Chris Beyrer
Dados Biográficos
| ID | 354952 |
|---|---|
| NOME | Chris Beyrer |
| PRENOMES | Chris |
| SOBRENOME | Beyrer |
| ASSINATURA | BEYRER C |
| AFILIAÇÕES | Johns Hopkins University |
| ORCID | 0000-0003-0665-9124 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 108 |
| TOTAL DE CITAÇÕES | 112 |
| TOTAL COMO AUTOR | 107 |
| TOTAL COMO EDITOR | 1 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 1996 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2025 |
| ÍNDICE H | 6 |
Strategic Litigation, Public Health, and the Decriminalization of Same-Sex Sexual Intimacy
Consistent data have demonstrated the harms of punitive laws criminalizing same-sex sexual intimacy in the context of both public health and human rights. However, as of January 2025, 61 United Nations member states criminalize consensual same-sex sexual acts among adults, with varying degrees of enforcement and severity. We used 6 legal challenges across former British colonies in Africa, the Caribbean, and Asia to assess the role of strategic l…
Patterns of Polysubstance Use in Young Black and Latinx Sexual Minority Men and Transgender Women and Its Association with Sexual Partnership Factors
Background: Adult studies have demonstrated that polysubstance use increases HIV acquisition risk through increased sexual behaviors, however, few studies have examined polysubstance in young Black and Latinx sexual minority men (SMM) and transgender women (TW). Methods: We used cross-sectional data from 466 young Black and Latinx SMM and TW living in four high HIV-burden US cities enrolled in the PUSH Study, a status-neutral randomized control t…
Assessing the Impact of Russia’s Invasion of Ukraine on Health Services
Ubydul Haque, PhD; Moeen Hamid Bukhari, MPhil; Nancy Fiedler, PhD; Shanshan Wang, MBBS; Oleksii Korzh, PhD; Juan Espinoza, MD; Miraj Ahmad; Irina Holovanova, MD; Tetyana Chumachenko, MD, PhD, DSc; Olga Marchak, MBA; Dmytro Chumachenko, PhD; Osman Ulvi, MBBS, MPH; Ifthekar Sikder, PhD; Hanna Hubenko, PhD; Emily S. Barrett, PhD
Racial/ethnic differences in the association between transgender-related U.S. state policies and self-rated health of transgender women
The policies included in this analysis do not mitigate racism's effects on access to resources, indicating they may be less impactful for transgender women of color than White transgender women. Future research and policy advocacy efforts promoting transgender women's health must center racial equity as well as transgender people of color's priorities
Preference for Long-Acting HIV Prevention Methods Among Transgender Women Vulnerable to HIV in Eastern and Southern United States
A decade of PrEP
After nearly a decade of HIV pre-exposure prophylaxis (PrEP) rollout in sub-Saharan Africa, there has been limited study of PrEP messaging in news media. We selected twenty South African newspapers with the highest circulation volumes to retrieve articles published in 2012–2021 mentioning PrEP (N = 249). Using inductive content analysis, we developed a structured codebook to characterise PrEP-related content and sentiments, as well as their evolu…
Challenges in Arranging to Waive Parental Consent in HIV Prevention Studies of Adolescent Men Who have Sex with Men
Including adolescent men who have sex with men (AMSM) in HIV prevention and treatment studies without parental permission is vital, but has often faced barriers. We examine the case of recent Institutional Review Boards (IRB) reviews of an HIV treatment and prevention study that requested waiving parental permission at four United States sites, but received different responses from each institution. IRBs varied in whether and how they weighed par…
Pandemic detention
Background: People incarcerated during the COVID-19 pandemic face higher vulnerability to infection due to structural and social factors in carceral settings. Additionally, due to the higher prevalence of chronic health conditions among carceral populations, they are also at risk for more severe COVID-19 disease. This study was designed to explore the experiences of people incarcerated in prisons and jails in Maryland during the height of the pan…
Leveraging the HIV response to strengthen pandemic preparedness
The COVID-19 pandemic and the expectation of future pandemic threats have generated a global dialogue on strengthening pandemic preparedness and response (PPR). Thus far, this dialogue has largely failed to fully consider the critical role that established, disease-specific programs played in national and regional COVID-19 responses, and the potential for these programs to contribute to stronger pandemic preparedness for the future. The HIV respo…
Qualitative Identification of Intervention Preferences to Support Men’s Engagement and Retention in TB Care in South Africa
