In this presentation, Dr. Barrington will first provide a summary of the context of HIV prevention and care for transgender women in the Dominican Republic. She will then describe her collaborative mixed methods research process to develop and test an intervention to improve HIV care and treatment outcomes and promote overall wellbeing among transwomen with HIV in Santo Domingo.
We model longitudinal trends in viral suppression before and after the transition to telehealth services during COVID-19 pandemic. The expected probability of viral suppression was not negatively impacted by tele-health adoption.
This study examines how to optimize a conditional cash transfer (CCT) intervention to increase PrEP use among Black and Latinx men who have sex with men (MSM) in Los Angeles County. Findings from a discrete choice experiment reveal preferences for larger cash payments provided more frequently, with some variation in PrEP modality. These results highlight the potential of tailored CCT designs to improve PrEP uptake and advance national efforts to reduce new HIV transmissions among key populations.
We examined the relationship between violence/coercion and PrEP acceptability among cisgender female sex workers and transgender sex workers in urban West Bengal, India. We found very high rates of violence and coercion among participants, particularly among transgender sex workers. We also found that the relationship between coercion/violence and PrEP willingness was conditional on gender.
We conducted a cross-sectional survey to examine various pathways of resilience among HIV-positive youth living within informal settlements outside of Nairobi, Kenya. Relationships between variables were modelled and evaluated using linear regression analysis and structural equational modelling. We identified unique pathways linking social support, adverse childhood experiences, and HIV stigma to general health and resilience. These results may provide valuable insights for developing targeted intervention strategies to improve treatment adherence and HIV management in this population.
This presentation compares traditional Differentiated Service Delivery (DSD) models with the RiseUP! Enhanced Differentiated Service Delivery (EDSD) model for HIV care and treatment among adolescent girls and young women (AGYW) in Sub-Saharan Africa. We analyze retention rates and medication adherence across various countries, highlighting the effectiveness of the RiseUP! model’s holistic, youth-friendly approach. The study emphasizes the importance of tailored, community-based interventions in improving HIV care outcomes for vulnerable populations.
This study examines barriers to engagement in the HIV care continuum, focusing on patients at UCLA Health with detectable viral loads. By analyzing patient demographics, clinical characteristics, and care engagement, the study identifies factors like frequent visits and adherence to ART as key to achieving virologic suppression. Results suggest that increased healthcare interactions and timely follow-ups are crucial for improving engagement and retention in care, emphasizing the need for continued outreach and support for individuals living with HIV.
Despite the availability of resources such as Ryan White-funded clinics that offer free access to HIV healthcare, significant disparities in viral suppression rates exist. This study examines the association between neighborhood characteristics, socioeconomic factors, and viral suppression among people living with HIV in neighborhoods served by Ryan White-funded clinics in Southern California.
We found that internalized heterosexism is indirectly associated with self-reported ART adherence, via adherence self-efficacy. This mediating effect is strongest among participants who showed hazardous alcohol use. This underscores a contextualized understanding of these associations among a sample of young Black sexual minority men with HIV.
This global health seminar featured Dr. Dvora Joseph Davey who focused on research to address equitable delivery of HIV and STI interventions, focusing on a case study of oral and injectable PrEP, and STI management, in pregnant and lactating people, in South Africa.