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Article ; Online: Correction to: Risk Factors for Death Among Hospitalized Patients Aged 21-64 Years Diagnosed with COVID-19-New York City, March 13-April 9, 2020.

Bushman, Dena / Davidson, Alexander / Pathela, Preeti / Greene, Sharon K / Weiss, Don / Reddy, Vasudha / Latash, Julia

Journal of racial and ethnic health disparities

2021 Volume 9, Issue 4, Page(s) 1600

Language	English
Publishing date	2021-09-08
Publishing country	Switzerland
Document type	Published Erratum
ZDB-ID	2760524-3
ISSN	2196-8837 ; 2197-3792
ISSN (online)	2196-8837
ISSN	2197-3792
DOI	10.1007/s40615-021-01139-9
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Article: Detection and Genetic Characterization of Community-Based SARS-CoV-2 Infections — New York City, March 2020

Bushman, Dena / Alroy, Karen A. / Greene, Sharon K. / l, et

MMWR

Keywords	covid19
Publisher	WHO
Document type	Article
Note	WHO #Covidence: #647171
Database	COVID19

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Article ; Online: HIV Infection Among Adolescents Residing in Urban Informal Settlements of Kenya.

Truong, Hong-Ha M / Guzé, Mary A / Kadede, Kevin / Amboka, Sayo / Otieno, Beatrice / Odhiambo, Hanningtone / Odeny, Damaris / Hewa, Marion / Opiyo, Maurice / Opondo, Fidel / Fatch, Robin / Ogolla, David / Miller, Lara E / Bushman, Dena / Auerswald, Colette / Bukusi, Elizabeth A / Cohen, Craig R

AIDS education and prevention : official publication of the International Society for AIDS Education

2023 Volume 35, Issue 3, Page(s) 225–234

Abstract: Adolescents comprise approximately 15% of new HIV infections in Kenya. Impoverished living conditions in informal settlements place residents at high risk for HIV infection. We assessed factors associated with HIV infection among adolescents residing in ... ...

Abstract	Adolescents comprise approximately 15% of new HIV infections in Kenya. Impoverished living conditions in informal settlements place residents at high risk for HIV infection. We assessed factors associated with HIV infection among adolescents residing in urban informal settlements in Kisumu. We recruited 3,061 adolescent boys and girls aged 15-19. HIV prevalence was 2.5% overall, all newly identified cases were among girls and infection was positively associated with not completing a secondary education (
MeSH term(s)	Male ; Pregnancy ; Female ; Humans ; Adolescent ; HIV Infections/prevention & control ; Kenya/epidemiology ; Sexual Behavior ; HIV Testing
Language	English
Publishing date	2023-07-06
Publishing country	United States
Document type	Journal Article ; Research Support, N.I.H., Extramural
ZDB-ID	1075448-9
ISSN	1943-2755 ; 0899-9546
ISSN (online)	1943-2755
ISSN	0899-9546
DOI	10.1521/aeap.2023.35.3.225
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Article ; Online: Risk Factors for Death Among Hospitalized Patients Aged 21-64 Years Diagnosed with COVID-19-New York City, March 13-April 9, 2020.

Bushman, Dena / Davidson, Alexander / Pathela, Preeti / Greene, Sharon K / Weiss, Don / Reddy, Vasudha / Team, New York City Fatal Case-Control Study / Latash, Julia

Journal of racial and ethnic health disparities

2021 Volume 9, Issue 4, Page(s) 1584–1599

Abstract: Background: COVID-19 mortality studies have primarily focused on persons aged ≥ 65 years; less is known about decedents aged <65 years.: Methods: We conducted a case-control study among NYC residents aged 21-64 years hospitalized with COVID-19 ... ...

