The document discusses considerations for achieving UNAIDS goals of diagnosing, treating, and suppressing HIV. It notes that current global rates are lower than targets. Interventions need to maximize reach among marginalized populations like people who inject drugs, sex workers, and men who have sex with men. A person-centered approach is advocated that considers psychological, social, and structural factors using a syndemic framework. An intervention in Tijuana called "Healthy Connections" that provided navigation and adherence support showed promising results in linking people to care and increasing ART pickup rates. The role of mediators and moderators is discussed to understand how and for whom interventions are most effective.
Richard Garfein, Ph.D., M.P.H., of UC San Diego Department of Medicine, presents "HIV, HCV, and TB Infection among Injection Drug Users in San Diego" at AIDS Clinical Rounds
Acute HIV infection detection and control reduces HIV infectiousness and tran...Thai Red Cross Society
Acute HIV infection detection and control reduces HIV infectiousness and transmission risk behavior among men who have sex with men in Bangkok, Thailand
Richard Garfein, Ph.D., M.P.H., of UC San Diego Department of Medicine, presents "HIV, HCV, and TB Infection among Injection Drug Users in San Diego" at AIDS Clinical Rounds
Acute HIV infection detection and control reduces HIV infectiousness and tran...Thai Red Cross Society
Acute HIV infection detection and control reduces HIV infectiousness and transmission risk behavior among men who have sex with men in Bangkok, Thailand
Physical activity acculturation and sexual risk behaviors among LatinasRick Goldman
http://publichealthconsulting.org/ Karina Villalba gives a presentation in Atlanta at the Annual conference of the American Public Health Association. The title of the presentation is: Physical Activity, Acculturation, and Sexual Risk Behaviors Among Latinas: A Longitudinal Community Based Study
Madridge Journal of AIDS (ISSN: 2638-1958); This pilot study investigated the efficacy of cognitive group interventions in reducing traumatic stress and human immunodeficiency virus (HIV) transmission behaviors in HIV seropositive women survivors of childhood sexual abuse.
The First session in the Epidemiology Lecture Series
Defining Epidemiology. Keywords in the definition. Aims of Epidemiology, Epidemiological Approach & Reasoning
The Core Determinants of Health
The Centers for Disease Control and Prevention ([CDC]. 2019) demonstrates that health factors include social, economic, physical, environmental, and genetics. These factors are interrelated. The community education project aims to prevent sexually transmitted diseases among teenagers. In this case, the PowerPoint will highlight how core health determinants impact my target population's health. Get a Complete Paper @ https://www.nursingessays.info/core-determinants-health/
Katherine Promer Flores, MD (she/her)
Staff Physician
Division of Infectious Diseases and Global Public Health
Department of Medicine
University of California San Diego
Daniel Lee, MD
Clinical Professor of Medicine
Division of Infectious Diseases & Global Public Health
Department of Medicine
University of California, San Diego
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Physical activity acculturation and sexual risk behaviors among LatinasRick Goldman
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The First session in the Epidemiology Lecture Series
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Similar to Social Behavior (Re)Considerations to Achieve UNAIDS Goals (20)
Katherine Promer Flores, MD (she/her)
Staff Physician
Division of Infectious Diseases and Global Public Health
Department of Medicine
University of California San Diego
Daniel Lee, MD
Clinical Professor of Medicine
Division of Infectious Diseases & Global Public Health
Department of Medicine
University of California, San Diego
Leandro Mena, MD, MPH
Chair and Professor of Population Health Science
Department of Population Health Science
University of Mississippi Medical Center
Maile Young Karris, MD
Associate Professor
Co-Director San Diego Center for AIDS Research Clinical Investigations Core
Divisions of Infectious Diseases & Global Public Health and Geriatrics & Gerontology
Department of Medicine
University of California San Diego
Edward Cachay, MD, MAS
Professor of Medicine
Division of Infectious Diseases & Global Public Health
Department of Medicine
University of California, San Diego
Gabriel Wagner, MD
Associate Clinical Professor
Division of Infectious Diseases & Global Public Health
Department of Medicine
University of California, San Diego
Jocelyn Keehner, MD
Infectious Disease Fellow
Division of Infectious Diseases & Global Public Health
Department of Medicine
University of California, San Diego
Richard Garfein, PhD, MPH
Professor
Herbert Wertheim School of Public Health and Human Longevity Science
Adjunct Professor
Division of Infectious Disease and Global Public Health
Department of Medicine
University of California, San Diego
Laura Bamford, MD, MSCE
Associate Professor of Medicine
Medical Director, Owen Clinic
Division of Infectious Diseases and Global Public Health
Department of Medicine
University of California, San Diego
Davey Smith, MD, MAS
Professor of Medicine
Chief, Division of Infectious Diseases and Global Public Health
Co-Director, San Diego Center for AIDS Research (CFAR)
Department of Medicine
University of California, San Diego
Elliot Welford, MD
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Division of Infectious Diseases & Global Public Health
Department of Medicine
University of California, San Diego
Darcy Wooten, MD
Assistant Professor of Medicine
Associate Program Director, Infectious Diseases Fellowship
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Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
3. Are we reaching the groups of
people that need to be
reached?
