26 results on '"Ortiz, C."'
Search Results
2. Internal medicine and family medicine.
- Author
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Reyes-Ortiz, C A
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FAMILY medicine , *INTERNAL medicine , *INTERPROFESSIONAL relations - Published
- 1996
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3. Impact of Decarceration Plus Alcohol, Substance Use, and Mental Health Screening on Life Expectancies of Black Sexual Minority Men and Black Transgender Women Living With HIV in the United States: A Simulation Study Based on HPTN 061.
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Feelemyer J, Bershteyn A, Scheidell JD, Brewer R, Dyer TV, Cleland CM, Hucks-Ortiz C, Justice A, Mayer K, Grawert A, Kaufman JS, Braithwaite S, and Khan MR
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- Male, Humans, Female, United States epidemiology, Mental Health, Life Expectancy, HIV Infections complications, HIV Infections epidemiology, Transgender Persons psychology, Substance-Related Disorders epidemiology, Sexual and Gender Minorities
- Abstract
Background: Given the disproportionate rates of incarceration and lower life expectancy (LE) among Black sexual minority men (BSMM) and Black transgender women (BTW) with HIV, we modeled the impact of decarceration and screening for psychiatric conditions and substance use on LE of US BSMM/BTW with HIV., Methods: We augmented a microsimulation model previously validated to predict LE and leading causes of death in the US with estimates from the HPTN 061 cohort and the Veteran's Aging Cohort Studies. We estimated independent associations among psychiatric and substance use disorders, to simulate the influence of treatment of one condition on improvement on others. We used this augmented simulation to estimate LE for BSMM/BTW with HIV with a history of incarceration under alternative policies of decarceration (ie, reducing the fraction exposed to incarceration), screening for psychiatric conditions and substance use, or both., Results: Baseline LE was 61.3 years. Reducing incarceration by 25%, 33%, 50%, and 100% increased LE by 0.29, 0.31, 0.53, and 1.08 years, respectively, versus no reductions in incarceration. When reducing incarceration by 33% and implementing screening for alcohol, tobacco, substance use, and depression, in which a positive screen triggers diagnostic assessment for all psychiatric and substance use conditions and linkage to treatment, LE increased by 1.52 years compared with no screening or decarceration., Discussion: LE among BSMM/BTW with HIV is short compared with other people with HIV. Reducing incarceration and improving screening and treatment of psychiatric conditions and substance use could substantially increase LE in this population., Competing Interests: The authors have no conflicts of interest to disclose., (Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.)
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- 2024
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4. Community perspectives on pharmacist-prescribed hormonal contraception in rural California.
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Gomez AM, Rafie S, Garner-Ford E, Arcara J, Arteaga S, Britter M, De La Cruz M, Gleaton SK, Gomez-Vidal C, Luna B, Ortiz C, Rivera MC, Schuman L, Watanabe M, and Logan R
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- Adolescent, Adult, California, Contraception methods, Contraceptive Agents, Drug Prescriptions, Female, Health Services Accessibility, Hormonal Contraception, Humans, Infant, Newborn, Rural Population, United States, Young Adult, Community Pharmacy Services, Pharmacists
- Abstract
Objectives: In the United States, numerous states have enabled pharmacists to prescribe hormonal contraception. Little research focuses on the perspectives of potential users of this service in rural communities. This study sought to describe awareness of, interest in, acceptability of, and support for pharmacist-prescribed contraception in a rural California county., Study Design: We conducted a community-based survey in 2019-20 in Tulare County, California. Researchers partnered with community members to design, implement, and analyze the survey. We recruited respondents who were ages 15 to 44 and assigned female sex at birth, using passive community-based approaches, social media advertisements, and social networks. Analyses focused on 177 respondents with a potential future need for contraception., Results: Thirty-one percent of respondents were aware that pharmacists could prescribe hormonal contraception in California, with more accurate knowledge among older respondents (p = 0.015). After receiving brief educational information about pharmacist-prescribed contraception, respondents expressed high levels of support and acceptability: they perceived pharmacist-prescribed contraception to be safe, time saving, and more convenient. Respondents were more comfortable talking about contraception with traditional contraceptive care providers compared to asking pharmacists questions about contraception. Fifty-seven percent were somewhat or very interested in obtaining contraception from a pharmacist, with higher levels of interest among those who preferred to use a different method., Conclusion: Awareness of pharmacist-prescribed contraception in a rural California community was low, though people are supportive of and interested in utilizing this service. This research suggests that increased availability of pharmacist-prescribed contraception could support individuals' reproductive self-determination and address gaps in access., Implications: Despite limited awareness of pharmacist-prescribed contraception, interest in using and community support for this service was high in a rural California community. This analysis suggests that increased availability of pharmacist-prescribed contraception could support reproductive self-determination and address access barriers, particularly for people whose contraceptive needs are not currently being met., (Copyright © 2022. Published by Elsevier Inc.)
