Cathy J Reback
Biographic Data
| ID | 1258657 |
|---|---|
| NAME | Cathy J Reback |
| GIVEN NAMES | Cathy J |
| FAMILY NAME | Reback |
| SIGNATURE | REBACK C J |
| AFFILIATIONS | Friends Research Institute |
| ORCID | 0000-0003-4375-7452 |
| VERIFIED | Yes |
| TOTAL WORKS | 71 |
| TOTAL CITATIONS | 83 |
| AUTHOR COUNT | 71 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1989 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 5 |
A Socioecological Perspective on Sexual Health Promotion Choices Among Youth At-Risk for and Living with HIV in Los Angeles and New Orleans
Youth in the US remain at high relative risk for HIV and sexually transmitted infections compared to other age groups despite increasing diversity in the available tools to reduce HIV risk through behavioral strategies, biomedical methods, and treatment as prevention. Previous research has shown that acceptability and appeal of prevention methods vary across youth, and over-emphasis on any one strategy may overlook youth’s autonomy to make their …
A Methamphetamine Treatment Mobile App for Sexual Minority Men
Background The culturally responsive cognitive behavioral therapy mobile app, Getting Off, was developed to reduce methamphetamine use and improve sexual health among sexual minority men (SMM).Methods From May 2021 to May 2023, 226 SMM were enrolled and randomized into 1 of 2 conditions: Immediate Delivery (ID) of the Getting Off app or Delayed Delivery (DD) after a 30-day period. Participants in both conditions received the same app and were giv…
Factors associated with placement along the HIV prevention and care continuum among sexual minority men who use methamphetamine
Methamphetamine use among sexual minority men (SMM) has been associated with poor ART adherence, and reduced initiation and adherence to PrEP. From May 2021 to May 2023, 226 SMM were enrolled in Getting Off, a culturally responsive smartphone application to reduce methamphetamine use and improve sexual health. Using a status-neutral approach, an ordinal variable reflected participants’ placement on the HIV Prevention/Care Continuum, from HIV-posi…
Comparing PrEP use among men who have sex with men with a recent incarceration history
This study compares pre-exposure prophylaxis (PrEP) use among men who have sex with men (MSM) with a recent history of incarceration across various factors known to contribute to HIV transmission risk, including sexual identity, race/ethnicity, sexual activity, incarceration history, injection drug use, and internalized homophobia. We analyzed baseline lifetime PrEP use (yes or no) of 170 male-identifying participants enrolled in a randomized-con…
A Treatment Mobile App for Sexual Minority Men Who Use Methamphetamine Demonstrates Reductions in Methamphetamine Use and HIV Sexual Risk Behaviors
Randomized Controlled Trial Testing an HIV/STI Prevention Intervention Among People Leaving Incarceration Who Were Assigned Male at Birth, Have Sex with Men and A Substance Use Disorder
HIV disproportionately impacts minoritized individuals, particularly those of intersectional minoritized identities. Incarceration disproportionately impacts minoritized individuals as well, and increases HIV risk, in part due to its disruption to people's lives, social networks, and access to care. We developed MEPS, a 6-month intervention designed to holistically support HIV prevention in men who have sex with men and transgender women leaving …
PrEP Disparities Among Transgender Feminine, Transgender Masculine, Nonbinary, and Gender Expansive Youth and Young Adults in the United States
This study assessed disparities in pre-exposure prophylaxis (PrEP) use among transgender and gender expansive youth and young adults (N = 477) between 15 and 24 years old in the CARES (ATN 149) and TechStep (ATN 160) study protocols within the National Adolescent Medicine Trials Network for HIV/AIDS Interventions (ATN). Structural equation modeling was used to test mediation pathways between gender identity and PrEP uptake among the full sample a…
Online Peer Support for Youth at Higher Risk of or Living with HIV
With the rise of technology-based interventions for HIV risk reduction among adolescents, research is needed to assess how youth participate in these strategies. We used qualitative content analysis to examine youth's posts in an online peer support intervention through the Adolescent Trials Network (ClinicalTrials.gov NCT03134833, registered May 1, 2017) for youth at higher risk of or living with HIV. We analyzed 308 posts across 85 conversation…