Marginalized populations
2
1
4. Are we considering the
multitude of HIV risk factors that
need to be targeted in HIV
prevention and interventions?
Psychological, social, and
structural factors
Person-centered approach
3
2
9. People who inject drugs (PWID)
8
Men who have sex with men
(MSM)
Female sex workers (FSW)Transgender women (TW)
10. HIV in Tijuana, Mexico
9
Concentrated epidemic
Located along a major drug trafficking route
Sex tourism / commercial sex work
2nd highest HIV prevalence in Mexico
PWID: 4% (Magis-Rodriguez et al., 2005)
FSW: 6% (Patterson et al., 2008)
MSM: 20% (Pitpitan et al., 2015)
Transgender women: 22% (Salas-Espinoza et al., 2017)
11. Smith et al. (2015).
10
Proportion of
PLWH from key
populations in
Tijuana meeting
treatment targets
12. Behavioral HIV prevention
11
Primary
prevention with
individuals at-risk for HIV
Secondary prevention
with people living with
HIV
o Access (link to)
care
o Stay (retain) in
care
o Adhere to
treatment
Behaviors
o Condom use
o Injection risk
behavior
Behaviors
14. Synergy + Epidemic = Syndemic
Biopsychosocial perspective
13
Syndemic Theory
Singer, M. (1994). AIDS and the health crisis of the US urban poor: The perspective of critical medical
anthropology. Social Science and Medicine, 39, 931-948.
17. HIV & Syndemics among MSM
in Tijuana
16
Pitpitan, Smith, Goodman-
Meza, et al. (2016). AIDS and
Behavior.
d
Poor
mental
health
Substance
Use
Violence
Resource
Instability
Stigma
Depressive
Symptoms
Lifetime
History of
Drug Use
Lifetime
History of
Abuse
Sexual
Compulsivity
Internalized
Homophobia
18. Methods
17
Participants
o 191 adult men who reported oral or anal sex with another man in the past year
Measures
Syndemic variables:
Depressive symptoms: Beck Depression Inventory II
Lifetime history of drug use: 11 y/n items (specific drugs)
Lifetime history of abuse: 3 y/n items (sexual, physical, emotional)
Sexual compulsivity: 10 Likert-type items
Internalized homophobia: 9 Likert-type items
Syndemic load: Sum of the syndemic variables
Sexual risk behavior: Anal sex without a condom in past 2 months (y/n)
19. 18
0.0
10.0
20.0
30.0
40.0
50.0
60.0
0 (n=33) 1 (n=55) 2 (n=48) 3 (n=33) 4 (n=16) 5 (n=6)
Syndemic Load
Proportion engaging in risky sexual behavior by syndemic load
OR=1.74, p<.001
Mantel-Haenszel χ2 test for linear-by linear association
(17.18, p < .001)
20. 19
Women who engage in alcohol use in South Africa
(Pitpitan, Kalichman, Eaton, et al. 2013, Annals of Behavioral Medicine)
Male clients of FSW in Tijuana
(Pitpitan, Strathdee, Semple, et al., 2015, American Journal of Public Health)
PWID, FSW, MSM/TW living with HIV in Tijuana
(Pitpitan & Smith, 2017, abstract presented at CFAR Research Day)
PWID living with HIV in Russia
(Pitpitan, Lunze, Cheng, et al., in preparation)
Syndemic load among other key populations
24. Conexiones Saludables (Healthy
Connections)
A multi-faceted intervention
HIV-positive PWID, MSM/TW, FSW in
Tijuana
HIV treatment and care
Access and stay
ART adherence
23Funding sources: 2014 CENSIDA Grant, Mexican Ministry of Health; 2015 Developmental Grant from the SD
Center for AIDS Research (CFAR; P30 AI036214).