Globally and in South African specifically, men account for 56% and 62% of all tuberculosis (TB) cases, respectively. Men are at increased risk of not accessing TB testing or treatment, and having poor treatment outcomes. Unfortunately, no interventions exist to address these issues. Toward the development of targeted, patient-centered TB care and support interventions, we used semistructured interviews to explored men’s social network compositio…
The impact of stigma and sexual identity on PrEP awareness and use among at-risk men who have sex with men in four U.S. cities (HPTN 078)
Persistent pre-exposure prophylaxis (PrEP) use reduces the risk of HIV infection, yet uptake lags among those with the greatest need. Sexual identity stigma may be a significant barrier to PrEP awareness and use among high-risk communities. The primary aim of this study was to determine whether sexual identity was related to PrEP awareness and use. This multi-site HIV Prevention Trials Network (HPTN) study (HPTN 078) focuses on men who have sex w…
Diverse contexts and social factors among young cisgender men and transgender women who sell or trade sex in Bangkok and Pattaya, Thailand
HIV incidence is high and persistent among cisgender men who have sex with men (MSM) and transgender women (TGW) who have sex with men, particularly among those who sell or trade sex. In preparation for an open-label combination HIV pre-exposure prophylaxis (PrEP) program for these groups, we conducted formative research to explore the context of sex work/trade and factors that affect implementation of PrEP interventions. This study analyzed inte…
High acceptability of HIV self-testing in a randomized trial among transgender women and men who have sex with men, Myanmar
HIV self-testing (HIVST) shows promise to improve HIV diagnosis among those seeking privacy and anonymity in HIV testing. This may include sexual and gender diverse populations, who experience disproportionately high burdens of stigma and HIV globally. To inform potential scale-up of HIVST in Myanmar, we implemented a community-led, mixed-methods randomized trial in Yangon. Adult trans-feminine individuals and cisgender men who have sex with men …
Seeking justice amidst chaos
The methodology presented here yielded a unique record of individuals purported to have directly committed acts of violence and destruction in Rakhine State in August 2017, forming the most extensive record of individuals implicated in ground-level perpetration of those crimes. This methodology can play a key role in accountability mechanisms for the Rohingya, and in other settings in which perpetrators are many and documentation of their crimes …
Consistency of reports of violence from northern Rakhine state in August 2017
The government of Myanmar has denied involvement in the 2017 attacks on Rohingya communities in northern Rakhine state and purports that reports of the violence and destruction are overstated. However, consistent reporting from multiple sources on the same locales clearly underscores the veracity of the evidence documented, both by investigative groups and as recounted by Rohingya survivors of violence. It is our hope that this cataloging and com…
Abuse in the Continua
The role of case management in HIV treatment adherence
Adherence to care and antiretroviral therapy is challenging, especially for people living with HIV (PLWH) with additional co-occurring risk factors. Case management interventions, including motivational interviewing (MI), show promise to improve HIV treatment adherence, but few studies have examined how such interventions are delivered to or experienced by PLWH who have been reengaged in care. We conducted qualitative interviews with six case man…
Déjà vu All Over Again? Emergent Monkeypox, Delayed Responses, and Stigmatized Populations
Epidemiology of HIV in the USA
Build on HIV investments for future pandemic preparedness
Risk for Covid-19 infection and death among Latinos in the United States
Assessing differential impacts of Covid-19 on black communities
Purpose: Given incomplete data reporting by race, we used data on COVID-19 cases and deaths in U.S. counties to describe racial disparities in COVID-19 disease and death and associated determinants. Methods: Using publicly available data (accessed April 13, 2020), predictors of COVID-19 cases and deaths were compared between disproportionately (≥13%) black and all other (<13% black) counties. Rate ratios were calculated, and population attributab…
Undocumented U.S. Immigrants and Covid-19
Undocumented U.S. Immigrants and Covid-19 Years of anti-immigrant policies and rhetoric will be difficult to reverse, but it’s essential that the Trump administration address the needs of undocumen...
