2017
A Flow-Based Model of the HIV Care Continuum in the United States
Gonsalves GS, Paltiel AD, Cleary PD, Gill MJ, Kitahata MM, Rebeiro PF, Silverberg MJ, Horberg M, Abraham AG, Althoff KN, Moore R, Bosch RJ, Tang T, Hall HI, Kaplan EH. A Flow-Based Model of the HIV Care Continuum in the United States. JAIDS Journal Of Acquired Immune Deficiency Syndromes 2017, 75: 548-553. PMID: 28471841, PMCID: PMC5533168, DOI: 10.1097/qai.0000000000001429.Peer-Reviewed Original ResearchConceptsViral suppressionAntiretroviral therapyHIV careNorth American AIDS Cohort CollaborationProportion of HIVHIV care continuumCohort CollaborationHIV diagnosisAntiretroviral treatmentVirological dataCare continuumFlow of patientsDisease controlPatientsCareAverage timeHIVTherapyLaboratory resultsMonthsSuppressionYearsDiagnosisIndividualsPreventionAn Adaptive Approach to Locating Mobile HIV Testing Services
Gonsalves GS, Crawford FW, Cleary PD, Kaplan EH, Paltiel AD. An Adaptive Approach to Locating Mobile HIV Testing Services. Medical Decision Making 2017, 38: 262-272. PMID: 28699382, PMCID: PMC5748375, DOI: 10.1177/0272989x17716431.Peer-Reviewed Original ResearchConceptsMobile HIV testingHIV testingMobile HIV testing servicesHIV testing resourcesUndetected HIV infectionHIV testing servicesCase detection ratePublic health agenciesUndiagnosed HIVHIV infectionHIV testHIV prevalenceUnknown prevalenceMore casesHealth agenciesDefinitions of hotspotsPrevalence informationTesting servicesPrevalenceSelection biasDetection rateSearch strategyHIV
2008
Medical Clinic Characteristics and Access to Behavioral Health Services for Persons With HIV
Ohl ME, Landon BE, Cleary PD, LeMaster J. Medical Clinic Characteristics and Access to Behavioral Health Services for Persons With HIV. Psychiatric Services 2008, 59: 400-407. PMID: 18378839, DOI: 10.1176/ps.2008.59.4.400.Peer-Reviewed Original ResearchConceptsSite case managementSubstance abuse careBehavioral health servicesCase managementClinic characteristicsSpecialist careHealth servicesMental health specialist careMental healthLikelihood of careSubstance useHIV specialty clinicsServices Utilization StudyActive substance useMental health specialistsSubgroup of personsMental health careHIV CostPatient characteristicsPrimary outcomeSpecialty clinicHealth specialistsHIVUtilization studiesClinic
2007
Correlations among measures of quality in HIV care in the United States: cross sectional study
Wilson IB, Landon BE, Marsden PV, Hirschhorn LR, McInnes K, Ding L, Cleary PD. Correlations among measures of quality in HIV care in the United States: cross sectional study. The BMJ 2007, 335: 1085. PMID: 17967826, PMCID: PMC2094195, DOI: 10.1136/bmj.39364.520278.55.Peer-Reviewed Original Research
2005
Quality of HIV care provided by nurse practitioners, physician assistants, and physicians.
