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Community Health and Preventive Medicine

Selected Works

HIV Among Young Racial/Ethnic Minority Men Who Have Sex With Men (YMSM)

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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 Jul 2013

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 Sep 2012

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 Sep 2012

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 …


Racial And Sexual Identity-Related Maltreatment Among Minority Ymsm: Prevalence, Perceptions, And The Association With Emotional Distress, Sheldon Fields Jul 2011

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 Jul 2011

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 Jul 2011

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 Jul 2011

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 …


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 Mar 2010

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 …


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 Oct 2006

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 …