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Full-Text Articles in Medicine and Health Sciences
Correlates Of Hiv Acquisition In A Cohort Of Black Men Who Have Sex With Men In The United States: Hiv Prevention Trials Network (Hptn) 061, Sheldon D. Fields
Correlates Of Hiv Acquisition In A Cohort Of Black Men Who Have Sex With Men In The United States: Hiv Prevention Trials Network (Hptn) 061, Sheldon D. Fields
Sheldon D. Fields
No abstract provided.
Hiv Testing Behaviors Of A Cohort Of Hiv-Positive Racial/Ethnic Minority Ymsm, Sheldon Fields
Hiv Testing Behaviors Of A Cohort Of Hiv-Positive Racial/Ethnic Minority Ymsm, Sheldon Fields
Sheldon D. Fields
The HIV epidemic in the United States has disproportionately affected young racial/ethnic minority men who have sex with men (YMSM). However, HIV testing rates among young men of color remain low. Within this sample of racial/ethnic minority YMSM (n = 363), the first HIV test was a median of 2 years after men who have sex with men sexual debut. Individuals with less than 1 year between their first negative and first positive HIV test were significantly more likely to identify the reason for their first negative test as being sick (OR = 2.99; 95 % CI 1.23-7.27). This may …
Patterns Of Hiv Disclosure And Condom Use Among Hiv-Infected Young Racial/Ethnic Minority Men Who Have Sex With Men., Sheldon Fields
Patterns Of Hiv Disclosure And Condom Use Among Hiv-Infected Young Racial/Ethnic Minority Men Who Have Sex With Men., Sheldon Fields
Sheldon D. Fields
Recent findings highlight the continued rise in cases of HIV infection among racial/ethnic minority young men who have sex with men (YMSM). In adults, disclosure of HIV status has been associated with decreased sexual risk behaviors but this has not been explored among YMSM. In this study of 362 HIV-infected racial/ethnic minority YMSM, rates of disclosure were high, with almost all disclosing their status to at least one person at baseline. The majority had disclosed to a family member, with higher disclosure rates to female relatives compared with males. After adjustment for site, disclosure to sex partners and boyfriends was …
Hiv Rages Among Black Gay Men, Sheldon Fields
Nurse Practitioners Tackling More "Doctor" Tasks, Sheldon Fields
Nurse Practitioners Tackling More "Doctor" Tasks, Sheldon Fields
Sheldon D. Fields
No abstract provided.
The Lives Of Young Black Gay Men Matter, Sheldon Fields
The Lives Of Young Black Gay Men Matter, Sheldon Fields
Sheldon D. Fields
No abstract provided.
Bgrg New Orleans Workgroup Report: Priority Recommendations For Consideration In The 2012 Black Gay Men's Research Agenda, Sheldon D. Fields
Bgrg New Orleans Workgroup Report: Priority Recommendations For Consideration In The 2012 Black Gay Men's Research Agenda, Sheldon D. Fields
Sheldon D. Fields
No abstract provided.
Racial And Sexual Identity-Related Maltreatment Among Minority Ymsm: Prevalence, Perceptions, And The Association With Emotional Distress, Sheldon Fields
Racial And Sexual Identity-Related Maltreatment Among Minority Ymsm: Prevalence, Perceptions, And The Association With Emotional Distress, Sheldon Fields
Sheldon D. Fields
Bullying is a form of violence characterized as an aggressive behavior that is unprovoked and intended to cause harm. Prior studies have found that lesbian, gay, bisexual, and transgender (LGBT) youth experience high levels of bullying related to their sexuality and this harassment can lead to engagement in risk behaviors, depression, and suicide. Ethnic/racial minority young men who have sex with men (YMSM) may experience dual levels of stigma and maltreatment due to both their sexuality and their race. The aim of the current study was to assess the prevalence and perceptions of racial and sexual identity-based abuse among a …
Age Of Msm Sexual Debut And Risk Factors: Results From A Multisite Study Of Racial/Ethnic Minority Ymsm Living With Hiv, Sheldon Fields
Age Of Msm Sexual Debut And Risk Factors: Results From A Multisite Study Of Racial/Ethnic Minority Ymsm Living With Hiv, Sheldon Fields
Sheldon D. Fields
The average reported age of sexual debut for youth in the United States is 14.4 years, with approximately 7% reporting their sexual debut prior to age 13. While the research literature on sexual debut for youth addresses gender and ethnic differences (with males and African-American youth experiencing earlier sexual debut), there is limited data regarding factors associated with sexual debut for young men who have sex with men (YMSM). Early sexual debut poses potential health risks, such as contracting HIV with an increased risk of unprotected intercourse. Given current high HIV infection rates for racial/ethnic minority YMSM, learning more about …
Sexual Behaviors Of Racial/Ethnic Minority Young Men Who Have Sex With Men., Sheldon Fields
Sexual Behaviors Of Racial/Ethnic Minority Young Men Who Have Sex With Men., Sheldon Fields
Sheldon D. Fields
We assessed changes in sexual behaviors from baseline to 12-month follow-up among a multisite cohort of HIV-positive racial/ethnic minority young men who have sex with men enrolled in an outreach, linkage, and retention study. In the 3 months prior to their baseline interview, more than three-quarters of participants (78.5%) reported sex with at least one man (mean: 2.3 partners). Among sexually active participants, 44.2% had one partner; 50.5% had 2-9 partners; and 5.3% had 10 or more partners. Over three-quarters (77.5%) reported engaging in sex with at least one steady partner, 43.5% with at least one casual partner, and 29.5% …
Roles And Challenges Of Outreach Workers In Hiv Clinical And Support Programs Serving Young Racial/Ethnic Minority Men Who Have Sex With Men., Sheldon Fields
Roles And Challenges Of Outreach Workers In Hiv Clinical And Support Programs Serving Young Racial/Ethnic Minority Men Who Have Sex With Men., Sheldon Fields
Sheldon D. Fields
The federal government has established rapid identification, linkage, and engagement in medical care of HIV-positive individuals as a high priority. Outreach workers and other linkage coordinators are identified as key personnel in implementing this policy. Young racial/ethnic minority men who have sex with men (MSM) have relatively high and growing rates of HIV infection and would benefit from the services of outreach workers. In this article, we describe the characteristics of outreach workers employed by eight demonstration sites participating in the federal Special Projects of National Significance (SPNS) Young MSM of Color Initiative, the linkage and retention models used by …
The Rising Rates Of Hiv Among Black And Latio Men: What's Going On?, Sheldon Fields
The Rising Rates Of Hiv Among Black And Latio Men: What's Going On?, Sheldon Fields
Sheldon D. Fields
No abstract provided.
