Susan Scheer
Biographic Data
| ID | 6056445 |
|---|---|
| NAME | Susan Scheer |
| GIVEN NAMES | Susan |
| FAMILY NAME | Scheer |
| SIGNATURE | SCHEER S |
| AFFILIATIONS | San Francisco Department of Public Health |
| ORCID | 0000-0003-1060-3027 |
| VERIFIED | Yes |
| TOTAL WORKS | 21 |
| TOTAL CITATIONS | 34 |
| AUTHOR COUNT | 21 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1992 |
| LATEST PUBLICATION YEAR | 2022 |
| H-INDEX | 4 |
A global cautionary tale
Our findings are particularly alarming during a period when significant public health resources and community-based initiatives specifically for trans women were implemented and could have reasonably led us to expect improvements. Despite these efforts, physical violence and housing discrimination among trans women worsened during the study periods. To ensure future improvements, research and interventions need to shift the focus and burden from …
In Their Own Words
Improved PrEP Awareness and Use among Trans Women in San Francisco, California
Transgender women face a serious risk of HIV infection. Despite this, there is limited knowledge and use of Pre-exposure prophylaxis (PrEP). We measured the continuity of prevention across services in the PrEP cascade and correlates of PrEP use among trans women in San Francisco enrolled in the 2019/20 National HIV Behavioral Surveillance Study. Knowledge and use of PrEP among trans women in San Francisco increased in recent years; almost all (94…
Integrating Phylogenetic Biomarker Data and Qualitative Approaches
Mixed methods studies of human disease that combine surveillance, biomarker, and qualitative data can help elucidate what drives epidemiological trends. Viral genetic data are rarely coupled with other types of data due to legal and ethical concerns about patient privacy. We developed a novel approach to integrate phylogenetic and qualitative methods in order to better target HIV prevention efforts. The overall aim of our mixed methods study was …
A longitudinal study assessing differences in causes of death among housed and homeless people diagnosed with HIV in San Francisco
Additional efforts are needed to improve mental health services to homeless people with HIV and prevent mental-health related mortality
Condomless Anal Sex Among HIV-Positive Men Who Have Sex with Men
A Novel Modeling Approach for Estimating Patterns of Migration into and out of San Francisco by HIV Status and Race among Men Who Have Sex with Men
Examining progress toward the Unaids 90-90-90 framework among men who have sex with men, San Francisco, 2014
The Joint United Nations Programme on HIV/AIDS (UNAIDS) has published treatment goals toward ending the HIV epidemic. The worldwide goals are 90% of HIV-infected individuals diagnosed, 90% of those diagnosed taking anti-retroviral treatment and 90% of those on anti-retroviral treatment virally suppressed. In light of the UNAIDS goals and that five years have passed since the adoption of early HIV treatment, we examined the progress toward the 90-…
Trends in the HIV Epidemic Among African American Men Who Have Sex with Men, San Francisco, 2004–2011
Efforts to Find Heterosexual HIV in San Francisco, 2007–2013
People fifty years or older now account for the majority of Aids cases in San Francisco, California, 2010
People aged 50 and older are an increasing proportion of the population of persons living with AIDS (PLWA) in the USA. We used San Francisco's population-based HIV/AIDS surveillance registry to examine trends in the age distribution of people diagnosed and living with AIDS in San Francisco, California. AIDS case reporting is highly complete. Death ascertainment is complete through 2009 and 95% complete for 2010. At the end of 2010, 9796 persons w…
A randomized control trial of personalized cognitive counseling to reduce sexual risk among HIV-infected men who have sex with men
The increased life expectancy and well-being of HIV-infected persons presents the need for effective prevention methods in this population. Personalized cognitive counseling (PCC) has been shown to reduce unprotected anal intercourse (UAI) with a partner of unknown or different serostatus among HIV-uninfected men who have sex with men (MSM). We adapted PCC for use among HIV-infected MSM and tested its efficacy against standard risk-reduction coun…
Assessing receipt of medical care and disparity among persons with HIV/Aids in San Francisco, 2006–2007
We used data from HIV/AIDS surveillance case registry to assess the timing of entry into medical care, level of care received after HIV diagnosis, and to identify characteristics associated with delayed and insufficient care among persons diagnosed with HIV/AIDS between 2006 and 2007 in San Francisco. Laboratory reports of HIV viral load and CD4 test results were used as a marker for receipt of medical care. The time from HIV diagnosis to entry i…
Decreases in Community Viral Load Are Accompanied by Reductions in New HIV Infections in San Francisco
