2021
Individual and poly-substance use and condomless sex among HIV-uninfected adults reporting heterosexual sex in a multi-site cohort
Fredericksen RJ, Whitney BM, Trejo E, Nance RM, Fitzsimmons E, Altice FL, Carrico AW, Cleland CM, Del Rio C, Duerr A, El-Sadr WM, Kahana S, Kuo I, Mayer K, Mehta S, Ouellet LJ, Quan VM, Rich J, Seal DW, Springer S, Taxman F, Wechsberg W, Crane HM, Delaney JAC. Individual and poly-substance use and condomless sex among HIV-uninfected adults reporting heterosexual sex in a multi-site cohort. BMC Public Health 2021, 21: 2002. PMID: 34736425, PMCID: PMC8567631, DOI: 10.1186/s12889-021-12026-7.Peer-Reviewed Original ResearchConceptsLikelihood of CSRecent substance useHIV-negative partnersVaginal sexAnal sexSubstance useHIV-status unknown partnersMultivariable relative risk regressionExposure classificationType of sexHIV-negative adultsPooled effect estimatesPartner's HIV statusMulti-site cohortHigher likelihoodHeterosexual sexRelative risk regressionSingle substance usePoly-substance useHIV-negativeHIV statusRisk regressionPolysubstance useCannabis useSU exposure
2018
“You Have to Keep Yourself Hidden”: Perspectives From Malaysian Malay-Muslim Men Who Have Sex With Men on Policy, Network, Community, and Individual Influences on HIV Risk
Lim SH, Brown SE, Shaw SA, Kamarulzaman A, Altice FL, Beyrer C. “You Have to Keep Yourself Hidden”: Perspectives From Malaysian Malay-Muslim Men Who Have Sex With Men on Policy, Network, Community, and Individual Influences on HIV Risk. Journal Of Homosexuality 2018, 67: 104-126. PMID: 30307803, DOI: 10.1080/00918369.2018.1525946.Peer-Reviewed Original ResearchConceptsHIV riskConcerns of participantsFear of discriminationFocus group discussionsHomophobic commentsMuslim countriesDepth interviewsReligious leadersSoutheast AsiaHIV/AIDSGroup discussionsPolicyCommunityLow risk perceptionRisk perceptionHealth servicesKuala LumpurSexual behaviorIndividual factorsMost participantsGovernmentHomosexualityLeadersInterviewsReligionIntegrated Bio-behavioral Approach to Improve Adherence to Pre-exposure Prophylaxis and Reduce HIV Risk in People Who Use Drugs: A Pilot Feasibility Study
Shrestha R, Altice FL, Karki P, Copenhaver MM. Integrated Bio-behavioral Approach to Improve Adherence to Pre-exposure Prophylaxis and Reduce HIV Risk in People Who Use Drugs: A Pilot Feasibility Study. AIDS And Behavior 2018, 22: 2640-2649. PMID: 29582199, PMCID: PMC6051885, DOI: 10.1007/s10461-018-2099-0.Peer-Reviewed Original ResearchMeSH KeywordsAdultAnalgesics, OpioidBiobehavioral SciencesCondomsFeasibility StudiesFemaleHIV InfectionsHumansMaleMedication AdherenceMethadoneMiddle AgedMotivationOpiate Substitution TreatmentOpioid-Related DisordersPatient Acceptance of Health CarePilot ProjectsPre-Exposure ProphylaxisProspective StudiesRisk Reduction BehaviorSexual BehaviorSexual PartnersSubstance Abuse, IntravenousConceptsPre-exposure prophylaxis adherenceSelf-reported PrEP adherenceSex-related risk behaviorsHIV risk reduction behaviorsBio-behavioral interventionPre-exposure prophylaxisProspective clinical trialsHigh-risk peopleHIV prevention interventionsHIV risk behaviorsPilot feasibility studyPost-intervention assessmentPrEP adherenceProphylaxis adherencePreliminary efficacyClinical trialsIntervention groupHIV riskPrevention interventionsRisk behaviorsBio-behavioral approachAdherenceInterventionHigh acceptabilityPrEP
2017
Prevalence of Human Immunodeficiency Virus and Sexually Transmitted Infections Among Cisgender and Transgender Women Sex Workers in Greater Kuala Lumpur, Malaysia