Depression, sexual behavior, and HIV treatment outcomes among transgender women, cisgender women and men who have sex with men living with HIV in Brazil and Thailand
One in five transgender women (TW) are living with HIV, yet little has been published about their health outcomes. We analyzed data from TW (n = 37), cisgender women (CW, n = 165), and cisgender men who have sex with men (MSM, n = 151) in Thailand and Brazil. We hypothesized: (1) TW will have higher odds of depressive symptoms, lower odds of condom use and greater odds of a detectable viral load compared to MSM and CW; and (2) TW will have lower …
Economic, Mental Health, HIV Prevention and HIV Treatment Impacts of Covid-19 and the Covid-19 Response on a Global Sample of Cisgender Gay Men and Other Men Who Have Sex with Men
There is an urgent need to measure the impacts of COVID-19 among gay men and other men who have sex with men (MSM). We conducted a cross-sectional survey with a global sample of gay men and other MSM (n = 2732) from April 16, 2020 to May 4, 2020, through a social networking app. We characterized the economic, mental health, HIV prevention and HIV treatment impacts of COVID-19 and the COVID-19 response, and examined whether sub-groups of our study…
Shan women and girls and the sex industry in Southeast Asia; political causes and human rights implications
Venezuelan Migration and the Border Health Crisis in Colombia and Brazil
Executive Summary Venezuela’s economic crisis has triggered mass migration; more than 3.4 million Venezuelans have fled to other countries in the region and beyond. An assessment mission to Cúcuta, in the Colombian border state of North Santander, was undertaken from July 26 to August 1, 2018, and to Bôa Vista and Pacaraima, in the state of Roraima, Brazil, between August 24 and 28, 2018. Interviews were conducted with key informants, including h…
Unraveling Health Disparities Among Sexual and Gender Minorities
LGBT (lesbian, gay, bisexual, and transgender) populations experience disparities in health outcomes, both physical and mental, compared to their heterosexual and cisgender peers. This commentary confronts the view held by some researchers that the disparate rates of mental health problems reported among LGBT populations are the consequences of pursuing a particular life trajectory, rather than resulting from the corrosive and persistent impact o…
The food security and nutrition crisis in Venezuela
Sexual Identity, Stigma, and Depression
Community-based delivery of maternal care in conflict-affected areas of eastern Burma
Population-based survey methods to quantify associations between human rights violations and health outcomes among internally displaced persons in eastern Burma
BACKGROUND: Case reports of human rights violations have focused on individuals' experiences. Population-based quantification of associations between rights indicators and health outcomes is rare and has not been documented in eastern Burma. OBJECTIVE: We describe the association between mortality and morbidity and the household-level experience of human rights violations among internally displaced persons in eastern Burma. METHODS: Mobile health…
Human Rights Abuses and Vulnerability to HIV/Aids
Karen Leiter, Voravit Suwanvanichkij, Ingrid Tamm, Vincent Iacopino, Chris Beyrer, Human Rights Abuses and Vulnerability to HIV/AIDS: The Experiences of Burmese Women in Thailand, Health and Human Rights, Vol. 9, No. 2, Rights-Based Approaches to Health (2006), pp. 88-111
You Have to Keep Yourself Hidden
Malay-Muslim men who have sex with men (MSM) are marginalized and hidden in Malaysia, a predominantly Muslim country in southeast Asia. We explored the policy, network, community, and individual factors related to HIV infection among Malay-Muslim MSM through 26 in-depth interviews and one focus group discussion (n = 5) conducted in Kuala Lumpur and Kota Bharu between October 2013 and January 2014. As religion plays an important role in their live…
Female Sex Workers' Experiences with Intended Pregnancy and Antenatal Care Services in Southern Tanzania
Understanding the pregnancy experiences of female sex workers (FSWs), especially in the context of high rates of HIV and sexually transmitted infections (STIs), is essential to tailoring services to meet their needs. This study explores FSWs' experiences with intended pregnancy and access to antenatal care and HIV testing in two regions of Tanzania. Thirty in‐depth interviews and three focus group discussions were conducted. FSWs sought to become…
The MOM Project
