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  1. Article ; Online: The public health response to COVID-19: balancing precaution and unintended consequences.

    Baral, Stefan David / Mishra, Sharmistha / Diouf, Daouda / Phanuphak, Nittaya / Dowdy, David

    Annals of epidemiology

    2020  Volume 46, Page(s) 12–13

    MeSH term(s) Betacoronavirus ; COVID-19 ; Coronavirus Infections/epidemiology ; Coronavirus Infections/prevention & control ; Environmental Health ; Global Health ; Humans ; Pandemics ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/prevention & control ; Primary Prevention ; Public Health ; Public Health Practice
    Keywords covid19
    Language English
    Publishing date 2020-05-08
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1074355-8
    ISSN 1873-2585 ; 1047-2797
    ISSN (online) 1873-2585
    ISSN 1047-2797
    DOI 10.1016/j.annepidem.2020.05.001
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Uncovering a Role for Electronic Personal Health Records in Reducing Disparities in Sexually Transmitted Infection Rates Among Students at a Predominantly African American University: Mixed-Methods Study.

    Jackman, Kevon-Mark / Baral, Stefan David / Hightow-Weidman, Lisa / Poteat, Tonia

    JMIR medical informatics

    2018  Volume 6, Issue 3, Page(s) e41

    Abstract: Background: Black youth continue to bear an overwhelming proportion of the United States sexually transmitted infection (STI) burden, including HIV. Several studies on web-based and mobile health (mHealth) STI interventions have focused on ... ...

    Abstract Background: Black youth continue to bear an overwhelming proportion of the United States sexually transmitted infection (STI) burden, including HIV. Several studies on web-based and mobile health (mHealth) STI interventions have focused on characterizing strategies to improve HIV-related prevention and treatment interventions, risk communication, and stigma among men who have sex with men (MSM), people who use substances, and adolescent populations. The Electronic Sexual Health Information Notification and Education (eSHINE) Study was an exploratory mixed-methods study among students at a historically black university exploring perceptions on facilitating STI testing conversations with partners using electronic personal health records (PHRs).
    Objective: The purpose of this paper is to use eSHINE Study results to describe perceived impacts of electronic PHRs on facilitating STI testing discussions between sexual partners.
    Methods: Semistructured focus groups and individual in-depth interviews were conducted on a heterogeneous sample of students (n=35) between May and July 2014. Qualitative phase findings guided development of an online survey instrument for quantitative phase data collection. Online surveys were conducted using a convenience sample of students (n=354) between January and May 2015. Online survey items collected demographic information, sexual behaviors, beliefs and practices surrounding STI testing communication between partners, and beliefs about the impact of electronic PHR access on facilitating these discussions with partners. Chi-square analysis was performed to assess gender differences across quantitative measures. A Wilcoxon signed rank sum test was used to test the null hypothesis that electronic PHRs are believed to have no effect on the timing of dyadic STI health communication.
    Results: Participants described multiple individual and dyadic-level factors that inhibit initiating discussions about STI testing and test results with partners. Electronic PHRs were believed to improve ability to initiate conversations and confidence in STI screening information shared by partners. Among online survey participants, men were more likely to believe electronic PHRs make it easier to facilitate STI talks with potential partners (59.9% vs 51.9%; χ
    Conclusions: Findings suggest that electronic PHR access in STI screening settings among similar populations of Black youth may improve both motivation and personal agency for initiating dyadic STI health communication. Results from this study will likely inform novel interventions that use access to electronic PHRs to stimulate important health-related discussions between sexual partners. Moving forward requires studying strategies for implementing interventions that leverage electronic PHRs to create new sexual health communication channels with providers, peers, and family among black youth.
    Language English
    Publishing date 2018-07-12
    Publishing country Canada
    Document type Journal Article
    ZDB-ID 2798261-0
    ISSN 2291-9694
    ISSN 2291-9694
    DOI 10.2196/medinform.9174
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Prevalence and associations of COVID-19 testing in an online sample of transgender and non-binary individuals.