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- 2022
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5. Depression and Anxiety Are Common Among Patients With Cirrhosis.
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Hernaez R, Kramer JR, Khan A, Phillips J, McCallister K, Chaffin K, Hernandez AP, Fullington H, Ortiz C, Blackwell JM, Loewen A, Liu Y, Tiro JA, Lee SC, and Singal AG
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- Anxiety Disorders epidemiology, Cross-Sectional Studies, Humans, Liver Cirrhosis complications, Liver Cirrhosis epidemiology, Male, Prevalence, Surveys and Questionnaires, United States epidemiology, Anxiety epidemiology, Depression epidemiology
- Abstract
Background & Aims: Depression and anxiety can have negative effects on patients and are important to treat. There have been few studies of their prevalence among patients with cirrhosis. We aimed to characterize the prevalence and risk factors for depression and anxiety in a large multi-center cohort of patients with cirrhosis., Methods: We conducted a telephone-based survey of patients with cirrhosis at 3 health systems in the United States (a tertiary-care referral center, a safety net system, and a Veterans hospital) from April through December 2018. Of 2871 patients approached, 1021 (35.6%) completed the survey. Depression and anxiety were assessed using the PHQ-9 (range 0-25) and STAI (range 20-80) instruments, with clinically significant values defined as PHQ-9 ≥15 and STAI ≥40. We performed multivariate logistic regression analysis to identify factors associated with significant depression and anxiety., Results: The median PHQ-9 score was 7 (25
th percentile-75th percentile, 3-12) and the median STAI score was 33 (25th percentile-75th percentile, 23-47); 15.6% of patients had moderately severe to severe depression and 42.6% of patients had high anxiety. In multivariable analyses, self-reported poor health (odds ratio [OR], 4.08; 95% CI, 1.79-9.28), being widowed (OR, 2.08; 95% CI, 1.07-4.05), fear of hepatocellular carcinoma (OR, 1.89; 95% CI, 1.04-3.42), higher household income (OR, 0.30; 95% CI, 0.10-0.95), and Hispanic ethnicity (OR, 0.57; 95% CI, 0.33-0.97) were associated with moderately severe to severe depression. Male sex (OR, 0.71; 95% CI, 0.51-0.98), self-reported poor health (OR, 2.73; 95% CI, 1.73-4.32), and fear of hepatocellular carcinoma (OR, 2.24; 95% CI, 1.33-3.78) were associated with high anxiety., Conclusions: Nearly 1 in 6 patients with cirrhosis have moderately severe to severe depression and nearly half have moderate-severe anxiety. Patients with cirrhosis should be evaluated for both of these disorders., (Published by Elsevier Inc.)- Published
- 2022
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6. Variation by Race in Antibiotics Prescribed for Hospitalized Patients With Skin and Soft Tissue Infections.
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Wurcel AG, Essien UR, Ortiz C, Fu X, Mancini C, Zhang Y, and Blumenthal KG
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- Cross-Sectional Studies, Female, Humans, Male, Middle Aged, Skin Diseases, Bacterial microbiology, Soft Tissue Infections microbiology, United States, Anti-Bacterial Agents therapeutic use, Practice Patterns, Physicians' statistics & numerical data, Skin Diseases, Bacterial drug therapy, Skin Diseases, Bacterial ethnology, Soft Tissue Infections drug therapy, Soft Tissue Infections ethnology
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- 2021
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7. Differences in treatment strategies in the management of acute appendicitis in a county hospital in Guatemala and an academic teaching institution in the United States.
