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  1. AU="Kay, Emma Sophia"
  2. AU="Yin, Fanghao"
  3. AU="Alawneh, Firas"
  4. AU="Gonzalez-Rivas, Diego"
  5. AU="Mathapati, Basavaraj"
  6. AU="Ogiwara, Yamato"
  7. AU="Jardim, M."
  8. AU=Round J A
  9. AU=Zhang Huan AU=Zhang Huan
  10. AU="Khalilzad, Mohammad"
  11. AU="Safrida Safrida"
  12. AU="Sheridan, Krystal"
  13. AU="Spencer, Sandra"
  14. AU="Ikhapoh, Izuagie"
  15. AU="Jabeen, Nyla"
  16. AU="Elaine Mary Cowan"
  17. AU="Marcos Federico Pascuali"
  18. AU="Shi, Zhuqing"
  19. AU="Bernard Rosner"
  20. AU="van de Schoor, F."
  21. AU="Strzelecki, Antoine"
  22. AU=Cheung P Y
  23. AU="Arima, Tetsuhiko"
  24. AU="José Del Castillo Diego, Julio"
  25. AU="Han, Shujie"
  26. AU="Hernandez-Garcia, Elena"
  27. AU="Mansfield, Sara A"
  28. AU="Igarashi, Miyako"
  29. AU="Eloisa Romano"

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  1. Artikel ; Online: Relational Harm Reduction for Internists: A Call to Action.

    Hawk, Mary / Kay, Emma Sophia / Jawa, Raagini

    Journal of general internal medicine

    2024  

    Sprache Englisch
    Erscheinungsdatum 2024-02-29
    Erscheinungsland United States
    Dokumenttyp Editorial
    ZDB-ID 639008-0
    ISSN 1525-1497 ; 0884-8734
    ISSN (online) 1525-1497
    ISSN 0884-8734
    DOI 10.1007/s11606-024-08693-y
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  2. Artikel: A Qualitative Exploration of Providers' Approaches to Relational Harm Reduction in HIV Primary Care Settings.

    Kay, Emma Sophia / Creasy, Stephanie / Townsend, Jessica / Hawk, Mary

    Research square

    2024  

    Abstract: Background: Structural harm reduction is an approach to care for people who use drugs (PWUD) that incorporates services and resources (e.g., naloxone, sterile syringes). As conceptualized in our previous research, harm reduction is also "relational," ... ...

    Abstract Background: Structural harm reduction is an approach to care for people who use drugs (PWUD) that incorporates services and resources (e.g., naloxone, sterile syringes). As conceptualized in our previous research, harm reduction is also "relational," encompassing a patient-provider relationship that is non-judgmental and respectful of patients' autonomy. Little is known about providers' knowledge or attitudes towards harm reduction beyond structural strategies, whose availability and legality vary across geographical settings. To operationalize how relational harm reduction is both characterized and employed in HIV care settings, where nearly half of patients have a diagnosed substance use disorder, we qualitatively explored providers' knowledge of and use of harm reduction via individual in-depth interviews.
    Methods: Our study sample included three HIV clinics, one in Birmingham, Alabama (AL) and two in Pittsburgh, Pennsylvania (PA). We conducted individual interviews with n = 23 providers via Zoom, using a semi-structured interview guide to probe for questions around providers' attitudes towards and experiences with providing care to PWH who use drugs and their knowledge of and attitudes towards relational and structural harm reduction. Data was analyzed in Dedoose using thematic analysis.
    Results: Qualitative analyses revealed three primary themes, including
    Conclusion: Our findings suggest that relational harm reduction in HIV care settings is practiced along a continuum, and that a range of behaviors exist even within individual providers (e.g., used stigmatizing terms such as "addict" but also described patient interactions that reflected patients' autonomy). Given that harm reduction is typically described as a structural approach, a broader definition of harm reduction that is not dependent on policy-dependent resources is needed.
    Sprache Englisch
    Erscheinungsdatum 2024-03-29
    Erscheinungsland United States
    Dokumenttyp Preprint
    DOI 10.21203/rs.3.rs-4172083/v1
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  3. Artikel ; Online: Transactional sex among adults accessing sexual health services in Alabama, 2008-2022: Prevalence, associated risk factors, and associations with HIV, HCV, and STI diagnosis.

