7 results on '"Lamont Scales"'
Search Results
2. HIV Partner Service Delivery Among Blacks or African Americans — United States, 2016
- Author
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Michele Rorie, Wei Song, Shubha Rao, Mesfin S. Mulatu, Lamont Scales, and Kevin O’Connor
- Subjects
Adult ,Male ,Health (social science) ,Evaluation system ,Adolescent ,Epidemiology ,Service delivery framework ,Health, Toxicology and Mutagenesis ,Population ,Human immunodeficiency virus (HIV) ,Ethnic group ,HIV Infections ,medicine.disease_cause ,01 natural sciences ,Men who have sex with men ,Young Adult ,03 medical and health sciences ,0302 clinical medicine ,Health Information Management ,medicine ,Humans ,Full Report ,030212 general & internal medicine ,0101 mathematics ,Young adult ,education ,education.field_of_study ,business.industry ,010102 general mathematics ,virus diseases ,Health Status Disparities ,General Medicine ,Middle Aged ,United States ,Black or African American ,Sexual Partners ,Health Care Surveys ,Prevention goals ,Female ,business ,Delivery of Health Care ,Demography - Abstract
Identifying persons with human immunodeficiency virus (HIV) infection who are unaware of their infection status, linking them to HIV care, and reducing racial/ethnic disparities are important national HIV prevention goals (1). Blacks/African Americans (blacks)* are disproportionately affected by HIV infection in the United States. Although blacks represent 13% of the U.S. population (2), in 2017, 44% of diagnoses of HIV infection were in blacks, and the rate of new diagnoses in blacks (41.1 per 100,000 persons) was approximately eight times that of non-Hispanic whites (5.1) (3). HIV partner services are offered by health officials to persons with diagnosed HIV infection (index patients) and their sex- or needle-sharing partners, who are notified of their potential HIV exposure and offered HIV testing and related services (4). CDC analyzed 2016 data from the National HIV Prevention Program Monitoring and Evaluation system submitted by 59 health departments.† Among 49,266 index patients identified as potential candidates for partner services, 21,191 (43%) were black. The percentage of black index patients interviewed for partner services (76%) was higher than that for all index patients combined (73%). Among the 11,088 black partners named by index patients, 78% were notified of their potential HIV exposure. Fewer than half (47%) of those notified were tested for HIV infection. Among those tested, one in six (17%) received a new HIV diagnosis. The prevalence of newly diagnosed HIV infection was particularly high among black partners who were gay, bisexual, and other men who have sex with men (MSM) (37%) and transgender persons (38%). Effective implementation of partner services is important to identify HIV infection, link patients to care or reengage them in care, and provide prevention services to reduce HIV transmission.
- Published
- 2019
3. HIV Testing, Linkage to HIV Medical Care, and Interviews for Partner Services Among Black Men Who Have Sex with Men — Non–Health Care Facilities, 20 Southern U.S. Jurisdictions, 2016
- Author
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Lamont Scales, Renee Stein, Songli Xu, Deesha Patel, Wei Song, Mariette Marano, and Nicole Taylor-Aidoo
- Subjects
Adult ,Male ,Rural Population ,medicine.medical_specialty ,Health (social science) ,Adolescent ,Urban Population ,Epidemiology ,Health, Toxicology and Mutagenesis ,media_common.quotation_subject ,Population ,HIV Infections ,Men who have sex with men ,Interviews as Topic ,03 medical and health sciences ,Young Adult ,0302 clinical medicine ,Health Information Management ,Health care ,Medicine ,Humans ,Mass Screening ,030212 general & internal medicine ,Homosexuality ,Full Report ,Young adult ,Homosexuality, Male ,education ,Mass screening ,media_common ,education.field_of_study ,030505 public health ,business.industry ,Transmission (medicine) ,virus diseases ,General Medicine ,Health Status Disparities ,Continuity of Patient Care ,Middle Aged ,Health equity ,United States ,Black or African American ,Sexual Partners ,Family medicine ,0305 other medical science ,business - Abstract
Identifying HIV-infected persons who are unaware of their human immunodeficiency virus (HIV) infection status, linking them to care, and reducing health disparities are important national HIV prevention goals (1). Gay, bisexual, and other men who have sex with men (collectively referred to as MSM) accounted for 70% of HIV infection diagnoses in the United States in 2016, despite representing only 2% of the population (2,3). African American or black (black) MSM accounted for 38% of all new diagnoses of HIV infection among MSM (2). Nearly two thirds (63%) of all U.S. black MSM with diagnosed HIV infection reside in the southern United States (2), making targeted HIV prevention activities for black MSM in this region critical. Analysis of CDC-funded HIV testing data for black MSM submitted by 20 health departments in the southern United States in 2016 revealed that although black MSM received 6% of the HIV tests provided, they accounted for 36% of the new diagnoses in non-health care facilities. Among those who received new diagnoses, 67% were linked to HIV medical care within 90 days of diagnosis, which is below the 2020 national goal of linking at least 85% of persons with newly diagnosed HIV infection to care within 30 days (1). Black MSM in the southern United States are the group most affected by HIV, but only a small percentage of CDC tests in the southern United States are provided to this group. Increasing awareness of HIV status through HIV testing, especially among black MSM in the southern United States, is essential for reducing the risk for transmission and addressing disparities. HIV testing programs in the southern United States can reach more black MSM by conducting targeted risk-based testing in non-health care settings and by routine screening in agencies that also provide health care services to black MSM.
