Danielle German
Datos Biográficos
| ID | 108565 |
|---|---|
| NOMBRE | Danielle German |
| NOMBRES | Danielle |
| APELLIDO | German |
| FIRMA | GERMAN D |
| AFILIACIONES | Johns Hopkins University |
| ORCID | 0000-0001-9604-5817 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 77 |
| TOTAL DE CITAS | 209 |
| TOTAL COMO AUTOR | 77 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2000 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 5 |
Correlates of Syringe Acquisition at Syringe Services Program and Pharmacies among Persons Who Inject Drugs
Characterizing the Geography of Drug Use Networks and Behaviors Among People Who Inject Drugs in the Baltimore Metropolitan Region
The geography of injection drug use in the United States continues to evolve and expand outside of urban areas, yet there is little understanding of the extent to which urban and non-urban networks of people who inject drugs (PWID) interact, which has implications for HIV and hepatitis C transmission (HCV). Here, we characterize individuals with mixed geography PWID networks in the Baltimore, Maryland region, as well as prospective associations w…
Personal and Vicarious Overdose Experiences Among People Who Co-Use Stimulants and Opioids
BACKGROUND: Overdose is a leading cause of death in the United States, with nearly half of recent fatalities involving both opioids and stimulants. People who use drugs (PWUD) frequently experience and witness overdose, yet relatively little is known about how overdose is experienced and processed by those who survive it, or the factors shaping subsequent changes in drug use behavior, risk practices, or care-seeking. METHODS: This study is a seco…
Concurrent Use of Extra‐Medical Medication for Opioid Use Disorder Among Adults Prescribed Methadone or Buprenorphine
Perceptions and Experiences of Xylazine, Disparities in Xylazine Awareness, and Correlates of Xylazine-Attributed Wounds Among People Who Use Opioids
Awareness of xylazine in the drug supply remains incomplete among PWUO, with differences by race, age, and gender. The finding of a strong association of xylazine-attributed wounds and injection drug use should be the focus of future research. These findings underscore the need for enhanced surveillance systems, peer education, and community-based harm reduction strategies. Real-time monitoring and rapid response strategies are essential to prote…
Changes in Stimulant Use Over Time Among Men Who Have Sex with Men in Philadelphia, Baltimore, and Washington, DC, 2008–2023
Stimulant use among men who have sex with men (MSM) can contribute to HIV risk and care challenges. Monitoring and responding to local trends are critical for Ending the HIV Epidemic (EHE) initiatives. We assessed stimulant use patterns in Baltimore, Philadelphia, and Washington, DC from 2008 to 2023 using National HIV Behavioral Surveillance data. We collected cross-sectional data in each city using venue-based sampling in 2008, 2011, 2014, 2017…
Racial Disparities in HIV Prevalence, Testing, and Care Among Men Who Have Sex with Men in Baltimore from 2008 to 2023
The Baltimore HIV epidemic among men who have sex with men (MSM) has been characterized by high HIV prevalence and stark racial disparities. We examined trends in HIV infection and service utilization among Baltimore MSM using data from CDC's National HIV Behavioral Surveillance (NHBS) project from 2008 to 2023. A total of 2,180 venue-recruited MSM participated: 68% Black, 19% White, and 13% other/multiple racial identities. By 2023, HIV prevalen…
The Critical Role of Community-Based National HIV Behavioral Surveillance in the United States’ Response to HIV
Strategies and Considerations for Forming and Managing Community Advisory Boards from Health Research with Transgender and Nonbinary Communities
Purpose: There is limited research on the use of community advisory boards (CABs) in health research with transgender and nonbinary communities. Transgender communities are navigating challenging histories of health researcher exploitation and research distrust alongside exponential research growth. We explored strategies for forming and managing CABs when conducting transgender community-informed health research. Methods: We used purposive and s…
Facilitators and Barriers to Pre-Exposure Prophylaxis (PrEP) Use Among Black Young and Older Adult Women in Baltimore
HIV Pre-exposure prophylaxis (PrEP) modalities and service delivery preferences among black cisgender emerging and older adult women in Baltimore, Maryland