    Restar, Arjee / Garrison-Desany, Henri M / Baker, Kellan E / Adamson, Tyler / Howell, Sean / Baral, Stefan David / Operario, Don / Beckham, S Wilson

    BMJ global health

    2021  Volume 6, Issue 9

    Abstract: Background: Testing for COVID-19 and linkage to services is fundamental to successful containment and control of transmission. Yet, knowledge on COVID-19 testing among transgender and non-binary communities remains limited.: Methods: Between October ... ...

    Abstract Background: Testing for COVID-19 and linkage to services is fundamental to successful containment and control of transmission. Yet, knowledge on COVID-19 testing among transgender and non-binary communities remains limited.
    Methods: Between October 2020 and November 2020, we examined the prevalence and associations of COVID-19 testing in an online sample of transgender and non-binary people (n=536). Multivariable hierarchical logistic regression analyses examined associations between COVID-19 testing and participants' sociodemographic, mental health, substance use, gender affirmation, economic changes and healthcare experiences.
    Results: Prevalence of COVID-19 testing in this sample was 35.5% (n=190/536). In the final model, transgender and non-binary participants from upper socioeconomic income background and Europe, who reported having active alcohol use disorder, limited access to gender-affirming surgery, had more than 20% reduction in income, and experienced mistreatment in a health facility due to gender identity had significantly increased odds of COVID-19 testing (all p<0.05); those who reported recent tobacco use had significantly lower odds of COVID-19 testing (p=0.007).
    Conclusions: These findings highlight structural disparities in COVID-19 testing and reinforce the importance of increasing testing strategies for transgender and non-binary populations.
    MeSH term(s) COVID-19 ; COVID-19 Testing ; Cross-Sectional Studies ; Female ; Gender Identity ; Humans ; Male ; Prevalence ; SARS-CoV-2 ; Transgender Persons
    Language English
    Publishing date 2021-09-04
    Publishing country England
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ISSN 2059-7908
    ISSN 2059-7908
    DOI 10.1136/bmjgh-2021-006808
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Characterising the impact of COVID-19 environment on mental health, gender affirming services and socioeconomic loss in a global sample of transgender and non-binary people: a structural equation modelling.

    Restar, Arjee Javellana / Jin, Harry / Jarrett, Brooke / Adamson, Tyler / Baral, Stefan David / Howell, Sean / Beckham, S Wilson

    BMJ global health

    2021  Volume 6, Issue 3

    Abstract: Background: We characterised the impact of COVID-19 on the socioeconomic conditions, access to gender affirmation services and mental health outcomes in a sample of global transgender (trans) and non-binary populations.: Methods: Between 16 April ... ...

    Abstract Background: We characterised the impact of COVID-19 on the socioeconomic conditions, access to gender affirmation services and mental health outcomes in a sample of global transgender (trans) and non-binary populations.
    Methods: Between 16 April 2020 and 3 August 2020, we conducted a cross-sectional survey with a global sample of trans and non-binary people (n=849) through an online social networking app. We conducted structural equational modelling procedures to determine direct, indirect and overall effects between poor mental health (ie, depression and anxiety) and latent variables across socioecological levels: social (ie, reduction in gender affirming services, socioeconomic loss impact) and environmental factors (ie, COVID-19 pandemic environment).
    Results: Anxiety (45.82%) and depression (50.88%) in this sample were prevalent and directly linked to COVID-19 pandemic environment. Adjusted for gender identity, age, migrant status, region, education and level of socioeconomic status, our final model showed significant positive associations between relationships of (1) COVID-19 pandemic environment and socioeconomic loss impact (β=0.62, p<0.001), (2) socioeconomic loss impact and reduction in gender affirming services (β=0.24, p<0.05) and (3) reduction in gender affirming services and poor mental health (β=0.19, p<0.05). Moreover, socioeconomic loss impact and reduction in gender affirming services were found to be partial mediators in this model.
    Conclusion: The study results supported the importance of bolstering access to gender affirming services and strengthening socioeconomic opportunities and programmatic support to buffer the impact of COVID-19 pandemic environment on poor mental health among trans and non-binary communities globally.
    MeSH term(s) Adult ; COVID-19/economics ; COVID-19/psychology ; Cross-Sectional Studies ; Female ; Humans ; Latent Class Analysis ; Male ; Mental Disorders/epidemiology ; Middle Aged ; Pandemics/economics ; Pneumonia, Viral/economics ; Pneumonia, Viral/psychology ; Pneumonia, Viral/virology ; Prevalence ; SARS-CoV-2 ; Social Media ; Socioeconomic Factors ; Transgender Persons/psychology
    Language English
    Publishing date 2021-03-09
    Publishing country England
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ISSN 2059-7908
    ISSN 2059-7908
    DOI 10.1136/bmjgh-2020-004424
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: The public health response to COVID-19: balancing precaution and unintended consequences