- Published
- 2018
4. Determinants of HIV Incidence Disparities Among Young and Older Men Who Have Sex with Men in the United States
- Author
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Gabriela Paz-Bailey, Richard Dunville, William L. Jeffries, Kevin M. Greene, Suzanne K. Whitmore, Donna Hubbard McCree, and Lamont Scales
- Subjects
Adult ,Male ,medicine.medical_specialty ,Social Psychology ,Adolescent ,Sexual Behavior ,Gonorrhea ,Sexually Transmitted Diseases ,HIV Infections ,Men who have sex with men ,03 medical and health sciences ,Young Adult ,0302 clinical medicine ,immune system diseases ,Health care ,Medicine ,Humans ,030212 general & internal medicine ,Healthcare Disparities ,Homosexuality, Male ,reproductive and urinary physiology ,Depression (differential diagnoses) ,Aged ,030505 public health ,Unsafe Sex ,business.industry ,Public health ,Incidence ,Public Health, Environmental and Occupational Health ,Age Factors ,virus diseases ,Health Status Disparities ,Middle Aged ,medicine.disease ,United States ,Health psychology ,Infectious Diseases ,Sexual Partners ,Polysubstance dependence ,0305 other medical science ,business ,Psychosocial ,Demography - Abstract
This study sought to determine why young men who have sex with men (MSM) have higher HIV incidence rates than older MSM in the United States. We developed hypotheses that may explain this disparity. Data came from peer-reviewed studies published during 1996-2016. We compared young and older MSM with respect to behavioral, clinical, psychosocial, and structural factors that promote HIV vulnerability. Compared with older MSM, young MSM were more likely to have HIV-discordant condomless receptive intercourse. Young MSM also were more likely to have "any" sexually transmitted infection and gonorrhea. Among HIV-positive MSM, young MSM were less likely to be virally suppressed, use antiretroviral therapy, and be aware of their infection. Moreover, young MSM were more likely than older MSM to experience depression, polysubstance use, low income, decreased health care access, and early ages of sexual expression. These factors likely converge to exacerbate age-associated HIV incidence disparities among MSM.
- Published
- 2018
5. The Prevalence of Undiagnosed HIV Serodiscordance Among Male Couples Presenting for HIV Testing
- Author
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Brandon O'Hara, Ralph J. DiClemente, Patrick S. Sullivan, Gina M. Wingood, Colleen C. Hoff, Kristin M. Wall, Jeb Jones, Susan Allen, Rob Stephenson, Jasper Barnes, Laura F. Salazar, Travis Sanchez, Darcy White, and Lamont Scales
- Subjects
Adult ,Male ,medicine.medical_specialty ,Georgia ,Adolescent ,Human immunodeficiency virus (HIV) ,medicine.disease_cause ,Article ,Men who have sex with men ,Young Adult ,Arts and Humanities (miscellaneous) ,HIV Seroprevalence ,HIV Seropositivity ,Prevalence ,medicine ,Humans ,Mass Screening ,Homosexuality, Male ,Young adult ,General Psychology ,Mass screening ,Gynecology ,Family Characteristics ,business.industry ,Public health ,virus diseases ,Middle Aged ,Sexual Partners ,Socioeconomic Factors ,Health Care Surveys ,Serodiscordant ,Sexual orientation ,Female ,business ,Serostatus ,Demography - Abstract
In the United States, a substantial proportion of HIV transmissions among men who have sex with men (MSM) arise from main sex partners. Couples voluntary HIV testing and counseling (CHTC) is used in many parts of the world with male-female couples, but CHTC has historically not been available in the U.S. and few data exist about the extent of HIV serodiscordance among U.S. male couples. We tested partners in 95 Atlanta male couples (190 men) for HIV. Eligible men were in a relationship for ≥3 months and were not known to be HIV-positive. We calculated the prevalence of couples that were seroconcordant HIV-negative, seroconcordant HIV-positive, or HIV serodiscordant. We evaluated differences in the prevalence of HIV serodiscordance by several dyadic characteristics (e.g., duration of relationship, sexual agreements, and history of anal intercourse in the relationship). Overall, among 190 men tested for HIV, 11 % (n = 20) were newly identified as HIV-positive. Among the 95 couples, 81 % (n = 77) were concordant HIV-negative, 17 % (n = 16) were HIV serodiscordant, and 2 % (n = 2) were concordant HIV-positive. Serodiscordance was not significantly associated with any evaluated dyadic characteristic. The prevalence of undiagnosed HIV serodiscordance among male couples in Atlanta is high. Offering testing to male couples may attract men with a high HIV seropositivity rate to utilize testing services. Based on the global evidence base for CHTC with heterosexual couples and the current evidence of substantial undiagnosed HIV serodiscordance among U.S. MSM, we recommend scale-up of CHTC services for MSM, with ongoing evaluation of acceptability and couples' serostatus outcomes.
