2017
An 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
2011
Concurrent Sexual Partnerships and Human Immunodeficiency Virus Risk Among South African Youth
Steffenson AE, Pettifor AE, Seage GR, Rees HV, Cleary PD. Concurrent Sexual Partnerships and Human Immunodeficiency Virus Risk Among South African Youth. Sexually Transmitted Diseases 2011, 38: 459-466. PMID: 21258268, PMCID: PMC3763704, DOI: 10.1097/olq.0b013e3182080860.Peer-Reviewed Original ResearchConceptsHuman immunodeficiency virusHuman immunodeficiency virus (HIV) riskSpread of HIVPrevalence of concurrencyConsistent condom useOlder South AfricansConcurrent sexual partnershipsHIV infectionImmunodeficiency virusMedian lengthRelationship power imbalancesMultivariate analysisCondom useSexual networksPrevention effortsSexual partnershipsAttitudes/behaviorsTransactional sexMonthsWomenExperienced youthMenPrevalenceVirus riskMultiple partners
2008
The quality of care received by HIV patients without a primary provider
Ding L, Landon B, Wilson I, Hirschhorn L, Marsden P, Cleary P. The quality of care received by HIV patients without a primary provider. AIDS Care 2008, 20: 35-42. PMID: 18278613, DOI: 10.1080/09540120701439295.Peer-Reviewed Original ResearchConceptsPrimary HIV care providerHIV care providersCare providersQuality of careHIV patientsNurse practitionersUnmet needPhysician assistantsPrimary providersActive antiretroviral therapyServices Utilization StudyTerms of patientCare quality measuresNon-significant trendHIV expertiseHIV providersAntiretroviral therapyHIV CostPatient characteristicsHIV infectionIllness severityPatientsDrug usersUtilization studiesMedical care
2006
Gender differences in quality of HIV care in Ryan White CARE Act-funded clinics
Hirschhorn LR, McInnes K, Landon BE, Wilson IB, Ding L, Marsden PV, Malitz F, Cleary PD. Gender differences in quality of HIV care in Ryan White CARE Act-funded clinics. Women's Health Issues 2006, 16: 104-112. PMID: 16765286, DOI: 10.1016/j.whi.2006.02.004.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAged, 80 and overAIDS-Related Opportunistic InfectionsAmbulatory CareAntiretroviral Therapy, Highly ActiveCohort StudiesConfidence IntervalsFemaleHealth Services AccessibilityHealth Services ResearchHumansMaleMedical RecordsMiddle AgedOdds RatioQuality Assurance, Health CareWomen's HealthConceptsRyan White CARE ActPCP prophylaxisHIV careCare ActActive antiretroviral therapy (HAART) useHepatitis C virus statusHIV primary care clinicPneumocystis jiroveci pneumonia prophylaxisC virus statusAntiretroviral therapy useHIV viral suppressionPrimary care clinicsQuality improvement studyDisease prevention effortsQuality of carePneumonia prophylaxisViral suppressionHIV infectionTherapy useCare clinicsClinic characteristicsRecord reviewPap smearVirus statusOutcome measures
2005
Religiousness 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 StatesCareWomenAgeA national study of the relationship of care site HIV specialization to early adoption of highly active antiretroviral therapy.
Wilson IB, Landon BE, Ding L, Zaslavsky AM, Shapiro MF, Bozzette SA, Cleary PD. A national study of the relationship of care site HIV specialization to early adoption of highly active antiretroviral therapy. Medical Care 2005, 43: 12-20. PMID: 15626929.Peer-Reviewed Original ResearchConceptsActive antiretroviral therapyHIV careRate of exposureHIV expertiseAntiretroviral therapyInfectious disease specialistsServices Utilization StudyTotal patient volumeSite of careCross-sectional analysisHIV physiciansHAART useHIV CostHIV infectionDisease specialistsPhysician effectOutpatient careLow-volume sitesMultivariable modelAdjusted ratesHAARTPatientsUtilization studiesPatient volumeMedical directors
2004
Differences in patient and clinic characteristics at CARE Act funded versus non-CARE Act funded HIV clinics
Mcinnes K, Landon B, Malitz F, Wilson I, Marsden P, Fleishman J, Gustafson D, Cleary P. Differences in patient and clinic characteristics at CARE Act funded versus non-CARE Act funded HIV clinics. AIDS Care 2004, 16: 851-857. PMID: 15385240, DOI: 10.1080/09540120412331290202.Peer-Reviewed Original ResearchConceptsHIV clinicHIV careCare ActHIV risk factorsInfectious disease specialistsServices Utilization StudyRyan White CARE ActHIV patientsHIV CostTotal patientsHIV infectionClinic characteristicsDisease specialistsHeterosexual contactRisk factorsComprehensive careClinic dataPatientsUtilization studiesClinicPatient dataCareMore support servicesNon-probability sampleRepresentative sampleEffects of a quality improvement collaborative on the outcome of care of patients with HIV infection: the EQHIV study.