Psychosocial correlates of gender-affirming hormone and medically necessary surgical intervention use among transgender and gender diverse youth and young adults
Gender-affirming hormone therapy (GAHT) and medically necessary surgical interventions (MNSI) play vital roles in helping transgender and gender diverse (TGD) individuals align their bodies with their gender identity. However, research in this area has primarily focused on TGD adults, leaving TGD youth and young adults (TGD-YYA)'s experiences understudied. Even less is known about demographic and psychosocial correlates of hormone and MNSI utiliz…
Strategies to Facilitate Service Utilization Among Youth at Risk for HIV
Sexual and gender minority youth (SGMY) are vulnerable to acquiring HIV and need HIV prevention and health services, but may have competing needs. A prior analysis found that PrEP use reports increased in a combination intervention study arm with coaching, peer support, and automated text-messages. This paper examines ancillary support and healthcare services utilization as secondary intervention objectives. SGMY (N = 895, 40% Black, 29% Latino) …
Technology-Based Interventions, with a Stepped Care Approach, for Reducing Sexual Risk Behaviors and Increasing PrEP Initiation Among Transgender and Gender Expansive Youth and Young Adults
The intersectional social patterning of early-Covid-era digital intimacies among transgender and gender-diverse young adults
Interactive communications technologies facilitate identity formation and socio-sexual connection among transgender and gender-diverse young people. However, within their communities, variations in technology use along ethno-racial, sexual and gendered lines, and as facilitators of sexual resilience during the early COVID-19 pandemic, remain under-studied. Among N = 230 transgender and gender-diverse young adults, surveyed between October 2020 an…
Using Adapt‐ITT framework to tailor evidence‐based interventions for addressing methamphetamine use among methadone patients in Vietnam
Socio-ecological Barriers to Viral Suppression Among Transgender Women Living with HIV in San Francisco and Los Angeles, California
Community engagement to improve access to healthcare
In Los Angeles and Chicago, transgender community engagement guided implementation processes and led to critical insights regarding specific, local barriers to healthcare. The steering committee itself represented an important vehicle for individual-, organizational-, and community-level relationship and capacity building. This comparative case study highlights key adaptations of EPIS toward the formation of an implementation science framework fo…
Gender-Based Violence and Post-traumatic Stress Disorder Symptoms Predict HIV PrEP Uptake and Persistence Failure Among Transgender and Non-binary Persons Participating in a PrEP Demonstration Project…
Facilitators of PrEP Persistence among Black and Latinx Transgender Women in a PrEP Demonstration Project in Southern California
Black and Latinx transgender women in the United States (U.S.) are at disproportionately high risk for HIV. Although HIV pre-exposure prophylaxis (PrEP) reduces the risk of HIV infection, uptake and persistence (i.e., ability to continue taking PrEP over time) can be a challenge for Black and Latinx transgender women due to myriad social and structural forces. In this qualitative study, we present unique data on the facilitators of PrEP persisten…
Associations Between Gender Identity Control, Gender Identity Non-Verification, and Health Risks among Trans Women of Color Living with HIV
Network Characteristics Associated with HIV Testing Conversations Among Transgender Women in Los Angeles County, California
Multilevel Barriers to HIV PrEP Uptake and Adherence Among Black and Hispanic/Latinx Transgender Women in Southern California
Text Messaging Improves HIV Care Continuum Outcomes Among Young Adult Trans Women Living with HIV
Social Networks and Exchange Sex among Transgender Women
Transgender women are more likely to exchange sex than cisgender individuals. This study investigated how social networks were associated with exchange sex among transgender women in Los Angeles County. From July 2015 to September 2016, transgender women (N = 271; "egos") reported their sexual and substance use behaviors and perceptions of the same behaviors among their peers (N = 2,619; "alters"). Clustered logistic and negative binomial regress…
Technology use to facilitate health care among young adult transgender women living with HIV