Wilson IB, Landon BE, Hirschhorn LR, McInnes K, Ding L, Marsden PV, Cleary PD. Quality of HIV care provided by nurse practitioners, physician assistants, and physicians. Annals Of Internal Medicine 2005, 143: 729-36. PMID: 16287794, DOI: 10.7326/0003-4819-143-10-200511150-00010.Peer-Reviewed Original ResearchConceptsInfectious disease specialistsNurse practitionersHIV expertsQuality of carePhysician assistantsHIV careDisease specialistsHIV care sitesProtein derivative testingMedical record reviewPrimary care providersHigh-quality careCross-sectional analysisHIV expertisePatient characteristicsRecord reviewCare measuresPapanicolaou smearsComplex clinical processesMedical recordsAdjusted ratesCare sitesCare providersHIVCareReligiousness and Spirituality Among HIV-Infected Americans
Lorenz K, Hays R, Shapiro M, Cleary P, Asch S, Wenger N. Religiousness and Spirituality Among HIV-Infected Americans. Journal Of Palliative Medicine 2005, 8: 774-781. PMID: 16128651, DOI: 10.1089/jpm.2005.8.774.Peer-Reviewed Original ResearchConceptsInjection drug usersYears of ageHIV infectionHuman immunodeficiency virus (HIV) infectionCare of HIVImmunodeficiency virus infectionImportance of religiousnessOlder patientsPercent of respondentsClinical factorsClinical stageRisk factorsVirus infectionRepresentative cohortPatientsResidents of regionsDrug usersInfectionLess educationLongitudinal studyHIVUnited StatesCareWomenAgePredictors and Consequences of Negative Physician Attitudes Toward HIV-Infected Injection Drug Users
Ding L, Landon BE, Wilson IB, Wong MD, Shapiro MF, Cleary PD. Predictors and Consequences of Negative Physician Attitudes Toward HIV-Infected Injection Drug Users. JAMA Internal Medicine 2005, 165: 618-623. PMID: 15795336, DOI: 10.1001/archinte.165.6.618.Peer-Reviewed Original ResearchConceptsInjection drug usersActive antiretroviral therapyDrug usersAntiretroviral therapyPhysicians' attitudesUnmet needMore injection drug usersHuman immunodeficiency virusQuality of careCross-sectional surveyRate of exposureCare physiciansImmunodeficiency virusOptimal careCare measuresHIV knowledgePractice characteristicsHIVPatient exposureKnowledge scorePhysiciansPhysician trainingCareExperience-based exercisesNegative attitudes
2002
HIV Patients’ Experiences With Inpatient and Outpatient Care
Wilson IB, Ding L, Hays RD, Shapiro MF, Bozzette SA, Cleary PD. HIV Patients’ Experiences With Inpatient and Outpatient Care. Medical Care 2002, 40: 1149-1160. PMID: 12458298, DOI: 10.1097/00005650-200212000-00003.Peer-Reviewed Original ResearchConceptsOutpatient careCare experiencesPatient characteristicsInpatient stayGlobal ratingPatient experienceBetter provider-patient communicationOnly patient characteristicServices Utilization StudyProblem rateSpecific patient subgroupsProcess of careProvider-patient communicationSite of carePatient care experiencesQuality improvement effortsCohort studyHIV CostOutpatient visitsPatient subgroupsEmergency roomMultivariable modelInpatientsUtilization studiesHIV
1995
A randomized trial of an education, and support program for HIV-infected individuals
Cleary P, Van Devanter N, Steilen M, Stuart A, Shipton-Levy R, McMullen W, Rogers T, Singer E, Avorn J, Pindyck J. A randomized trial of an education, and support program for HIV-infected individuals. AIDS 1995, 9: 1271-1278. PMID: 8561981, DOI: 10.1097/00002030-199511000-00009.Peer-Reviewed Original ResearchConceptsUnsafe sexual activitySexual behaviorHIV-positive donorsSexual activityNew York Blood CenterIntervention programsBehavior changeSafer sexual behaviorsSeropositive individualsReferral groupImmune functionMore behavior changeDonor characteristicsBlood centersStructured interventionPsychological distressSupport groupsHIVInterventionGroupSupport programsNew York CityDonorsPsychological helpCohort
1993
Depressive symptoms in blood donors notified of HIV infection.
