Dustin T Duncan
Dados Biográficos
| ID | 211141 |
|---|---|
| NOME | Dustin T Duncan |
| PRENOMES | Dustin T |
| SOBRENOME | Duncan |
| ASSINATURA | DUNCAN D T |
| AFILIAÇÕES | Columbia University |
| ORCID | 0000-0001-8586-8711 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 118 |
| TOTAL DE CITAÇÕES | 130 |
| TOTAL COMO AUTOR | 118 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2007 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 5 |
High Motivation but Low Access to PrEP
Methamphetamine (meth) use is endemic among sexual and gender minority (SGM) populations and a well-established correlate of HIV acquisition. Less understood are the behavioral, psychosocial, and structural vulnerabilities associated with meth use that may complicate HIV prevention. We examined differences in HIV-related vulnerabilities, perceptions of pre-exposure prophylaxis (PrEP) need, and access to PrEP care among SGM people who use meth com…
Psychometric Evaluation of a Revised Instrument for Assessing HIV Knowledge Among SGM Men
Accurate assessment of general HIV and pre-exposure prophylaxis (PrEP) knowledge is essential for evaluating contemporary prevention efforts. This study examined the psychometric properties of a revised HIV and PrEP knowledge instrument for young sexual and gender minority (SGM) men. Data were collected from 1,519 participants (ages 17–29) via an online survey. Of the original 31 items, 7 were removed based on item analysis, and Exploratory Facto…
The 2025 Intersectional Trauma Pandemic
The 2025 Intersectional Trauma Pandemic is a term that I have used to describe the current era. This trauma pandemic is the convergence of compounded systemic inequities and crises. This includes increasing political polarization and widening health inequities that disproportionately impact structurally marginalized communities and impair health and workforce equity worldwide. My research advances trauma-informed, community-engaged research using…
Hookups, hashtags, and health
Social media use is ubiquitous, permeating nearly all populations globally, including men who have sex with men (MSM), despite there being mixed impacts to its use. To fill this gap, we sought to typologize social media usage, mental health, and sleep health among MSM in Paris, France, a city with a large LGBTQIA+ community and high social media usage. Participants were recruited using broadcast advertisements on a popular geosocial networking ap…
Designing Pleasure-Centered, Culturally Relevant PrEP Messaging for Black Gay, Bisexual, Queer, Same-Gender-Loving, and Other Men Who have Sex with Men (SGL/MSM) in New York City
Cross-sectional and Longitudinal Association Between Sleep and HIV Prevention and Care Behaviors Among Transgender Women of Color
Background: Transgender women of color have shorter and worse-quality sleep, putting them at risk for worse health outcomes. We investigated the causal effect of sleep on HIV care and prevention outcomes among transgender women of color.Methods: We used data from transgender women of color living in New York City from the Trying to Understand Relationships, Network and Neighborhoods Among Transgender Women of Color (TURNNT) Cohort Study. Our expo…
Awareness and use of pre-exposure prophylaxis in a United States national sample of young sexual and gender minority men
Young sexual and gender minority (SGM) men remain disproportionately affected by the HIV epidemic. Although pre-exposure prophylaxis (PrEP) is highly effective in preventing HIV acquisition, uptake among SGM men in the United States (US) remains suboptimal. To better understand disparities in PrEP awareness, use, and adherence, we examined baseline survey data from the Limited Interaction Targeted Epidemiology (LITE-2) cohort, which included 3,14…
Participation in the house-ball community as a social determinant of HIV care and prevention outcomes among transgender women of color
House-ball scenes around the world have historically been a community for queer people to form chosen families and social networks and be exposed to community health campaigns. We investigated the impact of house-ball participation on HIV care and prevention outcomes among transgender women of color (TWOC) living in New York City. We asked 178 participants who identified as TWOC about their participation in the house-ball scene (never, former, cu…
The Dual Burden of Weight in YMSM
BACKGROUND/OBJECTIVES: Young men who have sex with men (YMSM) navigate a unique intersection of health risks characterized by structural drivers of obesity and intense sociocultural pressures for thinness. While Body Mass Index (BMI) differences are documented in the general population, less is known about how these patterns manifest within the specific appearance-potent subcultures of YMSM. This study describes BMI profiles across racial/ethnic …