Little is known about how young adult transgender women living with HIV use digital technologies to facilitate their health care. This study examined the use of digital technologies to search for health information and support HIV care among young adult transgender women living with HIV (N = 130) in Los Angeles County, California. About half used the Internet “all the time” to search for transgender-specific resources (TSR; 53.8%) and for sexual …
Depression and HIV transmission risk among methamphetamine-using men who have sex with men
Methamphetamine use among participants in this study inverted the functional form of the relationship between depression and sexual risk among MSM observed in prior studies. Whereas low-grade depression has been associated with increased sexual risk-taking in prior samples of MSM, methamphetamine upends this relationship, such that the greatest engagement in sexual risk-taking occurred among those diagnosed with MDE at baseline. Additional resear…
Drug Use is Associated with Delayed Advancement Along the HIV Care Continuum Among Transgender Women of Color
Epidemiology, Sexual Risk Behavior, and HIV Prevention Practices of Men who Have Sex with Men Using GRINDR in Los Angeles, California
Maintaining a Heterosexual Identity
HIV Risk Behaviors Among a Sample of Heterosexually Identified Men who Occasionally Have Sex with Another Male and/or a Transwoman
Discordance between sexual identity and sexual behavior is not new; however, little is known about the HIV risk behaviors of heterosexually identified men who have occasional sex with a male and/or a male-to-female transgender woman. Open-ended qualitative interviews were conducted with 31 heterosexually identified men who reported at least one sexual encounter with a male and/or a transwoman in the previous 12 months. Sixty-one percent were Afri…
Structural Inequities and Social Networks Impact Hormone Use and Misuse Among Transgender Women in Los Angeles County
Recruiting, Linking, and Retaining High-Risk Transgender Women Into HIV Prevention and Care Services
Despite disproportionately high HIV prevalence rates and high risk for HIV acquisition and transmission, trans women in the United States are less likely than other high-risk populations to be aware of their HIV status or to perceive HIV infection as a serious health threat. Furthermore, concurrently high rates of unstable housing, few legal employment opportunities, lack of social support, and distrust of social service providers limit trans wom…
Housing Status and HIV Risk Behaviors Among Transgender Women in Los Angeles
Associations between Methamphetamine Use and HIV among Men Who Have Sex with Men
The Transgender Women of Color Initiative
To improve health outcomes among transgender women of color living with HIV, the Health Resources and Services Administration’s Special Programs of National Significance program funded the Enhancing Engagement and Retention in Quality HIV Care for Transgender Women of Color Initiative in 2012. Nine demonstration projects in four US urban areas implemented innovative, theory-based interventions specifically targeting transgender women of color in …
Methamphetamine Use Trends among Street-Recruited Gay and Bisexual Males, from 1999 to 2007
Outcomes from a homegrown HIV prevention program for extremely high-risk, substance-using men who have sex with men with multiple health disparities
From February 2010 through December 2014, 585 substance-using men who have sex with men (MSM) were enrolled into a “homegrown” risk reduction intervention. Participants evidenced significant iterative factor reductions in the odds of substance use including alcohol (AOR = 0.79) and marijuana (AOR = 0.78; both p ≤ 0.05) and marginally significant reductions in the odds of methamphetamine use (AOR = 0.83; p ≤ 0.07). Participants also evidenced sign…
Associations Between Sexual Abuse and Negative Health Consequences Among High-Risk Men Who Have Sex with Men
This study evaluated whether a history of sexual abuse could differentiate negative health consequences among men who have sex with men (MSM; N=148) enrolled in a risk counseling program. Over half (51.4%) reported an experience of sexual abuse. A history of sexual abuse was associated with increased psychological distress, increased rates of alcohol (AOR = 2.91; p < .01) and/or drug abuse (AOR = 2; p < .01) treatment, increased risk of housing i…
Impact of Community-Based Programs on Incarceration Outcomes Among Gay and Bisexual Stimulant-Using Homeless Adults
Gay and Lesbian Identity
A Short Depression Index for Women
