G Chander
Datos Biográficos
| ID | 1742687 |
|---|---|
| NOMBRE | G Chander |
| NOMBRES | G |
| APELLIDO | Chander |
| FIRMA | CHANDER G |
| AFILIACIONES | Johns Hopkins University |
| ORCID | 0000-0002-2216-6330 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 68 |
| TOTAL DE CITAS | 27 |
| TOTAL COMO AUTOR | 68 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2006 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 3 |
“Fentanyl Is the Name of the Game”
In Washington State, the dynamic drug policy around fentanyl has not only transformed policing but also the ways people who use drugs make sense of their own practices. Drawing on in-depth interviews with 20 people who use both opioids and methamphetamine, this article shows how legislative changes associated with the changing “moral panic” from methamphetamine to fentanyl have affected how people conceptualize the health and legal risks associat…
Alcohol and other drug use among HIV-affected adolescents and young adults in Zambia
Background Alcohol and other drug (AOD) use is a growing public health problem among AYA and young adults (AYA) globally. AYA who are affected by HIV in low-and-middle-income countries (LMICs) may have high risk for AOD use problems, yet the context of AOD use remains an understudied area in this population. Method ology: In this qualitative study, we conducted 16 focus group discussions with HIV-affected AYA (ages 16-24), caregivers, and healthc…
A Pilot Evaluation of a Telemedicine Pharmacist–Physician Management Model to Increase Access to Medication for Alcohol and Opioid Use Disorders for Rural Veterans
BACKGROUND: Alcohol and opioid use disorders (AUD, OUD) cause significant morbidity and mortality among Veterans, yet only a minority receive evidence-based treatment. OBJECTIVE: Beginning in February 2022, we piloted a telemedicine pharmacist-physician management model (PPMM) in 6 Veterans Health Administration (VHA) primary care community-based outpatient clinics (CBOCs) across one VHA Health Care System to improve rural Veteran access to medic…
Community Resilience Estimates and HIV Health Outcomes
This study aims to better understand the association between community social vulnerabilities (e.g., income-to-poverty ratio, health insurance coverage) and the ability of people with HIV (PWH) to achieve viral suppression and optimal CD4 cell count levels. We conducted an observational study within the CFAR Network of Integrated Clinical Systems (CNICS) cohort of adult PWH in care at two CNICS sites between 1/2015 and 3/2023 with an identifiable…
Quality of Life among Predominately African Americans with HIV Who Use Drugs
Healthcare Provider Perceptions on Screening and Treatment for Unhealthy Alcohol Use in HIV Primary Care Settings
It makes all the sense in the world”
Prevalence of hepatitis coinfection and substance use among antiretroviral therapy clinic clients with hazardous alcohol use in Vietnam
The confluence of injection drug use (IDU), alcohol consumption, and viral hepatitis increases morbidity among persons living with HIV (PWH). We present a secondary analysis of a randomized controlled trial of alcohol reduction interventions in Thai Nguyen, Vietnam conducted between 2016–2018. We assessed hepatitis B (HBV) and hepatitis C (HCV) coinfection among PWH reporting hazardous alcohol consumption and examined differences in IDU and alcoh…
Alcohol and drug use severity are independently associated with antiretroviral adherence in the current treatment era
Substance use in people with HIV (PWH) negatively impacts antiretroviral therapy (ART) adherence. However, less is known about this in the current treatment era and the impact of specific substances or severity of substance use. We examined the associations of alcohol, marijuana, and illicit drug use (methamphetamine/crystal, cocaine/crack, illicit opioids/heroin) and their severity of use with adherence using multivariable linear regression in a…
Severity and Number of Substances Used are Independently Associated with Antiretroviral Therapy Adherence Over Time among People with HIV in the Current Treatment Era
Association of Alcohol Use with Covid-19 Infection and Hospitalization Among People Living with HIV in the United States, 2020
HIV stigma and disclosure of alcohol use to physicians
Alcohol use among persons living with HIV (PWH) can lead to poor disease outcomes. Disclosure of alcohol consumption to physicians is critical to inform HIV care. HIV stigma is associated with poor care engagement, and this relationship is partially mediated by depression. However, less is known about how HIV stigma and depression affect reporting of alcohol use to care providers. We used baseline data from an HIV intervention trial of 330 adult …
Intersection of alcohol use, HIV infection, and the HIV care continuum in Zambia