BACKGROUND: At the individual level, higher HIV viral load predicts sexual transmission risk. We evaluated San Francisco's community viral load (CVL) as a population level marker of HIV transmission risk. We hypothesized that the decrease in CVL in San Francisco from 2004-2008, corresponding with increased rates of HIV testing, antiretroviral therapy (ART) coverage and effectiveness, and population-level virologic suppression, would be associated…
Efficacy of Personalized Cognitive Counseling in Men of Color who Have Sex with Men
In a previous report, we demonstrated the efficacy of a cognitively based counseling intervention compared to standard counseling at reducing episodes of unprotected anal intercourse (UAI) among men who have sex with men (MSM) seeking HIV testing. Given the limited number of efficacious prevention interventions for MSM of color (MOC) available, we analyzed the data stratified into MOC and whites. The sample included 196 white MSM and 109 MOC (23 …
Using surveillance data to monitor entry into care of newly diagnosed HIV-infected persons
The time from HIV diagnosis to initial CD4 T cell count, CD4 T cell value and HIV viral load testing may be appropriate surveillance measures for evaluating entry into care, as well as performance outcomes for local public health departments' HIV testing programs. Case investigation performed by the public health department or case management by clinic staff was associated with increased and shorter time to entry into HIV medical care
Assessing Representativeness of Sampling Methods for Reaching Men Who Have Sex with Men
Prevalence of HIV Infection and Predictors of High-Transmission Sexual Risk Behaviors Among Men Who Have Sex With Men
Objectives. We sought to determine the prevalence of HIV and novel cofactors of high-transmission-risk behavior in a probability sample of men who have sex with men (MSM). Methods. We performed a cross-sectional telephone survey of 1976 adult MSM in San Francisco. Results. We found an HIV prevalence of 25.2%. Predictors of unprotected insertive anal intercourse with a serodiscordant (not having the same HIV/AIDS serostatus) partner among HIV-infe…
Self-Reported Sexual Identity, Sexual Behaviors and Health Risks
Data from a population-based survey of low-income young women (n = 2,438) was used to examine substance use patterns and exposure to coerced sexual activity among women who self-identify as lesbian (n = 34) or bisexual (n = 91), or who report sexual behavior exclusively with other women (n = 17) or with both women and men (n = 189). Findings for women classified by self-identity and by sexual behavior are compared. Women who identified as bisexua…
Sexual and Drug Use Behavior Among Women Who Have Sex With Both Women and Men
Recent HIV/AIDS trends in the United States suggest a relative increase in HIV infections among women attributed to injection drug use or heterosexual contact.1 Although the biological risk of female-to-female sexually transmitted HIV is unknown, it is thought to be much lower than the risk of transmission between men and women, including instances in which a condom is used.2 However, studies focusing on women who have sex with women (WSW) have s…
Impact of HIV infection on mortality and accuracy of Aids reporting on death certificates
To assess the impact of HIV infection on mortality and the accuracy of AIDS reporting on death certificates, we analyzed data from 6704 homosexual and bisexual men in the San Francisco City Clinic cohort. Identification of AIDS cases and deaths in the cohort was determined through multiple sources, including the national AIDS surveillance registry and the National Death Index. Through 1990, 1518 deaths had been reported in the cohort and 1292 dea…
Self-Reported Sexual Identity, Sexual Behaviors and Health Risks
Data from a population-based survey of low-income young women (n = 2,438) was used to examine substance use patterns and exposure to coerced sexual activity among women who self-identify as lesbian (n = 34) or bisexual (n = 91), or who report sexual behavior exclusively with other women (n = 17) or with both women and men (n = 189). Findings for women classified by self-identity and by sexual behavior are compared. Women who identified as bisexua…
Prevalence of HIV Infection and Predictors of High-Transmission Sexual Risk Behaviors Among Men Who Have Sex With Men
Objectives. We sought to determine the prevalence of HIV and novel cofactors of high-transmission-risk behavior in a probability sample of men who have sex with men (MSM). Methods. We performed a cross-sectional telephone survey of 1976 adult MSM in San Francisco. Results. We found an HIV prevalence of 25.2%. Predictors of unprotected insertive anal intercourse with a serodiscordant (not having the same HIV/AIDS serostatus) partner among HIV-infe…
Impact of HIV infection on mortality and accuracy of Aids reporting on death certificates