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Alejo G, Ruiz M, Hernandez-Ochoa A, Ortiz C, and Huerta S
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- Acute Disease, Adult, Female, Guatemala, Humans, Male, Middle Aged, Retrospective Studies, United States, Appendicitis therapy, Hospitals, County, Hospitals, Teaching
- Abstract
Laparoscopy and antibiotic-first (NOM) strategies have been introduced in the management of acute appendicitis in industrialised countries. Data regarding the feasibility of these strategies in low-income nations are sparse. A retrospective analysis of adult patients undergoing appendicectomy at a county non-teaching hospital in San Benito, Guatemala (Hospital Nacional (HNSB)) was compared to an academic, teaching institution in Dallas, USA (Veterans Medical Centre). Most patients at the VA (92%) underwent computed tomography prior to being operated upon while none did so at HNSB. Whilst all patients at HNSB underwent an open approach, 95% of VA patients underwent a laparoscopic appendicectomy with a 4.7% conversion rate. General anaesthesia was universally used at Veterans Medical Centre, whilst spinal anaesthesia was utilised in 88% of cases at HNSB. NOM of acute appendicitis was undertaken only rarely at the Veterans Medical Centre and never at HNSB, where it was not thought expedient.
- Published
- 2021
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8. Persistent and Widespread Pain Among African-Americans Six Weeks after MVC: Emergency Department-based Cohort Study.
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Beaudoin FL, Zhai W, Merchant RC, Clark MA, Kurz MC, Hendry P, Swor RA, Peak D, Pearson C, Domeier R, Ortiz C, and McLean SA
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- Adult, Aged, Cohort Studies, Female, Humans, Incidence, Male, Middle Aged, Pain Measurement, Patient Discharge, Predictive Value of Tests, Prospective Studies, Risk Factors, Self Report, Surveys and Questionnaires, United States epidemiology, Accidents, Traffic statistics & numerical data, Black or African American statistics & numerical data, Emergency Service, Hospital statistics & numerical data, Musculoskeletal Pain ethnology
- Abstract
Introduction: African-Americans in the United States experience greater persistent pain than non-Hispanic Whites across a range of medical conditions, but to our knowledge no longitudinal studies have examined the risk factors or incidence of persistent pain among African-Americans experiencing common traumatic stress exposures such as after a motor vehicle collision (MVC). We evaluated the incidence and predictors of moderate to severe axial musculoskeletal pain (MSAP) and widespread pain six weeks after a MVC in a large cohort of Black adults presenting to the emergency department (ED) for care., Methods: This prospective, multi-center, cohort study enrolled Black adults who presented to one of 13 EDs across the US within 24 hours of a MVC and were discharged home after their evaluation. Data were collected at the ED visit via patient interview and self-report surveys at six weeks after the ED visit via internet-based, self-report survey, or telephone interview. We assessed MSAP pain at ED visit and persistence at six weeks. Multivariable models examined factors associated with MSAP persistence at six weeks post-MVC., Results: Among 787 participants, less than 1% reported no pain in the ED after their MVC, while 79.8 (95% confidence interval [CI], 77.1 - 82.2) reported MSAP and 28.3 (95% CI, 25.5 - 31.3) had widespread pain. At six weeks, 67% (95% CI, 64, 70%) had MSAP and 31% (95% CI, 28, 34%) had widespread pain. ED characteristics predicting MSAP at six weeks post-MVC (area under the curve = 0.74; 95% CI, 0.72, 0.74) were older age, peritraumatic dissociation, moderate to severe pain in the ED, feeling uncertain about recovery, and symptoms of depression., Conclusion: These data indicate that African-Americans presenting to the ED for evaluation after MVCs are at high risk for persistent and widespread musculoskeletal pain. Preventive interventions are needed to improve outcomes for this high-risk group.
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- 2020
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9. Disclosure of HIV Status and HIV Sexual Transmission Behaviors among HIV-Positive Black Men Who Have Sex with Men in the BROTHERS (HPTN 061) Study.
