Jackson TL, Chan PA, Scout NFN, Nocera LS, Crooks D, McCormick W, Bowman S, Lasher L, Sabet Sarvestani A, Chambers LC. Statewide Evaluation of SARS-CoV-2 Diagnoses and Sexual Orientation and Gender Identity. Public Health Rep 2022; 137(3):580-587. PMID: 35238242. https://pubmed.ncbi.nlm.nih.gov/35238242/
Our study found that LGBTQ+ people may be less likely than cisgender heterosexual people to receive a positive test result for SARS-CoV-2. This may be related to protective health practices, greater social isolation, limited access to testing, and/or disruption of employment due to the pandemic among LGBTQ+ people. Racial and ethnic disparities in SARS-CoV-2 test positivity were identified among LGBTQ+ people and cisgender heterosexuals, highlighting the importance of prioritizing specific resources and support to LGBTQ+ people of color to prevent and mitigate the health, social, and economic impacts of COVID-19.
Rusley, J. C., Tao, J., Koinis-Mitchell, D., Rosenthal, A. E., Montgomery, M. C., Nunez, H., & Chan, P. A. (2022). Trends in risk behaviors and sexually transmitted infections among youth presenting to a sexually transmitted infection clinic in the United States, 2013–2017. International Journal of STDs & AIDS, ePub April 6, 2022. 1-7. https://doi.org/10.1177/09564624221077785
In this multi-year study of young adults presenting to an STI clinic, we found increasing rates of self-reported and laboratory-confirmed STIs, as well as increases in condomless sex and multiple partners.
Valente, P. K., Bauermeister, J. A., Lin, W. Y., Operario, D., Rusley, J.C., Hightow-Weidman, L. B., Mayer, K. H., & Biello, K. B. (2022). Next Generation Pre-Exposure Prophylaxis for Young Men Who Have Sex with Men: Lessons from System and Provider-level Barriers to Oral PrEP. AIDS and Behavior.https://doi.org/https://doi.org/10.1007/s10461-022-03665-x.
We conducted online semi-structured interviews with 30 young men who have sex with men (YMSM) to examine experiences and preferences related to HIV prevention care that may inform the implementation of next-generation PrEP. Barriers to PrEP care included initiating conversations about sexuality with providers; confidentiality concerns regarding disclosure of sexual practices and PrEP use to family; gaps in access to healthcare; and limited availability of affordable health services.
Rusley, J. C., Carey, M. P., & Nelson, K. M. (2021). Disclosure of Male Attraction to Primary Care Clinicians by Adolescent Sexual Minority Males. Sexuality Research and Social Policy, 1–7. https://doi.org/10.1007/s13178-021-00544-3.
In this online survey study, we asked adolescent sexual minority males (ASMM) questions about sexuality, being out to a guardian, and being out to a primary care clinician (PCC). Only 20% were out to their PCC even though 53% were out to a parent or guardian. ASMM who were out to a parent or guardian were seven times more likely to be out to their PCC.
Chu, C. T., Rusley, J. C., Wesley, J., Chan, P. A., Trotz, C., & Brown, J. D. (2020). Confidentiality in Sexual Healthcare for Adolescents and Young Adults: Addressing Disclosure in the Explanation of Benefits. Rhode Island Medical Journal, 103(8), 19–21. http://www.rimed.org/rimedicaljournal/2020/10/2020-10-19-perspective-chu.pdf.
In this case-based commentary, we describe confidentiality concerns related to explanations of benefits (EOBs), highlight how this may affect youth when seeking sexual healthcare services, and propose policy solutions that can aid youth in obtaining confidential sexual health care.
Rusley JC, Monroe A, Matson P, Gebo K, Nonyane B, Minkovitz C, Agwu A, Emerson M, Moore R, Rutstein R, Aberg J, Nijhawan A, Boswell S, & Arrington-Sanders R, for the HIV Research Network. Discontinuity in Medicaid Coverage for Young Adults with Human Immunodeficiency Virus. AIDS Patient Care and STDs, 2019 Mar 1; 33(3):89-92. https://doi.org/10.1089/apc.2018.0272
We quantified Medicaid coverage discontinuities among young adults with HIV in the HIV Research Network and found that over one-third (36%) experienced a Medicaid discontinuity. Higher CD4 count, low-income eligibility type, and white race were associated with discontinuity.
Murphy M, Sosnowy C, Rogers B, Napoleon S, Galipeau D, Scott T, Tao J, Berk J, Clarke J, Nunn A, Chan PA. Defining the Pre-exposure Prophylaxis Care Continuum Among Recently Incarcerated Men at High Risk for HIV Infection: Protocol for a Prospective Cohort Study. JMIR Res Protoc. 2022 Feb 10;11(2):e31928. doi: 10.2196/31928. PMID: 35142633; PMCID: PMC8874820. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8874820/
Murphy M, Tao J, Goedell WC, Berk J, Chu CT, Nunn A, Sosnowy C, Chan P. Characterizing substance use among men who have sex with men presenting to a sexually transmitted infection clinic. Int J STD AIDS. 2021 Mar;32(4):314-321. doi: 10.1177/0956462420965076. Epub 2020 Dec 8. PMID: 33292093. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8874820/
Improving PrEP initiation, adherence and linkage to care for populations disproportionately impacted by incarceration. https://journals.sagepub.com/doi/10.1177/0956462420965076?url_ver=Z39.88-2003&rfr_id=ori%3Arid%3Acrossref.org&rfr_dat=cr_pub++0pubmed&