scarcity, and logistical constraints prevail, provision of maternal health services within health centers and hospitals is unfeasible and alternative community-based strategies are needed. In eastern Burma, such ...
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Journal ArticlePLoS One · 2009
BACKGROUND: In the generalized epidemics of HIV in southern Sub-Saharan Africa, men who have sex with men have been largely excluded from HIV surveillance and research. Epidemiologic data for MSM in southern Africa are among the sparsest globally, and HIV ...
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Journal ArticlePLoS Med · December 23, 2008
BACKGROUND: Health indicators are poor and human rights violations are widespread in eastern Burma. Reproductive and maternal health indicators have not been measured in this setting but are necessary as part of an evaluation of a multi-ethnic pilot projec ...
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Chapter · December 1, 2008
At the close of 2006, according to UNAIDS (2007) 33.2 million persons were estimated to be living with HIV, with 2.5 million new infections and 2.1 million deaths being registered that year (see Figure 32.1 for global AIDS death regional data). These numbe ...
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Chapter · December 1, 2008
Burma's [Myanmar] HIV/AIDS epidemic (Beyrer et al. 2006a) has been relatively similar to its Southeast Asian neighbors, Thailand, Cambodia and Vietnam. Much less is known about HIV/AIDS in Burma, however, compared to the other relatively well-studied outbr ...
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Book · December 1, 2008
Public Health Aspects of HIV/AIDS in Low and Middle Income Countries Epidemiology, Prevention, and Care Edited by David D. Celentano and Chris Beyrer, Johns Hopkins Bloomberg School of Public Health Over the last 25 years, HIV/AIDS has become the world's l ...
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Chapter · December 1, 2008
The injection of medications and the development of intravenous infusions have saved countless lives since these tools of modern medicine were developed. Injection as a route of drug administration provides some obvious advantages to medicine: doses can be ...
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Chapter · December 1, 2008
There is mounting evidence that the spread of the human immunodeficiency virus (HIV) is associated with heroin trafficking routes. The relationship between the two is best illustrated by the routes leading from the two primary regions for the illicit opium ...
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Chapter · December 1, 2008
The global pandemic of HIV-1 began in Africa, perhaps as many as 75 years ago, in a complex series of species cross-overs involving the original old world monkey hosts of this class of viruses, and subsequently our closest relatives, the Chimpanzees, and t ...
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Journal ArticleJournal of the International AIDS Society · September 1, 2008
Gay, bisexual, and other men who have sex with men (MSM) have been among the most affected populations by HIV since the AIDS pandemic was first identified in the 1980s. Evidence from a wide range of studies show that these men remain at the highest risk fo ...
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Journal ArticleJ Acquir Immune Defic Syndr · May 1, 2008
Successful recruitment and retention of HIV-uninfected at-risk participants are essential for HIV vaccine efficacy trials. A multicountry vaccine preparedness study was started in 2003 to assess enrollment and retention of HIV-negative high-risk participan ...
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Journal ArticleReprod Health Matters · May 2008
Alternative strategies to increase access to reproductive health services among internally displaced populations are urgently needed. In eastern Burma, continuing conflict and lack of functioning health systems render the emphasis on facility-based deliver ...
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Journal ArticleAIDS Res Hum Retroviruses · December 2007
Interest in estimating HIV-1 incidence using specimens obtained as part of cross-sectional surveys has led to the development of new methods to detect recent HIV-1 infection through the testing of a single anti-HIV-positive specimen. These assays are based ...
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Journal ArticlePLoS Med · December 2007
BACKGROUND: Recent reports of high HIV infection rates among men who have sex with men (MSM) from Asia, Africa, Latin America, and the former Soviet Union (FSU) suggest high levels of HIV transmission among MSM in low- and middle-income countries. To inves ...
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Journal ArticleHIV AIDS Policy Law Rev · December 2007
Two days after the World Health Organization (WHO) and UNAIDS released the final version of their Guidance on Provider-initiated Testing and Counselling in Health Facilities (""he Guidelines"), OSI's Public Health Program issued an updated version of its p ...