25. Conexiones Saludables
(Healthy Connections)
24
Community needs assessment (n=8)
Challenges
Logistical barriers
Police harassment, stigma, social support
Increasing access to health insurance
Expanded treatment access for co-morbidities
Improving adherence to existing services
Pitpitan, Mittal, & Smith. Under review.
30. Conexiones Saludables
(Healthy Connections)
29
Delayed Control Phase
(n=20)
Intervention Phase (n=20) p
n % n %
Saw an HIV care
provider within 3mo
14 70.0 17 85.0 0.013
Start ART within 3mo 11 55.0 14 70.0 0.332
ART pick-up 100% 3 15.0 7 35.0 0.021
Smith, Cazares, Magis-Rodriguez, Smith, Castaneda, & Pitpitan. In preparation.
31. 30
Behavioral interventions to reduce HIV risk
Vestibulum
congue
tem
pus
Mediators and moderators
Pare down or ramp up interventions to their most
effective elements
Which subgroups to target
Briefer, cheaper, and more impactful
interventions
MacKinnon & Luecken (2008); MacKinnon (1994)
33. Mujer Mas Segura Intervention
for FSW who inject drugs
584 FSW who inject drugs
Tijuana and Cuidad Juarez
4 arm trial targeting but condom use and
injection drug risks
The injection risk intervention significantly
reduced injection risk behavior in Cd. Juarez
32
Pitpitan, Patterson,
Abramovitz, et al.
(2015). Health
Psychology.
Strathdee et al. (2013). PLoS ONE.
34. Conditional process modeling (i.e.,
moderated mediation)
Simultaneously test mediation and
moderation
33
Pitpitan, Patterson,
Abramovitz, et al.
(2015). Health
Psychology.
Preacher, Rucker, & Hayes (2007).
How (mediation) and for whom
(moderation)?
36. Self-efficacy as hypothesized
mediator
35
A robust determinant of behavior and driver of behavior change (Bandura,
1997, 2001)
Exercise (e.g., Lubans et al., 2008; Dishman et al., 2004)
Condom use (e.g., Bryan et al., 1996; O’Leary et al., 2008)
Safe injection self-efficacy has not been well examined, and only one
study has tested it as a driver of an injection risk intervention (STRIVE Study,
Latka et al., 2008)
38. Social structural moderator
37
FSWs and PWID are exposed to multiple harms that independently
increase risk for HIV
Police behavior
Police syringe confiscation is associated with risky injection
practices (e.g., Beletsky et al., 2012; Werb et al., 2008)
May interact with the goals of an intervention
40. Measures
o Safe injection self-efficacy (6 Likert-type items,
α = .90)
o Police syringe confiscation: Has a police officer
taken your needle(s) or syringe(s) in past 4 mo.
(y/n)
o Injection risk behavior (Receptive needle
sharing in past 4 mo.) (y/n)
39
Pitpitan, Patterson,
Abramovitz, et al.
(2015). Health
Psychology.
41. Results
40
Injection risk
intervention
Safe injection
self-efficacy
Receptive needle
sharing
Police syringe
confiscation
B = .05,
ns
OR= .48***
B = .80**
Pitpitan, Patterson, Abramovitz, et al. (2015). Health Psychology.
Bootstrapped indirect effects (5,000
samples):
Police confiscated syringe: p = .04 Did not
confiscate: p=.55
42. Conclusions / Take-home messages
41
Need to engage key, marginalized populations into HIV prevention and
treatment
Must consider the many factors that influence behavioral and health
outcomes
Person-centered approaches
Must capitalize on the intervention data at hand to maximize impact
43. 42
Acknowledgements
Participants
Collaborators & Mentors
Laramie Smith, Carlos-Magis Rodriguez, Thomas Patterson, Rebeca Cazares, David Goodman-Meza,
Steffanie Strathdee, Lisa Eaton, Shirley Semple, Seth Kalichman, Kathy Sikkema, David MacKinnon
Community and Clinic Partners
PrevenCasa, Centro SER, CAPASITS, Christie’s Place, Family Health Centers San Diego, San Diego
Comprehensive Treatment Centers
Grant Support
NIDA Diversity Supplement Award (R01DA029008-04S1); Career Development Award (K01DA036447-
01); R01 Award (R01DA042666); Pilot Grant from Centro Nacional para la Prevención y Control del
VIH/SIDA, Mexican Ministry of Health; SD Center for AIDS Research Developmental Grant