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Characteristics of a cohort of high-risk men who have sex with men on pre-exposure prophylaxis reporting transgender sexual partners.
Transgender people continue to be at high-risk for HIV acquisition, but little is known about the characteristics of their sexual partners. To address this gap, we examined sociodemographic and sexual characteristics of cisgender men who have sex with men (MSM) on pre-exposure prophylaxis (PrEP) reporting transgender sexual partners.A cohort of 392 MSM in southern California in a randomized clinical trial for PrEP adherence were followed from 2013 to 2016. Multivariable generalized estimating equation and logistic models identified characteristics of MSM reporting transgender sexual partners and PrEP adherence.Only 14 (4%) MSM reported having transgender sexual partners. MSM were more likely to report transgender partners if they were African American, had incident chlamydia, reported injection drug-using sexual partners, or received items for sex. Most associations remained significant in the multivariable model: African American (adjusted odds ratio [AOR] 11.20, P = .01), incident chlamydia (AOR 3.71, P = .04), and receiving items for sex (AOR 5.29, P = .04). There were no significant differences in PrEP adherence between MSM reporting transgender partners and their counterpart.MSM who report transgender sexual partners share characteristics associated with individuals with high HIV prevalence. Identifying this group distinct from larger cohorts of MSM could offer new HIV prevention opportunities for this group of MSM and the transgender community
Alkali Metal Adsorbates on W(110): Ionic, Covalent, or Metallic?
The photoemission signal from the first atomic layer of W(110) is used to assess the nature of the interaction between the surface atoms of the metal substrate and the adsorbates Na, K, and Cs for coverages up to 1 atomic layer. Our results indicate that there is little or no charge transfer from the alkali metal to the W surface, even in the limit of low coverage. The satellite structure of the photoemission lines of the outermost p shell of the alkali metals confirms this conclusion. While contrary to the conventional picture of alkali-metal-charge donation, these findings fully support recent theoretical calculations
Chemical and Reconstruction Induced Surface Core-Level Shifts: H on Low-Index W Surfaces
The H-induced shift of the surface-atom core-level binding energy in W(110) is shown to arise from two distinct effects, one chemical in nature and the other structural. The structural shift supports a recently proposed (1p×1) reconstruction that turns on at ∼0.5 monolayer coverage. These new findings are used to provide a self-consistent interpretation of previously reported shifts from H-covered W(111) and W(100) surfaces
Bulk and Surface Singularity Indices in the Alkali Metals
Photoemission data from (110) films of Li, Na, and Rb, in which the signal from the first atomic layer is well resolved, show that the core-hole-screening singularity index is ∼40% larger at the surface than in the bulk for all three metals. This result, which is indicative of the more atomiclike character of metal surface atoms, in general, is particularly large for the alkali metals because their conduction-electron screening is mainly s-like. In addition to quantifying the difference in screening at the surface, the data provide bulk singularity indices of 0.22, 0.16, and 0.14 for Li, Na, and Rb, respectively. These new values are in better agreement with theory and with the threshold exponents than earlier values derived from incompletely bulklike x-ray photoemission data
Anharmonic Surface Vibrations in Photoemission from Alkali Metals
The phonon widths of outermost core-electron photoemission spectra from (110)-oriented overlayers of Na, K, and Rb metals show the expected Debye behavior for the bulk atoms, but significant deviations for the surface atoms. The data indicate a softening of the surface vibrational mode above 200 K. This effect, which is weak in Na but strong in K and Rb, demonstrates that the vibrational mode normal to the surface is anharmonic
Electron Mean-Free Paths in the Alkali Metals
Photoemission data in which the signal from the first atomic layer is well resolved from that of the bulk are used to determine accurately the kinetic-energy dependence of the inelastic-electron mean free path in the alkali metals. At the higher kinetic energies, the data are in very good agreement with the theory of Penn. Below about 10 eV, the mean free path in the heavier alkali metals drops markedly below the theoretical values. This is attributed to electron decay processes involving the unoccupied d bands
Crystal Field Splitting and Charge Flow in the Buckled-Dimer Reconstruction of Si(100)—2× 1
The effect of the 2×1 reconstruction on the core-electron binding energies of the outermost Si(100) layers has been determined using high-resolution photoemission data. A previously unobserved 190-meV crystal-field splitting is resolved for the up-atoms of the asymmetric surface dimers, whose average core-level shift is -400 meV. The signal from the down-atoms is clearly identified and has a shift of +220 meV. These new findings indicate a charge flow of ∼0.05e from the subsurface to the surface layers, with a substantially larger difference of ∼0.34e between the up-atoms and down-atoms in the dimer
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