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Okafor CN, Li MJ, Hucks-Ortiz C, Mayer KH, and Shoptaw S
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- Adolescent, Adult, Black or African American statistics & numerical data, Cities epidemiology, Cities statistics & numerical data, HIV Infections epidemiology, Homosexuality, Male statistics & numerical data, Humans, Logistic Models, Male, Middle Aged, Sexual Behavior statistics & numerical data, United States epidemiology, Young Adult, Black or African American psychology, Disclosure statistics & numerical data, HIV Infections psychology, HIV Infections transmission, Homosexuality, Male psychology, Risk-Taking, Sexual Behavior psychology
- Abstract
We assessed whether disclosure of HIV status is significantly associated with reported HIV sexual risk behaviors among HIV positive Black/African American men who have sex with men (MSM) (Black MSM) in six cities in the USA. Participants from the BROTHERS (HIV Prevention Trials Network [HPTN 061]) study focused on assessing the feasibility and acceptability of a multifaceted HIV prevention intervention to reduce HIV infections among Black MSM enrolled between July 2009 and October 2010. All participants completed a behavioral assessment using an audio computer-assisted self-interview that included questions about HIV status disclosure, HIV sexual risk behaviors, and other behaviors. Biological samples were also collected. This analysis focused on baseline data of HIV-positive Black MSM in the HPTN 061 study. Of the 143 HIV-positive Black MSM (majority ≥ 35 years of age) included in this analysis, 58% reported disclosing their HIV status to their last male anal sex partner. Forty-three percent and 42% reported condomless insertive and receptive anal intercourse respectively with their last male partner; whereas, 17% and 18% of the sample engaged in condomless insertive and receptive anal intercourse with a serodiscordant/unknown status partner, respectively. In multivariable logistic regression models, there was no statistically significant association between HIV status disclosure and condomless insertive anal intercourse (aOR = 0.35, 95% CI 0.11, 1.08; p = 0.30), condomless receptive anal intercourse (aOR = 2.48, 95% CI 0.94, 6.52; p = 0.20), or condomless receptive anal intercourse with a serodiscordant/unknown status partner (aOR = 0.55, 95% CI 0.20, 1.49; p = 0.45). However, HIV status disclosure was significantly associated with lower odds of reporting condomless insertive anal intercourse with a serodiscordant/unknown status partner (aOR = 0.19, 95% CI 0.06, 0.68; p ≤ 0.01). Among this multi-city sample of HIV-positive Black MSM, disclosure of HIV status was common and associated with lower HIV sexual risk behaviors. These findings should motivate and guide research to develop prevention messages to increase HIV status disclosures.
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- 2020
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10. The Association Between Condomless Anal Sex and Social Support Among Black Men Who Have Sex With Men (MSM) in Six U.S. Cities: A Study Using Data from the HIV Prevention Trials Network BROTHERS Study (HPTN 061).
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Hermanstyne KA, Green HD Jr, Tieu HV, Hucks-Ortiz C, Wilton L, and Shoptaw S
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- Adult, Cities, HIV Infections transmission, Humans, Male, Social Support, United States epidemiology, Black or African American statistics & numerical data, HIV Infections prevention & control, Homosexuality, Male, Sexual Behavior statistics & numerical data, Unsafe Sex statistics & numerical data
- Abstract
We assessed how egocentric (i.e., self-generated descriptions of a person's social contacts) network structure and composition corresponded with reported instances of condomless receptive and insertive anal intercourse with men who were reportedly HIV-infected or of unknown HIV serostatus in a sample of black men who have sex with men (MSM) in six U.S. cities. Ratings showing a higher percentage of network members who provided social participation and medical support were positively associated with reporting condomless sex. There were also significant positive associations between stimulant use and condomless insertive and receptive anal sex. Future research should examine the social processes that underlie these associations and explore ways that social support can affect HIV prevention efforts for black MSM.
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- 2019
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11. Pre-exposure prophylaxis initiation and adherence among Black men who have sex with men (MSM) in three US cities: results from the HPTN 073 study.
