Steven P Kurtz
Datos Biográficos
| ID | 163879 |
|---|---|
| NOMBRE | Steven P Kurtz |
| NOMBRES | Steven P |
| APELLIDO | Kurtz |
| FIRMA | KURTZ S P |
| AFILIACIONES | Nova Southeastern University |
| ORCID | 0000-0002-4243-8129 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 39 |
| TOTAL DE CITAS | 48 |
| TOTAL COMO AUTOR | 39 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 1998 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2022 |
| ÍNDICE H | 4 |
Young Adult Nightclub Participants Who Attend Adult Entertainment Clubs
This secondary analysis of cross-sectional baseline data from an intervention trial study examines demographics, sexually transmitted infection (STI) history, substance use and sexual risk behaviors among young adult nightclub participants who do (n = 79) and do not (n = 419) frequent "strip" or adult entertainment clubs (AECs) in Miami, Florida. AEC patrons were older, and more likely to identify as Black race and report STI history. Compared to…
Descriptions of Gabapentin Misuse and Associated Behaviors among a Sample of Opioid (Mis)users in South Florida
Gabapentin has received increased attention due to a growing number of reports of misuse and diversion. However, significant details about gabapentin misuse are scant. Data are drawn from a mixed-methods study examining gabapentin misuse in South Florida. The sample includes 49 respondents who were age 18 or over and reported past year use of illicit opioids and/or the misuse of prescription opioid medications, as well as, recent (past 90 days) g…
Preliminary Evidence of Pregabalin Misuse among Prescription and/or Illicit Opioid (Mis)users
Pregabalin is approved for the management of neuropathic pain, partial-onset seizures, and fibromyalgia. Although it is considered to have low potential for abuse, reports of misuse of pregabalin are emerging. The present study contributes to this literature by presenting preliminary evidence of pregabalin misuse. Mixed method interviews were conducted with prescription and/or illicit opioid (mis)users who reported a history of pregabalin misuse …
Frequency of Group Sex Participation and Risk for HIV/STI Among Young Adult Nightclub Scene Participants
Objectives: This study examines frequency of group sex participation and associated characteristics and behaviors among a sample of heterosexual young adult participants in Miami's nightclub scene (n = 498). Methods: Baseline survey assessments were analyzed using zero-inflated binomial regression. Results: Forty-one percent of the sample reported group sex participation history. Greater frequency of group sex is associated with buying sex, sex w…
Representations of Pre-exposure Prophylaxis, Informal Antiretroviral Medication Use for HIV Prevention, and Diversion on Geosocial Networking Apps among Men Who Have Sex with Men
Substance Use Disorders, Violence, Mental Health, and HIV
Motivations for Selling Ecstasy among Young Adults in the Electronic Dance Music Club Culture in Brazil
This article describes data on the motivations for selling ecstasy among young adults in the electronic dance music (EDM) club culture in Brazil. Individual interviews were conducted with 20 individuals recruited for their involvement in the EDM club scene. Eligible participants were aged 18-39 and reported ecstasy and/or LSD use one or more times in the past 90 days. Exclusion criteria included current treatment for drug/alcohol problems and cog…
Finding what works
Female sex workers (FSWs) encounter numerous challenges in accessing health and social services. In this study of drug using, African American FSWs, the authors examine specific factors associated with health or social service linkage among participants in a randomized intervention trial. Respondent linkage was significantly associated with individual factors (living alone, severe internal mental distress, and traumatic victimization) and project…
Benzodiazepine Dependence among Young Adult Participants in the Club Scene Who Use Drugs
Young adults ages 18-29 report the highest rates of benzodiazepine (BZD) misuse in the United States. The majority of club drug users are also in this age group, and BZD misuse is prevalent among participants in club scenes. This article examines BZD dependence and its correlates among young adult participants in the electronic dance music (EDM) culture in Miami, Florida, who use drugs. Structured interviews were with men and women (N = 356) ages…
Alternate Routes of Administration among Prescription Opioid Misusers and Associations with Sexual HIV Transmission Risk Behaviors
Literature suggests that young adult prescription opioid misusers who are using alternate routes of administration (e.g., snorting, injecting) may be engaging in sexual and non-sexual HIV risk behaviors. This study examines demographics, substance use, sexual risk behavior, and health and social problems associated with alternate routes of administration of prescription opioids among a sample of young adult prescription opioid misusers. Data are …
Medication adherence challenges among HIV positive substance abusers
This study examines the prevalence of food/housing insecurity and its association with psychological, behavioral, and environmental factors impacting antiretroviral (ARV) medication adherence and diversion among substance using HIV+ patients in South Florida. Five hundred and three HIV+ substance abusers were recruited through targeted sampling. Participants completed a standardized instrument assessing demographics, mental health status, sex ris…
Environmental Influences on HIV Medication Adherence
Objectives. We hypothesized that highly disordered neighborhoods would expose residents to environmental pressures, leading to reduced antiretroviral (ARV) medication adherence. Methods. Using targeted sampling, we enrolled 503 socioeconomically disadvantaged HIV-positive substance users in urban South Florida between 2010 and 2012. Participants completed a 1-time standardized interview that took approximately 1 hour. We tested a multiple mediati…
A Mixed Methods Study of Health and Social Disparities Among Substance-Using African American/Black Men Who Have Sex with Men
The Changing Face of Heroin Use in the United States
Our data show that the demographic composition of heroin users entering treatment has shifted over the last 50 years such that heroin use has changed from an inner-city, minority-centered problem to one that has a more widespread geographical distribution, involving primarily white men and women in their late 20s living outside of large urban areas.
