Risa Flynn
Datos Biográficos
| ID | 5507533 |
|---|---|
| NOMBRE | Risa Flynn |
| NOMBRES | Risa |
| APELLIDO | Flynn |
| FIRMA | FLYNN R |
| AFILIACIONES | Los Angeles LGBT Center |
| ORCID | 0000-0003-0289-2842 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 19 |
| TOTAL DE CITAS | 3 |
| TOTAL COMO AUTOR | 19 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 1997 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 1 |
Peer Navigation in HIV Prevention Programs for Transgender and Nonbinary Individuals
Purpose: This study described client perceptions of successful attributes of peer navigators in a human immunodeficiency virus prevention program for transgender and nonbinary (TGNB) clients. Methods: A diverse sample of clients ( N = 25) participated in semistructured interviews between September 2023 and August 2024, evaluating a community-led program navigating clients along the pre-exposure prophylaxis continuum. Results: Participants identif…
Identity-Based Behavioral Economic Incentives Increased PrEP Adherence for Transgender and Nonbinary Adults in a Trans-Led PrEP Navigation Program
Tailored supports are needed to maximize PrEP engagement among transgender and nonbinary (TGNB) adults, a population disproportionately impacted by HIV with low PrEP use, due to structural and economic barriers, particularly among TGNB individuals of color. This study piloted the integration of identity-based behavioral economic incentives, which use the science of decision-making to encourage beneficial behaviors, within an ongoing community-led…
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 …
Qualitative client perspectives on PrEP well
Although pre-exposure prophylaxis (PrEP) is an effective way to prevent HIV infection, PrEP uptake and adherence remain low in transgender and nonbinary (TGNB) communities. This qualitative study explored perspectives on the community-developed PrEP Well program that implemented PrEP services in a TGNB community center. Clients completed an interview approximately 90 days after program enrollment about factors that influenced their participation …
Preliminary Outcomes from PrEP Well
Increasing Sustained Viral Suppression Among Youth Living with HIV
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…
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) …
Advancing Sexual and Gender Minority Population Health Using Electronic Health Record Data
Advancing Sexual and Gender Minority Population Health Using Electronic Health Record Data Kellan E. Baker PhD, MPH, Eleanor Sarkodie MPH, Jennafer Kwait PhD, MHS, Caroline Medina MPA, MHS, Asa Radix PhD, MPH, and Risa Flynn Affiliation Kellan E. Baker, Eleanor Sarkodie, Jennafer Kwait, and Caroline Medina are with Whitman-Walker Institute, Washington, DC. Asa Radix is with Callen-Lorde Community Health Center, New York, NY. Risa Flynn is with th…
Transgender and gender diverse adults’ reflections on alcohol counseling and recommendations for providers
18) to explore factors that facilitate positive interactions with health care providers and identify relevant information for alcohol use disorder treatment. Participants were recruited from an LGBTQ +-focused health center in Los Angeles, California. Two major themes and recommendations emerged: (a) A multicultural orientation of humility is important to develop productive therapeutic relationships with TGD clients when delivering motivational i…
Substance Use, Violence, and Sexual Risk Among Young Cis-Gender Women Placed at High-Risk for Human Immunodeficiency Virus Infection
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…
Multilevel Barriers to HIV PrEP Uptake and Adherence Among Black and Hispanic/Latinx Transgender Women in Southern California
Age at first HIV test for MSM at a community health clinic in Los Angeles
Young MSM, especially ethnic and racial minority young MSM, bear a disproportionate burden of new HIV infections. This group also has the highest rates of undiagnosed infection and lowest rates of viral suppression. Previous research indicates that young MSM are testing for HIV too late, which may explain why rates of new HIV infection are rising in young Hispanic MSM and not falling in young Black and White MSM despite advances in preventive med…
Using Sexual Orientation and Gender Identity to Monitor Disparities in HIV, Sexually Transmitted Infections, and Viral Hepatitis
Objectives. To quantify sexual orientation and gender identity (SOGI) disparities in incidence of HIV, other sexually transmitted infections (STIs), and viral hepatitis. Methods. We performed a records-based study of 19 933 patients visiting a federally qualified health center in Los Angeles, California, between November 2016 and October 2017 that examined HIV, STIs, and viral hepatitis incidence proportions. We created multivariable logistic reg…
Assessing willingness to test for HIV among men who have sex with men using conjoint analysis, evidence for uptake of the FDA-approved at-home HIV test
Men who have sex with men (MSM) in the USA, represent a vulnerable population with lower rates of HIV testing. There are various specific attributes of HIV testing that may impact willingness to test (WTT) for HIV. Identifying specific attributes influencing patients' decisions around WTT for HIV is critical to ensure improved HIV testing uptake. This study examined WTT for HIV by using conjoint analysis, an innovative method for systematically e…
Reasons given by patients for 'non-progression' in HIV infection
Identification of the reasons for long-term survival in HIV infection is an area of current intense research. The objective of this study was to determine the perceptions among patients with different rates of disease progression as to the reasons for a good outcome with HIV. In a case-control study of 134 long-term (> or = 8 years) HIV-infected participants, 62 were defined as non-progressors; current CD4 cell count > or = 500 x 10(6)/L and asym…
Using Sexual Orientation and Gender Identity to Monitor Disparities in HIV, Sexually Transmitted Infections, and Viral Hepatitis