Through a nationally-representative household survey, we measured the prevalence and correlates of unhealthy alcohol use (UAU) in Zambia and its association with the HIV care continuum. Adolescent and adult (ages 15–59 years) data, including the Alcohol Use Disorders Identification Test-Consumption (AUDIT-C), from the 2016 Zambia Population-based HIV Impact Assessment, were analyzed. UAU was defined as AUDIT-C of 3 + points for women and 4 + for …
Alcohol use as a mediator of the effect of two alcohol reduction interventions on mental health symptoms of ART clients in Vietnam
We aimed to examine the mediating role of alcohol use in the pathway from the interventions to depression and anxiety symptoms using data from a randomized controlled trial among people living with HIV (PWH) with hazardous alcohol use (n = 440) in Thai Nguyen, Vietnam. Participants were randomized into either a combined intervention (CoI), a brief intervention (BI) and a standard of care arm. Both interventions were based on cognitive behavioral …
People with HIV who smoke cigarettes non-daily
Cigarette smoking is a leading cause of mortality in people with HIV (PWH) in the United States (US). A rising proportion of US tobacco users smoke non-daily, a phenomenon that is common among PWH. PWH who smoke non-daily may be attractive targets for cessation efforts, and, thus, a fuller understanding of non-daily smoking in PWH is important. We merged datasets from two randomized controlled tobacco treatment trials for PWH conducted in three c…
Clinical and Behavioral Outcomes for Transgender Women Engaged in HIV Care
Patient-centered Engagement as a Mediator in the Associations of Healthcare Discrimination, Pain Care Denial, and Later Substance Use Among a Sample of Predominately African Americans Living with HIV
Efficacy of Two Evidence-Based Alcohol Consumption Interventions on Positive, Negative, and Neutral Days Among Hazardous Alcohol Users Living with HIV in Vietnam
Longitudinal Trajectories of Alcohol Use in Vietnamese Adults with Hazardous Alcohol Use and HIV
I refused to drink but they still forced me
Drug and alcohol use among people living with HIV in care in the United States by geographic region
Substance use in the U.S. varies by geographic region. Opioid prescribing practices and marijuana, heroin, and methamphetamine availability are evolving differently across regions. We examined self-reported substance use among people living with HIV (PLWH) in care at seven sites from 2017-2019 to understand current regional substance use patterns. We calculated the percentage and standardized percentage of PLWH reporting current drug use and at-r…
Efficacy of the Common Elements Treatment Approach (Ceta) for Unhealthy Alcohol Use Among Adults with HIV in Zambia
The Patient Reported Outcomes as a Clinical Tool (PROACT) Pilot Study
Effects of Two Alcohol Reduction Interventions on Depression and Anxiety Symptoms of ART Clients in Vietnam
Cultural Adaptation of an Intervention to Reduce Hazardous Alcohol Use Among People Living with HIV in Southwestern Uganda
The Syndemic Effects of Intimate Partner Violence, HIV/Aids, and Substance Abuse on Depression among Low-Income Urban Women
Social Network Characteristics and HIV Sexual Risk Behavior among Urban African American Women
Sex-Related Alcohol Expectancies Among African American Women Attending an Urban STI Clinic
African American women are disproportionately affected by human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) and sexually transmitted infections (STIs). Alcohol use is a significant risk factor for HIV/STI acquisition. Sex-related alcohol expectancies (SRAEs) may partially account for alcohol-related risky sexual behaviors. Using qualitative interviews we explored the link between alcohol use and risky sex among 20 African…
Digital Divide
Hazardous Alcohol Use
OBJECTIVE: We examined the independent effect of alcohol and combined effects of drug and alcohol use on antiretroviral (ART) utilization, adherence, and viral suppression in an urban cohort of HIV-infected individuals. METHODS: In an observational clinical cohort, alcohol use, active drug use, and adherence were prospectively assessed at 6-month intervals. We classified hazardous alcohol use as >7 drinks/week or >3 drinks/occasion in women, and …
Substance Abuse and Psychiatric Disorders in HIV-Positive Patients
The impact of illicit drug use and substance abuse treatment on adherence to Haart
High levels of adherence to highly active antiretroviral therapy (HAART) are essential for virologic suppression and longer survival in patients with HIV. We examined the effects of substance abuse treatment, current versus former substance use, and hazardous/binge drinking on adherence to HAART. During 2003, 659 HIV patients on HAART in primary care were interviewed. Adherence was defined as > or =95% adherence to all antiretroviral medications.…
Haart receipt and viral suppression among HIV-infected patients with co-occurring mental illness and illicit drug use