Abstract	Background: COVID-19 mortality studies have primarily focused on persons aged ≥ 65 years; less is known about decedents aged <65 years. Methods: We conducted a case-control study among NYC residents aged 21-64 years hospitalized with COVID-19 diagnosed March 13-April 9, 2020, to determine risk factors for death. Case-patients (n=343) were hospitalized decedents with COVID-19 and control-patients (n=686) were discharged from hospitalization with COVID-19 and matched 2:1 to case-patients on age and residential neighborhood. Conditional logistic regression models were adjusted for patient sex, insurance status, and marital status. Matched adjusted odds ratios (aORs) were calculated for selected underlying conditions, combinations of conditions, and race/ethnic group. Results: Median age of both case-patients and control-patients was 56 years (range: 23-64 years). Having ≥ 1 selected underlying condition increased odds of death 4.45-fold (95% CI: 2.33-8.49). Patients with diabetes; morbid obesity; heart, kidney, or lung disease; cancer; neurologic/neurodevelopmental conditions; mental health conditions; or HIV had significantly increased odds of death. Compared with having neither condition, having both diabetes and obesity or diabetes and heart disease was associated with approximately threefold odds of death. Five select underlying conditions were more prevalent among non-Hispanic Black control-patients than among control-patients of other races/ethnicities. Conclusions and relevance: Selected underlying conditions were risk factors for death, and most prevalent among racial/ethnic minorities. Social services; health care resources, including vaccination; and tailored public health messaging are important for COVID-19 prevention. Strengthening these strategies for racial/ethnic minority groups could minimize COVID-19 racial/ethnic disparities.
MeSH term(s)	Adult ; COVID-19 ; Case-Control Studies ; Ethnicity ; Humans ; Middle Aged ; Minority Groups ; New York City/epidemiology ; Risk Factors ; SARS-CoV-2 ; Young Adult
Language	English
Publishing date	2021-08-09
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2760524-3
ISSN	2196-8837 ; 2197-3792
ISSN (online)	2196-8837
ISSN	2197-3792
DOI	10.1007/s40615-021-01098-1
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Article ; Online: Coronavirus Disease 2019 (COVID-19) Outbreaks at 2 Construction Sites-New York City, October-November 2020.

Bushman, Dena / Sekaran, Jency / Jeffery, Nancy / Rath, Caroline / Ackelsberg, Joel / Weiss, Don / Wu, Winfred / Van Oss, Katherine / Johnston, Kolthida / Huang, Jamie / Khatun, Umaima / Sheikh, Tara / Sutcliff, Jennie / Tsoi, Benjamin

Clinical infectious diseases : an official publication of the Infectious Diseases Society of America

2021 Volume 73, Issue Suppl 1, Page(s) S81–S83

Abstract: During 23 October-16 November 2020, the New York City Department of Health and Mental Hygiene investigated coronavirus disease 2019 (COVID-19) outbreaks at 2 construction sites. Challenges in adhering to the New York State Department of Health "Interim ... ...

Abstract	During 23 October-16 November 2020, the New York City Department of Health and Mental Hygiene investigated coronavirus disease 2019 (COVID-19) outbreaks at 2 construction sites. Challenges in adhering to the New York State Department of Health "Interim COVID-19 Guidance for Construction" were reported. To minimize outbreaks, jurisdictions should increase tailored outreach to the construction industry, emphasizing infection prevention.
MeSH term(s)	COVID-19 ; Disease Outbreaks ; Humans ; Mental Health ; New York City/epidemiology ; SARS-CoV-2
Language	English
Publishing date	2021-04-01
Publishing country	United States
Document type	Journal Article
ZDB-ID	1099781-7
ISSN	1537-6591 ; 1058-4838
ISSN (online)	1537-6591
ISSN	1058-4838
DOI	10.1093/cid/ciab312
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Zs.A 1505: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (1.OG) ab Jg. 2022: Lesesaal (EG)
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Article ; Online: Community-Based HIV Testing for Urban Youth in Western Kenya.

Truong, Hong-Ha M / Guzé, Mary A / Ouma, David / Bushman, Dena / Mocello, A Rain / Kadede, Kevin / Bukusi, Elizabeth A / Odhiambo, Francesca / Cohen, Craig R

AIDS and behavior

2021 Volume 26, Issue 3, Page(s) 814–821

Abstract: Youth aged 15-24 years comprise 48% of new HIV infections and 15% of persons living with HIV in Kisumu County, Kenya. We assessed factors associated with HIV infection among youth participating in the Community Health Initiative (CHI) implemented in an ... ...