An Evaluation of Social Media and Geospatial Dating Apps for Recruitment of a National Sample of Young Men Who Have Sex with Men in the Lite-2 Study
In 2022, over two thirds of individuals diagnosed with HIV in the United States were people of color, half resided in the south, and 67% of new cases were attributed to male-to male sexual transmission (Centers For Disease Control, 2024). To combat these health disparities, the Ending the HIV Epidemic (EHE) initiative recommends that HIV prevention research focus on targeted populations and geographic regions with high rates of new HIV diagnosis.…
Daily anxiety and depressive symptoms are associated with greater same-day cannabis-alcohol co-use than single-substance use among Black sexual and gender minority people
Cannabis and alcohol co-use occurred on 20 % of days among Black SGM. • Mild to moderate anxiety/depression increased the likelihood of co-use. • Greater mental health symptoms were linked to more co-use than single-substance use. Rapidly changing cannabis legalization has contributed to increased cannabis use and co-use of cannabis and alcohol, including among sexual and gender minority people (SGM). Black SGM endure long-standing disparities in…
Health equity and medical mistrust
Medical mistrust as a construct often places the onus of blame for adverse health outcomes on individuals rather than on social structures. In this study, we aimed to determine if medical mistreatment and access to transgender care were potential determinants of medical mistrust. We used longitudinal survey data from 193 transgender women of colour living in New York City. We measured medical mistrust using the Group-Based Medical Mistrust (GBMM)…
Associations Between Discrimination and Substance Use Among Transgender Women of Color in New York City
Introduction: Transgender women of color (TWOC) face elevated rates of substance use, driven in part by intersecting systems of discrimination and structural inequities. Previous research has highlighted the connection between discrimination and substance use, but few studies have explored this relationship among TWOC. This study examines cross-sectional and longitudinal associations between perceived discrimination and substance use among TWOC i…
Manifestations and Lived Experiences of Structural Racism for Racial and Ethnic Minority Communities Affected by HIV Across the United States
Objective: To elucidate some of the manifestations of structural racism as a root cause of racialized inequities in HIV in the context of COVID-19, centered through the lens of community members with lived experiences. Methods: We partnered with eight community-based organizations to conduct focus group discussions structured around COVID-19 and HIV-related experiences. We utilized inductive coding and thematic analysis. Results: We conducted 10 …
Police Harassment and Psychiatric, Sexual, and Substance Use Risk Among Black Sexual Minority Men and Black Transgender Women in the HIV Prevention Trials 061 Cohort
Composing authorship teams for health equity
Privilege-special advantages, opportunities or honors granted only to specific persons or groups, such as cisgender men-is one of the primary causes of structural inequality and health inequality. More specifically, privilege feeds structural inequities that result in adverse health outcomes disproportionately impacting minoritized and marginalized communities. As structural inequality increases globally, there will undoubtedly be an increase in …
Identifying Hidden Barriers to PrEP Adherence Among Young Men Who Have Sex with Men
Daily Factors Associated with Antiretroviral Therapy Adherence Among Young Latino Sexual Minority Men with HIV
Discrimination and Sleep Health Among Transgender Women of Color in New York City
Objectives. To determine whether discrimination is associated with sleep health among transgender women of color. Methods. We included 269 participants from the Trying to Understand Relationships, Networks, and Neighborhoods Among Transgender Women of Color (TURNNT) Cohort Study in New York City in a cross-sectional analysis and 179 in a longitudinal analysis of the association between discrimination and sleep duration, quality, and latency. Resu…
Community Connectedness as a Source of Adherence to HIV Prevention Behaviors and Resilience Among Transgender Women of Color in New York City, 2020–2022
Objectives. To examine how one’s community connectedness may act as a source of resilience and promote HIV prevention and care behaviors among transgender women of color. Methods. We analyzed survey data from 313 transgender women of color living in New York City collected from August 2020 to November 2022. The Community Connectedness Scale asks participants about their baseline feelings of connection, feelings of inclusion, feelings of belonging…
Hair Dye and Relaxer Use among Cisgender Women in Embu and Nakuru Counties, Kenya
