Wayne Difranceisco
Biographic Data
| ID | 190239 |
|---|---|
| NAME | Wayne Difranceisco |
| GIVEN NAMES | Wayne |
| FAMILY NAME | Difranceisco |
| SIGNATURE | DIFRANCEISCO W |
| AFFILIATIONS | Medical College of Wisconsin |
| ORCID | 0000-0002-0907-1011 |
| VERIFIED | Yes |
| TOTAL WORKS | 39 |
| TOTAL CITATIONS | 76 |
| AUTHOR COUNT | 39 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1983 |
| LATEST PUBLICATION YEAR | 2025 |
| H-INDEX | 4 |
Low Risk, High Stakes
Black Americans consistently face dramatic health disparities throughout the United Status. The COVID-19 pandemic disproportionately impacted Black communities, leading to disparities in hospitalizations and death. Using a health equity lens, this study aimed to explore factors associated with COVID-19 risk perception, including the role of medical mistrust and experience of racism and discrimination among Black adults in Chicago. Survey data was…
Associations Between Religiosity and Medical Mistrust
Coronavirus Disease 2019 Vaccination by Gender and Age in a Sample of Black Adults in Chicago
Although vaccine behaviors differ greatly by gender and age, few studies have examined vaccination at the intersection of gender and age within the Black community. We examined COVID-19 vaccination by gender and age using a survey of over 500 Black adults in Chicago, Illinois, fielded from September 2021 to March 2022. Although 54% had received at least one COVID-19 vaccine, the proportion vaccinated was considerably lower for Black men (28%) and…
Factors associated with PrEP use in a community sample of African American men who have sex with men (MSM) and transgender women (TGW) in the United States Midwest
Black sexual minority men who have sex with men (MSM) in the United States are at disparate risk for contracting HIV infection, but pre-exposure prophylaxis (PrEP) use is suboptimal. Social network methods were used to recruit a community sample of racial minority MSM and transgender women (TGW) in two Midwestern US cities. 250 PrEP-eligible (HIV-negative) participants completed measures assessing current and intended PrEP use; demographic charac…
An exploratory study of community violence and HIV care engagement among Black gay and bisexual men
This study examined the relationship between exposure to community violence and HIV care engagement among 107 Black gay or bisexual men living with HIV in Chicago. Measures assessed the importance of demographic covariates (age, annual income, health insurance status, and years living with HIV), community violence exposures, mental health, social support, in explaining variations in missed doses of antiretroviral therapy (ART) medication and miss…
The Inherent Violence of Anti-Black Racism and its Effects on HIV Care for Black Sexually Minoritized Men
The Effect of Various Supportive Housing Models on ART Adherence Among Persons Living With HIV in Supportive Housing
BACKGROUND: Providing permanent supportive housing to chronically homeless persons living with human immunodeficiency virus (PLH) contributes to improved human immunodeficiency virus (HIV) outcomes, including adherence to antiretroviral therapy (ART). This study seeks to understand whether certain components of housing, namely intensity of case management and specialized HIV housing programs, affects ART adherence for PLH in supportive housing. M…
The comparative effectiveness of different models of permanent supportive housing on problematic substance use, depression, and anxiety symptoms over time
OBJECTIVES: To compare the effectiveness of different models of permanent supportive housing (PSH), housing configuration, and service provision model on substance use, depression, and anxiety symptoms among residents over time. METHODS: Linear mixed model regression was used with 888 residents of PSH to investigate the relationship between supportive housing type, service model, and housing configuration and change in mental health and substance…
Mobilizing individual social capital resources for HIV care support
Half of HIV-positive persons in Russia are on antiretroviral therapy (ART), and only 27% are virally suppressed. A feasibility pilot intervention to mobilize social capital resources for HIV care support was conducted in St. Petersburg. Out-of-care or ART-nonadherent HIV-positive persons (n = 24) attended a five-session intervention to increase access social capital resources (i.e., family, friends, or providers) to mobilize supports for entering…
