Barriers to HIV Services among MSM in Rural Georgia

Using information gathered from men who have sex with men (MSM) and service providers in four rural Georgia health districts (Valdosta, Rome, Gainesville, Waycross), this presentation will examine how predisposing, enabling and need characteristics (as described in the Andersen Healthcare Utilization Model) affect access and utilization of HIV prevention and treatment services among rural MSM in Georgia

Effectiveness of a Targeted, Peer-Driven Skin Cancer Prevention Program for Lifeguards

Lifeguards working at outdoor pools typically receive high amounts of sun exposure, increasing their risk for developing skin cancer. This study evaluates the effectiveness of a targeted, peer-driven intervention for skin cancer prevention among lifeguards. Nine pools received the targeted intervention, Pool Cool Plus, and five received the standard Pool Cool prevention program. Lifeguards completed surveys at the beginning and end of the summer. Lifeguards in both the targeted intervention and standard program groups increased their sun safety practices and reported more sun-safe pool policies and environments. Sunburn rates decreased among lifeguards participating in Pool Cool Plus. Future research should test the feasibility and effectiveness of disseminating the Pool Cool Plus program

The RADx Tech Test Verification Core and the ACME POCT in the Evaluation of COVID-19 Testing Devices: A Model for Progress and Change

Faced with the COVID-19 pandemic, the US system for developing and testing technologies was challenged in unparalleled ways. This article describes the multi-institutional, transdisciplinary team of the “RADx SM Tech Test Verification Core” and its role in expediting evaluations of COVID-19 testing devices. Expertise related to aspects of diagnostic testing was coordinated to evaluate testing devices with the goal of significantly expanding the ability to mass screen Americans to preserve lives and facilitate the safe return to work and school. Focal points included: laboratory and clinical device evaluation of the limit of viral detection, sensitivity, and specificity of devices in controlled and community settings; regulatory expertise to provide focused attention to barriers to device approval and distribution; usability testing from the perspective of patients and those using the tests to identify and overcome device limitations, and engineering assessment to evaluate robustness of design including human factors, manufacturability, and scalability

HIV testing and care systems focused on sexually transmitted HIV in China

Over three-quarters of new HIV infections in China during 2009 were estimated to be from sexual transmission. Over half of those living with HIV do not know their serostatus and identifying and treating individuals with sexually transmitted HIV infection has been challenging

Identifying Community-Engaged Translational Research Collaboration Experience and Health Interests of Community-Based Organizations Outside of Metropolitan Atlanta

Background: While rural health research has increased over the last two decades, there is limited understanding of the self-reported health priorities and research interests of rural and suburban community-based representatives and residents. These insights can be used to inform more successful intervention strategies that are responsive to the lived experiences of local residents and leaders who are the gatekeepers to buy-in and sustainability of community engaged research. The Georgia Clinical and Translational Science Alliance, a collaboration between four academic institutions includes a Community Engagement Program (CE) designed to facilitate community-academic research partnerships. This study aimed to assess the health priorities, community-academic research experience, and interests of community respondents outside of Metropolitan Atlanta through the Community Engagement Facilitation Survey (CEFS). Methods: CE Program and Community Steering Board created the CEFS to assess the health topic priorities, research experience, and interests of community-based representatives and community members across the state of Georgia. The 11-item survey was administered (paper and electronic surveys) statewide at community events and professional organization meetings. Descriptive statistics were analyzed, and geospatial mapping was conducted. Data were analyzed in SPSS and Microsoft Excel software systems to clean data and to calculate data counts and percentages. Three maps were created in Tableau Version 19.2 depicting all counties represented by the survey sample superimposed with the counties from which at least one respondent indicated each of the top three health priorities for this sample. Results: Four-hundred six (406) surveys were analyzed, representing 83.6% of rural and suburban Georgia counties. The most frequently identified health priorities and research interests were diabetes, cancer, high blood pressure, and mental health

HIV Testing and Management: Findings from a National Sample of Asian/Pacific Islander Men Who Have Sex with Men

We examined reasons for and barriers to participating in HIV voluntary counseling and testing for Asian/Pacific Islander (A/PI) men who have sex with men (MSM) in the U.S

Disparities and risks of sexually transmissible infections among men who have sex with men in China: a meta-analysis and data synthesis.