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Journal ArticleVaccine · October 10, 2007
IDU exposure remains a primary driver of the Russian HIV epidemic, and recent incidence data provide little evidence that this epidemic is slowing. While there are multiple important challenges that need to be further explored before starting vaccine trial ...
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Journal ArticleJ Epidemiol Community Health · October 2007
BACKGROUND: Case reports of human rights violations have focused on individuals' experiences. Population-based quantification of associations between rights indicators and health outcomes is rare and has not been documented in eastern Burma. OBJECTIVE: We ...
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Journal ArticleLancet Infect Dis · October 2007
Injection drug use is a prevalent global phenomenon; one not bound by a country's level of development or geographical location. Injection drug users (IDUs) are at high risk for a variety of parenterally acquired and transmitted infections. Licensed vaccin ...
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Journal ArticleAIDS Behav · September 2007
Between September, 2002 to May, 2003, we implemented community-based HIV Voluntary Counseling and Testing (VCT) services in four rural areas of Chiang Mai Province. The services included providing HIV/AIDS education and free mobile VCT using rapid testing ...
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Journal ArticleLancet · August 25, 2007
For humanitarian health-care practitioners bearing witness to violations of human dignity has become synonymous with denunciations, human rights advocacy, or lobbying for political change. A strict reliance on legal interpretations of humanitarianism and h ...
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Journal ArticleLancet · August 18, 2007
Neglected diseases remain one of the largest causes of disease and mortality. In addition to the difficulties in provision of appropriate drugs for specific diseases, many other factors contribute to the prevalence of such diseases and the difficulties in ...
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Journal ArticlePLoS Med · July 24, 2007
In order for an HIV organization to receive funding from the United States, grantees must explicitly oppose prostitution. ...
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Journal ArticleAIDS Res Hum Retroviruses · June 2007
In Thailand, the circulating HIV-1 strains include CRF01_AE, subtype B, and their recombinants. Genotyping and full-genome sequencing had previously identified circulating recombinant form CRF15_01B within a cohort of 347 HIV-1-infected individuals enrolle ...
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ConferenceClin Infect Dis · April 1, 2007
The contexts in which the human immunodeficiency virus (HIV) pandemic is occurring are increasingly diverse. Individual-level risks for HIV infection are at the core of these epidemics and are powerfully impacted by social, structural, and population-level ...
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Journal ArticleInt J STD AIDS · March 2007
Northern Thailand has been the epicentre of a largely heterosexually transmitted HIV epidemic that has recently involved married women. In preparation for HIV-prevention trials, we investigated patterns of HIV and syphilis risk through annually measured HI ...
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Chapter · January 1, 2007
The injection of medications and the development of intravenous infusions have saved countless lives since these tools of modern medicine were developed. Injection as a route of drug administration provides some obvious advantages to medicine: doses can be ...
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Journal ArticleJ Acquir Immune Defic Syndr · November 1, 2006
Because increasing numbers of HIV vaccine candidates are being tested globally, it is essential to differentiate vaccine- from virus-induced antibodies. Most of the currently tested vaccines contain multiple viral components. As a result, many vaccine reci ...
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Journal ArticlePLoS Med · October 2006
Beyrer and colleagues discuss infectious disease threats in Burma and suggest policy options for responding to them. ...
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Journal ArticleTrop Med Int Health · July 2006
OBJECTIVES: To estimate mortality rates for populations living in civil war zones in Karen, Karenni, and Mon states of eastern Burma. METHODS: Indigenous mobile health workers providing care in conflict zones in Karen, Karenni, and Mon areas of eastern Bur ...
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Journal ArticleDrug Alcohol Depend · April 2006
OBJECTIVE: To examine differences by ethnicity of HIV prevalence and correlates among injection drug users (IDUs) in Dushanbe, Tajikistan. METHODS: The researchers enrolled 489 active adult IDUs in a cross-sectional risk factor study of HIV infection. Part ...
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Journal ArticleJ Acquir Immune Defic Syndr · February 1, 2006
HIV voluntary counseling and testing (VCT), an important strategy for HIV prevention and care, has been available in all government hospitals in Thailand since 1992. We assessed factors associated with HIV testing, its uptake, and estimates of HIV incidenc ...