Vulnerable infected populations and street markets for ARVs
Widespread diversion of antiretroviral (ARV) medications to illicit markets has recently been documented among indigent patients in South Florida. The recent approval of ARVs for pre-exposure prophylaxis (PrEP) has the potential to broaden these illicit markets, as high-risk individuals seek ARVs without a prescription or medical supervision. Nonadherence among diverters and unsupervised use of ARVs for treatment or PrEP increase risks of treatme…
The Demand for Antiretroviral Drugs in the Illicit Marketplace
Outcomes of a Behavioral Intervention to Reduce HIV Risk Among Drug-involved Female Sex Workers
Risk and Protective Factors Associated with Personal Mastery Among Sexual Minority African-American Female Sex Workers
Research among sexual minorities has traditionally examined problems such as substance use, HIV risk, mental health problems, and victimization. Among sexual minority street-based female sex workers, these vulnerabilities can be magnified. Grounded in theories of resilience, this study examines risk and protective factors associated with a high level of personal mastery among a vulnerable population of women. Data are drawn from baseline intervie…
Changes in method for obtaining better outcomes in the recruitment of synthetic drug users
Objective: To describe the problems encountered and resolved in the course of using respondent-driven sampling (RDS), targeted canvassing (TARC), and ethnographic fieldwork (EFW) to recruit ecstasy and/or lysergic acid diethylamide (LSD) users. Method: This study is nested within a larger project designed to investigate the course of drug use, sexual risk behaviors, and psychiatric comorbidities in 240 ecstasy/LSD users. Eligible participants wer…
A Randomized Trial of a Behavioral Intervention for High Risk Substance-Using MSM
HIV Risk Among Substance-Using Men Who Have Sex with Men and Women (MSMW)
Antiretroviral Medication Diversion Among HIV-Positive Substance Abusers in South Florida
The high cost of life-saving antiretroviral (ARV) therapy for HIV represents an expense that impedes accessibility and affordability by patients. This price structure also appears to motivate the diversion of ARVs and the targeting of HIV-positive patients by pill brokers in the illicit market. Our field research with indigent, HIV-positive substance abusers links ARV diversion to high levels of competing needs, including psychiatric disorders, H…
Resilience, Syndemic Factors, and Serosorting Behaviors among HIV-Positive and HIV-Negative Substance-Using MSM
Serosorting is commonly employed by MSM to reduce HIV risk. We hypothesize that MSM perceive serosorting to be effective, and that serosorting is predicted by resilience and inversely related to syndemic characteristics. Surveys included 504 substance-using MSM. Logistic regression models examined syndemic and resilience predictors of serosorting, separately by serostatus. For HIV-positive men, positive coping behaviors (P = .015) and coping self…
HIV risk among female sex workers in Miami
Street-based female sex workers constitute a vulnerable population for HIV, as they are often enmeshed in chronic patterns of substance use, sexual risk, homelessness, and violent victimization. This study examined the specific contributions of victimization history and abuse-related traumagenic factors to mental health functioning and sexual risk behaviors, while considering the impact of environmental risk factors as well. Using targeted sampli…
Migration, Neighborhoods, and Networks
Sex Work and “Date” Violence
This study employed survey and focus group methods to examine the characteristics and sex work-related behaviors of 294 female street-based sex workers in Miami that make them more likely to be victimized by their clients or “dates.” More than half the respondents had experienced date violence in the prior year. Economic desperation, using crack or heroin while working, not controlling the date location, and having sex in the car were strong pred…
A Mixed Methods Study of Health and Social Disparities Among Substance-Using African American/Black Men Who Have Sex with Men
Environmental Influences on HIV Medication Adherence
Objectives. We hypothesized that highly disordered neighborhoods would expose residents to environmental pressures, leading to reduced antiretroviral (ARV) medication adherence. Methods. Using targeted sampling, we enrolled 503 socioeconomically disadvantaged HIV-positive substance users in urban South Florida between 2010 and 2012. Participants completed a 1-time standardized interview that took approximately 1 hour. We tested a multiple mediati…
