Young South African Women Can Adhere to Daily PrEP Regimen as HIV Prevention, Study Finds

A clinical study funded by the National Institutes of Health has found that young, single black women in South Africa adhered to a daily pill regimen to prevent HIV infection—an HIV prevention strategy known as pre-exposure prophylaxis, or PrEP. This finding is the first strong indication that this population at substantial HIV risk could accept and reliably adhere to daily PrEP dosing. Men who have sex with men (MSM) and transgender women (TGW) in New York and Thailand also successfully adhered to daily dosing.
To read the full article, click here.

Stephanie Kovalchik, Ph.D. – Scaled Inverse Probability Weighting for Event Non-Reporting in Ecological Momentary Assessment Studies

Slide presentation: Scaled Inverse Probability Weighting for Event Non-Reporting in Ecological Momentary Assessment Studies

Ecological momentary assessment (EMA) is an increasingly popular assessment method in the behavioral sciences that aims to capture events, emotions, and cognitions in real time, usually repeatedly throughout the day. Because EMA typically involves more intensive monitoring than traditional assessment methods, missing data is commonly an issue and this missingness may bias results. EMA can involve two types of missing data: known missingness, arising from non-response to scheduled prompts, and hidden missingness, arising from non-reporting of focal events (e.g. an urge to smoke or a meal). Prior research on missing data in EMA has focused almost exclusively on non-response to scheduled prompts. In this talk, I introduce a scaled inverse probability weighting approach to adjust for event non-reporting, which can bias estimates of event frequency and characteristics or response to events. In the proposed approach, the inverse probability is the estimated probability of compliance with random prompts, from a model that uses participant and contextual factors to predict this compliance, and a scaling factor that adjusts for factors specific to event- reporting (in this case, the fatigue of reporting over time). I demonstrate the utility of the proposed method with the Tracking and Recording Alcohol Communications Study, an EMA study of adolescent exposure to alcohol advertising, and discuss its broader applicability to the measurement of other habitual events, such as addictive behaviors or treatment adherence.

Colloquium: “HIV Prevention Rates, Risk Factors and Health Disparities Among Transgender Persons”

July 9, 2015 – Dr. Cathy Reback of the CHIPTS Combination Prevention Core, presented tan overview of the HIV prevalence rates among trans male and female individuals in Los Angeles County.  She discussed the syndemic co-factors that impact HIV acquisition and transmission among these populations. The presentation also addressed health disparities that have served to limit health care utilization specifically among high-risk trans women. Next step recommendations were presented.

Cathy J. Reback, PhD, is a Senior Research Scientist with Friends Research Institute, a Research Sociologist with UCLA Integrated Substance Abuse Programs, a Core Scientist with UCLA CHIPTS, and the Executive Director of Friends Community Center in Hollywood. Dr. Reback has been conducting intervention, ethnographic, and epidemiological research with trans women, and has been providing services for trans women for over 20 years. She is a member of the World Professional Association for Transgender Health and is an internationally known researcher in the field of high-risk trans women.

 

CHIPTS hosts a monthly HIV Research and Community Colloquia Series in collaboration with the Los Angeles County Commission on HIV to highlight current issues and conversations surrounding HIV. Click here for past lectures and check out the events page for more information on future Colloquia presentations!

LA Pride

This past weekend, as part of an initiative to educate people about Pre-Exposure Prophylaxis (PrEP) for HIV prevention, Christopher Street West Association (CSW) partnered with a diverse group of HIV/AIDS and LGBT organizations to participate in LA Pride. Palm cards with information about PrEP were distributed to parade attendants and a PrEP pavilion was set up to answer questions and to promote education and awareness.

UCLA CHIPTS proudly took part in this great event. To see the full CSW press release and list of other coalition members, click here.

HIV Prevention Trials Network (HPTN) Annual Meeting

On Tuesday, June 16, 2015, Drs. Steve Shoptaw and Raphy Landovitz, from the CHIPTS Combination Prevention Core, delivered well-received plenaries at the HIV Prevention Trials Network (HPTN) Annual Meeting in Washington, DC.  Dr. Shoptaw presented early in the order with a brief but comprehensive presentation on the topic of “Non-Injection Substance Use and HIV.” Dr. Landovitz closed out the afternoon of science with a tremendous presentation on “PrEP: Promising New Agents”.