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Wheeler DP, Fields SD, Beauchamp G, Chen YQ, Emel LM, Hightow-Weidman L, Hucks-Ortiz C, Kuo I, Lucas J, Magnus M, Mayer KH, Nelson LE, Hendrix CW, Piwowar-Manning E, Shoptaw S, Watkins P, Watson CC, and Wilton L
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- Adolescent, Adult, Black or African American statistics & numerical data, Cities statistics & numerical data, Emtricitabine therapeutic use, Female, HIV Infections psychology, HIV Infections virology, Health Surveys, Homosexuality, Male psychology, Humans, Male, Middle Aged, Pre-Exposure Prophylaxis methods, Sexual Partners, Tenofovir therapeutic use, United States, Young Adult, Black or African American psychology, Anti-HIV Agents therapeutic use, HIV Infections prevention & control, Homosexuality, Male statistics & numerical data, Medication Adherence
- Abstract
Introduction: Randomized clinical trials have demonstrated the efficacy of antiretroviral pre-exposure prophylaxis (PrEP) in preventing HIV acquisition among men who have sex with men (MSM). However, limited research has examined initiation and adherence to PrEP among Black MSM (BMSM) in the United States (US) who are disproportionately represented among newly HIV infected and late to care individuals. This research reports on the HIV Prevention Trials Network 073 (HPTN 073) study aimed to examine PrEP initiation, utilization and adherence among Black MSM utilizing the theoretically principled, culturally informed and client-centered care coordination (C4) model., Methods: The HPTN 073 study enrolled and followed 226 HIV-uninfected Black MSM in three US cities (Los Angeles, CA; Washington DC; and Chapel Hill, NC) from February 2013 through September 2015. Study participants were offered once daily oral emtricitabine/tenofovir (FTC/TDF) PrEP combined with C4 and followed up for 52 weeks. Participants received HIV testing, risk reduction education and clinical monitoring., Results: Of the 226 men enrolled, 178 participants initiated PrEP (79%), and of these 64% demonstrated PrEP utilization at week 26 (mid-point of the study) based on pharmacokinetic testing. Condomless anal sex with an HIV-infected or unknown status casual male partner was statistically significantly associated with a greater likelihood of PrEP initiation (adjusted odds ratio (OR) 4.4, 95% confidence interval (CI) 1.7, 11.7). Greater age (≥25 vs. <25, OR 2.95, 95% CI 1.37 -6.37), perception of having enough money (OR 3.6, 95% CI 1.7 to 7.7) and knowledge of male partner taking PrEP before sex (OR 2.22, 95% CI 1.03 to 4.79) were statistically significantly associated with increased likelihood of PrEP adherence at week 26. Annualized HIV incidence was 2.9 (95% CI 1.2 to 7.9) among those who initiated PrEP, compared to 7.7 (95% CI 2.5 to 24.1) among those who did not initiate PrEP (p = 0.18)., Conclusions: Results suggest a high level of PrEP initiation among at-risk Black MSM, a group historically characterized as hard to reach. The data support the importance of addressing contextual factors that affect PrEP initiation and adherence, and of additional research on the ultimate benefit of PrEP in HIV prevention among Black MSM., (© 2019 The Authors. Journal of the International AIDS Society published by John Wiley & Sons Ltd on behalf of the International AIDS Society.)
- Published
- 2019
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12. Assessment of the Right-to-Try Law: The Pros and the Cons.
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Brown B, Ortiz C, and Dubé K
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- Drug Approval economics, Humans, Liability, Legal, Trust, United States, Drug Approval legislation & jurisprudence, United States Food and Drug Administration legislation & jurisprudence
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- 2018
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13. Social Network Support and Decreased Risk of Seroconversion in Black MSM: Results of the BROTHERS (HPTN 061) Study.
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Hermanstyne KA, Green HD Jr, Cook R, Tieu HV, Dyer TV, Hucks-Ortiz C, Wilton L, Latkin C, and Shoptaw S
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- Adult, Humans, Male, Middle Aged, Proportional Hazards Models, Risk Factors, United States epidemiology, Black or African American, Bisexuality, HIV Infections epidemiology, Homosexuality, Male, Seroconversion, Social Networking, Social Support
- Abstract
Background and Setting: Black men who have sex with men (BMSM) in the United States have disproportionately high HIV infection rates. Social networks have been shown to influence HIV risk behavior; however, little is known about whether they affect the risk of HIV seroconversion. This study uses data from the BROTHERS (HPTN 061) study to test whether contextual factors related to social networks are associated with HIV seroconversion among BMSM., Methods: We analyzed data from the BROTHERS study (2009-2011), which examined a multicomponent intervention for BMSM in 6 US cities. We ran a series of Cox regression analyses to examine associations between time-dependent measures of network support (personal/emotional, financial, medical, and social participation) and time to HIV seroconversion. We ran unadjusted models followed by models adjusted for participant age at enrollment and study location., Results: A total of 1000 BMSM tested HIV negative at baseline and were followed at 6- and 12-month study visits. Twenty-eight men tested HIV positive. In adjusted hazard ratio models, study participants who remained HIV negative had higher proportions of social network members who provided personal/emotional {0.92 [95% confidence interval (CI): 0.85 to 0.99]}, medical [0.92 (95% CI: 0.85 to 0.99)], or social participation [0.91 (95% CI: 0.86 to 0.97)] support., Conclusion: Findings suggest that the increased presence of social network support can be protective against HIV acquisition. Future research should explore the processes that link social network support with sexual and other transmission risk behaviors as a basis to inform HIV prevention efforts.