Butterflies under Cover
Life histories of ethnic Cuban and Puerto Rican gay men who live in Miami-Dade County, Florida are examined to explore the strategies men employ to deal with their stigmatized sexuality, their negotiations of gendered self-attribution as they confront Miami's masculinized gay culture, and their reinterpretation of gay stereotypes and their own masculinities over time. Puerto Rican men were more likely to adopt a feminized self-conception and to d…
Risk and Protective Factors Associated with Personal Mastery Among Sexual Minority African-American Female Sex Workers
Research among sexual minorities has traditionally examined problems such as substance use, HIV risk, mental health problems, and victimization. Among sexual minority street-based female sex workers, these vulnerabilities can be magnified. Grounded in theories of resilience, this study examines risk and protective factors associated with a high level of personal mastery among a vulnerable population of women. Data are drawn from baseline intervie…
Antiretroviral Medication Diversion Among HIV-Positive Substance Abusers in South Florida
The high cost of life-saving antiretroviral (ARV) therapy for HIV represents an expense that impedes accessibility and affordability by patients. This price structure also appears to motivate the diversion of ARVs and the targeting of HIV-positive patients by pill brokers in the illicit market. Our field research with indigent, HIV-positive substance abusers links ARV diversion to high levels of competing needs, including psychiatric disorders, H…
Impact of HIV Counseling and Testing on HIV-Infected Men Who Have Sex with Men
Limitations of Counseling and Testing in CDC's HIV Prevention Efforts
Butterflies under Cover
Life histories of ethnic Cuban and Puerto Rican gay men who live in Miami-Dade County, Florida are examined to explore the strategies men employ to deal with their stigmatized sexuality, their negotiations of gendered self-attribution as they confront Miami's masculinized gay culture, and their reinterpretation of gay stereotypes and their own masculinities over time. Puerto Rican men were more likely to adopt a feminized self-conception and to d…
Sex Work and Drug Use in a Subculture of Violence
This article examines the subculture of violence thesis as it relates to female street sex workers in Miami. Interview and focus group methods were used to study the intersections of childhood trauma, drug use, and violent victimization among 325 women. Using targeted sampling, crack- and heroin-using sex workers were recruited through street outreach into an HIV-prevention research program. Interviews used standard instrumentation and focused on…
Sex Work and “Date” Violence
This study employed survey and focus group methods to examine the characteristics and sex work-related behaviors of 294 female street-based sex workers in Miami that make them more likely to be victimized by their clients or “dates.” More than half the respondents had experienced date violence in the prior year. Economic desperation, using crack or heroin while working, not controlling the date location, and having sex in the car were strong pred…
Barriers to Health and Social Services for Street-Based Sex Workers
Homelessness, poverty, drug abuse and violent victimization faced by street-based women sex workers create needs for a variety of health and social services, yet simultaneously serve as barriers to accessing these very services. The present study utilized interview (n = 586) and focus group (n = 25) data to examine the service needs and associated barriers to access among women sex workers in Miami, Florida. Women most often reported acute servic…
The effect of serostatus on HIV risk behaviour change among women sex workers in Miami, Florida
HIV prevention and risk reduction are especially salient and timely issues for women, particularly among those who are drug-involved or who exchange sex for drugs or money. Studies suggest that HIV-prevention measures can be effective with highly vulnerable women, and have the potential to produce significant reductions in risk behaviours among both HIV-negative and HIV-positive women. Within this context, this paper examines risk behaviours and …
Sexual risks and concerns about Aids among adolescents in Anguilla
Concerns regarding HIV/AIDS infection and the health risk behaviours among youth in the Caribbean are growing. Considering that approximately 30% of the Caribbean's population falls between the ages of 10 to 24, there is considerable need for research on youth in this region. This paper reports findings regarding the sexual risks and concerns about AIDS among 1,225 enrolled school students in Anguilla, drawn from self-administered health surveys …