    Atkins, Kaitlyn / Bruce, Josh / Kay, Emma Sophia / Musgrove, Karen / Kellar, Polly / MacCarthy, Sarah

    Annals of epidemiology

    2024  Band 92, Seite(n) 35–39

    Abstract: Background: The U.S. Deep South bears a disproportionate burden of HIV and other STIs. Transactional sex may influence these epidemics, but few studies have estimated its prevalence or correlates in the Deep South.: Methods: We estimated the history ... ...

    Abstract Background: The U.S. Deep South bears a disproportionate burden of HIV and other STIs. Transactional sex may influence these epidemics, but few studies have estimated its prevalence or correlates in the Deep South.
    Methods: We estimated the history of transactional sex among adults accessing an Alabama AIDS Service Organization from 2008-2022, using chi-square tests to examine its sociodemographic and behavioral correlates. We used modified Poisson regression with cluster-robust standard errors to estimate adjusted prevalence ratios (aPR) and 95 % confidence intervals (CI) for the associations between transactional sex and new HIV, hepatitis C (HCV), and STI diagnoses.
    Results: Transactional sex was reported at 944/20,013 visits (4.7 %) and associated with older age, being a cisgender woman or gender minority, identifying as white, diverse drug use, and sharing of drug equipment. Compared to others, clients reporting transactional sex had increased prevalence of syphilis (apR 3.60, 95 % CI 1.16-11.19) and HCV (aPR 1.53, 95 % CI 1.24-1.88).
    Conclusion: Using 14 years of community-based data, this study is the first to estimate the relationship between transactional sex and HIV, HCV, and STIs in Alabama and highlights the need address STI burden and diverse drug use among people who transact sex in the Deep South.
    Mesh-Begriff(e) Adult ; Male ; Female ; Humans ; HIV Infections/diagnosis ; HIV Infections/epidemiology ; HIV Infections/complications ; Prevalence ; Alabama/epidemiology ; Homosexuality, Male ; Sexually Transmitted Diseases/diagnosis ; Sexually Transmitted Diseases/epidemiology ; Risk Factors ; Hepatitis C/diagnosis ; Hepatitis C/epidemiology ; Hepacivirus ; Health Services ; Sexual Behavior
    Sprache Englisch
    Erscheinungsdatum 2024-02-13
    Erscheinungsland United States
    Dokumenttyp Journal Article
    ZDB-ID 1074355-8
    ISSN 1873-2585 ; 1047-2797
    ISSN (online) 1873-2585
    ISSN 1047-2797
    DOI 10.1016/j.annepidem.2024.02.004
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 3225: Hefte anzeigen Standort:
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  4. Artikel ; Online: Opioid misuse among people with HIV: results from the National Survey on Drug Use and Health (NSDUH) 2015-2019.

    Aldosari, Muath / Alnashri, Yahya / Jaiswal, Jessica / Chandel, Tejasvita / Kay, Emma Sophia

    Pain management

    2024  Band 14, Heft 2, Seite(n) 65–74

    Abstract: Aim: ...

    Abstract Aim:
    Mesh-Begriff(e) Humans ; Prescription Drug Misuse ; Opioid-Related Disorders/epidemiology ; Analgesics, Opioid/therapeutic use ; Chronic Pain/drug therapy ; Chronic Pain/epidemiology ; HIV Infections/complications ; HIV Infections/epidemiology ; HIV Infections/drug therapy
    Chemische Substanzen Analgesics, Opioid
    Sprache Englisch
    Erscheinungsdatum 2024-01-31
    Erscheinungsland England
    Dokumenttyp Journal Article
    ZDB-ID 2617136-3
    ISSN 1758-1877 ; 1758-1869
    ISSN (online) 1758-1877
    ISSN 1758-1869
    DOI 10.2217/pmt-2023-0079
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  5. Artikel ; Online: Housing is harm reduction.