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Journal ArticleHealth Hum Rights · 2006
We investigated human rights concerns related to migration, living and working conditions, and access to HIV/AIDS services and reproductive health services for Burmese women in Thailand. Vulnerability to HIV/AIDS for Burmese women stemmed from abuses they ...
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Chapter · December 1, 2005
This chapter describes several public-health and political measures that are needed to prevent an AIDS disaster in Asia. The patterns of HIV spread across Asia have differed in some important ways from those seen in Africa and the West. AIDS in Southeast A ...
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Journal ArticleAIDS · September 23, 2005
BACKGROUND: Men who have sex with men (MSM) and who use drugs have shown high HIV risks in Europe, and the Americas. We investigated MSM-drug user demographics, HIV sexual and drug use risks and behaviors in Chiang Mai, northern Thailand to identify preven ...
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Journal ArticleAIDS Behav · September 2005
Injection drug users (IDUs) represent an important risk group for HIV infection. We assessed correlates of IDUs' willingness to participate (WTP) in HIV vaccine trials, and examined temporal changes in WTP. Participants were enrolled in ALIVE, a prospectiv ...
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Journal ArticleAIDS Behav · June 2005
This study investigates the self-reported history of HIV voluntary counseling and testing (VCT) among adults, aged 19-35 years, in northern Thailand. Participants were interviewed about their HIV testing history and risk behavior. Overall, 47% of 2251 part ...
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Journal ArticleDrug Alcohol Depend · May 9, 2005
Reports on HIV infection and risk behaviors among female drug users in developing countries, particularly in Asia, are limited. In this study, we investigated HIV prevalence and risk factors for HIV infection among 200 women admitted for 21-day inpatient d ...
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Journal ArticleVaccine · February 3, 2005
Successful conduct of HIV vaccine trials in a population of great cultural diversity like India could be a challenge. Concerns, knowledge gaps and willingness to participate in future HIV vaccine trials were studied among 349 patients attending three sexua ...
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Journal ArticleAIDS Care · January 2005
Thailand's rate of HIV due to drug use is increasing, and nearly one-half of clients at a drug treatment centre in the north are from marginalized ethnic minority groups. We describe and compare socio-demographics, drug use, and sexual practices across eth ...
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Chapter · December 29, 2004
This chapter describes several public-health and political measures that are needed to prevent an AIDS disaster in Asia. The patterns of HIV spread across Asia have differed in some important ways from those seen in Africa and the West. AIDS in Southeast A ...
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Journal ArticleInt J STD AIDS · October 2004
Our objective was to determine sociodemographic, sexual and drug-use-related risk factors among methamphetamine (MA) users presenting for drug treatment in northern Thailand. Patients admitted for drug detoxification for MA and other drugs were studied cro ...
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Journal ArticleJ Acquir Immune Defic Syndr · May 1, 2004
The natural history and progression of HIV-1 infection in Thailand and other developing countries in Asia and Africa have not been well defined. Nevertheless, valid data are needed to evaluate the effects of interventions, which are designed to delay progr ...
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Journal ArticleAIDS Res Hum Retroviruses · May 2004
CRF01_AE and subtype B have dominated the HIV-1 epidemic in Thailand since 1989. We reported a new circulating recombinant form of HIV-1, CRF15_01B, as well as other unique CRF01_AE/B recombinants among prevalent HIV infections in Thailand. We sought to st ...
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Journal ArticleAIDS Care · January 2004
The Thai government began HIV voluntary counselling and testing (VCT) in all provinces in 1992. We evaluated HIV incidence after participants utilized VCT and its effect on risk behaviours among northern Thai adults aged 19-35 years. A total of 924 men and ...
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Journal ArticleHuman Rights Review · December 1, 2003
Conclusions: The HIV/AIDS pandemic, now well into its third decade and spreading in states as diverse as Belarus, Ukraine, Indonesia, and Papua New Guinea, has shown us that we truly are sharing an interconnected world. As we struggle to deal with both ong ...
