Joshua A Barocas
Biographic Data
| ID | 4452744 |
|---|---|
| NAME | Joshua A Barocas |
| GIVEN NAMES | Joshua A |
| FAMILY NAME | Barocas |
| SIGNATURE | BAROCAS J A |
| AFFILIATIONS | University of Colorado Denver |
| ORCID | 0000-0002-4155-4697 |
| VERIFIED | Yes |
| TOTAL WORKS | 23 |
| TOTAL CITATIONS | 8 |
| AUTHOR COUNT | 23 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2015 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 1 |
Context Matters
Older people with HIV (PWH) experience higher rates of physical function decline and frailty than those without HIV. This study aimed to examine the association between physical function measures and geolocated social determinants of health (SDOH) in two geographically distinct groups of older sedentary PWH. We conducted a cross-sectional analysis using baseline data from a randomized exercise trial (the High-Intensity Exercise Study to Attenuate…
Improving health and housing outcomes through a simulation and economic model
Introduction: Homelessness in the United States increased every year since 2016, with a 38% increase from 2023 to 2024. Much of the increase is attributable to rising home and rent costs, economic hardship caused by the recent pandemic, and the ending of protective legislation. Notably, people who experience homelessness have an increased risk of substance use disorders, HIV infection and poorer HIV outcomes than people who are stably housed. The…
“You can’t incarcerate yourself out of the drug problem in America
BACKGROUND: In response to the U.S. overdose crisis, many states have increased criminal penalties for drug possession, particularly fentanyl. This study sought to qualitatively explore diverse community perspectives on increasing criminal legal penalties in Colorado for fentanyl possession (House Bill 22-1326) and the broader role of the criminal legal system in addressing substance use and overdose prevention. We conducted 31 semi-structured in…
Implementation of a Statewide Fentanyl Possession Law and Opioid-Related Overdose Deaths
The results of this serial cross-sectional study suggest that increased criminal penalties for fentanyl possession did not change preexisting trends of OODs in Colorado and may have been associated with an increase in opioid overdoses in the Black population. These results should be interpreted in light of increasing opioid overdose rates in Black populations nationally during the study period
Potential Changes in US Homelessness by Ending Federal Support for Housing First Programs
This decision analytical model estimates the change in the number of people experiencing homelessness in a year following termination of federal support for Housing First programs
Impact of increased criminal penalties for fentanyl possession on initiation and retention on medications for opioid use disorder in Colorado
The Process and Cost of Developing a Community Advisory Board Focused on Opioid Overdose Deaths
Background: We describe the Community Advisory Board (CAB) development and costing processes employed by The Helping to End Addiction Long-term (HEALing) Communities Study, Massachusetts (HCS-MA). The actual process and costs associated with establishing a CAB representative of people who use drugs have not been published. Methods: A participatory process was used to identify and recruit CAB members. Health economics costing strategies were used …
Identifying structural risk factors for overdose following incarceration
Involuntary displacement and self-reported health in a cross-sectional survey of people experiencing homelessness in Denver, Colorado, 2018–2019
This research quantifies the association between involuntary displacement and multiple infectious and non-infectious health outcomes. While city officials attempt to grapple with increasing unsheltered homelessness, it is important to understand what harms are occurring that are associated with current policies. Our research adds to the growing body of literature that involuntary displacement is a harmful response to unsheltered homelessness. Alt…
Association of Involuntary Displacement of People Experiencing Homelessness and Crime in Denver, CO
Initiation of HIV pre-exposure prophylaxis among youth in the United States, 2015–2018
Adolescents and young adults ("youth") account for one-fifth of new HIV diagnoses in the U.S. HIV pre-exposure prophylaxis (PrEP), which became FDA approved in adolescents in May 2018, is highly effective at preventing HIV infection though there are limited data for PrEP initiation in youth. We aimed to quantify PrEP initiation and identify factors associated with PrEP initiation among youth at risk for HIV. We conducted a retrospective cohort st…
Using Evidence to Inform Legislation Aimed at Curbing Fentanyl Deaths
This Viewpoint presents an evidence-based argument against criminalization policies and for more treatment-focused policies
Rising rates of infective endocarditis in North America
Mortality, incarceration and cost implications of fentanyl felonization laws
Factors associated with opioid-involved overdose among previously incarcerated people in the U.S
