Elvin Geng
Dados Biográficos
| ID | 1735164 |
|---|---|
| NOME | Elvin Geng |
| PRENOMES | Elvin |
| SOBRENOME | Geng |
| ASSINATURA | GENG E |
| AFILIAÇÕES | Washington University in St. Louis |
| ORCID | 0000-0002-0825-1424 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 32 |
| TOTAL DE CITAÇÕES | 5 |
| TOTAL COMO AUTOR | 32 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2013 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 2 |
Influence of Substance Use Disorders on 2-Year HIV Care Retention in the United States
Prevalence and Factors Associated with Hazardous Alcohol Use Among Persons Living with HIV Across the US in the Current Era of Antiretroviral Treatment
Movement between facilities for HIV care among a mobile population in Kenya
HIV treatment is life-long, yet many patients travel or migrate for their livelihoods, risking treatment interruption. We examine timely reengagement in care among patients who transferred-out or were lost-to-follow-up (LTFU) from a rural HIV facility. We conducted a cohort study among 369 adult patients on antiretroviral therapy between November 2011 and November 2013 on Mfangano Island, Kenya. Patients who transferred or were LTFU (i.e., missed…
Prevalence and Predictors of Substance Use Disorders Among HIV Care Enrollees in the United States
The Role of Current and Historical Alcohol Use in Hepatic Fibrosis Among HIV-Infected Individuals
"Wan Kanyakla" (We are together)
Epidemiology and awareness of hypertension in a rural Ugandan community
We found a substantial burden of hypertension in rural Uganda. Awareness and treatment of hypertension is low in this region. Enhanced community-based education and prevention efforts tailored to addressing modifiable factors are needed
Gendered dimensions of population mobility associated with HIV across three epidemics in rural Eastern Africa
Mobility in sub-Saharan Africa links geographically-separate HIV epidemics, intensifies transmission by enabling higher-risk sexual behavior, and disrupts care. This population-based observational cohort study measured complex dimensions of mobility in rural Uganda and Kenya. Survey data were collected every 6 months beginning in 2016 from a random sample of 2308 adults in 12 communities across three regions, stratified by intervention arm, basel…
"Wan Kanyakla" (We are together)
Epidemiology and awareness of hypertension in a rural Ugandan community
We found a substantial burden of hypertension in rural Uganda. Awareness and treatment of hypertension is low in this region. Enhanced community-based education and prevention efforts tailored to addressing modifiable factors are needed
"Wan Kanyakla" (We are together)
Movement between facilities for HIV care among a mobile population in Kenya
HIV treatment is life-long, yet many patients travel or migrate for their livelihoods, risking treatment interruption. We examine timely reengagement in care among patients who transferred-out or were lost-to-follow-up (LTFU) from a rural HIV facility. We conducted a cohort study among 369 adult patients on antiretroviral therapy between November 2011 and November 2013 on Mfangano Island, Kenya. Patients who transferred or were LTFU (i.e., missed…
Prevalence and Predictors of Substance Use Disorders Among HIV Care Enrollees in the United States
The Role of Current and Historical Alcohol Use in Hepatic Fibrosis Among HIV-Infected Individuals
Identifying HIV care enrollees at-risk for cannabis use disorder
Increased scientific attention given to cannabis in the United States has particular relevance for its domestic HIV care population, given that evidence exists for both cannabis as a therapeutic agent and cannabis use disorder (CUD) as a barrier to antiretroviral medication adherence. It is critical to identify relative risk for CUD among demographic subgroups of HIV patients, as this will inform detection and intervention efforts. A Center For A…
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…
Influence of Substance Use Disorders on 2-Year HIV Care Retention in the United States
Prevalence and Factors Associated with Hazardous Alcohol Use Among Persons Living with HIV Across the US in the Current Era of Antiretroviral Treatment
Reconciling the evaluation of co-morbidities among HIV care patients in two large data systems
The estimated burden of chronic disease among people living with HIV (PLWH) varies considerably by data source, due to differences in case definitions, analytic approaches, and underlying patient populations. We evaluated the burden of diabetes (DM) and chronic kidney disease (CKD) in two large data systems that are commonly queried to evaluate health issues affecting HIV care patients: the Medical Monitoring Project (MMP), a nationally represent…
Who Will Show? Predicting Missed Visits Among Patients in Routine HIV Primary Care in the United States
Patients’ Satisfaction with HIV Care Providers in Public Health Facilities in Lusaka
Prognosis among those who are HIV infected has improved but long-term retention is challenging. Health systems may benefit from routinely measuring patient satisfaction which is a potential driver of engagement in HIV care, but it is not often measured in Africa, and Zambia in particular. This study aims to internally validate a patient satisfaction tool, assess satisfaction among patients previously lost-to-follow up (LTFU) from HIV care in Lusa…
Gendered dimensions of population mobility associated with HIV across three epidemics in rural Eastern Africa
Mobility in sub-Saharan Africa links geographically-separate HIV epidemics, intensifies transmission by enabling higher-risk sexual behavior, and disrupts care. This population-based observational cohort study measured complex dimensions of mobility in rural Uganda and Kenya. Survey data were collected every 6 months beginning in 2016 from a random sample of 2308 adults in 12 communities across three regions, stratified by intervention arm, basel…
Changing Patterns of Alcohol Use and Probability of Unsuppressed Viral Load Among Treated Patients with HIV Engaged in Routine Care in the United States