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Journal ArticleAIDS Res Hum Retroviruses · July 2003
HIV-1 subtype B and CRF01_AE have been in circulation in Thailand and Southeast Asia for more than a decade. Initially separated by risk group, the two strains are increasingly intermixed, and two recombinant strains of essentially reciprocal structure hav ...
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Journal ArticleJ Acquir Immune Defic Syndr · June 1, 2003
The authors sought to determine sociodemographic and sexual and drug use risk factors for HIV infection among drug users in northern Thailand adjacent to the Golden Triangle. The authors enrolled patients admitted for inpatient drug detoxification at one t ...
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Journal ArticleAIDS Behav · June 2003
BACKGROUND: Incarceration is a known risk for HIV infection in Thai drug users. Through the 1990s, incarceration rates for drug-related offenses rose sharply, whereas HIV prevention and drug treatment in prisons remained limited. METHODS: We assessed HIV a ...
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Journal ArticleHealth Policy · April 2003
Thailand's public policy on AIDS is widely cited as one of the few examples of an effective national AIDS prevention program anywhere in the world. The Thai experience shows that a national response that mobilized key government and NGO partners and target ...
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Journal ArticleJ Acquir Immune Defic Syndr · March 1, 2003
OBJECTIVES: Estimates of the HIV/AIDS burden in Burma (Myanmar) are uncertain. Using data from the 1999 national HIV sentinel surveillance and available population data, we generated estimates of Burma's HIV burden in 1999. METHODOLOGY: The 1999 sentinel s ...
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Journal ArticleJ Clin Microbiol · March 2003
A decision analysis was conducted to evaluate the cost-effectiveness of programs in which the Amplified Mycobacterium Tuberculosis Direct test (MTD) (Gen-Probe) is used to rapidly exclude Mycobacterium tuberculosis complex as a cause of disease in smear-po ...
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Journal ArticleAIDS Care · February 2003
Little information is known regarding the level of knowledge among Burmese migrant workers along the Thai/Burma border concerning risk factors, prevention or transmission of HIV. The Burma Medical Association (BMA) and National Health and Education Committ ...
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Journal ArticleBulletin on Narcotics · December 1, 2002
There is mounting evidence that the spread of the human immunodeficiency virus (HIV) is associated with heroin trafficking routes. The relationship between the two is best illustrated by the routes leading from the two primary regions for the illicit opium ...
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Journal ArticleDrug Alcohol Depend · December 1, 2002
AIMS: To investigate the demographic, sexual, and other substance use risk correlates of amphetamine use among men in northern Thailand prior to the current epidemic of amphetamine use in the Kingdom. DESIGN: Cross-sectional quantitative behavioral questio ...
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Journal ArticleAIDS Res Hum Retroviruses · October 10, 2002
Two different BC recombinant HIV-1 strains have arisen and begun to circulate among intravenous drug users in China. The recombinants are mostly subtype C with a few small subtype B segments. Additional full-genome sequences of the two recombinants, termed ...
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Journal ArticleLancet · July 20, 2002
Although the human rights movement and the sphere of research ethics have overlapping principles and goals, there has been little attempt to incorporate external political and human rights contexts into research ethics codes or ethics reviews. Every elemen ...
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Journal ArticleJ Acquir Immune Defic Syndr · January 1, 2002
Epidemic HIV-1 infections were first recognized in Thailand in 1988 but increased dramatically in the 1990s primarily as a result of sexual transmission. The Ministry of Public Health instituted programs, including condom promotion during commercial sex, a ...
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Journal ArticleSoc Sci Med · August 2001
The human rights abuses which occur during civil conflicts pose special threats to the health and lives of women. These can include rape, sexual violence, increased vulnerability to trafficking into prostitution, and exposure to HIV infection. The long-sta ...
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Journal ArticleJ Virol · December 2000
New outbreaks of human immunodeficiency virus type 1 (HIV-1) among injecting drug users (IDUs) are spreading in China along heroin trafficking routes. Recently, two separate HIV-1 epidemics among IDUs were reported in Guangxi, Southern China, where partial ...
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Journal ArticleArch Intern Med · February 28, 2000
BACKGROUND: During 1991 through 1993, sexually transmitted infections among conscripts in the Royal Thai Army in the upper-northern provinces were common: human immunodeficiency virus (HIV) prevalence at induction was 12%, HIV incidence was 2.4% per year, ...