Levels of HIV Testing Among Young Men Who Have Sex with Men in Bulgaria
Health-related quality of life and related factors among chronically homeless adults living in different permanent supportive housing models
HIV Testing and Mistaken Beliefs about Immigration Laws
Predictors of HIV Care Engagement, Antiretroviral Medication Adherence, and Viral Suppression Among People Living with HIV Infection in St. Petersburg, Russia
The Health and Sociocultural Correlates of Aids Genocidal Beliefs and Medical Mistrust Among African American MSM
Gender Norms and Age-Disparate Sexual Relationships as Predictors of Intimate Partner Violence, Sexual Violence, and Risky Sex among Adolescent Gang Members
Correlates of Sexual HIV Risk Among African American Men Who Have Sex With Men
Objectives. We examined correlates of condomless anal intercourse with nonmain sexual partners among African American men who have sex with men (MSM). Methods. We recruited social networks composed of 445 Black MSM from 2012 to 2014 in Milwaukee, Wisconsin; Cleveland, Ohio; and Miami Beach, Florida. Participants reported past-3-month sexual behavior, substance use, and background, psychosocial, and HIV-related characteristics. Results. Condomless…
Social Media Use and High-Risk Sexual Behavior Among Black Men Who Have Sex with Men
Situational, Partner, and Contextual Factors Associated with Level of Risk at Most Recent Intercourse Among Black Men Who Have Sex with Men
A quantitative study of Michigan's criminal HIV exposure law
The objectives of the project were (1) to determine the extent to which HIV-positive persons living in Michigan were aware of and understood Michigan's criminal HIV exposure law, (2) to examine whether awareness of the law was associated with seropositive status disclosure to prospective sex partners, and, (3) to examine whether awareness of the law was associated with potential negative effects of the law on persons living with HIV (PLWH) includ…
High-Risk Sexual Behavior, HIV/STD Prevalence, and Risk Predictors in the Social Networks of Young Roma (Gypsy) Men in Bulgaria
New Jersey’s HIV Exposure Law and the HIV-Related Attitudes, Beliefs, and Sexual and Seropositive Status Disclosure Behaviors of Persons Living With HIV
Objectives. We explored associations between awareness of New Jersey’s HIV exposure law and the HIV-related attitudes, beliefs, and sexual and seropositive status disclosure behaviors of HIV-positive persons. Methods. A statewide convenience sample (n = 479) completed anonymous written surveys during 2010. We recruited participants through networks of community-based organizations in the state’s 9 health sectors. The survey assessed participants'…
Intentions to seek and accept an HIV test among men of Mexican descent in the Midwestern USA
In the USA, a high proportion of men of Mexican descent (MMD) test for HIV late in the course of the infection and miss opportunities for prevention. Given the need to promote timely HIV testing among MMD, we studied how MMD's motivations and previous experiences with disease prevention influence their intentions to seek (i.e., client-initiated HIV testing) and accept (i.e., provider-initiated HIV testing) an HIV test. We conducted a survey (N=30…
Male Labor Migrants in Russia
Low Numeracy Predicts Reduced Accuracy of Retrospective Reports of Frequency of Sexual Behavior
People with HIV in Haart-Era Russia
Soviet Political Culture and “Covert Participation” in Policy Implementation
Our study of political participation in the Soviet Union, based on interviews with recent emigres, leads us to conclude that Soviet political culture is neither a “subject” nor a “subject-participant” one. There are meaningful forms of participation in the system, but they take place either outside the nominally participatory institutions, or within those institutions but in nonprescribed ways. The citizen may participate covertly, utilizing unsa…
Gender Norms and Age-Disparate Sexual Relationships as Predictors of Intimate Partner Violence, Sexual Violence, and Risky Sex among Adolescent Gang Members
Outcomes From a Randomized Controlled Trial of a Group Intervention for Hiv Positive Men and Women Coping With Aids-Related Loss and Bereavement