To improve PrEP equity and initiation of current and emerging PrEP modalities, it is crucial to integrate the lived experiences and preferences of Black cisgender women and enhance their representation in PrEP messaging
Perspectives on prescribed safer supply programs among people who inject drugs in Baltimore, Maryland
This study suggests strong acceptability of prescribed safer supply to address the U.S. opioid crisis, including overdose, violence, and associated healthcare costs. We recommend further U.S. research and pilot projects
Comparing Socio-Demographics and HIV Testing and Prevention Outcomes Between Low-Income HIV-Negative Heterosexually Active Black Women and Men with Health Insurance
Drug Use-Related Discrimination in Healthcare Settings and Subsequent Emergency Department Utilization in a Prospective Cohort Study of People With a History of Injection Drug Use
BACKGROUND: People with a history of injection drug use face discrimination in healthcare settings that may impede their use of routine care, leading to greater reliance on the emergency department (ED) for addressing health concerns. The relationship between discrimination in healthcare settings and subsequent ED utilization has not been established in this population. METHODS: This analysis used longitudinal data collected between January 2014 …
Injection Behaviors and Use of Syringe Service Programs over Time among People Who Inject Drugs in Baltimore, Maryland
Introduction: People who inject drugs (PWID) are at increased risk for infectious disease transmission, including hepatitis C and HIV. Understanding trends in injection risk behaviors and syringe service program (SSP) use over time can help improve infectious disease prevention and other harm reduction services. Methods: Using National HIV Behavioral Surveillance System data from Baltimore, Maryland, we examined changes in receptive sharing of (1…
Factors Associated with the Awareness of and Willingness to Use HIV Pre-exposure Prophylaxis Among Gay, Bisexual, and Other Men Who Have Sex with Men, Baltimore, MD, 2017–2019
Sexual behavior stigma among cisgender gay, bisexual, and other men who have sex with men in nine NHBS cities across the United States
In the United States (US), sexuality-based stigma continues to undermine HIV prevention and care efforts. We assessed sexual behavior stigma burden across family, healthcare, and social domains and determined associations with HIV-related outcomes among cisgender gay, bisexual, and other men who have sex with men (MSM) in nine US metropolitan statistical areas. MSM ( N = 4,086) recruited at places of MSM social congregation via venue-based, time-…
Past-Year HIV Testing, Current Antiretroviral Therapy Use, and Participation in Services for People Who Inject Drugs
Longitudinal patterns of use of stimulants and opioids in the Aids linked to the IntraVenous experience cohort, 2005–2019
Associations between Rat Infestations and Mental Health Vary by Gender, Race, and Income in Chicago
Effects of Texas State Agency Integration on Mental Health Service Use Among Individuals with Co-occurring Cognitive Disabilities and Mental Health Conditions
This study uses Texas's 2017 integration of the state disability and mental health agencies as a case study, combining interviews with Texas agency and advocacy organization leaders to examine perceptions of agency integration and augmented synthetic control analyses of 2014-2020 Medical Expenditure Panel Survey to examine impacts on mental health service use among individuals with co-occurring cognitive disabilities (including intellectual and d…
First-hand accounts of structural stigma toward people who use opioids on Reddit
Feasibility, acceptability and effectiveness of a culturally informed intervention to decrease stress and promote well-being in reservation-based Native American Head Start teachers
Utilizing a culturally based intervention to buffer stress and support the well-being of reservation-based teachers showed promise in helping them recognize their cultural strengths, stress, and need for ongoing support. Implementation outcomes show that intervention scale-out is feasible
Type of Exchange Sex and Associated Behaviors and Outcomes Among Cisgender Men and Women at Increased Risk for HIV via Heterosexual Transmission in Six U.S. Metropolitan Areas
Factors Associated with Exchange Sex Among Cisgender Persons Who Inject Drugs