Behavioral Risk Factors for HIV Infection in Hospitalized Persons Who Co-use Stimulants and Opioids
Progress and remaining challenges to address hepatitis C, other infectious diseases, and drug-related harms to improve the health of people who use drugs
How simulation modeling can support the public health response to the opioid crisis in North America
Association of skin infections with sharing of injection drug preparation equipment among people who inject drugs
The Urgent Public Health Need to Develop “Crisis Standards of Housing”
The Urgent Public Health Need to Develop "Crisis Standards of Housing": Lessons From the COVID-19 Pandemic Joshua A. Barocas MD, and Mark Earnest MD, PhD Affiliation Joshua A. Barocas is with the Section of Infectious Diseases, Boston Medical Center, and the Department of Medicine, Boston University School of Medicine, Boston, MA. Mark Earnest is with the Division of General Internal Medicine, University of Colorado Anschutz Medical Campus, Auror…
Cost-effectiveness of integrating buprenorphine-naloxone treatment for opioid use disorder into clinical care for persons with HIV/hepatitis C co-infection who inject opioids
Estimated Prevalence of Opioid Use Disorder in Massachusetts, 2011–2015
Objectives. To estimate the annual prevalence of opioid use disorder (OUD) in Massachusetts from 2011 to 2015. Methods. We performed a multisample stratified capture–recapture analysis to estimate OUD prevalence in Massachusetts. Individuals identified from 6 administrative databases for 2011 to 2012 and 7 databases for 2013 to 2015 were linked at the individual level and included in the analysis. Individuals were stratified by age group, sex, an…
Advance directives among people living with HIV
While HIV has become a largely chronic disease, age-associated comorbidities are prevalent in people living with HIV (PLWH). Therefore, PLWH are appropriate for advance care planning (ACP) and advance directives (ADs) completion. We sought to characterize AD completion among outpatient PLWH. We conducted a retrospective chart review of PLWH who receive their routine care at the University of Wisconsin HIV clinic. Data were extracted from the elec…
Estimated Prevalence of Opioid Use Disorder in Massachusetts, 2011–2015
Objectives. To estimate the annual prevalence of opioid use disorder (OUD) in Massachusetts from 2011 to 2015. Methods. We performed a multisample stratified capture–recapture analysis to estimate OUD prevalence in Massachusetts. Individuals identified from 6 administrative databases for 2011 to 2012 and 7 databases for 2013 to 2015 were linked at the individual level and included in the analysis. Individuals were stratified by age group, sex, an…
The Urgent Public Health Need to Develop “Crisis Standards of Housing”
The Urgent Public Health Need to Develop "Crisis Standards of Housing": Lessons From the COVID-19 Pandemic Joshua A. Barocas MD, and Mark Earnest MD, PhD Affiliation Joshua A. Barocas is with the Section of Infectious Diseases, Boston Medical Center, and the Department of Medicine, Boston University School of Medicine, Boston, MA. Mark Earnest is with the Division of General Internal Medicine, University of Colorado Anschutz Medical Campus, Auror…
Advance directives among people living with HIV
While HIV has become a largely chronic disease, age-associated comorbidities are prevalent in people living with HIV (PLWH). Therefore, PLWH are appropriate for advance care planning (ACP) and advance directives (ADs) completion. We sought to characterize AD completion among outpatient PLWH. We conducted a retrospective chart review of PLWH who receive their routine care at the University of Wisconsin HIV clinic. Data were extracted from the elec…
Estimated Prevalence of Opioid Use Disorder in Massachusetts, 2011–2015
Objectives. To estimate the annual prevalence of opioid use disorder (OUD) in Massachusetts from 2011 to 2015. Methods. We performed a multisample stratified capture–recapture analysis to estimate OUD prevalence in Massachusetts. Individuals identified from 6 administrative databases for 2011 to 2012 and 7 databases for 2013 to 2015 were linked at the individual level and included in the analysis. Individuals were stratified by age group, sex, an…
Cost-effectiveness of integrating buprenorphine-naloxone treatment for opioid use disorder into clinical care for persons with HIV/hepatitis C co-infection who inject opioids
Behavioral Risk Factors for HIV Infection in Hospitalized Persons Who Co-use Stimulants and Opioids
Progress and remaining challenges to address hepatitis C, other infectious diseases, and drug-related harms to improve the health of people who use drugs
How simulation modeling can support the public health response to the opioid crisis in North America
Association of skin infections with sharing of injection drug preparation equipment among people who inject drugs
The Urgent Public Health Need to Develop “Crisis Standards of Housing”
The Urgent Public Health Need to Develop "Crisis Standards of Housing": Lessons From the COVID-19 Pandemic Joshua A. Barocas MD, and Mark Earnest MD, PhD Affiliation Joshua A. Barocas is with the Section of Infectious Diseases, Boston Medical Center, and the Department of Medicine, Boston University School of Medicine, Boston, MA. Mark Earnest is with the Division of General Internal Medicine, University of Colorado Anschutz Medical Campus, Auror…