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Journal ArticleAIDS · January 7, 2000
OBJECTIVES: Burma produces approximately 60% of the world's heroin, Laos is the third leading producer. Recent outbreaks of injecting drug use and HIV-1 in Burma, India, China, and Vietnam have been associated with Burmese and Laotian overland heroin traff ...
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Journal ArticleJ Hum Virol · 2000
The implementation of human immunodeficiency virus (HIV) vaccine efficacy trials in developing countries represents an unprecedented series of challenges for the medical and scientific communities, health authorities, policy makers, and the populations of ...
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Journal ArticleJ Acquir Immune Defic Syndr · October 1, 1999
Heroin users from Guangxi province, a southern province of China that borders Vietnam in the south and Yunnan province in China in the west, were studied for prevalence and risk factors for HIV-1 infection. Viral env sequences from HIV-1-positive individua ...
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Journal ArticleAIDS and Behavior · June 30, 1999
A cohort of Royal Thai Army (RTA) conscripts was followed in civilian life after completing 2 years of military service, to determine whether such a cohort might be suitable for HIV vaccine trials. Objectives were to identify correlates of participation an ...
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Journal ArticleAm J Epidemiol · March 15, 1999
The incidence of human immunodeficiency virus type 1 (HIV-1) infection among opiate users was determined in a retrospective cohort of 436 patients with multiple admissions to the only inpatient drug treatment program in northern Thailand between October 19 ...
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Journal ArticleJ Infect Dis · January 1999
Characterization of persons highly exposed to human immunodeficiency virus (HIV)-1 who remain uninfected may help define protective immunity. Seventeen HIV-1-seronegative Thai female sex workers (CSWs) with epidemiologic evidence of exposure to HIV-1 were ...
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Journal ArticleAIDS Res Hum Retroviruses · December 20, 1998
We investigated the molecular epidemiology of HIV-1 subtypes in Malaysia among injecting drug users (IDUs) and sexual transmission risk groups, using serologic and genetic techniques. Frozen sera collected at a general hospital, a blood bank, several drug ...
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Journal ArticleJ Infect Dis · July 1998
A multiplex polymerase chain reaction (M-PCR) assay that simultaneously detects the three major causes of genital ulcer disease (GUD), Haemophilus ducreyi, Treponema pallidum, and herpes simplex virus, was used to evaluate swab specimens for 38 sequential ...
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Journal ArticleAIDS · March 26, 1998
OBJECTIVE: To determine whether HIV and sexually transmitted disease (STD) incidence rates among young men in northern Thailand have declined since the establishment of the '100% Condom Program', and to prospectively document changes in the association bet ...
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Journal ArticleJ Acquir Immune Defic Syndr Hum Retrovirol · January 1, 1998
Characterizing the epidemiology of HIV-1 infection in Northern Thai opiate users is important in developing control strategies in this ethnically diverse and culturally distinct region. A cross-sectional survey of drug users first admitted between 1993 and ...
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Journal ArticleHealth and Human Rights · January 1, 1998
The debate around the issues raised by HIV/AIDS and human rights has largely focused on the protection from rights violations of individuals or groups affected by the disease. The relationship between political and social conditions where human rights abus ...
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Journal ArticleSex Transm Dis · October 1997
BACKGROUND AND OBJECTIVE: In an investigation of condom breakage in commercial sex, we found a high proportion of multiple condoms use. This study sought to ascertain the characteristics of brothel-based commercial sex workers (CSWs) and their clients; to ...
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Journal ArticleAIDS Care · August 1997
We compared HIV prevalence, risk behaviours, and social and sexual norms among nine ethnic minority (Hilltribe) groups in northern Thailand. Communities were selected on the basis of size, ethnicity, development level and geography. Subjects (15-45 years) ...
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Journal ArticleJ Acquir Immune Defic Syndr Hum Retrovirol · August 1, 1997
Male commercial sex workers (CSWs) in northern Thailand are at high risk for HIV-1 infection and may be exposed to multiple subtypes of HIV-1 through sexual contact with men and women from Thailand, other Asian nations, and the West. We studied 103 male Th ...