To assess the impact of HIV infection on mortality and the accuracy of AIDS reporting on death certificates, we analyzed data from 6704 homosexual and bisexual men in the San Francisco City Clinic cohort. Identification of AIDS cases and deaths in the cohort was determined through multiple sources, including the national AIDS surveillance registry and the National Death Index. Through 1990, 1518 deaths had been reported in the cohort and 1292 dea…
Sexual and Drug Use Behavior Among Women Who Have Sex With Both Women and Men
Recent HIV/AIDS trends in the United States suggest a relative increase in HIV infections among women attributed to injection drug use or heterosexual contact.1 Although the biological risk of female-to-female sexually transmitted HIV is unknown, it is thought to be much lower than the risk of transmission between men and women, including instances in which a condom is used.2 However, studies focusing on women who have sex with women (WSW) have s…
Integrating Phylogenetic Biomarker Data and Qualitative Approaches
Mixed methods studies of human disease that combine surveillance, biomarker, and qualitative data can help elucidate what drives epidemiological trends. Viral genetic data are rarely coupled with other types of data due to legal and ethical concerns about patient privacy. We developed a novel approach to integrate phylogenetic and qualitative methods in order to better target HIV prevention efforts. The overall aim of our mixed methods study was …
Impact of HIV infection on mortality and accuracy of Aids reporting on death certificates
To assess the impact of HIV infection on mortality and the accuracy of AIDS reporting on death certificates, we analyzed data from 6704 homosexual and bisexual men in the San Francisco City Clinic cohort. Identification of AIDS cases and deaths in the cohort was determined through multiple sources, including the national AIDS surveillance registry and the National Death Index. Through 1990, 1518 deaths had been reported in the cohort and 1292 dea…
Self-Reported Sexual Identity, Sexual Behaviors and Health Risks
Data from a population-based survey of low-income young women (n = 2,438) was used to examine substance use patterns and exposure to coerced sexual activity among women who self-identify as lesbian (n = 34) or bisexual (n = 91), or who report sexual behavior exclusively with other women (n = 17) or with both women and men (n = 189). Findings for women classified by self-identity and by sexual behavior are compared. Women who identified as bisexua…
Sexual and Drug Use Behavior Among Women Who Have Sex With Both Women and Men
Recent HIV/AIDS trends in the United States suggest a relative increase in HIV infections among women attributed to injection drug use or heterosexual contact.1 Although the biological risk of female-to-female sexually transmitted HIV is unknown, it is thought to be much lower than the risk of transmission between men and women, including instances in which a condom is used.2 However, studies focusing on women who have sex with women (WSW) have s…
Assessing Representativeness of Sampling Methods for Reaching Men Who Have Sex with Men
Prevalence of HIV Infection and Predictors of High-Transmission Sexual Risk Behaviors Among Men Who Have Sex With Men
Objectives. We sought to determine the prevalence of HIV and novel cofactors of high-transmission-risk behavior in a probability sample of men who have sex with men (MSM). Methods. We performed a cross-sectional telephone survey of 1976 adult MSM in San Francisco. Results. We found an HIV prevalence of 25.2%. Predictors of unprotected insertive anal intercourse with a serodiscordant (not having the same HIV/AIDS serostatus) partner among HIV-infe…
Using surveillance data to monitor entry into care of newly diagnosed HIV-infected persons
The time from HIV diagnosis to initial CD4 T cell count, CD4 T cell value and HIV viral load testing may be appropriate surveillance measures for evaluating entry into care, as well as performance outcomes for local public health departments' HIV testing programs. Case investigation performed by the public health department or case management by clinic staff was associated with increased and shorter time to entry into HIV medical care
Decreases in Community Viral Load Are Accompanied by Reductions in New HIV Infections in San Francisco
BACKGROUND: At the individual level, higher HIV viral load predicts sexual transmission risk. We evaluated San Francisco's community viral load (CVL) as a population level marker of HIV transmission risk. We hypothesized that the decrease in CVL in San Francisco from 2004-2008, corresponding with increased rates of HIV testing, antiretroviral therapy (ART) coverage and effectiveness, and population-level virologic suppression, would be associated…
Efficacy of Personalized Cognitive Counseling in Men of Color who Have Sex with Men