- Published
- 2018
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14. Relation of Childhood Sexual Abuse, Intimate Partner Violence, and Depression to Risk Factors for HIV Among Black Men Who Have Sex With Men in 6 US Cities.
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Williams JK, Wilton L, Magnus M, Wang L, Wang J, Dyer TP, Koblin BA, Hucks-Ortiz C, Fields SD, Shoptaw S, Stephenson R, O'Cleirigh C, and Cummings V
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- Adolescent, Adult, Black or African American psychology, Child, Depression complications, HIV Infections etiology, Homosexuality, Male psychology, Humans, Male, Middle Aged, Risk Factors, United States epidemiology, Unsafe Sex psychology, Urban Population statistics & numerical data, Young Adult, Adult Survivors of Child Abuse statistics & numerical data, Black or African American statistics & numerical data, Child Abuse, Sexual statistics & numerical data, Depression epidemiology, HIV Infections epidemiology, Homosexuality, Male statistics & numerical data, Intimate Partner Violence statistics & numerical data, Unsafe Sex statistics & numerical data
- Abstract
Objectives: We assessed the relation of childhood sexual abuse (CSA), intimate partner violence (IPV), and depression to HIV sexual risk behaviors among Black men who have sex with men (MSM)., Methods: Participants were 1522 Black MSM recruited from 6 US cities between July 2009 and December 2011. Univariate and multivariable logistic regression models were used., Results: Participants reported sex before age 12 years with someone at least 5 years older (31.1%), unwanted sex when aged 12 to 16 years (30%), IPV (51.8%), and depression (43.8%). Experiencing CSA when aged 12 to 16 years was inversely associated with any receptive condomless anal sex with a male partner (adjusted odds ratio [AOR] = 0.50; 95% confidence interval [CI] = 0.29, 0.86). Pressured or forced sex was positively associated with any receptive anal sex (AOR = 2.24; 95% CI = 1.57, 3.20). Experiencing CSA when younger than 12 years, physical abuse, emotional abuse, having been stalked, and pressured or forced sex were positively associated with having more than 3 male partners in the past 6 months. Among HIV-positive MSM (n = 337), CSA between ages 12 and 16 years was positively associated with having more than 3 male partners in the past 6 months., Conclusions: Rates of CSA, IPV, and depression were high, but associations with HIV sexual risk outcomes were modest.
- Published
- 2015
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15. It isn't all about language: communication barriers for Latinas using contraceptives.
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Campo S, Kohler C, Askelson NM, Ortiz C, and Losch M
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- Adolescent, Female, Humans, Language, Pregnancy, United States, Young Adult, Communication Barriers, Contraceptive Agents, Health Knowledge, Attitudes, Practice ethnology, Hispanic or Latino psychology, Pregnancy, Unplanned
- Abstract
Purpose: Little is known about barriers that Latinas in the United States face in preventing unintended pregnancies beyond those of language and cost. This study examined factors inhibiting contraceptive use among 18- to 30-year-old Latinas in the Midwest., Method: Individual interviews (N = 31) were conducted in Spanish with Latinas residing across the state. The interview protocol included questions about contraceptives and unintended pregnancies. Interviews were recorded, transcribed, translated, and coded for themes related to barriers., Results: The majority of the barriers were related to communication but not English proficiency. Respondents talked about specific situations and experiences in which communication presented obstacles to using contraceptives., Discussion: While language and cost are important barriers, attention needs to be paid to the other communication issues that women face related to culture, religion, partners, family, and spontaneity., Implications: Health care providers need to address the range of communication barriers that affect Latinas' contraceptive use., (© The Author(s) 2014.)
- Published
- 2015
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16. ARE YOU ELIGIBLE? Small businesses offset cost of health insurance premiums with tax credits.