Abstract	Youth aged 15-24 years comprise 48% of new HIV infections and 15% of persons living with HIV in Kisumu County, Kenya. We assessed factors associated with HIV infection among youth participating in the Community Health Initiative (CHI) implemented in an urban informal settlement in 2018. Predictors of HIV infection were assessed by multivariable logistic regression. CHI engaged 4,441 youth through community health campaigns and home-based HIV testing. HIV prevalence was 3.5% overall and 7.1% among young women aged 20-24. There were 24 youth newly identified as HIV-positive out of 157 total HIV-positive youth. HIV-positive status was positively associated with being female (aOR = 2.46; 95% CI 1.57, 3.84) and aged 20-24 (aOR = 2.40; 95% CI 1.52, 3.79), and inversely associated with secondary school education or higher (aOR = 0.27; 95% CI 0.16, 0.44). Our findings highlight the need for HIV prevention programs specially tailored for youth to further reduce new HIV infections in this priority population.
MeSH term(s)	Acquired Immunodeficiency Syndrome ; Adolescent ; Adult ; Female ; HIV Infections/diagnosis ; HIV Infections/epidemiology ; HIV Infections/prevention & control ; HIV Testing ; Humans ; Kenya/epidemiology ; Sexual Behavior ; Young Adult
Language	English
Publishing date	2021-09-14
Publishing country	United States
Document type	Journal Article
ZDB-ID	1339885-4
ISSN	1573-3254 ; 1090-7165
ISSN (online)	1573-3254
ISSN	1090-7165
DOI	10.1007/s10461-021-03441-3
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Zs.A 6451: Show issues

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Article ; Online: Health Care Utilization and Clinical Characteristics of Nonhospitalized Adults in an Integrated Health Care System 28-180 Days After COVID-19 Diagnosis - Georgia, May 2020-March 2021.

Hernandez-Romieu, Alfonso C / Leung, Serena / Mbanya, Armand / Jackson, Brendan R / Cope, Jennifer R / Bushman, Dena / Dixon, Meredith / Brown, Jessica / McLeod, Tim / Saydah, Sharon / Datta, Deblina / Koplan, Kate / Lobelo, Felipe

MMWR. Morbidity and mortality weekly report

2021 Volume 70, Issue 17, Page(s) 644–650

Abstract: As of April 19, 2021, 21.6 million COVID-19 cases had been reported among U.S. adults, most of whom had mild or moderate disease that did not require hospitalization (1). Health care needs in the months after COVID-19 diagnosis among nonhospitalized ... ...

Abstract	As of April 19, 2021, 21.6 million COVID-19 cases had been reported among U.S. adults, most of whom had mild or moderate disease that did not require hospitalization (1). Health care needs in the months after COVID-19 diagnosis among nonhospitalized adults have not been well studied. To better understand longer-term health care utilization and clinical characteristics of nonhospitalized adults after COVID-19 diagnosis, CDC and Kaiser Permanente Georgia (KPGA) analyzed electronic health record (EHR) data from health care visits in the 28-180 days after a diagnosis of COVID-19 at an integrated health care system. Among 3,171 nonhospitalized adults who had COVID-19, 69% had one or more outpatient visits during the follow-up period of 28-180-days. Compared with patients without an outpatient visit, a higher percentage of those who did have an outpatient visit were aged ≥50 years, were women, were non-Hispanic Black, and had underlying health conditions. Among adults with outpatient visits, 68% had a visit for a new primary diagnosis, and 38% had a new specialist visit. Active COVID-19 diagnoses* (10%) and symptoms potentially related to COVID-19 (3%-7%) were among the top 20 new visit diagnoses; rates of visits for these diagnoses declined from 2-24 visits per 10,000 person-days 28-59 days after COVID-19 diagnosis to 1-4 visits per 10,000 person-days 120-180 days after diagnosis. The presence of diagnoses of COVID-19 and related symptoms in the 28-180 days following acute illness suggests that some nonhospitalized adults, including those with asymptomatic or mild acute illness, likely have continued health care needs months after diagnosis. Clinicians and health systems should be aware of post-COVID conditions among patients who are not initially hospitalized for acute COVID-19 disease.
MeSH term(s)	Adolescent ; Adult ; Aged ; Ambulatory Care/statistics & numerical data ; COVID-19/complications ; COVID-19/diagnosis ; COVID-19/epidemiology ; COVID-19/therapy ; Delivery of Health Care, Integrated ; Female ; Georgia/epidemiology ; Humans ; Male ; Middle Aged ; Patient Acceptance of Health Care/statistics & numerical data ; Time Factors ; Young Adult
Language	English
Publishing date	2021-04-30
Publishing country	United States
Document type	Journal Article
ZDB-ID	412775-4
ISSN	1545-861X ; 0149-2195
ISSN (online)	1545-861X
ISSN	0149-2195
DOI	10.15585/mmwr.mm7017e3
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Article ; Online: Implementation of a Community-Based Hybrid HIV Testing Services Program as a Strategy to Saturate Testing Coverage in Western Kenya.