Characteristics Associated With Retention Among African American And Latino Adolescent Hiv-Positive Men: Results From The Outreach, Care, And Prevention To Engage Hiv-Seropositive Young Msm Of Color Special Project Of National Significance Initiative., Sheldon Fields
Sheldon D. Fields
BACKGROUND: Surveillance points to an urgent public health need for HIV prevention, access, and retention among young men of color who have sex with men (YMSM). The purpose of this multisite study was to evaluate the association between organizational- and individual-level characteristics and retention in HIV care among HIV-positive YMSM of color. METHODS: Data were collected quarterly via face-to-face interviews and chart abstraction between June 2006 and September 2008. Participants were aged 16-24 years, enrolled at 1 of 8 participating youth-specific demonstration sites, and engaged or reengaged in HIV care within the last 30 days. Generalized estimating equations were used …
Childhood Sexual Abuse In Black Men Who Have Sex With Men: Results From Three Qualitative Studies., Sheldon Fields
Childhood Sexual Abuse In Black Men Who Have Sex With Men: Results From Three Qualitative Studies., Sheldon Fields
Sheldon D. Fields
This report describes the high prevalence and context of childhood sexual abuse (CSA) among Black men who have sex with men (MSM) across 3 independent qualitative studies. Semistructured one-on-one interviews were conducted with 87 Black MSM across 3 cities (Rochester, NY, n = 28; Lexington, KY /Atlanta, GA, n = 30; and Atlanta, GA, n = 29). A combined CSA prevalence of 32% (28/87) was found among the 3 samples, despite variation in geographic location, mean age, and sexual identification. Common themes emerging across the 3 samples included prolonged and repeated abuse by a close male relative; blaming of same-sex …
Internet Chat Rooms: Connecting With A New Generation Of Young Men Of Color At Risk For Hiv Infection Who Have Sex With Other Men., Sheldon Fields
Internet Chat Rooms: Connecting With A New Generation Of Young Men Of Color At Risk For Hiv Infection Who Have Sex With Other Men., Sheldon Fields
Sheldon D. Fields
The purpose of this study was to explore the use of gay-related Internet chat rooms by young men who have sex with other men of color (YMSMC) in a specific catchment area. Participants were 104 YMSMC age 18 to 24 (M = 21.56) who were encountered in two gay-related Internet chat rooms during April 2005. Participants were mainly African American (53.7%, n = 56), HIV-negative (57.6%, n = 60), and online looking for some type of sexual encounter (80.7%, n = 84). The results of this study support the need to develop specific culturally appropriate HIV prevention Internet outreach protocols …
The Love And Belonging Healthcare Needs Of Hiv Infected African-American Men Upon Admission To An Aids Dedicated Nursing Home., Sheldon Fields
The Love And Belonging Healthcare Needs Of Hiv Infected African-American Men Upon Admission To An Aids Dedicated Nursing Home., Sheldon Fields
Sheldon D. Fields
The purpose of this study was to describe the love and belonging healthcare needs of HIV infected African-American men upon admission to an AIDS dedicated nursing home. Subjects were 73 (N=73) African-American men 26 to 60 years of age that were admitted to an AIDS dedicated nursing home in the Southern New England area between 1995 and 1999. Most of the men were single (n = 39) and estranged from their immediate families. Many of these men did not have a family member supportive of discharge (n = 60) and did not desire discharge back out into the community (n …
The Physiologic Health Care Needs Of Hiv-Infected Black Men On Admission To An Aids-Dedicated Nursing Home., Sheldon Fields
The Physiologic Health Care Needs Of Hiv-Infected Black Men On Admission To An Aids-Dedicated Nursing Home., Sheldon Fields
Sheldon D. Fields
The purpose of this study is to describe the physiologic health care needs of HIV-infected Black men on admission to an AIDS-dedicated nursing home. Participants were 68 Black men aged 26 to 60 years who were admitted to an AIDS-dedicated nursing home in the southern New England area between 1995 and 1999. The participants were very ill and weak on their admission to the nursing home, with most having diagnoses of AIDS (n = 65), an average Karnofsky Performance Scale score of 44 (SD = 14.90), and some degree of mental impairment. The late-stage of disease of the participants was …