    Baral, Stefan David / Mishra, Sharmistha / Diouf, Daouda / Phanuphak, Nittaya / Dowdy, David

    Ann Epidemiol

    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #306948
    Database COVID19

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  6. Article ; Online: The public health response to COVID-19

    Baral, Stefan David / Mishra, Sharmistha / Diouf, Daouda / Phanuphak, Nittaya / Dowdy, David

    Annals of Epidemiology

    balancing precaution and unintended consequences

    2020  Volume 46, Page(s) 12–13

    Keywords Epidemiology ; covid19
    Language English
    Publisher Elsevier BV
    Publishing country us
    Document type Article ; Online
    ZDB-ID 1074355-8
    ISSN 1873-2585 ; 1047-2797
    ISSN (online) 1873-2585
    ISSN 1047-2797
    DOI 10.1016/j.annepidem.2020.05.001
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  7. Article ; Online: The Relationship Between the Global Burden of Influenza From 2017 to 2019 and COVID-19: Descriptive Epidemiological Assessment.

    Baral, Stefan David / Rucinski, Katherine Blair / Twahirwa Rwema, Jean Olivier / Rao, Amrita / Prata Menezes, Neia / Diouf, Daouda / Kamarulzaman, Adeeba / Phaswana-Mafuya, Nancy / Mishra, Sharmistha

    JMIR public health and surveillance

    2021  Volume 7, Issue 3, Page(s) e24696

    Abstract: Background: SARS-CoV-2 and influenza are lipid-enveloped viruses with differential morbidity and mortality but shared modes of transmission.: Objective: With a descriptive epidemiological framing, we assessed whether recent historical patterns of ... ...