Despite widespread use of hair products globally, little is known about the prevalence and patterns of use in populations outside the United States. As some hair products contain endocrine-disrupting chemicals (EDCs) and EDCs have been linked to breast cancer, which is increasing globally, in this study, we addressed key knowledge gaps about hair product use and practices, and perceptions of use among women in two counties in Kenya. Using communi…
Adverse childhood experiences among black sexually minoritized men and Black transgender women in Chicago
The BRFFS ACE measure had adequate reliability, a well-replicated structure and some moderate evidence of concurrent validity among Black SMM and TW. The parental separation domain does not discriminate between those with high and low ACE experiences in this population. With changing population demographics and trends in marriage, further examination of this item beyond the current study is warranted to improve health equity research for all
The burden of Cardiovascular diseases in Jordan
Despite decreasing burden rate of CVDs in Jordan between 1990 and 2019, CVDs remain the leading cause of mortality in Jordan, with an increase in the total number of prevalence and mortality. Overall, this contributes to increased healthcare costs. Further research is required to quantify the burden of CVDs and understand it better. Intervention measures and policies tailored to specific CVDs should be designed to reduce the burden of CVDs in Jor…
Three limited interaction approaches to understanding the epidemiology of HIV among YMSM in the US
This study will provide important data on multilevel determinants of HIV incidence among SGM men at the national level, allowing us to examine important differences by local jurisdiction, region and state and to better understand the impact of individual, social and geospatial factors on HIV incidence to help inform future prevention strategies
Social Network Characteristics Associated with More Frequent HIV and STI Prevention Conversations
Lesbian, Gay, Bisexual, and Transgender Hate Crimes and Suicidality Among a Population-Based Sample of Sexual-Minority Adolescents in Boston
Objectives. We examined whether past-year suicidality among sexual-minority adolescents was more common in neighborhoods with a higher prevalence of hate crimes targeting lesbian, gay, bisexual, and transgender (LGBT) individuals. Methods. Participants’ data came from a racially/ethnically diverse population-based sample of 9th- through 12th-grade public school students in Boston, Massachusetts (n = 1292). Of these, 108 (8.36%) reported a minorit…
Validation of Walk Scores and Transit Scores for estimating neighborhood walkability and transit availability
The role of neighborhood characteristics in racial/ethnic disparities in type 2 diabetes
The Geography of Recreational Open Space
Space, race, and poverty
BACKGROUND: Multiple and varied benefits have been suggested for increased neighborhood walkability. However, spatial inequalities in neighborhood walkability likely exist and may be attributable, in part, to residential segregation. OBJECTIVE: Utilizing a spatial demographic perspective, we evaluated potential spatial inequalities in walkable neighborhood amenities across census tracts in Boston, MA (US). METHODS: statistic. Then, Spearman corre…
Longitudinal Associations between Police Harassment and Experiences of Violence among Black Men Who Have Sex with Men in Six US Cities
It’s Raining MSM
Perceived Neighborhood Safety Is Associated with Poor Sleep Health among Gay, Bisexual, and Other Men Who Have Sex with Men in Paris, France
Racial Discrimination, Sexual Partner Race/Ethnicity, and Depressive Symptoms Among Black Sexual Minority Men
Early Life Psychosocial Stressors and Housing Instability among Young Sexual Minority Men
Behavior- and Partner-Based HIV Risk Perception and Sexual Risk Behaviors in Men Who Have Sex with Men (MSM) Who Use Geosocial-Networking Smartphone Applications in New York City
Social-Environmental Resilience, PrEP Uptake, and Viral Suppression among Young Black Men Who Have Sex with Men and Young Black Transgender Women
Disparities in Sleep Problems by Sexual Orientation among New York City Adults
Alcohol Outlet Density and Area-Level Heavy Drinking Are Independent Risk Factors for Higher Alcohol-Related Complaints
Census tract correlates of vape shop locations in New Jersey
Public Restrooms in Neighborhoods and Public Spaces
Covid-19 testing, case, and death rates and spatial socio-demographics in New York City
Neighborhood social cohesion, religious participation and sexual risk behaviors among cisgender black sexual minority men in the southern United States
Associations Between Neighborhood Problems and Sexual Behaviors Among Black Men Who Have Sex with Men in the Deep South
Associations of spatial mobility with sexual risk behaviors among young men who have sex with men in New York City
