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2. Sex Practices by HIV Awareness and Engagement in the Continuum of Care Among MSM: A National HIV Behavioral Surveillance Analysis in 21 U.S. Cities

Author

Whitham, Hilary K., Sansom, Stephanie L., Wejnert, Cyprian, Finlayson, Teresa, Huang, Ya-lin A., An, Qian, Paz-Bailey, Gabriela, Taussig, Jennifer, Gern, Robert, Hoyte, Tamika, Salazar, Laura, White, Jianglan, Todd, Jeff, Bautista, Greg, Flynn, Colin, Sifakis, Frangiscos, German, Danielle, Isenberg, Debbie, Driscoll, Maura, Hurwitz, Elizabeth, Miminos, Maura, Doherty, Rose, Wittke, Chris, Prachand, Nikhil, Benbow, Nanette, Melville, Sharon, Pannala, Praveen, Yeager, Richard, Sayegh, Aaron, Dyer, Jim, Sheu, Shane, Novoa, Alicia, Thrun, Mark, Al-Tayyib, Alia, Wilmoth, Ralph, Higgins, Emily, Griffin, Vivian, Mokotoff, Eve, MacMaster, Karen, Wolverton, Marcia, Risser, Jan, Rehman, Hafeez, Padgett, Paige, Bingham, Trista, Sey, Ekow Kwa, LaLota, Marlene, Metsch, Lisa, Forrest, David, Beck, Dano, Cardenas, Gabriel, Nemeth, Chris, Anderson, Bridget J., Watson, Carol-Ann, Smith, Lou, Robinson, William T., Gruber, DeAnn, Barak, Narquis, Murrill, Chris, Neaigus, Alan, Jenness, Samuel, Hagan, Holly, Reilly, Kathleen H., Wendel, Travis, Cross, Helene, Bolden, Barbara, D’Errico, Sally, Wogayehu, Afework, Godette, Henry, Brady, Kathleen A., Kirkland, Althea, Sifferman, Andrea, Miguelino-Keasling, Vanessa, Velasco, Al, Tovar, Veronica, Raymond, H. Fisher, De León, Sandra Miranda, Rolón-Colón, Yadira, Marzan, Melissa, Courogen, Maria, Jaenicke, Tom, Thiede, Hanne, Burt, Richard, Jia, Yujiang, Opoku, Jenevieve, Sansone, Marie, West, Tiffany, Magnus, Manya, Kuo, Irene, Behavioral Surveillance Team, and for the NHBS Study Group

Published
2017
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3. Association Between Enacted Stigma and HIV-Related Risk Behavior Among MSM, National HIV Behavioral Surveillance System, 2011

Author

Balaji, Alexandra B., Bowles, Kristina E., Hess, Kristen L., Smith, Justin C., Paz-Bailey, Gabriela, Taussig, Jennifer, Gern, Robert, Hoyte, Tamika, Salazar, Laura, White, Jianglan, Todd, Jeff, Bautista, Greg, Flynn, Colin, Sifakis, Frangiscos, German, Danielle, Isenberg, Debbie, Driscoll, Maura, Hurwitz, Elizabeth, Miminos, Doherty, Rose, Wittke, Chris, Prachand, Nikhil, Benbow, Nanette, Melville, Sharon, Pannala, Praveen, Yeager, Richard, Sayegh, Aaron, Dyer, Jim, Sheu, Shane, Novoa, Alicia, Thrun, Mark, Al-Tayyib, Alia, Wilmoth, Ralph, Higgins, Emily, Griffin, Vivian, Mokotoff, Eve, MacMaster, Karen, Wolverton, Marcia, Risser, Jan, Rehman, Hafeez, Padgett, Paige, Bingham, Trista, Sey, EkowKwa, LaLota, Marlene, Metsch, Lisa, Forrest, David, Beck, Dano, Cardenas, Gabriel, Nemeth, Chris, Anderson, Bridget J., Watson, Carol-Ann, Smith, Lou, Robinson, William T., Gruber, DeAnn, Barak, Narquis, Murrill, Chris, Neaigus, Alan, Jenness, Samuel, Hagan, Holly, Reilly, Kathleen H., Wendel, Travis, Cross, Helene, Bolden, Barbara, D’Errico, Sally, Wogayehu, Afework, Godette, Henry, Brady, Kathleen A., Kirkland, Althea, Sifferman, Andrea, Miguelino-Keasling, Vanessa, Velasco, Al, Tovar, Veronica, De Leo’n, Sandra Miranda, Rolo’n-Colo’n, Yadira, Marzan, Melissa, Courogen, Maria, Jaenicke, Tom, Thiede, Hanne, Burt, Richard, Jia, Yujiang, Opoku, Jenevieve, Sansone, Marie, West, Tiffany, Magnus, Manya, Kuo, Irene, and for the NHBS study group