The CES-D is a well-known index of acute depressive symptoms experienced over a 7-day period that has been used in literally hundreds of studies. This article presents the psychometric derivation of 8- and 4-item screening versions of the CES-D for use in research with community-based samples. These short depressive symptom indices can be used in those instances where a brief assessment is needed for broad screening or research purposes. Using da…
Psychological Functioning and Substance Abuse Before andAfter the 1992 LosAngeles Riot in a Community Sample ofWODlent
An ongoing study of interventions designed to increase nontraditional social supports among women at high risk for HIV infection was in the field during the 1992 Los Angeles riot in those neighborhoods most affected by the urban unrest. Using data from structured interviews, the psychosocial characteristics, drug abuse patterns, and distress levels among the women who were recruited for the project in the six months before and after the riot were…
Comparison of General and Detailed HIV Risk Assessments Among Methamphetamine Abusers
Methamphetamine abuse as a barrier to HIV medication adherence among gay and bisexual men
Medication adherence among persons with HIV infection is important not only because of the effect of non-adherence on an individual's health but also because non-adherence can lead to medication-resistant viral strains. However, adherence to HIV medications is difficult due to complex dosing regimens and side effects. This paper is a qualitative analysis of HIV medication adherence among gay and bisexual methamphetamine-abusing men enrolled in an…
Psychiatric and Substance Dependence Comorbidities, Sexually Transmitted Diseases, and Risk Behaviors Among Methamphetamine-Dependent Gay and Bisexual Men Seeking Outpatient Drug Abuse Treatment
This article describes psychiatric and substance dependence comorbidities, lifetime rates of infectious disease, and reported high-risk sexual behaviors for methamphetamine-dependent, gay and bisexual men at entry to outpatient drug abuse treatment in Los Angeles. Participants' self-reports of high-risk sexual and drug use behaviors and of history of infectious disease status were correlated with diagnostic information from 155 Structured Clinica…
Changes in the Meaning of Sexual Risk Behaviors Among Gay and Bisexual Male Methamphetamine Abusers Before and After Drug Treatment
Behavioral treatment approaches for methamphetamine dependence and HIV-related sexual risk behaviors among urban gay and bisexual men
Methamphetamine-dependent gay men's disclosure of their HIV status to sexual partners
Disclosure of one's HIV status to a potential sexual partner has important HIV prevention implications. This paper qualitatively evaluates the social and sexual contexts that influence disclosure of HIV status among methamphetamine-dependent gay men enrolled in an outpatient drug treatment research program. As part of an open-ended, semi-structured interview, 34 HIV-positive and HIV-negative men discussed how, when, to whom and under what circums…
HIV risk behaviors among gay male methamphetamine users
A public health response to the methamphetamine epidemic
Clinical responses to CM in PROP were similar to CM delivered in drug treatment programs, supporting the adaptability and effectiveness of CM to non-traditional drug treatment settings. Costs were reasonable and less than or comparable to other methamphetamine outpatient treatment programs. Further expansion of programs like PROP could address the increasing need for acceptable, feasible and cost-effective methamphetamine treatment in this group …
Associations between Methamphetamine Use and HIV among Men Who Have Sex with Men
Methamphetamine use and infectious disease‐related behaviors in men who have sex with men
Aims Review the current evidence regarding the prevalence of methamphetamine use among men who have sex with men (MSM) and to evaluate the factors that contribute to methamphetamine use and potential for sexual transmission of HIV and other infectious diseases. Methods Databased reports address (1) epidemiology of methamphetamine use in MSM; (2) methamphetamine use and risk behaviors for sexually transmitted infections; and (3) interventions. Fin…
Non-occupational post exposure prophylaxis as a biobehavioral HIV-prevention intervention