Cleary P, Van Devanter N, Rogers T, Singer E, Shipton-Levy R, Steilen M, Stuart A, Avorn J, Pindyck J. Depressive symptoms in blood donors notified of HIV infection. American Journal Of Public Health 1993, 83: 534-9. PMID: 8460730, PMCID: PMC1694482, DOI: 10.2105/ajph.83.4.534.Peer-Reviewed Original ResearchMeSH KeywordsAdaptation, PsychologicalAdolescentAdultBlood DonorsCounselingDepressive DisorderEducational StatusFemaleFollow-Up StudiesHIV InfectionsHIV-1HumansMaleMarital StatusMass ScreeningMiddle AgedModels, PsychologicalMultivariate AnalysisNew York CityPatient Acceptance of Health CarePsychological TestsRacial GroupsSeverity of Illness IndexSexual BehaviorSocial SupportSubstance Abuse, IntravenousConceptsHIV infectionBlood donorsAverage depressive symptom scoresHuman immunodeficiency virus (HIV) infectionImmunodeficiency virus infectionNew York Blood CenterDepressive symptom scoresRepresentative population sampleNeeds of personsSymptom scoresMedical historyVirus infectionPsychiatric servicesDepressive symptomsDrug useMedical examinationBlood centersInfectionSexual behaviorHIVPopulation sampleWeeksWomenSubjectsMen
1991
Behavior changes after notification of HIV infection.
Cleary P, Van Devanter N, Rogers T, Singer E, Shipton-Levy R, Steilen M, Stuart A, Avorn J, Pindyck J. Behavior changes after notification of HIV infection. American Journal Of Public Health 1991, 81: 1586-90. PMID: 1746654, PMCID: PMC1405297, DOI: 10.2105/ajph.81.12.1586.Peer-Reviewed Original ResearchConceptsHIV infectionBlood donorsHIV-positive blood donorsNew York Blood CenterSexual behaviorShort-term behaviour changeUnsafe sexual behaviorHigh-risk behaviorsUnsafe sexual activityBehavior changeMedical historyScreening programDrug useMedical examinationBlood centersInfectionSexual activityWeeksParticipantsQuestionnaireHIVDonorsNursesVisitsPsychological characteristicsTrends in sociodemographic and behavioral characteristics of HIV antibody-positive blood donors.
Cleary P, Van Devanter N, Rogers T, Singer E, Avorn J, Pindyck J. Trends in sociodemographic and behavioral characteristics of HIV antibody-positive blood donors. AIDS Education And Prevention 1991, 3: 60-71. PMID: 2036292.Peer-Reviewed Original ResearchConceptsSeropositive donorsBlood screeningRisk factorsDrug usersSexual contactIntravenous drug usersNew York Blood CenterProportion of menProportion reporting useHIV antibodiesBlood donorsReporting useSociodemographic characteristicsBlood centersStudy periodHIVMenGreater increaseAntibodiesDrugsSexDonorsScreeningTransfusionEvaluation study
1987
Compulsory Premarital Screening for the Human Immunodeficiency Virus: Technical and Public Health Considerations
Cleary P, Barry M, Mayer K, Brandt A, Gostin L, Fineberg H. Compulsory Premarital Screening for the Human Immunodeficiency Virus: Technical and Public Health Considerations. JAMA 1987, 258: 1757-1762. DOI: 10.1001/jama.1987.03400130071036.Peer-Reviewed Original ResearchPremarital screeningHuman immunodeficiency virus (HIV) infectionImmunodeficiency virus infectionHuman immunodeficiency virusCounseling of individualsPremarital screening programPublic health considerationsHIV infectionImmunodeficiency virusFalse-positive resultsMandatory premarital screening programScreening programVirus infectionLow prevalenceInfected individualsHIVMandatory premarital screeningDiscretionary testingInfectionHealth considerationsScreeningUnited StatesIndividualsEpidemiologyPrevalenceCompulsory premarital screening for the human immunodeficiency virus. Technical and public health considerations.
Cleary P, Barry M, Mayer K, Brandt A, Gostin L, Fineberg H. Compulsory premarital screening for the human immunodeficiency virus. Technical and public health considerations. JAMA 1987, 258: 1757-62. PMID: 3476759, DOI: 10.1001/jama.258.13.1757.Peer-Reviewed Original ResearchConceptsHuman immunodeficiency virus (HIV) infectionPremarital screeningImmunodeficiency virus infectionHuman immunodeficiency virusCounseling of individualsPremarital screening programPublic health considerationsHIV infectionImmunodeficiency virusFalse-positive resultsMandatory premarital screening programScreening programVirus infectionLow prevalenceInfected individualsHIVMandatory premarital screeningDiscretionary testingInfectionHealth considerationsUnited StatesScreeningIndividualsEpidemiologyPrevalence