    Friedman, M Reuel / Kay, Emma Sophia / Maclin, Beth J / Hawk, Mary E

    AIDS (London, England)

    2023  Band 37, Heft 9, Seite(n) 1477–1479

    Mesh-Begriff(e) Humans ; Housing ; Harm Reduction ; HIV Infections/prevention & control ; Substance-Related Disorders
    Sprache Englisch
    Erscheinungsdatum 2023-07-03
    Erscheinungsland England
    Dokumenttyp Editorial ; Comment
    ZDB-ID 639076-6
    ISSN 1473-5571 ; 0269-9370 ; 1350-2840
    ISSN (online) 1473-5571
    ISSN 0269-9370 ; 1350-2840
    DOI 10.1097/QAD.0000000000003615
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 2228: Hefte anzeigen Standort:
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  6. Artikel ; Online: From HIV to Coronavirus: AIDS Service Organizations Adaptative Responses to COVID-19, Birmingham, Alabama.

    Kay, Emma Sophia / Musgrove, Karen

    AIDS and behavior

    2020  Band 24, Heft 9, Seite(n) 2461–2462

    Schlagwörter covid19
    Sprache Englisch
    Erscheinungsdatum 2020-04-24
    Erscheinungsland United States
    Dokumenttyp Editorial
    ZDB-ID 1339885-4
    ISSN 1573-3254 ; 1090-7165
    ISSN (online) 1573-3254
    ISSN 1090-7165
    DOI 10.1007/s10461-020-02879-1
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  7. Artikel ; Online: Ryan White HIV/AIDS program recipients more likely than non-recipients to be retained in care using six different retention measures.

    Kay, Emma Sophia / Westfall, Andrew O

    AIDS care

    2019  Band 32, Heft 1, Seite(n) 89–92

    Abstract: Retention in care (RiC) is crucial for maintaining HIV health. We examined the relationship between receipt of Ryan White HIV/AIDS Program (RWHAP) supplementary services and six different measures of RiC among 2,288 adults living with HIV who received ... ...

    Abstract Retention in care (RiC) is crucial for maintaining HIV health. We examined the relationship between receipt of Ryan White HIV/AIDS Program (RWHAP) supplementary services and six different measures of RiC among 2,288 adults living with HIV who received HIV primary care services at a large, academically-affiliated HIV/AIDS clinic in the southeastern United States in 2016. The independent variable of interest was RWHAP supplementary services, which referred to whether patients received documented non-medical wraparound supplementary services. The outcome was six different measures of RiC: the Institute of Medicine (IOM) indicator, 6-month gap, 4-month constancy, missed visits dichotomous, missed visits count, and visit adherence. Separate multivariable models were fit for each RiC outcome. Receipt of supplementary RWHAP services was significantly (
    Mesh-Begriff(e) Adult ; Aged ; Aged, 80 and over ; Ambulatory Care Facilities/organization & administration ; Female ; HIV Infections/drug therapy ; HIV Infections/epidemiology ; Humans ; Male ; Middle Aged ; Southeastern United States/epidemiology ; Young Adult
    Sprache Englisch
    Erscheinungsdatum 2019-05-26
    Erscheinungsland England
    Dokumenttyp Journal Article
    ZDB-ID 1012651-x
    ISSN 1360-0451 ; 0954-0121
    ISSN (online) 1360-0451
    ISSN 0954-0121
    DOI 10.1080/09540121.2019.1623375
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  8. Artikel: Workforce outcomes among substance use peer supports and their contextual determinants: A scoping review protocol.