Factors associated with opioid-involved overdose among previously incarcerated people in the U.S
Initiation of HIV pre-exposure prophylaxis among youth in the United States, 2015–2018
Adolescents and young adults ("youth") account for one-fifth of new HIV diagnoses in the U.S. HIV pre-exposure prophylaxis (PrEP), which became FDA approved in adolescents in May 2018, is highly effective at preventing HIV infection though there are limited data for PrEP initiation in youth. We aimed to quantify PrEP initiation and identify factors associated with PrEP initiation among youth at risk for HIV. We conducted a retrospective cohort st…
Using Evidence to Inform Legislation Aimed at Curbing Fentanyl Deaths
This Viewpoint presents an evidence-based argument against criminalization policies and for more treatment-focused policies
Rising rates of infective endocarditis in North America
Mortality, incarceration and cost implications of fentanyl felonization laws
Identifying structural risk factors for overdose following incarceration
Involuntary displacement and self-reported health in a cross-sectional survey of people experiencing homelessness in Denver, Colorado, 2018–2019
This research quantifies the association between involuntary displacement and multiple infectious and non-infectious health outcomes. While city officials attempt to grapple with increasing unsheltered homelessness, it is important to understand what harms are occurring that are associated with current policies. Our research adds to the growing body of literature that involuntary displacement is a harmful response to unsheltered homelessness. Alt…
Association of Involuntary Displacement of People Experiencing Homelessness and Crime in Denver, CO
Improving health and housing outcomes through a simulation and economic model
Introduction: Homelessness in the United States increased every year since 2016, with a 38% increase from 2023 to 2024. Much of the increase is attributable to rising home and rent costs, economic hardship caused by the recent pandemic, and the ending of protective legislation. Notably, people who experience homelessness have an increased risk of substance use disorders, HIV infection and poorer HIV outcomes than people who are stably housed. The…
“You can’t incarcerate yourself out of the drug problem in America
BACKGROUND: In response to the U.S. overdose crisis, many states have increased criminal penalties for drug possession, particularly fentanyl. This study sought to qualitatively explore diverse community perspectives on increasing criminal legal penalties in Colorado for fentanyl possession (House Bill 22-1326) and the broader role of the criminal legal system in addressing substance use and overdose prevention. We conducted 31 semi-structured in…
Implementation of a Statewide Fentanyl Possession Law and Opioid-Related Overdose Deaths
The results of this serial cross-sectional study suggest that increased criminal penalties for fentanyl possession did not change preexisting trends of OODs in Colorado and may have been associated with an increase in opioid overdoses in the Black population. These results should be interpreted in light of increasing opioid overdose rates in Black populations nationally during the study period
Potential Changes in US Homelessness by Ending Federal Support for Housing First Programs
This decision analytical model estimates the change in the number of people experiencing homelessness in a year following termination of federal support for Housing First programs
Impact of increased criminal penalties for fentanyl possession on initiation and retention on medications for opioid use disorder in Colorado
The Process and Cost of Developing a Community Advisory Board Focused on Opioid Overdose Deaths
Background: We describe the Community Advisory Board (CAB) development and costing processes employed by The Helping to End Addiction Long-term (HEALing) Communities Study, Massachusetts (HCS-MA). The actual process and costs associated with establishing a CAB representative of people who use drugs have not been published. Methods: A participatory process was used to identify and recruit CAB members. Health economics costing strategies were used …
Context Matters
Older people with HIV (PWH) experience higher rates of physical function decline and frailty than those without HIV. This study aimed to examine the association between physical function measures and geolocated social determinants of health (SDOH) in two geographically distinct groups of older sedentary PWH. We conducted a cross-sectional analysis using baseline data from a randomized exercise trial (the High-Intensity Exercise Study to Attenuate…
Medicine (17 works) · Opioid Use Disorder Treatment (12 works) · HIV, Drug Use, Sexual Risk (8 works) · Internal Medicine (8 works) · Opioid (7 works) · Psychology (7 works) · Demography (6 works) · Environmental health (6 works) · Political science (6 works) · Family medicine (5 works)