This project evaluated the feasibility and safety of a community-planned and financed program of non-occupational post exposure prophylaxis (nPEP) for 100 individuals. Individuals seeking nPEP within 72 hours of a potential HIV exposure were provided 28-day treatment using twice-daily lamivudine and zidovudine. Participants received a physical examination, HIV test and medications and were scheduled for follow-up counseling and data visits to 26-…
Methamphetamine Use Trends among Street-Recruited Gay and Bisexual Males, from 1999 to 2007
Maintaining a Heterosexual Identity
Differences in substance use and sexual partnering between men who have sex with men, men who have sex with men and women and transgender women
Men who have sex with men (MSM), men who have sex with men and women (MSM/W) and transgender women (TGW) remain the populations most severely and disproportionately impacted upon by HIV in Los Angeles County. Baseline data from community-based HIV-prevention programmes serving these populations were analysed to explore differences in demographic characteristics, substance use and sexual partnering between the three groups. Despite high HIV preval…
HIV Risk Behaviors Among a Sample of Heterosexually Identified Men who Occasionally Have Sex with Another Male and/or a Transwoman
Discordance between sexual identity and sexual behavior is not new; however, little is known about the HIV risk behaviors of heterosexually identified men who have occasional sex with a male and/or a male-to-female transgender woman. Open-ended qualitative interviews were conducted with 31 heterosexually identified men who reported at least one sexual encounter with a male and/or a transwoman in the previous 12 months. Sixty-one percent were Afri…
Predictors of HIV Sexual Risk Behavior Among Men Who Have Sex with Men, Men Who Have Sex with Men and Women, and Transgender Women
Men who have sex with men, men who have sex with men and women, and transgender women are at high risk for HIV infection. This study seeks to clarify which known HIV risk factors (partner type, sex location, serodiscordance, multiple sex partners, substance use during sex) contribute to engagement in high-risk (unprotected receptive anal) sex in each population. Data collected from June 2005 through June 2008 indicate all three populations displa…
Prevention case management improves socioeconomic standing and reduces symptoms of psychological and emotional distress among transgender women
Urban transgender women often experience several sociocultural co-factors which contribute to their risk of HIV infection. A transgender-specific HIV Prevention Case Management (PCM) intervention was implemented in a community HIV prevention setting and targeted reducing sex work and homelessness, increasing legal employment and income, and reducing psychological and emotional distress symptoms. Sixty high-risk transgender women were enrolled in …
Text Messaging Reduces HIV Risk Behaviors Among Methamphetamine-Using Men Who Have Sex with Men
Lifetime Substance Use and HIV Sexual Risk Behaviors Predict Treatment Response to Contingency Management Among Homeless, Substance-Dependent MSM
Homeless, substance-dependent men who have sex with men (MSM) continue to suffer health disparities, including high rates of HIV. One-hundred and thirty one homeless, substance-dependent MSM were randomized into a contingency management (CM) intervention to increase substance abstinence and health-promoting behaviors. Participants were recruited from a community-based, health education/risk reduction HIV prevention program and the research activi…
Epidemiology, Sexual Risk Behavior, and HIV Prevention Practices of Men who Have Sex with Men Using GRINDR in Los Angeles, California
HIV Prevalence, Substance Use, and Sexual Risk Behaviors Among Transgender Women Recruited Through Outreach
Commercial lubricant use among HIV-negative men who have sex with men in Los Angeles
To inform the development and assess potential use of rectal microbicide gels for HIV prevention among men who have sex with men (MSM), we examined the dynamics and contexts of commercial lubricant use during receptive anal intercourse (RAI) within this population. From 2007 to 2010, 168 HIV-negative MSM living in Los Angeles who practice RAI completed computer-assisted self-interviews, which collected information on their last sexual event with …
Medicine (64 works) · Psychology (59 works) · HIV/AIDS Research and Interventions (50 works) · Psychiatry (43 works) · Men who have sex with men (37 works) · Family medicine (35 works) · LGBTQ Health, Identity, and Policy (35 works) · Public health (34 works) · Human immunodeficiency virus (HIV (30 works) · Clinical Psychology (29 works)