    Bell, Justin S / Griffin, Tina / de Martell, Sierra Castedo / Kay, Emma Sophia / Hawk, Mary / Ray, Bradley / Watson, Dennis

    Research square

    2024  

    Abstract: Background: Peer recovery support services are a promising approach for improving harm reduction, treatment, and recovery-related outcomes for people who have substance use disorders. However, unique difficulties associated with the role may put peer ... ...

    Abstract Background: Peer recovery support services are a promising approach for improving harm reduction, treatment, and recovery-related outcomes for people who have substance use disorders. However, unique difficulties associated with the role may put peer recovery support staff (i.e., peers) at high risk for negative workforce outcomes, including burnout, vicarious trauma, and compassion fatigue, which impact one's personal recovery journey. Little is known about the extent to which peers experience such negative outcomes or the influence the service setting context has upon them. This scoping review aims to describe the nature and extent of research evidence on peers' workforce outcomes and how these outcomes might differ across service settings.
    Methods: A scoping review will be conducted with literature searches conducted in PsycINFO
    Conclusions: This review will assess the state of the literature on peer workforce-related outcomes and how outcomes might vary by service setting context. Exploration will include individual characteristics of peers that moderate workforce outcomes, and workforce outcomes that mediate personal recovery outcomes. Results will inform the field regarding future directions for research in this area.
    Systematic review registration: Submitted to Open Science Framework, August 22nd, 2023.
    Sprache Englisch
    Erscheinungsdatum 2024-01-18
    Erscheinungsland United States
    Dokumenttyp Preprint
    DOI 10.21203/rs.3.rs-3308002/v1
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  9. Artikel ; Online: Is Insurance a Barrier to HIV Preexposure Prophylaxis? Clarifying the Issue.

    Kay, Emma Sophia / Pinto, Rogério M

    American journal of public health

    2019  Band 110, Heft 1, Seite(n) 61–64

    Abstract: Clinical trials have demonstrated that preexposure prophylaxis (PrEP) protects against HIV infection; yet, even with its approval by the Food and Drug Administration (FDA) in 2012, less than 10% of eligible users in the United States are currently taking ...

    Abstract Clinical trials have demonstrated that preexposure prophylaxis (PrEP) protects against HIV infection; yet, even with its approval by the Food and Drug Administration (FDA) in 2012, less than 10% of eligible users in the United States are currently taking PrEP.While there are multiple factors that influence PrEP uptake and pose barriers to PrEP implementation, here we focus on PrEP's cost in the United States, which, at the current list price of $2000 per month and with high levels of cost sharing, can leave insured users with more than $1000 in out-of-pocket costs every year. We discuss how patient deductibles, monthly premiums, copayments, and coinsurance vary widely and may increase the financial burden. Although drug payment-assistance programs have made PrEP more affordable to uninsured and underinsured users, lack of insurance is a barrier to PrEP accessibility. The FDA approved a generic version in 2017; however, that version has not been distributed to US consumers and may not be more affordable.As other countries begin implementing PrEP programs, the extent of PrEP's availability as a tool in the global fight against HIV remains to be seen.
    Mesh-Begriff(e) Anti-HIV Agents/administration & dosage ; Anti-HIV Agents/economics ; Cost-Benefit Analysis ; Deductibles and Coinsurance/economics ; HIV Infections/prevention & control ; Health Services Accessibility/economics ; Health Services Accessibility/statistics & numerical data ; Humans ; Insurance Coverage/economics ; Insurance Coverage/statistics & numerical data ; Insurance, Pharmaceutical Services/statistics & numerical data ; Medical Assistance/statistics & numerical data ; Pre-Exposure Prophylaxis/methods ; United States
    Chemische Substanzen Anti-HIV Agents
    Sprache Englisch
    Erscheinungsdatum 2019-11-14
    Erscheinungsland United States
    Dokumenttyp Journal Article
    ZDB-ID 121100-6
    ISSN 1541-0048 ; 0090-0036 ; 0002-9572
    ISSN (online) 1541-0048
    ISSN 0090-0036 ; 0002-9572
    DOI 10.2105/AJPH.2019.305389
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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