Managing uncertainty
Neighborhoods and HIV
Neighborhood factors have been linked to HIV risk behaviors, HIV counseling and testing, and HIV medical care. However, the social-psychological mechanisms that connect neighborhood factors to HIV-related behaviors have not been fully determined. In this article we review the research on neighborhood factors and HIV-related behaviors, approaches to measuring neighborhoods, and mechanisms that may help to explain how the physical and social enviro…
Individual‐level influences on perceptions of neighborhood disorder
Health outcomes are associated with aggregate neighborhood measures and individual neighborhood perceptions. In this study, the authors sought to delineate individual, social network, and spatial factors that may influence perceptions of neighborhood disorder. Multilevel regression analysis showed that neighborhood perceptions were more negative in neighborhoods with higher crime reports. Controlling for neighborhood crime, higher perceptions of …
Residential Transience and Depression
HIV Risk Among Men Who Have Sex with Men Only (MSMO) and Men Who Have Sex with Men and Women (MSMW) in Baltimore
Men who have sex with men and women (MSMW) are at high risk for HIV. However, the majority of research on populations of men who have sex with men (MSM) combines MSMW and men who have sex with men only (MSMO) samples, which limits our understanding of HIV risk behaviors and factors associated with HIV risk among MSMW populations. We used the BESURE-MSM2, a venue-based cross-sectional study of HIV risk behaviors among MSM in Baltimore, MD, to exam…
A Comparison of the Social and Sexual Networks of Crack-Using and Non-Crack Using African American Men who Have Sex with Men
Female crack users and their sexual relationships
This study challenges the image of female crack users as exchangers, or women who exchange sex for crack. Between June 1997 and February 1999, quantitative interviews were conducted with 150 active female crack users, one half of whom also completed a qualitative interview. Data analysis involved contingency analysis, bivariate logistic regression analysis, and the constant comparison method. Exchangers (n = 65) were younger, and were more likely…
Social Stability and Health
The Internalized Homophobia Scale for Vietnamese Sexual Minority Women
Experiencing Violence as a Predictor of Drug Use Relapse among Former Drug Users in Baltimore, Maryland
First-hand accounts of structural stigma toward people who use opioids on Reddit
Monitoring Intersectional Stigma
Exposure to Urban Rats as a Community Stressor Among Low‐income Urban Residents
We examined exposure and perceptions of rats and perceived rat eradication response among 448 low‐income urban residents in Baltimore, Maryland, recruited using targeted outreach. Bivariate and multivariate regression compared those reporting high and low rat prevalence. Only 35% of respondents indicated rats were not a problem on their block. Rats were most problematic when seen approximately daily on one's block (35%) or elsewhere in the neighb…
Female crack users and their sexual relationships
This study challenges the image of female crack users as exchangers, or women who exchange sex for crack. Between June 1997 and February 1999, quantitative interviews were conducted with 150 active female crack users, one half of whom also completed a qualitative interview. Data analysis involved contingency analysis, bivariate logistic regression analysis, and the constant comparison method. Exchangers (n = 65) were younger, and were more likely…
Looking Beyond Stereotypes
Since the onset of the crack epidemic in the U.S. in the 1980s, the social and health consequences to the drug's users from their perspective has received limited attention. This exploratory study was designed to explore heterogeneity among crack users. Based on in-depth interviews with 22 active crack users in Atlanta, Georgia, variations among them were explored. Data analysis involved the constant comparison method as part of the grounded theo…
The evaluation of the Jewel project
The JEWEL (Jewellery Education for Women Empowering Their Lives) pilot study examined the efficacy of an economic empowerment and HIV prevention intervention targeting illicit drug-using women (n=50) who were involved in prostitution in Baltimore, Maryland. The intervention was comprised of six 2-hour sessions that taught HIV prevention risk reduction and the making, marketing and selling of jewellery. Bivariate comparisons examined behaviour cha…