Goal-Aligned, Epidemic Intelligence for the Public Health Response to the Covid-19 Pandemic
Goal-Aligned, Epidemic Intelligence for the Public Health Response to the COVID-19 Pandemic Denis Nash PhD, MPH, and Elvin Geng MD, MPH Affiliation Denis Nash is with the Institute for Implementation Science in Population Health, City University of New York (CUNY) and the CUNY Graduate School of Public Health and Health Policy, New York, NY. Elvin Geng is with the Center for Implementation and Dissemination, Institute for Public Health, and the D…
Mitigating the effects of Covid-19 on HIV treatment and care in Lusaka, Zambia
INTRODUCTION: The Zambian Ministry of Health (MoH) issued COVID-19 mitigation guidance for HIV care immediately after the first COVID-19 case was confirmed in Zambia on 18 March 2020. The Centre for Infectious Disease Research in Zambia implemented MoH guidance by: 1) extending antiretroviral therapy (ART) refill duration to 6 multi-month dispensation (6MMD) and 2) task-shifting communication and mobilisation of those in HIV care to collect their…
Attitudes towards and experiences with economic incentives for engagement in HIV care and treatment
Growing literature has shown heterogenous effects of conditional cash incentives (CCIs) on HIV care retention. The field lacks insights into reasons why incentives impact various patients in different ways–differences that may be due to variations in psychological and social mechanisms of effect. A deeper understanding of patients’ perceptions and experiences of CCIs for retention may help to clarify these mechanisms. We conducted a qualitative s…
Patient preferences for HIV service delivery models; a Discrete Choice Experiment in Kisumu, Kenya
Novel “differentiated service delivery” models for HIV treatment that reduce clinic visit frequency, minimize waiting time, and deliver treatment in the community promise retention improvement for HIV treatment in Sub-Saharan Africa. Quantitative assessments of differentiated service delivery (DSD) feature most preferred by patient populations do not widely exist but could inform selection and prioritization of different DSD models. We used a dis…
Evaluation of kidney function among people living with HIV initiating antiretroviral therapy in Zambia
As the response to the HIV epidemic in sub-Saharan Africa continues to mature, a growing number of people living with HIV (PLHIV) are aging and risk for non-communicable diseases increases. Routine laboratory tests of serum creatinine have been conducted to assess HIV treatment (ART) suitability. Here we utilize those measures to assess kidney function impairment among those initiating ART. Identification of non-communicable disease (NCD) risks a…
A controlled study to assess the effects of a Fast Track (FT) service delivery model among stable HIV patients in Lusaka Zambia
Fast Track models—in which patients coming to facility to pick up medications minimize waiting times through foregoing clinical review and collecting pre-packaged medications—present a potential strategy to reduce the burden of treatment. We examine effects of a Fast Track model (FT) in a real-world clinical HIV treatment program on retention to care comparing two clinics initiating FT care to five similar (in size and health care level), standar…
HIV care experiences and health priorities during the first wave of Covid-19
Clients' HIV care and health priorities during the first wave of COVID-19 in Lusaka province were varied with a combination of positive and negative experiences that occurred especially at health system and individual levels, while at household level, the experiences were all negative. More research is needed to understand how patients practice resiliency in the widespread context of socio-economic instability. Governments and patients must work …
A youth-centred approach to improving engagement in HIV services
Introduction Innovative interventions are needed to improve HIV outcomes among adolescents and young adults (AYAs) living with HIV. Engaging AYAs in intervention development could increase effectiveness and youth acceptance, yet research is limited. We applied human-centred design (HCD) to refine adherence-support interventions pretrial and assessed HCD workshop acceptability
Situating Implementation Science (Is) in Res(is)tance
This manuscript undertakes a disciplinary self-critique of the field of implementation science, a field which attempts to bridge the gap between evidence-based interventions and their practical application. Despite the heightened emphasis on health equity and racial disparities, the field’s current discourse is limited by key epistemic shortcomings. First, even though prevalence of implementation gaps between racialized groups in the United State…
Health system barriers to hypertension care in Peru
Traditional patient- and provider-level hypertension interventions have proven insufficient to halt hypertension as the leading cause of morbidity and mortality globally. Systems-level interventions are required to address factors challenging hypertension control across a social ecological framework, an under-studied topic particularly salient in low- and middle-income countries (LMICs) such as Peru. To inform such interventions, we sought to ide…
Social and structural factors associated with interest in HIV preexposure prophylaxis among Black women in the United States
In a nationwide sample of cisgender Black women in the US, we assessed the associations between social and structural factors and interest in using HIV preexposure prophylaxis (PrEP). Among 315 respondents, 62.2% were interested in PrEP if it were provided for free. Positive social norms surrounding PrEP, including injunctive norms (perceived social acceptability of PrEP use) and descriptive norms (perceived commonality of PrEP use), were positiv…
Medicine (29 obras) · HIV/AIDS Research and Interventions (24 obras) · Family medicine (15 obras) · Environmental health (13 obras) · Public health (13 obras) · Demography (11 obras) · Internal Medicine (11 obras) · Nursing (11 obras) · HIV, Drug Use, Sexual Risk (10 obras) · Population (10 obras)