Objectives. To quantify sexual orientation and gender identity (SOGI) disparities in incidence of HIV, other sexually transmitted infections (STIs), and viral hepatitis. Methods. We performed a records-based study of 19 933 patients visiting a federally qualified health center in Los Angeles, California, between November 2016 and October 2017 that examined HIV, STIs, and viral hepatitis incidence proportions. We created multivariable logistic reg…
Reasons given by patients for 'non-progression' in HIV infection
Identification of the reasons for long-term survival in HIV infection is an area of current intense research. The objective of this study was to determine the perceptions among patients with different rates of disease progression as to the reasons for a good outcome with HIV. In a case-control study of 134 long-term (> or = 8 years) HIV-infected participants, 62 were defined as non-progressors; current CD4 cell count > or = 500 x 10(6)/L and asym…
Assessing willingness to test for HIV among men who have sex with men using conjoint analysis, evidence for uptake of the FDA-approved at-home HIV test
Men who have sex with men (MSM) in the USA, represent a vulnerable population with lower rates of HIV testing. There are various specific attributes of HIV testing that may impact willingness to test (WTT) for HIV. Identifying specific attributes influencing patients' decisions around WTT for HIV is critical to ensure improved HIV testing uptake. This study examined WTT for HIV by using conjoint analysis, an innovative method for systematically e…
Using Sexual Orientation and Gender Identity to Monitor Disparities in HIV, Sexually Transmitted Infections, and Viral Hepatitis
Objectives. To quantify sexual orientation and gender identity (SOGI) disparities in incidence of HIV, other sexually transmitted infections (STIs), and viral hepatitis. Methods. We performed a records-based study of 19 933 patients visiting a federally qualified health center in Los Angeles, California, between November 2016 and October 2017 that examined HIV, STIs, and viral hepatitis incidence proportions. We created multivariable logistic reg…
Age at first HIV test for MSM at a community health clinic in Los Angeles
Young MSM, especially ethnic and racial minority young MSM, bear a disproportionate burden of new HIV infections. This group also has the highest rates of undiagnosed infection and lowest rates of viral suppression. Previous research indicates that young MSM are testing for HIV too late, which may explain why rates of new HIV infection are rising in young Hispanic MSM and not falling in young Black and White MSM despite advances in preventive med…
Multilevel Barriers to HIV PrEP Uptake and Adherence Among Black and Hispanic/Latinx Transgender Women in Southern California
Substance Use, Violence, and Sexual Risk Among Young Cis-Gender Women Placed at High-Risk for Human Immunodeficiency Virus Infection
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…
Advancing Sexual and Gender Minority Population Health Using Electronic Health Record Data
Advancing Sexual and Gender Minority Population Health Using Electronic Health Record Data Kellan E. Baker PhD, MPH, Eleanor Sarkodie MPH, Jennafer Kwait PhD, MHS, Caroline Medina MPA, MHS, Asa Radix PhD, MPH, and Risa Flynn Affiliation Kellan E. Baker, Eleanor Sarkodie, Jennafer Kwait, and Caroline Medina are with Whitman-Walker Institute, Washington, DC. Asa Radix is with Callen-Lorde Community Health Center, New York, NY. Risa Flynn is with th…
Transgender and gender diverse adults’ reflections on alcohol counseling and recommendations for providers
18) to explore factors that facilitate positive interactions with health care providers and identify relevant information for alcohol use disorder treatment. Participants were recruited from an LGBTQ +-focused health center in Los Angeles, California. Two major themes and recommendations emerged: (a) A multicultural orientation of humility is important to develop productive therapeutic relationships with TGD clients when delivering motivational i…
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) …
Preliminary Outcomes from PrEP Well
Increasing Sustained Viral Suppression Among Youth Living with HIV
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…
Peer Navigation in HIV Prevention Programs for Transgender and Nonbinary Individuals
Purpose: This study described client perceptions of successful attributes of peer navigators in a human immunodeficiency virus prevention program for transgender and nonbinary (TGNB) clients. Methods: A diverse sample of clients ( N = 25) participated in semistructured interviews between September 2023 and August 2024, evaluating a community-led program navigating clients along the pre-exposure prophylaxis continuum. Results: Participants identif…
Identity-Based Behavioral Economic Incentives Increased PrEP Adherence for Transgender and Nonbinary Adults in a Trans-Led PrEP Navigation Program
Tailored supports are needed to maximize PrEP engagement among transgender and nonbinary (TGNB) adults, a population disproportionately impacted by HIV with low PrEP use, due to structural and economic barriers, particularly among TGNB individuals of color. This study piloted the integration of identity-based behavioral economic incentives, which use the science of decision-making to encourage beneficial behaviors, within an ongoing community-led…
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 …
Qualitative client perspectives on PrEP well
Although pre-exposure prophylaxis (PrEP) is an effective way to prevent HIV infection, PrEP uptake and adherence remain low in transgender and nonbinary (TGNB) communities. This qualitative study explored perspectives on the community-developed PrEP Well program that implemented PrEP services in a TGNB community center. Clients completed an interview approximately 90 days after program enrollment about factors that influenced their participation …
HIV/AIDS Research and Interventions (16 obras) · Medicine (15 obras) · LGBTQ Health, Identity, and Policy (12 obras) · Psychology (10 obras) · Public health (10 obras) · Transgender (9 obras) · Health psychology (8 obras) · Adolescent Sexual and Reproductive Health (7 obras) · Family medicine (7 obras) · Nursing (7 obras)