Mental illness (MI) and illicit drug use (DU) frequently co-occur. We sought to determine the individual and combined effects of MI and DU on highly active antiretroviral therapy (HAART) receipt and HIV-RNA suppression among individuals engaged in HIV care. Using 2004 data from the HIV Research Network (HIVRN), we performed a cross-sectional study of HIV-infected patients followed at seven primary care sites. Outcomes of interest were HAART recei…
Digital Divide
Informal Care and Reciprocity of Support are Associated with Haart Adherence Among Men in Baltimore, MD, USA
Substance Use and the Quality of Patient-Provider Communication in HIV Clinics
Main partner factors associated with worse adherence to Haart among women in Baltimore, Maryland
Compared to US men, US women have worse HAART and HIV health outcomes. The study examined main partner factors associated with women's HAART adherence. The community sample comprised 85% African-Americans; 63% had a main partner and 32% relied on their partner for emotional support. Adherence was highest (92%) among those without a main partner and lowest (57%) among those with an HIV seropositive main partner. In adjusted analysis, adherence was…
The timing of death in patients with tuberculosis who die during anti-tuberculosis treatment in Andhra Pradesh, South India
In this large cohort of TB patients, deaths occurred with an even frequency throughout anti-TB treatment. Reasons may relate to i) the treatment of the disease itself, raising concerns about drug adherence, quality of anti-tuberculosis drugs or the presence of undetected drug resistance and ii) co-morbidities, such as HIV/AIDS and diabetes mellitus, which are known to influence mortality. More research in this area from prospective and retrospect…
Are Smokers with HIV Using Information and Communication Technology? Implications for Behavioral Interventions
Social Network Characteristics and HIV Sexual Risk Behavior among Urban African American Women
Alcohol Use, Anal Sex, and Other Risky Sexual Behaviors Among HIV-Infected Women and Men
Clinical and Mental Health Correlates and Risk Factors for Intimate Partner Violence among HIV-Positive Women in an Inner-City HIV Clinic
The Syndemic Effects of Intimate Partner Violence, HIV/Aids, and Substance Abuse on Depression among Low-Income Urban Women
Depression and Social Support Among Women Living with the Substance Abuse, Violence, and HIV/Aids Syndemic
Sex-Related Alcohol Expectancies Among African American Women Attending an Urban STI Clinic
African American women are disproportionately affected by human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) and sexually transmitted infections (STIs). Alcohol use is a significant risk factor for HIV/STI acquisition. Sex-related alcohol expectancies (SRAEs) may partially account for alcohol-related risky sexual behaviors. Using qualitative interviews we explored the link between alcohol use and risky sex among 20 African…
Antiretroviral Therapy Use, Medication Adherence, and Viral Suppression Among PLWHA with Panic Symptoms
Alcohol Use and Unintended Sexual Consequences among Women Attending an Urban Sexually Transmitted Infections Clinic
The Association Between Changes in Alcohol Use and Changes in Antiretroviral Therapy Adherence and Viral Suppression Among Women Living with HIV
The Role of Current and Historical Alcohol Use in Hepatic Fibrosis Among HIV-Infected Individuals
Not all non-drinkers with HIV are equal
Studies of persons living with HIV (PLWH) have compared current non-drinkers to at-risk drinkers without differentiating whether current non-drinkers had a prior alcohol use disorder (AUD). The purpose of this study was to compare current non-drinkers with and without a prior AUD on demographic and clinical characteristics to understand the impact of combining them. We included data from six sites across the US from 1/2013 to 3/2015. Patients com…
Effects of Minimal Versus Intensive Intervention to Enhance Motivational Interviewing in HIV Care
Prevalence and Factors Associated with Hazardous Alcohol Use Among Persons Living with HIV Across the US in the Current Era of Antiretroviral Treatment
The Relationship between Neighborhood Disorder, Social Networks, and Indoor Cigarette Smoking among Impoverished Inner-City Residents
The role of personal and household members’ substance use in health-related quality of life in women living with HIV/Aids
Advances in HIV treatments have led to a greater focus on health-related quality of life (HRQOL) among people living with HIV/AIDS. The current study examined factors associated with HRQOL among 378 women in HIV care. HRQOL was measured using a modified version of the 12-Item Short Form Health Survey; scores were derived for the mental and physical composite summaries (MCS and PCS). We measured personal alcohol use and drug use. Household members…
Medicine (63 obras) · HIV/AIDS Research and Interventions (52 obras) · Psychiatry (49 obras) · HIV, Drug Use, Sexual Risk (44 obras) · Public health (33 obras) · Environmental health (32 obras) · Health psychology (30 obras) · Internal Medicine (30 obras) · Family medicine (28 obras) · Psychology (27 obras)