    Abstract Background: SARS-CoV-2 and influenza are lipid-enveloped viruses with differential morbidity and mortality but shared modes of transmission.
    Objective: With a descriptive epidemiological framing, we assessed whether recent historical patterns of regional influenza burden are reflected in the observed heterogeneity in COVID-19 cases across regions of the world.
    Methods: Weekly surveillance data reported by the World Health Organization from January 2017 to December 2019 for influenza and from January 1, 2020 through October 31, 2020, for COVID-19 were used to assess seasonal and temporal trends for influenza and COVID-19 cases across the seven World Bank regions.
    Results: In regions with more pronounced influenza seasonality, COVID-19 epidemics have largely followed trends similar to those seen for influenza from 2017 to 2019. COVID-19 epidemics in countries across Europe, Central Asia, and North America have been marked by a first peak during the spring, followed by significant reductions in COVID-19 cases in the summer months and a second wave in the fall. In Latin America and the Caribbean, COVID-19 epidemics in several countries peaked in the summer, corresponding to months with the highest influenza activity in the region. Countries from regions with less pronounced influenza activity, including South Asia and sub-Saharan Africa, showed more heterogeneity in COVID-19 epidemics seen to date. However, similarities in COVID-19 and influenza trends were evident within select countries irrespective of region.
    Conclusions: Ecological consistency in COVID-19 trends seen to date with influenza trends suggests the potential for shared individual, structural, and environmental determinants of transmission. Using a descriptive epidemiological framework to assess shared regional trends for rapidly emerging respiratory pathogens with better studied respiratory infections may provide further insights into the differential impacts of nonpharmacologic interventions and intersections with environmental conditions. Ultimately, forecasting trends and informing interventions for novel respiratory pathogens like COVID-19 should leverage epidemiologic patterns in the relative burden of past respiratory pathogens as prior information.
    MeSH term(s) COVID-19/epidemiology ; Cost of Illness ; Epidemiologic Studies ; Global Health/statistics & numerical data ; Humans ; Influenza, Human/epidemiology
    Language English
    Publishing date 2021-03-02
    Publishing country Canada
    Document type Journal Article
    ISSN 2369-2960
    ISSN (online) 2369-2960
    DOI 10.2196/24696
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: COVID-19 Across Africa: Epidemiologic Heterogeneity and Necessity of Contextually Relevant Transmission Models and Intervention Strategies.

    Twahirwa Rwema, Jean Olivier / Diouf, Daouda / Phaswana-Mafuya, Nancy / Rusatira, Jean Christophe / Manouan, Alain / Uwizeye, Emelyne / Drame, Fatou M / Tamoufe, Ubald / Baral, Stefan David

    Annals of internal medicine

    2020  Volume 173, Issue 9, Page(s) 752–753

    MeSH term(s) Africa/epidemiology ; COVID-19 ; Coronavirus Infections/epidemiology ; Coronavirus Infections/mortality ; Coronavirus Infections/prevention & control ; Coronavirus Infections/transmission ; Humans ; Infection Control/methods ; Pandemics/prevention & control ; Pandemics/statistics & numerical data ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/mortality ; Pneumonia, Viral/prevention & control ; Pneumonia, Viral/transmission
    Keywords covid19
    Language English
    Publishing date 2020-06-18
    Publishing country United States
    Document type Editorial
    ZDB-ID 336-0
    ISSN 1539-3704 ; 0003-4819
    ISSN (online) 1539-3704
    ISSN 0003-4819
    DOI 10.7326/M20-2628
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Sampling bias in transgender studies--authors' reply.

    Baral, Stefan David / Poteat, Tonia / Guadamuz, Thomas E / Beyrer, Chris

    The Lancet. Infectious diseases

    2013  Volume 13, Issue 10, Page(s) 832–833

    MeSH term(s) Developed Countries/statistics & numerical data ; Developing Countries/statistics & numerical data ; Female ; HIV Infections/epidemiology ; Humans ; Transgender Persons/statistics & numerical data
    Language English
    Publishing date 2013-09-26
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 2061641-7
    ISSN 1474-4457 ; 1473-3099
    ISSN (online) 1474-4457
    ISSN 1473-3099
    DOI 10.1016/S1473-3099(13)70261-5
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Was the HIV infection burden in female sex workers in China overestimated? - authors' reply.

    Baral, Stefan David / Wirtz, Andrea / Poteat, Tonia / Beyrer, Chris

    The Lancet. Infectious diseases

    2013  Volume 13, Issue 1, Page(s) 13–14

    MeSH term(s) Developing Countries/statistics & numerical data ; Female ; HIV Infections/epidemiology ; Humans ; Sex Workers/statistics & numerical data
    Language English
    Publishing date 2013-01
    Publishing country United States
    Document type Comment ; Letter
    ZDB-ID 2061641-7
    ISSN 1474-4457 ; 1473-3099
    ISSN (online) 1474-4457
    ISSN 1473-3099
    DOI 10.1016/S1473-3099(12)70319-5
    Database MEDical Literature Analysis and Retrieval System OnLINE

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