Wickersham JA, Gibson BA, Bazazi AR, Pillai V, Pedersen CJ, Meyer JP, El-Bassel N, Mayer KH, Kamarulzaman A, Altice FL. Prevalence of Human Immunodeficiency Virus and Sexually Transmitted Infections Among Cisgender and Transgender Women Sex Workers in Greater Kuala Lumpur, Malaysia. Sexually Transmitted Diseases 2017, 44: 663-670. PMID: 28708696, PMCID: PMC5636657, DOI: 10.1097/olq.0000000000000662.Peer-Reviewed Original ResearchConceptsTransgender women sex workersHuman immunodeficiency virusInconsistent condom useCisgender women sex workersHIV prevalenceImmunodeficiency virusSex workersWomen sex workersDrug useCondom useHigh human immunodeficiency virusGlobal HIV prevalenceLast HIV testLifetime HIV testingPooled HIV prevalenceRespondent-driven samplingSTI prevalenceHIV testHIV burdenHIV testingMedian timeSTI preventionΧ testChlamydia trachomatisIndependent sample t-test
2016
Gender identity, healthcare access, and risk reduction among Malaysia's mak nyah community
Gibson BA, Brown SE, Rutledge R, Wickersham JA, Kamarulzaman A, Altice FL. Gender identity, healthcare access, and risk reduction among Malaysia's mak nyah community. Global Public Health 2016, 11: 1010-1025. PMID: 26824463, PMCID: PMC4983682, DOI: 10.1080/17441692.2015.1134614.Peer-Reviewed Original ResearchMeSH KeywordsAdultAIDS SerodiagnosisCondomsFemaleGender IdentityHealth Services for Transgender PersonsHIV InfectionsHomosexuality, MaleHumansInterviews as TopicIslamMalaysiaMaleMiddle AgedQualitative ResearchReligion and MedicineReligion and SexRisk FactorsRisk Reduction BehaviorSex Reassignment SurgerySex WorkersSocial DiscriminationTransgender PersonsVulnerable PopulationsConceptsSex workTransgender womenSex workersFemale transgender sex workersTransgender sex workersMultiple healthcare needsSemi-structured interviewsGender identityFear of HIVGender transitionQualitative studyThematic codingReligious lawSensitive preventionHazardous health behaviourHealthcare utilisation patternsIdentityHealthcare accessMultiple health risksPoor health outcomesLevel of stigmaHealth risksHealthcare needsInterviewsHealthcare services
2014
Sexual Risk Behaviors Among Adolescents in Port-au-Prince, Haiti
Carver JW, Dévieux JG, Gaston SC, Altice FL, Niccolai LM. Sexual Risk Behaviors Among Adolescents in Port-au-Prince, Haiti. AIDS And Behavior 2014, 18: 1595-1603. PMID: 24402691, PMCID: PMC5572216, DOI: 10.1007/s10461-013-0689-4.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdolescent BehaviorCondomsCross-Sectional StudiesEducational StatusFamily CharacteristicsFemaleHaitiHealth Knowledge, Attitudes, PracticeHumansMaleRisk FactorsRisk-TakingSexual PartnersSexually Transmitted DiseasesSocial DesirabilitySocial EnvironmentSurveys and QuestionnairesConceptsSexual risk behaviorsRisk behaviorsPresent cross-sectional studyCross-sectional studyHIV prevention effortsIndependent correlatesAdult family membersYear old adolescentsHigh prevalenceLast sexUnprotected sexSexual partnersSexual debutPrevention effortsSexual intercourseProtective influenceSexual activityMultivariate modelingRisky sexSexAge 14Port-auFace interviewsAdolescentsFamily members
2010
Preparing for highly active antiretroviral therapy rollout in rural South Africa: an assessment using the information, motivation, and behavioral skills model
Simon MD, Altice FL, Moll AP, Shange M, Friedland GH. Preparing for highly active antiretroviral therapy rollout in rural South Africa: an assessment using the information, motivation, and behavioral skills model. AIDS Care 2010, 22: 462-474. PMID: 20204909, DOI: 10.1080/09540120903220253.Peer-Reviewed Original ResearchConceptsActive antiretroviral therapy rolloutAntiretroviral therapy rolloutHIV/AIDSHAART rolloutHAART outcomesFolk remediesHIV treatment optimismMedication-taking behaviorOverall correct scoreBetter treatment outcomesResource-limited settingsBehavioral skills modelCommunity-based assessmentHAART initiationHIV optimismHIV testingHIV serostatusTreatment optimismTreatment outcomesSide effectsRural South AfricaCondom useHAARTTugela FerryYoung adults