The purpose of this study was to examine the impact of a group coping intervention for HIV-positive men and women who have lost a loved one(s) to AIDS in the past 2 years. Two hundred thirty-five participants, diverse with respect to race/ethnicity and sexual orientation, were randomly assigned to a 12-week cognitive-behavioral group intervention or to an individual therapy on request comparison condition. Measures assessing grief and psychiatric…
Differences between completers and early dropouts from 2 HIV intervention trials
OBJECTIVES: The purpose of this study was to identify factors predicting program attrition among participants in human immunodeficiency virus (HIV) risk reduction trials. METHODS: Participants were gay/bisexual men and severely mentally ill adults recruited to take part in HIV risk reduction small-group interventions. Program completers were compared with participants who were assessed at baseline but then failed to attend any sessions. The healt…
Correlates of Sexual HIV Risk Among African American Men Who Have Sex With Men
Objectives. We examined correlates of condomless anal intercourse with nonmain sexual partners among African American men who have sex with men (MSM). Methods. We recruited social networks composed of 445 Black MSM from 2012 to 2014 in Milwaukee, Wisconsin; Cleveland, Ohio; and Miami Beach, Florida. Participants reported past-3-month sexual behavior, substance use, and background, psychosocial, and HIV-related characteristics. Results. Condomless…
New Jersey’s HIV Exposure Law and the HIV-Related Attitudes, Beliefs, and Sexual and Seropositive Status Disclosure Behaviors of Persons Living With HIV
Objectives. We explored associations between awareness of New Jersey’s HIV exposure law and the HIV-related attitudes, beliefs, and sexual and seropositive status disclosure behaviors of HIV-positive persons. Methods. A statewide convenience sample (n = 479) completed anonymous written surveys during 2010. We recruited participants through networks of community-based organizations in the state’s 9 health sectors. The survey assessed participants'…
HIV Testing Rates, Testing Locations, and Healthcare Utilization among Urban African-American Men
Cost-effectiveness of a community-level HIV risk reduction intervention
OBJECTIVES: The authors evaluated the cost-effectiveness of a community-level HIV prevention intervention that used peer leaders to endorse risk reduction among gay men. METHODS: A mathematical model of HIV transmission was used to translate reported changes in sexual behavior into an estimate of the number of HIV infections averted. RESULTS: The intervention cost $17,150, or about $65,000 per infection averted, and was therefore cost-saving, eve…
Soviet Political Culture and “Covert Participation” in Policy Implementation
Our study of political participation in the Soviet Union, based on interviews with recent emigres, leads us to conclude that Soviet political culture is neither a “subject” nor a “subject-participant” one. There are meaningful forms of participation in the system, but they take place either outside the nominally participatory institutions, or within those institutions but in nonprescribed ways. The citizen may participate covertly, utilizing unsa…
Sexual Adventurism, Substance Use, and High-Risk Sexual Behavior
Influences of Survey Instrument Format and Social Desirability on the Reliability of Self-Reported High Risk Sexual Behavior
Cost-effectiveness of a community-level HIV risk reduction intervention
OBJECTIVES: The authors evaluated the cost-effectiveness of a community-level HIV prevention intervention that used peer leaders to endorse risk reduction among gay men. METHODS: A mathematical model of HIV transmission was used to translate reported changes in sexual behavior into an estimate of the number of HIV infections averted. RESULTS: The intervention cost $17,150, or about $65,000 per infection averted, and was therefore cost-saving, eve…
Differences between completers and early dropouts from 2 HIV intervention trials
OBJECTIVES: The purpose of this study was to identify factors predicting program attrition among participants in human immunodeficiency virus (HIV) risk reduction trials. METHODS: Participants were gay/bisexual men and severely mentally ill adults recruited to take part in HIV risk reduction small-group interventions. Program completers were compared with participants who were assessed at baseline but then failed to attend any sessions. The healt…