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Journal ArticleJournal of Acquired Immune Deficiency Syndromes and Human Retrovirology · February 1, 1997
There is compelling evidence that male condoms effectively prevent transmission of sexual pathogens, including HIV-1. Condom breakage and slippage reduce this effect. We measured rates of condom slippage and breakage during heterosexual commercial sex in n ...
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Journal ArticleSoutheast Asian J Trop Med Public Health · September 1996
To determine the feasibility of establishing a cohort of HIV-1 seronegative factory workers for potential HIV vaccine trials, and other HIV preventive interventions, we enroled and followed 499 male and female industrial workers in Lamphun Province, northe ...
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Journal ArticleN Engl J Med · August 1, 1996
BACKGROUND: In Thailand the epidemic of human immunodeficiency virus (HIV) infection is of recent origin. Because of the high seroprevalence of HIV among sex workers, the Ministry of Public Health began a program in 1990 and 1991 to promote the use of cond ...
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Journal ArticleJ Acquir Immune Defic Syndr Hum Retrovirol · April 1, 1996
To assess the effectiveness of hepatitis B immunization as an incentive to retention in HIV seroincidence studies and future HIV vaccine trials in northern Thailand, subjects enrolled in three HIV seroincidence cohorts were screened for hepatitis B markers ...
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Journal ArticleSex Transm Dis · 1996
BACKGROUND AND OBJECTIVES: Self-treatment for sexually transmitted diseases (STD) is common, but little studied, in Thailand, and its influence on human immunodeficiency virus (HIV) infection is unknown. GOALS: To assess STD self-treatment and self-prophyl ...
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Journal ArticleSex Transm Dis · 1996
BACKGROUND AND OBJECTIVES: Prospective studies of incidental sexually transmitted diseases in developing countries rarely have been reported. As the human immunodeficiency virus epidemic widens, knowledge of the epidemiology of sexually transmitted disease ...
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Journal ArticleJournal of Acquired Immune Deficiency Syndromes and Human Retrovirology · January 1, 1996
Measuring the incidence of the human immunodeficiency virus (HIV) is of vital importance but can be difficult and costly. We compared HIV-1 incidence measured directly from prospective cohort studies with rates derived from a method using the prevalence of ...
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Journal ArticleAIDS · September 1995
OBJECTIVES: To determine the anticipated participation in a prophylactic AIDS vaccine trial and to identify perceived benefits and barriers to enrollment of HIV-seronegative volunteers at risk of HIV infection in northern Thailand. DESIGN: A cross-sectiona ...
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Journal ArticleJ Virol · August 1995
Primary human immunodeficiency virus type 1 (HIV-1) isolates were obtained from 22 patients with AIDS from northern Thailand, where HIV-1 is transmitted primarily through the heterosexual route. Viral sequences were determined for the 22 patients with AIDS ...
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Journal ArticleAIDS · May 1995
OBJECTIVE: To examine the prevalence and incidence of HIV and syphilis, and risk behaviors for these infections, among 1,172 male commercial sex workers (CSW) followed prospectively from 1989 to 1994 in Chiang Mai, northern Thailand. METHODS: Twice yearly ...
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Journal ArticleAIDS · February 1995
OBJECTIVES: To assess the risks for HIV infection and sexually transmitted diseases (STD) among young northern Thai men who have sex with men (MSM), and to examine the possible role of male same-sex behavior in the northern Thai HIV/AIDS epidemic. METHODS: ...
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Journal ArticleVaccine Wkly · October 10, 1994
UNLABELLED: According to an abstract submitted by the authors to the X International Conference on AIDS, held August 7-12, 1994, in Yokohama, Japan, " OBJECTIVE: To measure the HIV-1 incidence, follow-up rates and high risk behaviors in cohorts of seronega ...
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ConferenceAIDS Res Hum Retroviruses · 1994
We studied several populations of human immunodeficiency virus (HIV)-seronegative individuals from northern Thailand who were believed to be at relatively high risk of HIV infection in order to assess their potential suitability for inclusion in a preventi ...
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