Published
2017
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6. Changes in HIV Preexposure Prophylaxis Awareness and Use Among Men Who Have Sex with Men — 20 Urban Areas, 2014 and 2017

Author

Finlayson, Teresa, Cha, Susan, Xia, Ming, Trujillo, Lindsay, Denson, Damian, Prejean, Joseph, Kanny, Dafna, Wejnert, Cyprian, Abrego, Meaghan, Al-Tayyib, Alia, Anderson, Bridget, Barak, Narquis, Bayang, Lissa, Beckford, Jeremy M., Benbow, Nanette, Bolden, Barbara, Brady, Kathleen A., Brandt, Mary-Grace, Braunstein, Sarah, Burt, Richard, Cano, Rosalinda, Carrillo, Sidney, Deng, Jie, Doherty, Rose, Flynn, Anna, Flynn, Colin, Forrest, David, Fukuda, Dawn, German, Danielle, Glick, Sara, Godette, Henry, Griffin, Vivian, Higgins, Emily, Ick, Theresa, Jaenicke, Tom, Jimenez, Antonio D., Khuwaja, Salma, Klevens, Monina, Kuo, Irene, LaLota, Marlene, Lopez, Zaida, Ma, Yingbo, Macomber, Kathryn, Masiello Schuette, Stephanie, Mattson, Melanie, Melton, David, Miranda De León, Sandra, Neaigus, Alan, Nixon, Willie, Nnumolu, Chrysanthus, Novoa, Alicia, O’Cleirigh, Conall, Opoku, Jenevieve, Padgett, Paige, Poe, Jonathon, Prachand, Nikhil, Raymond, H. Fisher, Rehman, Hafeez, Reilly, Kathleen H., Rivera, Alexis, Robinson, William T., Rolón-Colón, Yadira, Sato, Kimi, Schacht, John-Mark, Sey, Ekow Kwa, Sheu, Shane, Shinefeld, Jennifer, Shpaner, Mark, Sinclair, Amber, Smith, Lou, Spencer, Emma, Tate, Ashley, Thiede, Hanne, Todd, Jeff, Tovar-Moore, Veronica, Vaaler, Margaret, Wittke, Chris, Wogayehu, Afework, Wortley, Pascale, and Zarwell, Meagan C.

Subjects
Adult, Male, Health Knowledge, Attitudes, Practice, Health (social science), Adolescent, Urban Population, Epidemiology, Health, Toxicology and Mutagenesis, media_common.quotation_subject, MEDLINE, HIV Infections, 01 natural sciences, Men who have sex with men, Young Adult, 03 medical and health sciences, Pre-exposure prophylaxis, 0302 clinical medicine, Health Information Management, Environmental health, Health care, Humans, Medicine, Full Report, 030212 general & internal medicine, Homosexuality, Homosexuality, Male, 0101 mathematics, Young adult, Epidemics, Human services, media_common, business.industry, 010102 general mathematics, virus diseases, Hispanic or Latino, General Medicine, United States, Black or African American, Pre-Exposure Prophylaxis, Rural area, business
Abstract