General and Aids-Specific Stress, Coping, and Psychological Distress in the Biracial Coping & Change Study Cohort of Gay Men
Patterns and Correlates of Risky Behavior Among HIV+ Gay Men
Predictors of Long-Term Maintenance of Safer Sex and Lapse/Relapse
Cost-Effectiveness of the Nimh Multisite HIV Prevention Intervention
HIV/Aids Knowledge and Attitudes of STD Clinic Attendees in St. Petersburg, Russia
Outcomes From a Randomized Controlled Trial of a Group Intervention for Hiv Positive Men and Women Coping With Aids-Related Loss and Bereavement
The purpose of this study was to examine the impact of a group coping intervention for HIV-positive men and women who have lost a loved one(s) to AIDS in the past 2 years. Two hundred thirty-five participants, diverse with respect to race/ethnicity and sexual orientation, were randomly assigned to a 12-week cognitive-behavioral group intervention or to an individual therapy on request comparison condition. Measures assessing grief and psychiatric…
Where the boys are
The main objectives of this study were to examine relationships between vacation sex expectations and travelling companionship type (solo, paired, or group), and behavioural outcomes such as engaging in a relationship while on vacation, procuring condoms, and initiating condom use with vacation sex partners among tourist women in Costa Rica. A brief interview was used to assess sociodemographic characteristics, vacation sex expectations and relat…
HIV-Positive Persons’ Awareness and Understanding of Their State’s Criminal HIV Disclosure Law
HIV Testing Rates, Testing Locations, and Healthcare Utilization among Urban African-American Men
Intentions to seek and accept an HIV test among men of Mexican descent in the Midwestern USA
In the USA, a high proportion of men of Mexican descent (MMD) test for HIV late in the course of the infection and miss opportunities for prevention. Given the need to promote timely HIV testing among MMD, we studied how MMD's motivations and previous experiences with disease prevention influence their intentions to seek (i.e., client-initiated HIV testing) and accept (i.e., provider-initiated HIV testing) an HIV test. We conducted a survey (N=30…
Male Labor Migrants in Russia
Low Numeracy Predicts Reduced Accuracy of Retrospective Reports of Frequency of Sexual Behavior
People with HIV in Haart-Era Russia
A quantitative study of Michigan's criminal HIV exposure law
The objectives of the project were (1) to determine the extent to which HIV-positive persons living in Michigan were aware of and understood Michigan's criminal HIV exposure law, (2) to examine whether awareness of the law was associated with seropositive status disclosure to prospective sex partners, and, (3) to examine whether awareness of the law was associated with potential negative effects of the law on persons living with HIV (PLWH) includ…
High-Risk Sexual Behavior, HIV/STD Prevalence, and Risk Predictors in the Social Networks of Young Roma (Gypsy) Men in Bulgaria
New Jersey’s HIV Exposure Law and the HIV-Related Attitudes, Beliefs, and Sexual and Seropositive Status Disclosure Behaviors of Persons Living With HIV
Objectives. We explored associations between awareness of New Jersey’s HIV exposure law and the HIV-related attitudes, beliefs, and sexual and seropositive status disclosure behaviors of HIV-positive persons. Methods. A statewide convenience sample (n = 479) completed anonymous written surveys during 2010. We recruited participants through networks of community-based organizations in the state’s 9 health sectors. The survey assessed participants'…
Situational, Partner, and Contextual Factors Associated with Level of Risk at Most Recent Intercourse Among Black Men Who Have Sex with Men
Social Media Use and High-Risk Sexual Behavior Among Black Men Who Have Sex with Men
Predictors of HIV Care Engagement, Antiretroviral Medication Adherence, and Viral Suppression Among People Living with HIV Infection in St. Petersburg, Russia
The Health and Sociocultural Correlates of Aids Genocidal Beliefs and Medical Mistrust Among African American MSM
Medicine (37 works) · HIV/AIDS Research and Interventions (26 works) · Psychology (25 works) · Family medicine (24 works) · Psychiatry (22 works) · Public health (20 works) · HIV, Drug Use, Sexual Risk (18 works) · Demography (17 works) · Demography (17 works) · Adolescent Sexual and Reproductive Health (16 works)