Truong, Hong-Ha M / Akama, Eliud / Guzé, Mary A / Otieno, Frankline / Obunge, Duncan / Wandera, Esther / Nsengiyumva, Ntwali Placide / Obabo, Sammy / Bushman, Dena / Kadede, Kevin / Bukusi, Elizabeth A / Oyaro, Patrick / Cohen, Craig R

Journal of acquired immune deficiency syndromes (1999)

2020 Volume 82, Issue 4, Page(s) 362–367

Abstract: Background: Knowledge of HIV status is the entry point for linkage to prevention, care, and treatment, and the first step toward achieving the UNAIDS 90-90-90 targets. Most countries rely on proxies for estimating testing saturation, including periodic ... ...

Abstract	Background: Knowledge of HIV status is the entry point for linkage to prevention, care, and treatment, and the first step toward achieving the UNAIDS 90-90-90 targets. Most countries rely on proxies for estimating testing saturation, including periodic population-based sampling and yield (number positive among those tested). We conducted a community-based "Hybrid" HIV testing services (HTS) program to identify persons unaware of their HIV-positive status. Setting: Homa Bay County, Kenya; July-September, 2016. Methods: We conducted community mapping, household census, multi-disease community health campaigns (CHCs), and home-based tracking. HIV testing eligibility was based on 2015 national guidelines. The previously unidentified fraction (PUF) was defined as the proportion of newly identified persons living with HIV (PLWH) out of all previously identified and newly identified PLWH. Results: The Hybrid HTS program reached 28,885 persons in total: 25,340 residents and 3545 nonresidents. There were 19,288 persons reached through CHCs and tracking. Of 11,316 individuals eligible for HIV testing, 9463 (83%) accepted testing, including 1230 (13%) first-time testers. There were 115 newly identified PLWH of 1589 total HIV-positive persons, representing a 7.2% PUF. Of 93 newly identified PLWH at the CHCs, 68% initiated same-day antiretroviral therapy. Conclusion: The Hybrid HTS program identified persons previously unaware of their HIV-positive status, thereby enabling linkage to care and same-day treatment and reducing onward transmission risk. An approach focused on identifying persons unaware of their HIV-positive status in combination with ascertaining the PUF has the potential to better target testing strategies to identify >90% of PLWH in a community.
MeSH term(s)	Adolescent ; Adult ; Aged ; Anti-HIV Agents/therapeutic use ; Community Health Services ; Female ; HIV Infections/diagnosis ; HIV Infections/drug therapy ; Humans ; Male ; Middle Aged ; Young Adult
Chemical Substances	Anti-HIV Agents
Language	English
Publishing date	2020-02-03
Publishing country	United States
Document type	Journal Article
ZDB-ID	645053-2
ISSN	1944-7884 ; 1077-9450 ; 0897-5965 ; 0894-9255 ; 1525-4135
ISSN (online)	1944-7884 ; 1077-9450
ISSN	0897-5965 ; 0894-9255 ; 1525-4135
DOI	10.1097/QAI.0000000000002160
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Article ; Online: Community-based HIV testing services in an urban setting in western Kenya: a programme implementation study.

Truong, Hong-Ha M / Mocello, A Rain / Ouma, David / Bushman, Dena / Kadede, Kevin / Ating'a, Eric / Obunge, Duncan / Bukusi, Elizabeth A / Odhiambo, Francesca / Cohen, Craig R

The lancet. HIV

2020 Volume 8, Issue 1, Page(s) e16–e23

Abstract: Background: Some countries are struggling to reach the UNAIDS target of 90% of all individuals with HIV knowing their HIV status, especially among men and youth. To identify individuals who are unaware of their HIV-positive status and achieve testing ... ...