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Dennis-Escoffier S, Quintana O, and Ortiz C
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- Patient Protection and Affordable Care Act, United States, Commerce economics, Health Benefit Plans, Employee economics, Insurance Coverage economics, Tax Exemption
- Published
- 2015
17. Feeling the pinch: changes to the 2013 tax law affect professionals and practices.
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Dennis-Escoffier S, Quintana O, and Ortiz C
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- United States, Group Practice economics, Taxes legislation & jurisprudence
- Published
- 2014
18. What tax provisions in the healthcare reform act mean to you.
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Dennis-Escoffier S, Quintana O, and Ortiz C
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- Humans, United States, Medicare legislation & jurisprudence, Patient Protection and Affordable Care Act legislation & jurisprudence, Practice Management, Medical legislation & jurisprudence, Taxes legislation & jurisprudence
- Published
- 2011
19. Improving recruitment and retention for an online randomized controlled trial: experience from the Youthnet study.
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Bull SS, Vallejos D, Levine D, and Ortiz C
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- Adolescent, Adult, Advertising economics, Advertising methods, Female, Humans, Male, Patient Compliance, United States, Young Adult, Delivery of Health Care methods, HIV Infections prevention & control, Internet, Patient Selection
- Abstract
The objective of the study was to present recruitment and retention findings for an Internet based HIV prevention trial evaluated using a randomized controlled design among 15-25-year-olds accessing a website on the Internet. We used a combination of automated electronic and personalized approaches to increase and diversify recruitment, verify participant eligibility and increase retention. We posted 3.5 million banner advertisements, 9354 individuals clicked on the advertisement, 8950 completed an eligibility screener and 3298 a baseline survey; we flagged 675 of these as suspicious and enrolled 2623 individuals. Of these, 2082 (79%) completed a follow-up at one-month and 1398 (53%) completed a two-month follow-up. This retention rate is the highest we have seen for an Internet-based HIV-prevention trial. Our procedures can be replicated in other trials. We stress the importance of using a combination of automated and personalized techniques to increase enrollment, verify eligibility and promote retention.
- Published
- 2008
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20. Buckling down to business. Seven key indicator reports for medical practices.
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Quintana O and Ortiz C
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- Accounts Payable and Receivable, Budgets, Efficiency, Organizational, Financial Audit, Group Practice economics, Humans, Management Audit, Patient Credit and Collection, Practice Management, Medical economics, United States, Group Practice organization & administration, Practice Management, Medical organization & administration
- Abstract
Key indicator reports compare results and highlight variances. To manage a medical practice effectively, a manager needs to know the capacity and capability of each provider, weekly charges, payer mix, collections and collection rates, trended A/R value, monthly costs by provider and actual vs. budgeted net balance per provider. This article describes how to obtain these vital data.
- Published
- 2002
21. New-device angioplasty in women: clinical outcome and predictors in a 7,372-patient registry.
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Lansky AJ, Mehran R, Dangas G, Desai K, Costantini-Ortiz C, Cristea E, New G, Negoita M, Stone GW, and Leon MB
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- Chi-Square Distribution, Coronary Disease mortality, Female, Follow-Up Studies, Hospital Mortality, Humans, Logistic Models, Male, Predictive Value of Tests, Prognosis, Registries, Risk Factors, Sex Factors, Statistics, Nonparametric, United States epidemiology, Angioplasty instrumentation, Coronary Disease therapy, Outcome Assessment, Health Care
- Abstract
Background: Female gender has been identified as an independent predictor of early complications and mortality after conventional balloon angioplasty. To gain insight into the outcome of women after new-device angioplasty, we reviewed the early and late clinical outcome of 7,372 patients undergoing new-device angioplasty between 1991 and 1996 at the Washington Hospital Center., Methods: Patients (2,077 women and 5,295 men) with native coronary artery (82.5%) or saphenous vein graft lesions undergoing new-device angioplasty were included in the study. In-hospital and 1-year major adverse cardiac events (MACE), including death, myocardial infarction, and target lesion revascularization (TLR), were recorded and compared on the basis of gender. Multivariable logistic regression analysis was performed to identify predictors of in-hospital and late mortality, follow-up MACE, and TLR., Results: Women had more baseline comorbid risk factors and smaller reference vessel size compared with men. Women had a higher in-hospital cardiac mortality (1.39% vs 0.66%, P = 0.002), TLR (2.78% vs 1.81%, P = 0.008), and congestive heart failure (4.18% vs 2.29%, P < 0.001) compared with men. Overall in-hospital MACE tended to be higher among women (4.2% vs 3.3%, P = 0.074). Women had a higher 1-year mortality rate (4.39% vs 3.26%, P = 0.018), but a lower follow-up TLR (15.0% vs 18.1%, P = 0.001) and a lower overall MACE rate (29.2% vs 32.7%, P = 0.007) compared with men. Female gender was an independent predictor of in-hospital mortality (odds ratio 2.28, P = 0.02), but not late mortality., Conclusions: Although female gender appears to carry an inherent risk of in-hospital mortality after new-device angioplasty, the procedural success and mortality rates are favorable compared with those associated with balloon angioplasty series. The long-term clinical outcome of women after new-device angioplasty is excellent. The use of new devices is a safe and effective alternative strategy for the treatment of women with ischemic coronary artery disease. Device-specific outcomes, including stents, will require further evaluation.
