In China, sexual transmission has become the major driving force behind the HIV epidemic, accounting for more than half (52%) of the estimated 700,000 people currently living with HIV. Men who have sex with men (MSM) may contribute to the rapid acceleration of the epidemic throughout China.
Public health researchers and practitioners often work to solve complex population and health issues, such as obesity and chronic disease, which are deeply embedded within the fabric of society. As such, the solutions often require intervention and engagement with key stakeholders and organizations across many levels ranging from local entities (schools, churches, and work environments) to regional systems (health departments and hospital networks) to entire countries (national agencies).
In collaboration with the Caribbean HIV/AIDS Alliance and Intrahealth, CAPS is working in four Eastern Caribbean countries to enhance the response to the HIV/AIDS epidemic. The USAID-funded Eastern Caribbean Community Action Project (EC-CAP) supports prevention, development and use of strategic information, roll-out of community-based counseling and testing, and provision of care services (palliative and home based care).
Problem: During the summer of 2009, the State of California experienced an unprecedented budget crisis, resulting in cuts to social services across the state. Approximately $85 million was eliminated from the budget of the State Office of AIDS (OA) for FY 2009‐2010, about half of the allocation of $167 million in FY 2008‐2009.
HITEC is the evaluation center for the HRSA Special Projects of National Significance (SPNS) Information Technology Networks of Care Initiative. Six demonstration sites are implementing electronic network systems to interconnect providers at different care locations. The goal of these systems is to promote health information exchange to improve the delivery, continuity, and quality of care to people living with HIV/AIDS who receive services in publicly-funded settings.
In this study we will conduct an experiment to test the effectiveness of an innovative method of administering a survey interview--conversational interviewing--in reducing respondents’ reporting errors in their responses to sexual behavior questions common in HIV/AIDS research.
UCSF is one site of an NIMH-funded multi-site, international efficacy trial of a behavioral intervention to reduce the incidence of HIV infection. Collaborating international sites teamed with US sites are: Zimbabwe (S. Morin, UCSF PI), South Africa (T. Coates, UCLA PI), Tanzania (M. Sweat, Johns Hopkins University PI) and Thailand (D. Celantano, Johns Hopkins University PI).
This project is an extension of the International Traineeships in AIDS Prevention Studies Program (I-TAPS) through a partnership with the Centro de Estudos de AIDS do Rio Grande do Sul (CEARGS) in Porto Alegre, Brazil and with the Universidade Federale do Bahia (UFBA) in Salvador, and funded by the Fogarty International Center.
This study tests the efficacy of an intervention utilizing HIV rapid testing and integration of HIV Voluntary Counseling and Testing (VCT) into Tuberculosis (TB) evaluation and home-based VCT for family members, to overcome identified logistical and psychological barriers to HIV VCT among new TB patients and their family members.
The specific aims of the study are:
To determine the uptake of and barriers to HIV VCT among a cross-sectional sample of 2,000 TB evaluation patients offered s
This project is designed to provide information that will be critical to the performance of a pivotal RCT of screening and treatment of anal intraepithelial neoplasia (AIN) to prevent anal cancer. This project will study determinants of participation in an RCT in which 50% of participants with AIN will be screened and treated, and 50% will be observed without treatment. At the end of a 5-year period, the number of anal cancer cases will be compared in both arms.
Drug and alcohol use is not always addressed with patients in medical care settings, including HIV primary care settings. The screening, brief intervention, and referral to treatment (SBIRT) strategy has demonstrated an effective model to introduce screening for substance use, and standardized guidelines in a number of clinical populations, but SBIRT for drug and alcohol use has not been tested in an HIV primary care setting.
I-TRIP studies sexual risk behavior in the context of international travel among gay and bisexual men from the San Francisco Bay Area. The specific aims are: To measure the prevalence of sexual risk behavior during international travel among gay and bisexual men from the Bay Area. To document the prevalence of ART drug resistance among gay and bisexual international travelers from the Bay Area.
Internal and external coalition functioning is an important predictor of coalition success that has been linked to perceived coalition effectiveness, coalition goal achievement, coalition ability to support evidence-based programs, and coalition sustainability. Understanding which aspects of coalition functioning best predict coalition success requires the development of valid measures of empirically unique coalition functioning constructs.
This project has two aims: 1
To describe collective and individual belief systems of low-income township men who have sex with men (MSM) related to their sexuality, sexual health, choice of sexual partners, use of drugs and alcohol, use of condoms, utilization of health services, HIV voluntary counseling and testing (VCT) and disclosure of HIV status, in order to describe prevailing cultural norms around these subjects’ behaviors
To assess the prevalence of HIV risk factors an
Can HIV testing plus linking HIV+ people to care and treatment reduce HIV transmission?
Why is this an important question?
Despite major progress against HIV, 21% of HIV+ people in the US are unaware that they are positive1 and an estimated 33% of those who know they are HIV+ are not engaged in care and treatment for their infection.2 Another 38% of newly diagnosed HIV+ individuals test so late that they receive an AIDS diagnosis at the same time as,
Despite major progress against HIV, 21% of HIV+ people in the US are unaware that they are positive and an estimated 33% of those who know they are HIV+ are not engaged in care and treatment for their infection.Another 38% of newly diagnosed HIV+ individuals test so late that they receive an AIDS diagnosis at the same time as, or within one year of, learning they are positive. There were an estimated 56,300 new HIV infections per year between 1996 and 2006.