Dr. Shoptaw is working with his colleagues in leadership at HPTN to bring focused attention to the contributions to the HIV epidemic made by people who use non-injection substances, including binge drinking. Dr. Landovitz is the Protocol Team Leader for HPTN 083, A Phase 2b/3 Double Blind Efficacy Study Of Quarterly Injectable Cabotegravir Compared to Daily Oral Tenofovir Disoproxil.

 Congratulations to Drs. Shoptaw and Landovitz for representing UCLA.

Shoptaw and Landovitz HPTN meeting 061615 (2)

Romas Geleziunas, PhD – Strategies to Achieve ART-free HIV Remission: An Industry Perspective


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Romas Geleziunas, PhD
Director, Clinical Virology
Gilead Sciences, Inc.
“Strategies to Achieve ART-free HIV Remission: An Industry Perspective.”

Grand Rounds This monthly lecture series, which is offered by the UCLA CFAR / AIDS Institute, consists of hour-long lunchtime lectures, delivered by invited guests or distinguished members of the Institute faculty, on a broad range of subjects. The aims of the program are to highlight important developments in AIDS-related research, encourage collaborations between UCLA investigators and invited speakers, interest young investigators in AIDS research, and provide information about new findings and new funding opportunities.

Jacob Konikoff – Cross-Sectional HIV Incidence Estimation: Approaches and Challenges


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Jacob Konikoff, Ph.D. candidate
Department of Biostatistics
UCLA Fielding School of Public Health

Abstract:
Tracking and surveillance of the HIV epidemic depend on accurate estimation of the number of new infections in the population. The rate at which these infections occur, known as the incidence, is also critical for effectively designing, targeting, and evaluating prevention efforts. This talk focuses on recent advances in estimating HIV incidence through cross-sectional surveys. These studies do not require longitudinal follow-up of individuals. We develop and discuss biomarker-based sequential classification algorithms that mark individuals in an early disease stage as recent infections. Our findings show both the limitations and growing promise of cross-sectional methods for estimating HIV incidence.

Kuehl’s L.A. County-Wide PrEP Proposal Passes

June 9, 2015 by Karen Ocamb, Frontiers Media

The Los Angeles County Board of Supervisors on Tuesday passed what could be a game-changer for reducing new HIV infections in the County by passing a proposal brought by out Supervisor Sheila Kuehl to provide PrEP county-wide. The vote was almost unanimous with four of the five supervisors voting yes. But the vote was also a clear measure of how far the LGBT and HIV/AIDS movements have progressed that Mayor Mike Antonovich, once considered the Board’s homophobe-in-chief, abstained instead of voting no.

To read the full article, click here.

The Role of Community Health Workers in the Reengineering of Primary Health Care in Rural Eastern Cape

See the article below from CHIPTS’ collaborators at Zithulele Hospital, South Africa.

le Roux, K., le Roux, I. M., Mbewu, N., & Davis, E. (2015). The role of community health workers in the re-engineering of primary health care in rural Eastern Cape. South African Family Practice, 57(2). E-pub ahead of print.

Abstract

Background: Primary Health Care in South Africa is being re-engineered to create a model of integrated care across different levels of the health care system. From hospitals to clinics, in the community and in the home, health care will focus more on prevention, health promotion, and advocacy for healthy lifestyles and well-being, in addition to clinical services. We provide a best-practice model of integrating community health workers (CHWs) trained as generalists into a multi-level health system in the Oliver Tambo district of the rural Eastern Cape.

Methods: Based at Zithulele Hospital, a health care network between the hospital, 8 clinics, and 50 CHWs has been created. The functions of each tier of care are different and complementary. This article describes the recruitment, training, supervision, monitoring, and outcomes of CHWs who deliver maternal, child health, nutrition, and general care through home visits.

Results: CHWs, especially in rural settings, can find and refer new TB/HIV cases, ill children, and at-risk pregnant women; rehabilitate malnourished children at home; support TB and HIV treatment adherence; treat diarrhoea, worm infestation, and skin problems; and distribute vitamin A. CHWs provide follow-up after clinic and hospital care, support families to apply health information, problem-solve the health and social challenges of daily living, and assist in accessing social grants. Case examples of how this model functions are provided.

Conclusion: This generalist CHW home intervention is a potential model for the re-engineering of the primary health care system in South Africa.

For the full article, please click here.