In a previous report, we demonstrated the efficacy of a cognitively based counseling intervention compared to standard counseling at reducing episodes of unprotected anal intercourse (UAI) among men who have sex with men (MSM) seeking HIV testing. Given the limited number of efficacious prevention interventions for MSM of color (MOC) available, we analyzed the data stratified into MOC and whites. The sample included 196 white MSM and 109 MOC (23 …
Assessing receipt of medical care and disparity among persons with HIV/Aids in San Francisco, 2006–2007
We used data from HIV/AIDS surveillance case registry to assess the timing of entry into medical care, level of care received after HIV diagnosis, and to identify characteristics associated with delayed and insufficient care among persons diagnosed with HIV/AIDS between 2006 and 2007 in San Francisco. Laboratory reports of HIV viral load and CD4 test results were used as a marker for receipt of medical care. The time from HIV diagnosis to entry i…
People fifty years or older now account for the majority of Aids cases in San Francisco, California, 2010
People aged 50 and older are an increasing proportion of the population of persons living with AIDS (PLWA) in the USA. We used San Francisco's population-based HIV/AIDS surveillance registry to examine trends in the age distribution of people diagnosed and living with AIDS in San Francisco, California. AIDS case reporting is highly complete. Death ascertainment is complete through 2009 and 95% complete for 2010. At the end of 2010, 9796 persons w…
A randomized control trial of personalized cognitive counseling to reduce sexual risk among HIV-infected men who have sex with men
The increased life expectancy and well-being of HIV-infected persons presents the need for effective prevention methods in this population. Personalized cognitive counseling (PCC) has been shown to reduce unprotected anal intercourse (UAI) with a partner of unknown or different serostatus among HIV-uninfected men who have sex with men (MSM). We adapted PCC for use among HIV-infected MSM and tested its efficacy against standard risk-reduction coun…
Trends in the HIV Epidemic Among African American Men Who Have Sex with Men, San Francisco, 2004–2011
Efforts to Find Heterosexual HIV in San Francisco, 2007–2013
Examining progress toward the Unaids 90-90-90 framework among men who have sex with men, San Francisco, 2014
The Joint United Nations Programme on HIV/AIDS (UNAIDS) has published treatment goals toward ending the HIV epidemic. The worldwide goals are 90% of HIV-infected individuals diagnosed, 90% of those diagnosed taking anti-retroviral treatment and 90% of those on anti-retroviral treatment virally suppressed. In light of the UNAIDS goals and that five years have passed since the adoption of early HIV treatment, we examined the progress toward the 90-…
Condomless Anal Sex Among HIV-Positive Men Who Have Sex with Men
A Novel Modeling Approach for Estimating Patterns of Migration into and out of San Francisco by HIV Status and Race among Men Who Have Sex with Men
A longitudinal study assessing differences in causes of death among housed and homeless people diagnosed with HIV in San Francisco
Additional efforts are needed to improve mental health services to homeless people with HIV and prevent mental-health related mortality
Improved PrEP Awareness and Use among Trans Women in San Francisco, California
Transgender women face a serious risk of HIV infection. Despite this, there is limited knowledge and use of Pre-exposure prophylaxis (PrEP). We measured the continuity of prevention across services in the PrEP cascade and correlates of PrEP use among trans women in San Francisco enrolled in the 2019/20 National HIV Behavioral Surveillance Study. Knowledge and use of PrEP among trans women in San Francisco increased in recent years; almost all (94…
Integrating Phylogenetic Biomarker Data and Qualitative Approaches
Mixed methods studies of human disease that combine surveillance, biomarker, and qualitative data can help elucidate what drives epidemiological trends. Viral genetic data are rarely coupled with other types of data due to legal and ethical concerns about patient privacy. We developed a novel approach to integrate phylogenetic and qualitative methods in order to better target HIV prevention efforts. The overall aim of our mixed methods study was …
A global cautionary tale
Our findings are particularly alarming during a period when significant public health resources and community-based initiatives specifically for trans women were implemented and could have reasonably led us to expect improvements. Despite these efforts, physical violence and housing discrimination among trans women worsened during the study periods. To ensure future improvements, research and interventions need to shift the focus and burden from …
In Their Own Words
Medicine (20 works) · HIV/AIDS Research and Interventions (17 works) · Demography (15 works) · HIV, Drug Use, Sexual Risk (14 works) · Family medicine (12 works) · Environmental health (11 works) · Gerontology (11 works) · Men who have sex with men (10 works) · Demography (9 works) · Human immunodeficiency virus (HIV (9 works)