Landon BE, Wilson IB, McInnes K, Landrum MB, Hirschhorn L, Marsden PV, Gustafson D, Cleary PD. Effects of a quality improvement collaborative on the outcome of care of patients with HIV infection: the EQHIV study. Annals Of Internal Medicine 2004, 140: 887-96. PMID: 15172903, DOI: 10.7326/0003-4819-140-11-200406010-00010.Peer-Reviewed Original ResearchConceptsQuality of careQuality Improvement ProgramRyan White Comprehensive AIDS Resources Emergency (CARE) ActCollaborative quality improvement programProportion of patientsAppropriate screening testsOutcomes of careAntiretroviral therapyControl patientsQuality improvement strategiesHIV infectionIntervention clinicsStudy clinicRandomized trialsViral loadClinic typePostintervention studyCare measuresMedical recordsIntervention groupControl clinicsPatientsControl groupScreening testSociodemographic characteristics
2003
Physician Specialization and Antiretroviral Therapy for HIV
Landon BE, Wilson IB, Cohn SE, Fichtenbaum CJ, Wong MD, Wenger NS, Bozzette SA, Shapiro MF, Cleary PD. Physician Specialization and Antiretroviral Therapy for HIV. Journal Of General Internal Medicine 2003, 18: 233-241. PMID: 12709089, PMCID: PMC1494839, DOI: 10.1046/j.1525-1497.2003.20705.x.Peer-Reviewed Original ResearchMeSH KeywordsAdultAntiretroviral Therapy, Highly ActiveClinical CompetenceCohort StudiesEducation, MedicalFemaleHIV InfectionsHumansMaleMedicineMiddle AgedMultivariate AnalysisPractice Patterns, Physicians'Primary Health CareQuality Assurance, Health CareReferral and ConsultationSpecializationSurveys and QuestionnairesTime FactorsUnited StatesConceptsGeneral medicine physiciansCare of HIVLow-volume physiciansFirst protease inhibitorHAART therapyHIV infectionMedicine physiciansAntiretroviral therapyHAART useID physiciansInfectious diseasesActive antiretroviral therapyObservational cohort studyServices Utilization StudyHigh-volume physiciansExpert generalistsMajority of physiciansTypes of physiciansProtease inhibitorsTreatment of personsHIV caseloadHIV careCohort studyHIV CostHIV disease
2002
Delivering HIV Services to Vulnerable Populations: An Evaluation and Research Agenda
McKinney MM, Marconi KM, Cleary PD, Kates J, Young SR, O'Neill JF. Delivering HIV Services to Vulnerable Populations: An Evaluation and Research Agenda. Public Health Reports 2002, 117: 114-122. PMID: 12356995, PMCID: PMC1497421, DOI: 10.1093/phr/117.2.114.Peer-Reviewed Original ResearchMeSH KeywordsBehavioral ResearchConsensus Development Conferences as TopicContinuity of Patient CareDelivery of Health CareGuidelines as TopicHealth PrioritiesHealth Services AccessibilityHealth Services ResearchHIV InfectionsHumansOutcome Assessment, Health CarePatient Acceptance of Health CareUnited StatesUnited States Health Resources and Services AdministrationVulnerable Populations
1993
Health-Related Quality of Life in Persons with Acquired Immune Deficiency Syndrome
Cleary P, Fowler F, Weissman J, Massagli M, Wilson I, Seage G, Gatsonis C, Epstein A. Health-Related Quality of Life in Persons with Acquired Immune Deficiency Syndrome. Medical Care 1993, 31: 569-580. PMID: 8326772, DOI: 10.1097/00005650-199307000-00001.Peer-Reviewed Original ResearchConceptsHuman immunodeficiency virusHealth-related qualityQuality of lifeHealth statusAcquired Immune Deficiency SyndromeGlobal health assessmentImmune deficiency syndromeFunctioning of personsHIV infectionImmunodeficiency virusFunctional statusPrimary careDeficiency syndromeFunctional impairmentBest predictorDiscrete symptomsSymptomsMental healthImportant signHealth assessmentAverage severityStrongest correlateFace interviewsValid measureStatusDepressive 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
1992
Using patient reports to assess hospital treatment of persons with AIDS: A pilot study
Cleary P, Fahs M, McMullen W, Fulop G, Strain J, Sacks H, Muller C, Foley M, Stein E. Using patient reports to assess hospital treatment of persons with AIDS: A pilot study. AIDS Care 1992, 4: 325-332. PMID: 1525203, DOI: 10.1080/09540129208253102.Peer-Reviewed Original ResearchConceptsAIDS unitsPilot studyGeneral medical bedsGeneral hospital bedsMajor teaching hospitalQuality of careEfficient medical careHIV infectionPain managementHospital treatmentInvolvement of familyPatient preferencesPatient educationTeaching hospitalDifferent treatment modelsHospital carePatient reportsUS hospitalsMedical carePatient carePatientsPhysical careAIDS knowledgeHospital bedsCare
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 characteristics
1988
Compulsory Premarital Screening for HIV-Reply
Cleary P, Barry M, Mayer K, Brandt A, Gostin L, Fineberg H. Compulsory Premarital Screening for HIV-Reply. JAMA 1988, 259: 1014-1014. DOI: 10.1001/jama.1988.03720070017016.Peer-Reviewed Original Research
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
1986
Screening for HIV Infection: Risks, Benefits, and the Burden of Proof
Barry M, Cleary P, Fineberg H. Screening for HIV Infection: Risks, Benefits, and the Burden of Proof. The Journal Of Law, Medicine & Ethics 1986, 14: 259-267. PMID: 3475517, DOI: 10.1111/j.1748-720x.1986.tb00993.x.Peer-Reviewed Original Research