Abstract	Background: Some countries are struggling to reach the UNAIDS target of 90% of all individuals with HIV knowing their HIV status, especially among men and youth. To identify individuals who are unaware of their HIV-positive status and achieve testing saturation, we implemented a hybrid HIV testing approach in an urban informal settlement in western Kenya. In this study, we aimed to describe the uptake of HIV testing and linkage to care and treatment during this programme. Methods: The Community Health Initiative involved community mapping, household census, multidisease community health campaigns, and home-based tracking in the informal settlement of Obunga in Kisumu, Kenya. 52 multidisease community health campaigns were held throughout the programme coverage area, at which HIV testing by certified testing service counsellors was one of the health services available. Individuals aged 15 years or older who were not previously identified as HIV-positive, children younger than 15 years who reported being sexually active or for whom testing was requested by a parent or guardian, and individuals who tested HIV-negative within the past 3 months but who reported a recent risk were all eligible for testing. Health and counselling services were tailored for men and youth to encourage their participation. Individuals identified during the census who did not attend a community health campaign were tracked using global positioning system data and offered home-based HIV testing services. We calculated the previously unidentified fraction, defined as the number of individuals who were newly identified as HIV-positive as a proportion of all individuals previously identified and newly identified as HIV-positive. Findings: Between Jan 11 and Aug 29, 2018, the Community Health Initiative programme reached 23 584 individuals, of whom 11 526 (48·9%) were men and boys and 5635 (23·9%) were aged 15-24 years. Of 12 769 individuals who were eligible for HIV testing, 12 407 (97·2%) accepted testing, including 3917 (31·6%) first-time testers. 101 individuals were newly identified as HIV-positive out of 1248 total individuals who were HIV-positive, representing an 8·1% previously unidentified fraction. The previously unidentified fraction was highest among men (9·8%) and among people aged 15-24 years (15·3%). Interpretation: Community-based hybrid HIV testing was successfully implemented in an urban setting. Innovative approaches that make HIV testing more accessible and acceptable, particularly to men and young people, are crucial for achieving testing and treatment saturation. Focusing on identifying individuals who are unaware of their HIV-positive status in combination with monitoring the previously unidentified fraction has the potential to achieve the UNAIDS Fast Track commitment to end AIDS by 2030. Funding: US President's Emergency Plan for AIDS Relief through the US Centers for Disease Control and Prevention.
MeSH term(s)	Adolescent ; Adult ; Child ; Child, Preschool ; Community Health Services ; Female ; HIV ; HIV Infections/diagnosis ; HIV Infections/epidemiology ; HIV Infections/virology ; HIV Testing/methods ; Health Plan Implementation ; Humans ; Infant ; Kenya/epidemiology ; Male ; Mass Screening ; Middle Aged ; Public Health Surveillance ; Urban Health Services ; Young Adult
Language	English
Publishing date	2020-11-06
Publishing country	Netherlands
Document type	Journal Article ; Research Support, U.S. Gov't, P.H.S.
ISSN	2352-3018
ISSN (online)	2352-3018
DOI	10.1016/S2352-3018(20)30253-8
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Article ; Online: Outcomes Among Patients Referred to Outpatient Rehabilitation Clinics After COVID-19 diagnosis - United States, January 2020-March 2021.

MMWR. Morbidity and mortality weekly report

2021 Volume 70, Issue 27, Page(s) 967–971

Abstract: As of June 30, 2021, 33.5 million persons in the United States had received a diagnosis of COVID-19 (1). Although most patients infected with SARS-CoV-2, the virus that causes COVID-19, recover within a few weeks, some experience post-COVID-19 conditions. ...

Abstract	As of June 30, 2021, 33.5 million persons in the United States had received a diagnosis of COVID-19 (1). Although most patients infected with SARS-CoV-2, the virus that causes COVID-19, recover within a few weeks, some experience post-COVID-19 conditions. These range from new or returning to ongoing health problems that can continue beyond 4 weeks. Persons who were asymptomatic at the time of infection can also experience post-COVID-19 conditions. Data on post-COVID-19 conditions are emerging and information on rehabilitation needs among persons recovering from COVID-19 is limited. Using data acquired during January 2020-March 2021 from Select Medical* outpatient rehabilitation clinics, CDC compared patient-reported measures of health, physical endurance, and health care use between patients who had recovered from COVID-19 (post-COVID-19 patients) and patients needing rehabilitation because of a current or previous diagnosis of a neoplasm (cancer) who had not experienced COVID-19 (control patients). All patients had been referred to outpatient rehabilitation. Compared with control patients, post-COVID-19 patients had higher age- and sex-adjusted odds of reporting worse physical health (adjusted odds ratio [aOR] = 1.8), pain (aOR = 2.3), and difficulty with physical activities (aOR = 1.6). Post-COVID-19 patients also had worse physical endurance, measured by the 6-minute walk test
MeSH term(s)	Adolescent ; Adult ; Aged ; Aged, 80 and over ; Ambulatory Care Facilities ; COVID-19/diagnosis ; COVID-19/rehabilitation ; Case-Control Studies ; Female ; Humans ; Male ; Middle Aged ; Referral and Consultation ; Treatment Outcome ; United States ; Young Adult
Language	English
Publishing date	2021-07-09
Publishing country	United States
Document type	Journal Article
ZDB-ID	412775-4
ISSN	1545-861X ; 0149-2195
ISSN (online)	1545-861X
ISSN	0149-2195
DOI	10.15585/mmwr.mm7027a2
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