BACKGROUND: Sexually transmitted infections (STIs), including Hepatitis B and C virus, are emerging public health risks in China, especially among men who have sex with men (MSM). This study aims to assess the magnitude and risks of STIs among Chinese MSM. METHODS: Chinese and English peer-reviewed articles were searched in five electronic databases from January 2000 to February 2013. Pooled prevalence estimates for each STI infection were calculated using meta-analysis. Infection risks of STIs in MSM, HIV-positive MSM and male sex workers (MSW) were obtained. This review followed the PRISMA guidelines and was registered in PROSPERO. RESULTS: Eighty-eight articles (11 in English and 77 in Chinese) investigating 35,203 MSM in 28 provinces were included in this review. The prevalence levels of STIs among MSM were 6.3% (95% CI: 3.5-11.0%) for chlamydia, 1.5% (0.7-2.9%) for genital wart, 1.9% (1.3-2.7%) for gonorrhoea, 8.9% (7.8-10.2%) for hepatitis B (HBV), 1.2% (1.0-1.6%) for hepatitis C (HCV), 66.3% (57.4-74.1%) for human papillomavirus (HPV), 10.6% (6.2-17.6%) for herpes simplex virus (HSV-2) and 4.3% (3.2-5.8%) for Ureaplasma urealyticum. HIV-positive MSM have consistently higher odds of all these infections than the broader MSM population. As a subgroup of MSM, MSW were 2.5 (1.4-4.7), 5.7 (2.7-12.3), and 2.2 (1.4-3.7) times more likely to be infected with chlamydia, gonorrhoea and HCV than the broader MSM population, respectively. CONCLUSION: Prevalence levels of STIs among MSW were significantly higher than the broader MSM population. Co-infection of HIV and STIs were prevalent among Chinese MSM. Integration of HIV and STIs healthcare and surveillance systems is essential in providing effective HIV/STIs preventive measures and treatments. TRIAL REGISTRATION: PROSPERO NO: CRD42013003721

Individual and setting level predictors of the implementation of a skin cancer prevention program: a multilevel analysis

<p>Abstract</p> <p>Background</p> <p>To achieve widespread cancer control, a better understanding is needed of the factors that contribute to successful implementation of effective skin cancer prevention interventions. This study assessed the relative contributions of individual- and setting-level characteristics to implementation of a widely disseminated skin cancer prevention program.</p> <p>Methods</p> <p>A multilevel analysis was conducted using data from the Pool Cool Diffusion Trial from 2004 and replicated with data from 2005. Implementation of Pool Cool by lifeguards was measured using a composite score (implementation variable, range 0 to 10) that assessed whether the lifeguard performed different components of the intervention. Predictors included lifeguard background characteristics, lifeguard sun protection-related attitudes and behaviors, pool characteristics, and enhanced (<it>i.e</it>., more technical assistance, tailored materials, and incentives are provided) versus basic treatment group.</p> <p>Results</p> <p>The mean value of the implementation variable was 4 in both years (2004 and 2005; SD = 2 in 2004 and SD = 3 in 2005) indicating a moderate implementation for most lifeguards. Several individual-level (lifeguard characteristics) and setting-level (pool characteristics and treatment group) factors were found to be significantly associated with implementation of Pool Cool by lifeguards. All three lifeguard-level domains (lifeguard background characteristics, lifeguard sun protection-related attitudes and behaviors) and six pool-level predictors (number of weekly pool visitors, intervention intensity, geographic latitude, pool location, sun safety and/or skin cancer prevention programs, and sun safety programs and policies) were included in the final model. The most important predictors of implementation were the number of weekly pool visitors (inverse association) and enhanced treatment group (positive association). That is, pools with fewer weekly visitors and pools in the enhanced treatment group had significantly higher program implementation in both 2004 and 2005.</p> <p>Conclusions</p> <p>More intense, theory-driven dissemination strategies led to higher levels of implementation of this effective skin cancer prevention program. Issues to be considered by practitioners seeking to implement evidence-based programs in community settings, include taking into account both individual-level and setting-level factors, using active implementation approaches, and assessing local needs to adapt intervention materials.</p

A comparison of selected personal variables of Indiana state legislators and their voting records on tobacco issues

The purpose of this study was to examine the relationship between personal demographic variables of Indiana's legislators and their voting records regarding laws associated with tobacco regulation. Personal demographic data of the legislators who were in office in either 1997 and/or 1998 were compared with their voting records on tobacco issues during that same time period. The evidence suggests that Democratic legislators appear to be more in favor of tobacco control than their Republican counterparts and legislators that are members of the House of Representatives are more supportive of tobacco control than their counterparts in the Senate. Conversely, the evidence suggests that there were no statistically significant differences on tobacco voting records when the legislators were grouped by representation of a tobacco district, level of education the legislator has attained, holding an office in their respective chambers, or their occupations other than being a legislator.The results of this study can be used to better educate legislators on the consequences of tobacco use and the benefits of voting for pro-tobacco control legislation. Future studies should include attempts to form a profile of a pro-tobacco control or pro-tobacco industry legislator at both the state and national level.Thesis (M.S.)Department of Physiology and Health Scienc