Residential Transience and HIV Risk Behaviors Among Injection Drug Users
Young Thai women who use methamphetamine
Residential Transience and Depression
Individual‐level influences on perceptions of neighborhood disorder
Health outcomes are associated with aggregate neighborhood measures and individual neighborhood perceptions. In this study, the authors sought to delineate individual, social network, and spatial factors that may influence perceptions of neighborhood disorder. Multilevel regression analysis showed that neighborhood perceptions were more negative in neighborhoods with higher crime reports. Controlling for neighborhood crime, higher perceptions of …
Partner Characteristics and Undiagnosed HIV Seropositivity among Men Who Have Sex with Men Only (MSMO) and Men Who Have Sex with Men and Women (MSMW) in Baltimore
Social Stability and HIV Risk Behavior
Predictors of incident and recurrent participation in the sale or delivery of drugs for profit amongst young methamphetamine users in Chiang Mai Province, Thailand, 2005–2006
A Comparison of the Social and Sexual Networks of Crack-Using and Non-Crack Using African American Men who Have Sex with Men
Social Stability and Health
Experiencing Violence as a Predictor of Drug Use Relapse among Former Drug Users in Baltimore, Maryland
Boredom, Depressive Symptoms, and HIV Risk Behaviors Among Urban Injection Drug Users
The Wire and Urban Health Education
Unanticipated Effect of a Randomized Peer Network Intervention on Depressive Symptoms Among Young Methamphetamine Users in Thailand
We examined the effect on depressive symptoms of a peer network‐oriented intervention effective in reducing sexual risk behavior and methamphetamine (MA) use. Current Thai MA users aged 18‐25 years and their drug and/or sex network members enrolled in a randomized controlled trial with 4 follow‐ups over 12 months. A total of 415 index participants recruited 568 network members. Linear repeated measures models were fit with depressive symptoms (Ce…
Using Baltimore HIV Behavioral Surveillance Data for Local HIV Prevention Planning
Injection drug users’ and their risk networks’ experiences of and attitudes towards drug dealer violence in Baltimore, Maryland
Thank You to Reviewers 2012
Neighborhoods and HIV
Neighborhood factors have been linked to HIV risk behaviors, HIV counseling and testing, and HIV medical care. However, the social-psychological mechanisms that connect neighborhood factors to HIV-related behaviors have not been fully determined. In this article we review the research on neighborhood factors and HIV-related behaviors, approaches to measuring neighborhoods, and mechanisms that may help to explain how the physical and social enviro…
Managing uncertainty
HIV Risk Among Men Who Have Sex with Men Only (MSMO) and Men Who Have Sex with Men and Women (MSMW) in Baltimore
Men who have sex with men and women (MSMW) are at high risk for HIV. However, the majority of research on populations of men who have sex with men (MSM) combines MSMW and men who have sex with men only (MSMO) samples, which limits our understanding of HIV risk behaviors and factors associated with HIV risk among MSMW populations. We used the BESURE-MSM2, a venue-based cross-sectional study of HIV risk behaviors among MSM in Baltimore, MD, to exam…
HIV Risk, Health, and Social Characteristics of Sexual Minority Female Injection Drug Users in Baltimore
Individual-Level and Partner-Level Predictors of Newly Diagnosed HIV Infection Among Black and White Men Who Have Sex with Men in Baltimore, MD
Negative Family Treatment of Sexual Minority Women and Transmen in Vietnam
Quantitative research on parental/family disapproval and rejection of sexual/gender minority persons has often measured family rejection as one binary/continuous variable, or using several variables representing specific behaviors or dimensions of behaviors. Absent from this literature is analysis using a person-oriented approach, examining heterogeneity across individuals in the types of family treatment experience. Using data from 2,664 adult s…
Medicine (58 obras) · HIV, Drug Use, Sexual Risk (47 obras) · HIV/AIDS Research and Interventions (44 obras) · Psychology (44 obras) · Demography (39 obras) · Psychiatry (34 obras) · Family medicine (28 obras) · Public health (28 obras) · Sociology (28 obras) · Demography (26 obras)