Transactional Sex and Preferences for Pre-Exposure Prophylaxis (PrEP) Administration Modalities Among Men Who Have Sex With Men (MSM)
Pre-exposure prophylaxis (PrEP) is an important biomedical human immunodeficiency virus (HIV) prevention tool gaining more popularity among Parisian men who have sex with men (MSM) who engage in transactional sex. This study examines the knowledge of, and willingness to use, different modalities of PrEP among this subgroup. Broadcast advertisements were placed on a geosocial-networking smartphone application with a link to a Web-based survey duri…
Neighborhood Socioeconomic Disadvantage; Neighborhood Racial Composition; and Hypertension Stage, Awareness, and Treatment Among Hypertensive Black Men in New York City
Neighborhood Safety and Neighborhood Police Violence Are Associated with Psychological Distress among English- and Spanish-Speaking Transgender Women of Color in New York City
Structural racism and homophobia evaluated through social media sentiment combined with activity spaces and associations with mental health among young sexual minority men
Objective and Subjective Neighborhood Crime Associated with Poor Sleep among Young Sexual Minority Men
Safe To Walk? Neighborhood Safety and Physical Activity Among Public Housing Residents
BACKGROUND: Despite its health benefits, physical inactivity is pervasive, particularly among those living in lower-income urban communities. In such settings, neighborhood safety may impact willingness to be regularly physically active. We examined the association of perceived neighborhood safety with pedometer-determined physical activity and physical activity self-efficacy. METHODS AND FINDINGS: Participants were 1,180 predominantly racial/eth…
Association between neighborhood safety and overweight status among urban adolescents
Data suggest that perception of neighborhood safety may be associated with overweight status among urban adolescents in certain racial/ethnic groups. Policies and programs to address neighborhood safety may also be preventive for adolescent overweight
Does perception equal reality? Weight misperception in relation to weight-related attitudes and behaviors among overweight and obese US adults
Validation of Walk Score® for Estimating Neighborhood Walkability
Neighborhood walkability can influence physical activity. We evaluated the validity of Walk Score(®) for assessing neighborhood walkability based on GIS (objective) indicators of neighborhood walkability with addresses from four US metropolitan areas with several street network buffer distances (i.e., 400-, 800-, and 1,600-meters). Address data come from the YMCA-Harvard After School Food and Fitness Project, an obesity prevention intervention in…
Differential Accuracy of Physical Activity Self-Report by Body Mass Index
We found compromised questionnaire performance among obese participants
The Geography of Recreational Open Space
Validation of Walk Scores and Transit Scores for estimating neighborhood walkability and transit availability
Space, race, and poverty
BACKGROUND: Multiple and varied benefits have been suggested for increased neighborhood walkability. However, spatial inequalities in neighborhood walkability likely exist and may be attributable, in part, to residential segregation. OBJECTIVE: Utilizing a spatial demographic perspective, we evaluated potential spatial inequalities in walkable neighborhood amenities across census tracts in Boston, MA (US). METHODS: statistic. Then, Spearman corre…
Are First-Generation Adolescents Less Likely to be Overweight? Results from a Survey of Boston Youth
Promoting Breastfeeding in Child Care Through State Regulation
Policies supporting breastfeeding vary by state, but little is known about the geographical aspects of this variation. This study describes state breastfeeding licensing and administrative regulations targeting child care settings, compares regulations with national standards, and examines the spatial patterning and clustering of these regulations throughout the United States (US). We compared regulations for child care centers (centers) and fami…
Lesbian, Gay, Bisexual, and Transgender Hate Crimes and Suicidality Among a Population-Based Sample of Sexual-Minority Adolescents in Boston
Objectives. We examined whether past-year suicidality among sexual-minority adolescents was more common in neighborhoods with a higher prevalence of hate crimes targeting lesbian, gay, bisexual, and transgender (LGBT) individuals. Methods. Participants’ data came from a racially/ethnically diverse population-based sample of 9th- through 12th-grade public school students in Boston, Massachusetts (n = 1292). Of these, 108 (8.36%) reported a minorit…
Geosocial-Networking App Usage Patterns of Gay, Bisexual, and Other Men Who Have Sex With Men
