Cancer incidence is rising among people living with HIV, as improved access to antiretroviral treatment has led to an increased life expectancy worldwide, including in India, thereby also increasing the need for palliative care services. While it is well known that HIV stigma acts as a barrier to engagement and retention in HIV care, we do not yet know how the additional stigma of cancer may compound this problem.
This research will evaluate how high-risk clusters and current prevention strategies affect HIV transmission patterns. There are a number of potential drivers of the epidemic, including substance use, undiagnosed infections and high number of sexual partners. However, it still remains unclear which drivers contribute to the epidemic with HIV transmission as the biological outcome.
The AIDS Education and Training Centers’ National Evaluation Center (AETC NEC) provides evaluation development and technical support to the national AIDS Education and Training program, a network of 11 regional centers conducting targeted, multidisciplinary education and training programs for health care providers treating persons living with HIV/AIDS.
HIV rates are at catastrophic levels Among young Black Men who have sex with Men (YBMSM). A study in 21 US cities found that 21% of YBMSM aged 18-29 were HIV+, compared to 9% of Latino and 7% of white young MSM (YMSM), and these disparities are worsening. YBMSM are more likely to be HIV-infected, less likely to be aware of their HIV-infection, and less likely to disclose that they are HIV-infected, relative to Men of other ethnic/racial groups.
The East Bay AIDS Center (EBAC) and the UCSF Center for AIDS Prevention Studies (CAPS) will work together to fight the HIV epidemic in California by meeting the need for high quality health care for young MSM of color in the eastern San Francisco Bay Area. The CRUSH (Connecting Resources for Urban Sexual Health) project will improve access to state-of-the art health care by combining cutting-edge research at CAPS and compassionate and welcoming services at EBAC.
Less than half of individuals living with HIV in the United States are receiving ongoing Care, and only one- quarter have an undetectable Viral Load. The National HIV/AIDS Strategy prioritizes Care and treatment of HIV- infected individuals, yet improvement in Care retention rates is clearly needed. Research on HIV Care has used attendance at primary Care appointments to assess whether Patients are in Care.
Compared to other racial/ethnic groups in the US, black men who have sex with men (MSM), once diagnosed, are less likely to be optimally engaged in HIV care and treatment. This undermines the promise of recent prevention approaches for reducing the disproportionate effects of HIV/AIDS on Black communities, emphasizing the urgency for increased Research focus and Intervention Development.
The Evaluation and Technical Assistance Center (ETAC) at UCSF will provide leadership and support to demonstration sites implementing interventions to enhance HIV testing and diagnosis among out-of-care Latina/os, and to link and retain these populations in high quality HIV care.
The purpose of this K24 application is to support the continuation and proposed expansions of Dr. Mallory Johnson's programs of Mentoring and patient-oriented research (POR) in social and behavioral approaches to optimizing engagement in HIV Care among drug-using populations. the candidate proposes new Mentoring, new research, and additional Training to build competency in Drug abuse research, HCV and liver disease, and advanced research methodologies.
In California and locally in Alameda County, HIV disproportionately impacts African American and Latino men who have sex with men (MSM). This study will develop and test an innovative strategy to identify MSM who are unaware of their status, have them test for HIV and for those that are positive, link them to HIV care and services. The proposed intervention will have MSM, called “seeds,” reach out to their social networks and recruit their peers to take an HIV test using a self-test kit.
HIV in Lebanon and the Middle East is predominantly among men who have sex with men (MSM), and rates of HIV and sexual risk behavior are on the rise among young MSM (YMSM), driven in part by increased freedom of expression, social tolerance in areas such as Beirut, an influx of migration attributed to MSM refugees coming from war torn Iraq and Syria, and a flourishing sex tourism industry.
This study brings together researchers from the University of California, San Francisco; Research Triangle Institute in Washington DC; St. John’s National Academy of Health Sciences in Bangalore, India; and the All India Institute of Medical Sciences in New Delhi, India to evaluate the efficacy of a promising intervention designed to reduce HIV stigma among Indian health professionals.
To continue UCSF’s commitment in helping the CDC’s Global AIDS Program (GAP) achieve its goals in GAP countries and regions, this project will strengthen local capacity, as well as collect vital data on the HIV epidemic among Sex Workers (SW) in South Africa.
To this end this project has 4 objectives:
To estimate the prevalence of HIV and syphilis, and associated risk behaviors among female sex workers in Johannesburg, Cape Town, and Durban, South Africa.
To estimate the popu
Among the numerous health disparities disproportionately burdening people of color, HIV/AIDS is among the highest. In the African American community the HIV/AIDS epidemic is one of the most urgent public health issues. In order to address the health disparity in HIV/AIDS, detection of HIV in the African American community is crucial. The benefits for early detection of HIV include potentially prolonged duration and quality of life for those living with the virus.
Studying Youth in Northern California (SYNC) is a public health research study assessing narcotic and stimulant use among 14-25 year-olds in five Northern California counties with an emphasis on how such factors and forces place this population at risk for HIV and related health problems.
This study will develop a computerized intervention to train youth to regulate their emotions. This strategy is based on our previous successful experiences developing computerized interventions. We will develop a computerized intervention to reduce HIV risk behaviors grounded in a framework that augments Social Cognitive strategies by increasing the adolescents’ skills to manage affect and self-regulate.