In February 2019, the U.S. Department of Health and Human Services proposed a strategic initiative to end the human immunodeficiency (HIV) epidemic in the United States by reducing new HIV infections by 90% during 2020-2030* (1). Phase 1 of the Ending the HIV Epidemic initiative focuses on Washington, DC; San Juan, Puerto Rico; and 48 counties where the majority of new diagnoses of HIV infection in 2016 and 2017 were concentrated and on seven states with a disproportionate occurrence of HIV in rural areas relative to other states.† One of the four pillars in the initiative is protecting persons at risk for HIV infection using proven, comprehensive prevention approaches and treatments, such as HIV preexposure prophylaxis (PrEP), which is the use of antiretroviral medications that have proven effective at preventing infection among persons at risk for acquiring HIV. In 2014, CDC released clinical PrEP guidelines to health care providers (2) and intensified efforts to raise awareness and increase the use of PrEP among persons at risk for infection, including gay, bisexual, and other men who have sex with men (MSM), a group that accounted for an estimated 68% of new HIV infections in 2016 (3). Data from CDC's National HIV Behavioral Surveillance (NHBS) were collected in 20 U.S. urban areas in 2014 and 2017, covering 26 of the geographic areas included in Phase I of the Ending the HIV Epidemic initiative, and were compared to assess changes in PrEP awareness and use among MSM. From 2014 to 2017, PrEP awareness increased by 50% overall, with >80% of MSM in 17 of the 20 urban areas reporting PrEP awareness in 2017. Among MSM with likely indications for PrEP (e.g., sexual risk behaviors or recent bacterial sexually transmitted infection [STI]), use of PrEP increased by approximately 500% from 6% to 35%, with significant increases observed in all urban areas and in almost all demographic subgroups. Despite this progress, PrEP use among MSM, especially among black and Hispanic MSM, remains low. Continued efforts to improve coverage are needed to reach the goal of 90% reduction in HIV incidence by 2030. In addition to developing new ways of connecting black and Hispanic MSM to health care providers through demonstration projects, CDC has developed resources and tools such as the Prescribe HIV Prevention program to enable health care providers to integrate PrEP into their clinical care.§ By routinely testing their patients for HIV, assessing HIV-negative patients for risk behaviors, and prescribing PrEP as needed, health care providers can play a critical role in this effort.

Published
2019

10. Brief Report: Nonfatal Overdose Events Among Persons Who Inject Drugs: Findings From Seven National HIV Behavioral Surveillance Cities 2009 & 2012

Author

Robinson, William T., primary, Kazbour, Catherine, additional, Nassau, Tanner, additional, Fisher, Kiva, additional, Sheu, Shane, additional, Rivera, Alexis V., additional, Al-Tayyib, Alia, additional, Glick, Sara Nelson, additional, Braunstein, Sarah, additional, Barak, Narquis, additional, Shinefeld, Jennifer, additional, Poe, Jonathon, additional, Raymond, Henry Fisher, additional, and Brady, Kathleen, additional

Published
2017
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22. Brief Report: Nonfatal Overdose Events Among Persons Who Inject Drugs: Findings From Seven National HIV Behavioral Surveillance Cities 2009 & 2012.

Author

Robinson WT, Kazbour C, Nassau T, Fisher K, Sheu S, Rivera AV, Al-Tayyib A, Glick SN, Braunstein S, Barak N, Shinefeld J, Poe J, Raymond HF, and Brady K

Subjects
Adolescent, Adult, Behavioral Risk Factor Surveillance System, Female, Humans, Male, Middle Aged, United States epidemiology, Young Adult, Cities, Drug Overdose epidemiology, Substance Abuse, Intravenous epidemiology
Abstract

The rate of drug and opioid overdose deaths in the United States has more than tripled over the past 15 years. The ability to conduct public health surveillance on nonfatal overdoses is limited. The current study used National HIV Behavioral Surveillance (NHBS) data to estimate recent and lifetime history of nonfatal overdose events in persons who inject drugs in 7 cities. Recent and lifetime experience of overdose events ranged from 3% to 20% and from 29% to 63%, respectively. Adapting systems such as NHBS may be useful in responding to and monitoring emergent public health problems such as the overdose epidemic.

Published
2017
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