Post-Circuit Blues
HIV, HBV, and HCV Infections Among Drug-Involved, Inner-City, Street Sex Workers in Miami, Florida
Social context, sexual practices, and risks for HIV transmission among men who have sex with men
Arrest Histories of High-Risk Gay and Bisexual Men in Miami
Gay and bisexual men continue to suffer the highest burden of HIV/AIDS in the U.S. Since the beginning of the epidemic, substance abuse has been shown to be one of the strongest predictors of sexual risk behaviors and seroconversion among this population. Recent research has focused on additional aspects of health risk disparities among gay and bisexual men, including depression and other mental health problems, childhood sexual abuse, and adult …
Correlates of Heterosexual Anal Intercourse Among Substance-Using Club-Goers
Migration, Neighborhoods, and Networks
Foster Care History and HIV Infection among Drug-Using African American Female Sex Workers
Resilience, Syndemic Factors, and Serosorting Behaviors among HIV-Positive and HIV-Negative Substance-Using MSM
Serosorting is commonly employed by MSM to reduce HIV risk. We hypothesize that MSM perceive serosorting to be effective, and that serosorting is predicted by resilience and inversely related to syndemic characteristics. Surveys included 504 substance-using MSM. Logistic regression models examined syndemic and resilience predictors of serosorting, separately by serostatus. For HIV-positive men, positive coping behaviors (P = .015) and coping self…
HIV risk among female sex workers in Miami
Street-based female sex workers constitute a vulnerable population for HIV, as they are often enmeshed in chronic patterns of substance use, sexual risk, homelessness, and violent victimization. This study examined the specific contributions of victimization history and abuse-related traumagenic factors to mental health functioning and sexual risk behaviors, while considering the impact of environmental risk factors as well. Using targeted sampli…
Changes in method for obtaining better outcomes in the recruitment of synthetic drug users
Objective: To describe the problems encountered and resolved in the course of using respondent-driven sampling (RDS), targeted canvassing (TARC), and ethnographic fieldwork (EFW) to recruit ecstasy and/or lysergic acid diethylamide (LSD) users. Method: This study is nested within a larger project designed to investigate the course of drug use, sexual risk behaviors, and psychiatric comorbidities in 240 ecstasy/LSD users. Eligible participants wer…
A Randomized Trial of a Behavioral Intervention for High Risk Substance-Using MSM
HIV Risk Among Substance-Using Men Who Have Sex with Men and Women (MSMW)
Antiretroviral Medication Diversion Among HIV-Positive Substance Abusers in South Florida
The high cost of life-saving antiretroviral (ARV) therapy for HIV represents an expense that impedes accessibility and affordability by patients. This price structure also appears to motivate the diversion of ARVs and the targeting of HIV-positive patients by pill brokers in the illicit market. Our field research with indigent, HIV-positive substance abusers links ARV diversion to high levels of competing needs, including psychiatric disorders, H…
The Changing Face of Heroin Use in the United States
Our data show that the demographic composition of heroin users entering treatment has shifted over the last 50 years such that heroin use has changed from an inner-city, minority-centered problem to one that has a more widespread geographical distribution, involving primarily white men and women in their late 20s living outside of large urban areas.
Vulnerable infected populations and street markets for ARVs
Widespread diversion of antiretroviral (ARV) medications to illicit markets has recently been documented among indigent patients in South Florida. The recent approval of ARVs for pre-exposure prophylaxis (PrEP) has the potential to broaden these illicit markets, as high-risk individuals seek ARVs without a prescription or medical supervision. Nonadherence among diverters and unsupervised use of ARVs for treatment or PrEP increase risks of treatme…
The Demand for Antiretroviral Drugs in the Illicit Marketplace
Outcomes of a Behavioral Intervention to Reduce HIV Risk Among Drug-involved Female Sex Workers
Medicine (37 obras) · Psychiatry (26 obras) · HIV, Drug Use, Sexual Risk (24 obras) · Psychology (21 obras) · Environmental health (20 obras) · HIV/AIDS Research and Interventions (20 obras) · Sex work and related issues (18 obras) · Public health (17 obras) · Family medicine (16 obras) · Clinical Psychology (14 obras)