170 research outputs found
Missed opportunities to prescribe HIV pre-exposure prophylaxis by primary care providers in Saint Louis, Missouri
Sympatric woodland Myotis bats form tight-knit social groups with exclusive roost home ranges (dataset)
The article relating to this dataset is available in ORE: http://hdl.handle.net/10871/15799Dataset associated with the PLOS journal article with the same title. The two sets of data in the Excel file were used to create the networks in the Tiff file.Natural Environment Research Council (NERC
Adverse childhood events: Incarceration of household members and health-related quality of life in adulthood
Incarceration of a household member has been associated with adverse outcomes for child well-being
Social Capital and Risk of Concurrent Sexual Partners Among African Americans in Jackson, Mississippi
Concurrent sexual partnerships (i.e., relationships that overlap in time) contribute to higher HIV acquisition risk. Social
capital, defned as resources and connections available to individuals is hypothesized to reduce sexual HIV risk behavior,
including sexual concurrency. Additionally, we do not know whether any association between social capital and sexual concurrency is moderated by gender. Multivariable logistic regression tested the association between social capital and sexual
concurrency and efect modifcation by gender. Among 1445 African Americans presenting for care at an urban STI clinic
in Jackson, Mississippi, mean social capital was 2.85 (range 1–5), mean age was 25 (SD=6), and 62% were women. Sexual
concurrency in the current year was lower for women compared to men (45% vs. 55%, χ2
(df=1)=11.07, p=.001). Higher
social capital was associated with lower adjusted odds of sexual concurrency for women compared to men (adjusted Odds
Ratio [aOR]=0.62 (95% CI 0.39–0.97), p=0.034), controlling for sociodemographic and psychosocial covariates. Interventions that add social capital components may be important for lowering sexual risk among African Americans in Mississippi
HIV Clustering in Mississippi: Spatial Epidemiological Study to Inform Implementation Science in the Deep South
Background: In recent years, more than half of new HIV infections in the United States occur among African Americans in the Southeastern United States. Spatial epidemiological analyses can inform public health responses in the Deep South by identifying HIV hotspots and community-level factors associated with clustering.
Objective: The goal of this study was to identify and characterize HIV clusters in Mississippi through analysis of state-level HIV surveillance data.
Methods: We used a combination of spatial epidemiology and statistical modeling to identify and characterize HIV hotspots in Mississippi census tracts (n=658) from 2008 to 2014. We conducted spatial analyses of all HIV infections, infections among men who have sex with men (MSM), and infections among African Americans. Multivariable logistic regression analyses identified community-level sociodemographic factors associated with HIV hotspots considering all cases.
Results: There were HIV hotspots for the entire population, MSM, and African American MSM identified in the Mississippi Delta region, Southern Mississippi, and in greater Jackson, including surrounding rural counties (P \u3c .05). In multivariable models for all HIV cases, HIV hotspots were significantly more likely to include urban census tracts (adjusted odds ratio [AOR] 2.01, 95% CI 1.20-3.37) and census tracts that had a higher proportion of African Americans (AOR 3.85, 95% CI 2.23-6.65). The HIV hotspots were less likely to include census tracts with residents who had less than a high school education (AOR 0.95, 95% CI 0.92-0.98), census tracts with residents belonging to two or more racial/ethnic groups (AOR 0.46, 95% CI 0.30-0.70), and census tracts that had a higher percentage of the population living below the poverty level (AOR 0.51, 95% CI 0.28-0.92).
Conclusions: We used spatial epidemiology and statistical modeling to identify and characterize HIV hotspots for the general population, MSM, and African Americans. HIV clusters concentrated in Jackson and the Mississippi Delta. African American race and urban location were positively associated with clusters, whereas having less than a high school education and having a higher percentage of the population living below the poverty level were negatively associated with clusters. Spatial epidemiological analyses can inform implementation science and public health response strategies, including improved HIV testing, targeted prevention and risk reduction education, and tailored preexposure prophylaxis to address HIV disparities in the South
Social, structural, behavioral and clinical factors influencing retention in Pre-Exposure Prophylaxis (PrEP) care in Mississippi
Pre-exposure prophylaxis (PrEP) is a biomedical intervention that can reduce rates of HIV transmission when taken once daily by HIV-negative individuals. Little is understood about PrEP uptake and retention in care among the populations most heavily impacted by the HIV epidemic, particularly among young men who have sex with men (YMSM) in the Deep South. Therefore, this study explored the structural, social, behavioral, and clinical factors that affect PrEP use and retention in care among YMSM in Jackson, Mississippi. Thirty MSM who were prescribed PrEP at an outpatient primary care clinic were interviewed and included 23 men who had been retained in PrEP care and seven who had not been retained. The mean age of participants was 26.6 years. Most (23) participants were African American. Major factors affecting PrEP use and retention in PrEP care included 1) structural factors such as cost and access to financial assistance for medications and clinical services; 2) social factors such as stigma and relationship status; 3) behavioral factors including sexual risk behaviors; and 4) clinical factors such as perceived and actual side effects. Many participants also discussed the positive spillover effects of PrEP use and reported that PrEP had a positive impact on their health. Four of the seven individuals who had not been retained re-enrolled in PrEP care after completing their interviews, suggesting that case management and ongoing outreach can enhance retention in PrEP care. Interventions to enhance retention in PrEP care among MSM in the Deep South will be most effective if they address the complex structural, social, clinical, and behavioral factors that influence PrEP uptake and retention in PrEP care
"Na Neitou Qele Ga Qo" ("This Is Our Only Land"): Adaptation to the Effects of Climate Change in Rural Indigenous Fijians
It has long been recognized that the Pacific Small Island Developing States are highly vulnerable to the effects of climate change, emphasizing the urgency with which adaptation planning and efforts need to be realized. History supports the resiliency of Pacific peoples, though a number of challenges to adaptive capacity have been noted in the previous literature, which has largely focused on low-lying atoll nations. To provide a different perspective, we interviewed 71 Indigenous and other traditional Fijians living in rural villages across a range of geographical locations to collect information on observed environmental changes, and adaptation efforts and challenges. Following an inductive thematic analysis, results identified changing patterns of consumption and production related to unpredictable and extreme weather patterns, with impacts on both overall food security and the financial viability of these communities. A number of physical adaptations to the villages themselves had been effected, which were costly and met with equivocal success. Consideration of migration to different geographical locations was minimal and undesirable. We provide recommendations for the culturally responsive, co-production of knowledge, resilience building, and adaptation planning with Indigenous and other traditional communities that meaningfully integrates scientific knowledge and respect for the wishes of these communitie
Potential impact of interventions to enhance retention in care during real-world HIV pre-exposure prophylaxis implementation
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