- Published
- 2013
6. Safety and Acceptability of Couples HIV Testing and Counseling for US Men Who Have Sex with Men
- Author
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Brandon O'Hara, Kristin M. Wall, Jeb Jones, Lamont Scales, Beau Gratzer, Jasper Barnes, Laura F. Salazar, Patrick S. Sullivan, Ralph J. DiClemente, Eli S. Rosenberg, Susan Allen, Sharoda Dasgupta, Colleen C. Hoff, Darcy White, Rob Stephenson, and Gina M. Wingood
- Subjects
Adult ,Counseling ,Male ,medicine.medical_specialty ,Adolescent ,Immunology ,HIV Infections ,Dermatology ,Hiv testing ,Article ,Men who have sex with men ,Young Adult ,Patient satisfaction ,medicine ,Humans ,Homosexuality, Male ,Young adult ,Gynecology ,Family Characteristics ,business.industry ,Middle Aged ,Patient Acceptance of Health Care ,HIV counseling ,United States ,Prevention Study ,Sexual Partners ,Infectious Diseases ,Patient Satisfaction ,Family medicine ,Spouse Abuse ,Domestic violence ,business ,Male Homosexuality - Abstract
We tested a couples HIV testing and counseling (CHTC) intervention with male couples in Atlanta by randomizing eligible couples to receive either CHTC or separate individual voluntary HIV counseling and testing (iVCT). To evaluate the acceptability and safety of CHTC, main outcomes were satisfaction with the intervention and the proportions of couples reporting intimate partner violence (IPV) and relationship dissolution after the service. The results indicated that the service was very acceptable to men (median 7-item index of satisfaction was 34 for CHTC and 35 for iVCT, P = .4). There was no difference in either incident IPV (22% versus 17% for CHTC and iVCT, respectively, P = .6) or relationship dissolution (42% versus 51% for CHTC and iVCT, respectively, P = .5). Based on the preliminary data, CHTC is safe for male couples, and it is equally acceptable to iVCT for men who have main partners.
- Published
- 2013
7. Adaptation of the African couples HIV testing and counseling model for men who have sex with men in the United States: an application of the ADAPT-ITT framework
- Author
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Susan Allen, Ralph J. DiClemente, Ann Schwartz, Rob Stephenson, Kristina L. Grabbe, Laura F. Salazar, Jeanne Montgomery, Patrick S. Sullivan, Jasper Barnes, Beau Grazter, Colleen C. Hoff, Lamont Scales, and Gina M. Wingood
- Subjects
Counseling ,Gerontology ,Program evaluation ,medicine.medical_specialty ,ADAPT-ITT ,Testing ,Couples ,Qualitative property ,Men who have sex with men ,Acquired immunodeficiency syndrome (AIDS) ,Medicine ,MSM ,Adaptation ,Service (business) ,Medical education ,Multidisciplinary ,Case Study ,business.industry ,Prevention ,Public health ,HIV ,virus diseases ,medicine.disease ,3. Good health ,Test (assessment) ,AIDS ,Serodiscordant ,business - Abstract
To respond to the need for new HIV prevention services for men who have sex with men (MSM) in the United States, and to respond to new data on the key role of main partnerships in US MSM epidemics, we sought to develop a new service for joint HIV testing of male couples. We used the ADAPT-ITT framework to guide our work. From May 2009 to July 2013, a multiphase process was undertaken to identify an appropriate service as the basis for adaptation, collect data to inform the adaptation, adapt the testing service, develop training materials, test the adapted service, and scale up and evaluate the initial version of the service. We chose to base our adaptation on an African couples HIV testing service that was developed in the 1980s and has been widely disseminated in low- and middle-income countries. Our adaptation was informed by qualitative data collections from MSM and HIV counselors, multiple online surveys of MSM, information gathering from key stakeholders, and theater testing of the adapted service with MSM and HIV counselors. Results of initial testing indicate that the adapted service is highly acceptable to MSM and to HIV counselors, that there are no evident harms (e.g., intimate partner violence, relationship dissolution) associated with the service, and that the service identifies a substantial number of HIV serodiscordant male couples. The story of the development and scale-up of the adapted service illustrates how multiple public and foundation funding sources can collaborate to bring a prevention adaptation from concept to public health application, touching on research, program evaluation, implementation science, and public health program delivery. The result of this process is an adapted couples HIV testing approach, with training materials and handoff from academic partners to public health for assessment of effectiveness and consideration of the potential benefits of implementation; further work is needed to optimally adapt the African couples testing service for use with male–female couples in the United States. Electronic supplementary material The online version of this article (doi:10.1186/2193-1801-3-249) contains supplementary material, which is available to authorized users.
- Published
- 2014
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