Viraj V. Patel

“Actually, that’s one of the reasons I stopped getting tested often, because I didn’t want to be judged:” Sexual Healthcare and STI Testing Experiences Among U.S. Men Who Have Sex With Men

Christopher T. Georgas, Jacob Bleasdale, Gayathri Kothawar, Ansley Bravo et autres

BACKGROUND: Men who have sex with men (MSM) havea high need for sexual healthcare, but often report experiences of stigma and discrimination in sexual healthcare-seeking interactions. This qualitative analysis describes experiences of MSM seeking sexual healthcare, as well as barriers and facilitators …

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High Motivation but Low Access to PrEP: Social Determinants Undermine HIV Prevention Among Sexual and Gender Minority People Who Use Methamphetamine

Christian Grov, Alexa B. D’Angelo, Chloe Mirzayi, Michell Dearolf et autres

Methamphetamine (meth) use is endemic among sexual and gender minority (SGM) populations and a well-established correlate of HIV acquisition. Less understood are the behavioral, psychosocial, and structural vulnerabilities associated with meth use that may complicate HIV prevention. We examined differences in HIV-related …

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How should low-threshold and primary care clinics prepare to provide long-acting injectable buprenorphine? A qualitative implementation study of patient and staff perspectives

Andrea Jakubowski, Isabel Lamont, Zina Huxley‐Reicher, Viraj V. Patel et autres

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Assessing an Implementation Science Strategy to Improve PrEP Primary Care Serving Black and Latino Communities

Bryant Nestor Gomez, Alexa R. Beacham, Debjyoti Datta, Elí A. Andrade et autres

We examined the impact of a PrEP navigation implementation strategy on care engagement at nine New York City Federally Qualified Health Centers (FQHCs) in an Ending the HIV Epidemic (EHE) jurisdiction. Between March 2021 and April 2022, FQHCs implemented the strategy, which …

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Longitudinal Analysis of Sexually Transmitted Infection and Human Immunodeficiency Virus Prevention Outcomes Among Emergency Department Patients Seeking Sexual Health-Related Care: A Retrospective Cohort Study

Elí A. Andrade, Viraj V. Patel, Peter Yangga, Yuting Deng et autres

BACKGROUND: Sexually transmitted infections (STIs) continue to increase in the United States, disproportionately affecting young adults, racial/ethnic minorities, and individuals with limited access to primary care. Emergency departments (EDs) represent a critical but underutilized setting for integrating STI management with HIV prevention …

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Undetectable = Untransmittable (U = U) Awareness and HIV Treatment Optimism Among Men Who Have Sex with Men in Mumbai, India

Jatin Chaudary, Shruta Mengle Rawat, Alpana Dange, Sarit A. Golub et autres

Little is known about Undetectable=Untransmittable (U = U) awareness among MSM in India. We analyzed baseline survey data from MSM (N = 1004) in an mHealth HIV testing trial in Mumbai and Thane, India. We assessed factors associated with U = U …

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Validation of the “Gender Affirmation in Healthcare Settings” Scale Among Transgender Women Living with HIV in India: Findings from Exploratory and Confirmatory Factor Analyses

Venkatesan Chakrapani, Jasvir Kaur, Aakriti Gupta, Fazlur Rahman Gulfam et autres

Purpose: Gender affirmation (GA) has been associated with improved healthcare engagement and health outcomes. Given the lack of a valid tool to measure GA in healthcare settings (GAHS) among transgender women living with HIV (TWLH) in India, we tested the validity and …

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“Migratory grief” and structural barriers to care: a community-engaged qualitative study of immigration-related stress among immigrants living with or at risk of HIV

Jordy Rojas Antigua, Lesly Diaz Chacha, Nat Orihuela, Chanelle Diaz et autres

Background: Immigrants experience poorer HIV outcomes and poor mental health. How immigration-related stressors affect engagement with HIV care and mental health care is unclear.This study aimed to use community-based participatory research (CBPR) approaches to explore how immigration-related stressors impact HIV and mental …

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Brief Report: To Err Is Human, to Persist Is Diabolical: Are We Repeating the Same Cost and Insurance Coverage Mistakes Again With Injectable PrEP?

Alexa B. D’Angelo, Viraj V. Patel, Adam W. Carrico, Christian Grov

BACKGROUND: Long-acting injectable pre-exposure prophylaxis (PrEP) is the most promising biomedical HIV prevention innovation since the release of oral PrEP in 2012, but its reach may be undermined by inadequate access. The high list price of injectable PrEP has been cited as …

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Housing Instability Among Young Men Who Have Sex With Men in a U.S. National Sample

Amanda Sisselman-Borgia, Viraj V. Patel, Christian Grov

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Implementing and retaining a large-scale technology-mediated cohort to study HIV incidence and PrEP uptake among vulnerable cisgender men as well as transgender individuals in the United States, the Together 5000 cohort

Drew Anne Westmoreland, Meredith A. Ray, Samia Sultana, Jacob Bleasdale et autres

HIV remains a significant public health concern requiring innovative solutions. Widespread internet access and advancing health technologies (e.g., home-based HIV/STI testing) have often made research and intervention implementation more efficient and effective. The purpose of this analysis is to describe a technology-mediated …

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Sexual health survey recruitment approaches among patients in community health centers

Debjyoti Datta, Elí A. Andrade, Bryant Nestor Gomez, Sarit A. Golub et autres

BACKGROUND: Black and Latino communities are disproportionately affected by HIV, and are often underrepresented in sexual health research. It is crucial to understand their participation in research, and gauge the impact of non-response bias in reported results. A sequential multimodal approach to …

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