BACKGROUND: Geosocial-networking apps like Grindr have been used increasingly among men who have sex with men (MSM) to meet anonymous partners. These mobile dating apps employ global positioning system technology to facilitate connections with other users based on their current location. These new technologies have generated quicker and easier modes for men who have sex with men to meet potential partners based on attraction and physical proximit…
Health App Use Among US Mobile Phone Owners
BACKGROUND: Mobile phone health apps may now seem to be ubiquitous, yet much remains unknown with regard to their usage. Information is limited with regard to important metrics, including the percentage of the population that uses health apps, reasons for adoption/nonadoption, and reasons for noncontinuance of use. OBJECTIVE: The purpose of this study was to examine health app use among mobile phone owners in the United States. METHODS: We conduc…
Putting Health and Behavior in Context
Context matters. Social scientists (eg, social epidemiologists and medical sociologists) have long recognized the salience of context in health. For instance, Louis Rene Villerme, a noted French ph
The role of neighborhood characteristics in racial/ethnic disparities in type 2 diabetes
Neighborhood-level social processes and substantiated cases of child maltreatment
Mapping multi-day GPS data
Multi-day Global Positioning System (GPS) data are increasingly being used in research – including in the field of spatial epidemiology. We present several maps as ways to present multi-day GPS data. Data come from the NYC Low-Income Housing, Neighborhoods and Health Study (n = 120). Participants wore a QStarz BT-Q1000XT GPS device for about a week (mean: 7.44, SD = 2.15). Our maps show various ways to visualize multi-day GPS data; these data are…
Walk Score, Transportation Mode Choice, and Walking Among French Adults
Walkable neighborhoods were associated with increases in walking among adults in Paris, as documented at the trip level. Creating walkable neighborhoods (through neighborhood design increased commercial activity) may increase walking trips and, therefore, could be a relevant health promotion strategy to increase physical activity
Neighborhood perceptions and hypertension among low-income black women
Various neighborhood influences, including neighborhood disorder and lack of healthy food options, are factors that appear to increase Black women's risk of developing high blood pressure. Implications of this research include the need to develop interventions that promote good neighborhood infrastructure (e.g. healthy food stores to encourage good nutrition habits and well-lit walking paths to encourage daily exercise), in addition to interventi…
Correlates of Awareness of and Willingness to Use Pre-exposure Prophylaxis (PrEP) in Gay, Bisexual, and Other Men Who Have Sex with Men Who Use Geosocial-Networking Smartphone Applications in New York…
Associations Between Perceived Weight Status, Body Dissatisfaction, and Self-Objectification on Sexual Sensation Seeking and Sexual Risk Behaviors Among Men Who Have Sex with Men Using Grindr
To date, various dimensions of body image and their associations with condom use have not been studied among men who have sex with men (MSM) who use geosocial-networking smartphone applications ("apps") to meet new sexual partners. The purpose of the current study was to evaluate associations between weight perception, body dissatisfaction, and self-objectification with sexual behaviors among a sample of MSM (N = 92) recruited from Grindr, an app…
Neighborhood Stigma and Sleep
The primary objective of this study was to investigate the relationship between neighborhood stigma and sleep in a sample of low-income housing residents in New York City. Data were derived from the NYC Low-Income Housing, Neighborhoods, and Health Study (N = 120). Adults living in low-income housing completed a survey consisting of measures of neighborhood stigma, sleep quality, and sleep duration. Neighborhood stigma and sleep were self-reporte…
Approaches to Sampling Gay, Bisexual, and Other Men Who Have Sex with Men from Geosocial-Networking Smartphone Applications
Geosocial-networking smartphone applications utilize global positioning system (GPS) technologies to connect users based on their physical proximity. Many gay, bisexual, and other men who have sex with men (MSM) have smartphones, and these new mobile technologies have generated quicker and easier modes for MSM to meet potential partners. In doing so, these technologies may facilitate a user’s ability to have multiple concurrent partners, thereby …
Census tract correlates of vape shop locations in New Jersey
Early Life Psychosocial Stressors and Housing Instability among Young Sexual Minority Men
Medicine (96 obras) · Psychology (69 obras) · Demography (65 obras) · HIV/AIDS Research and Interventions (56 obras) · Demography (54 obras) · Gerontology (47 obras) · Men who have sex with men (47 obras) · Sociology (45 obras) · Public health (44 obras) · Environmental health (37 obras)