- Published
- 2002
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22. The disability-poverty connection in older people.
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Reyes-Ortiz CA
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- Black or African American, Humans, United States, Aged, Disabled Persons, Poverty
- Published
- 1999
23. A generic mixing system for achieving conditions suitable for single point representative effluent air sampling.
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McFarland AR, Anand NK, Ortiz CA, Gupta R, Chandra S, and McManigle AP
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- Air Pollution, Radioactive statistics & numerical data, Government Agencies, Radiation Monitoring instrumentation, Radiation Monitoring methods, Reference Standards, Reproducibility of Results, Selection Bias, United States, United States Environmental Protection Agency, Air Pollution, Radioactive analysis, Radiation Monitoring standards
- Abstract
The U.S. EPA has approved Alternate Reference Methodologies for sampling radionuclide aerosol particles from stacks and ducts of U.S. DOE facilities. The approach allows use of single point sampling with shrouded probes from locations where both fluid momentum and contaminant concentration are well mixed across the flow cross section. For existing stacks and ducts that do not have locations where there is adequate mixing, we have developed a generic mixing system that will generate conditions suitable for single point sampling. The coefficients of variation of the velocity, tracer gas, and 10 microm aerodynamic diameter aerosol particles profiles are all less than 10%, which are well within the EPA limit of 20%. Mixing is affected neither by size of the system nor by flow rate, provided the flow is turbulent.
- Published
- 1999
- Full Text
- View/download PDF
24. How to excel as a teacher of geriatrics.
- Author
-
Reyes-Ortiz CA and Mulligan T
- Subjects
- Curriculum standards, Humans, United States, Attitude of Health Personnel, Geriatrics education, Prejudice
- Published
- 1996
25. Violence prevention strategies targeted at the general population of minority youth.
- Author
-
Boruch RF, Coleman D, Doria-Ortiz C, Girouard S, Goodman A, Hudson L, Kraus J, Maseru N, Prothrow-Stith D, and Rugg DL
- Subjects
- Humans, United States epidemiology, Adolescent, Minority Groups education, Violence
- Published
- 1991
26. Adolescent pregnancy: effects of family support, education, and religion on the decision to carry or terminate among Puerto Rican teenagers.
- Author
-
Ortiz CG and Vazquez Nuttall E
- Subjects
- Adolescent, Decision Making, Educational Status, Female, Humans, Pregnancy, Puerto Rico ethnology, United States, Abortion, Induced psychology, Family, Hispanic or Latino psychology, Pregnancy in Adolescence, Religion and Psychology, Social Environment, Social Support
- Abstract
Why do some pregnant teenagers decide to carry to term while others terminate their pregnancy? This study examined the influence of family relationships and support, religion, and education on the decision to carry or to abort. A nonrandom sample of 43 pregnant Puerto Rican teenagers (21 who carried and 22 who aborted) were interviewed in 1982 using a 34-item interview schedule. It was found that girls in the carry group were more significantly influenced and supported by family and friends than were those in the abort group. Fathers were the least influential persons in both carry and abort groups, while mothers were the most influential in the carry group, and sisters in the abort group. Brothers, boyfriends, and best friends were more influential for carry girls than for abort girls. Contrary to expectations, girls in the abort group reported a greater degree of religiosity than did those in the carry group. Further, girls who received strong support from family and friends reported a higher degree of satisfaction with their decision than did those who received less support. Finally, girls in the abort group were more likely to continue their education than were those in the carry group. Overall, the findings of this study have immediate implications for research and counseling services. Practitioners should focus on the girls in conjunction with their families in order to achieve better results in both treatment and preventive services.
- Published
- 1987
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