Alternative strategies to increase access to reproductive health services among internally displaced populations are urgently needed. In eastern Burma, continuing conflict and lack of functioning health systems render the emphasis on facility-based delivery with skilled attendants unfeasible. Along the Thailand-Burma border, local organisations have implemented an innovative pilot, the Mobile Obstetric Maternal Health Workers (MOM) Project, estab…
Burma and Cambodia
The debate around the issues raised by HIV/AIDS and human rights has largely focused on the protection from rights violations of individuals or groups affected by the disease. The relationship between political and social conditions where human rights abuses are frequent and the spread of HIV infection has been less studied. Two countries in Southeast Asia, Burma and Cambodia, are currently undergoing serious and uncontrolled epidemics of HIV; bo…
Gaps in Science and Evidence-Based Interventions to Respond to Intimate Partner Violence Among Black Gay and Bisexual Men in the U.S
Assessing the effects of anti-homosexuality legislation in Uganda on HIV prevention, treatment, and care services
Uganda's response to the HIV epidemic has been lauded for its robustness and achievements. However, a key component of HIV prevention programming has been missing, for men who have sex with men (MSM). The main reason cited has been criminalization of male homosexual behavior. In 2009, the Anti-Homosexuality Bill (AHB) was introduced in the parliament to enhance existing anti-homosexuality law. A multi-disciplinary team made a Health Impact Assess…
LGBT Africa
LGBT communities are emerging across Africa in 2012. Many are emerging in the context of the continents severe HIV epidemic. Homophobia is a barrier to social acceptance and to health and other social services, but African communities are showing reliance in addressing stigma and discrimination, and in organizing for rights and social tolerance
Public health, human rights, and the beneficence of states
Accelerating and disseminating across Asia
Asia does not yet face the same burdens as Africa, but evidence of severe epidemics in some states already exists. The window of opportunity to respond to HIV in Asia is narrow and closing; the time for action is now
Changes in Sexual Behavior and a Decline in HIV Infection Among Young Men in Thailand
Background In Thailand the epidemic of human immunodeficiency virus (HIV) infection is of recent origin. Because of the high seroprevalence of HIV among sex workers, the Ministry of Public Health began a program in 1990 and 1991 to promote the use of condoms during commercial sex. We evaluated the effect of this and other programs to prevent HIV infection in Thailand. Methods Using direct interviews, we studied five cohorts of 21-year-old men fro…
Widely varying HIV prevalence and risk behaviours among the ethnic minority peoples of northern Thailand
We compared HIV prevalence, risk behaviours, and social and sexual norms among nine ethnic minority (Hilltribe) groups in northern Thailand. Communities were selected on the basis of size, ethnicity, development level and geography. Subjects (15-45 years) were stratified by gender and selected by household using two-stage randomization. Forty volunteers were identified in each of 27 villages. Participation was voluntary and informed consent was o…
Burma and Cambodia
The debate around the issues raised by HIV/AIDS and human rights has largely focused on the protection from rights violations of individuals or groups affected by the disease. The relationship between political and social conditions where human rights abuses are frequent and the spread of HIV infection has been less studied. Two countries in Southeast Asia, Burma and Cambodia, are currently undergoing serious and uncontrolled epidemics of HIV; bo…
HIV Infection and Risk Behaviors in Thai Men After Their Service in the Royal Thai Army
Accelerating and disseminating across Asia
Asia does not yet face the same burdens as Africa, but evidence of severe epidemics in some states already exists. The window of opportunity to respond to HIV in Asia is narrow and closing; the time for action is now
Shan women and girls and the sex industry in Southeast Asia; political causes and human rights implications
HIV/Aids knowledge, attitudes, and practices among Burmese migrant factory workers in Tak Province, Thailand
Little information is known regarding the level of knowledge among Burmese migrant workers along the Thai/Burma border concerning risk factors, prevention or transmission of HIV. The Burma Medical Association (BMA) and National Health and Education Committee (NHEC) collected data on knowledge, attitudes and practices among 725 factory workers in Tak Province, Thailand during July 2000. We present results from a secondary analysis of these data. R…
Drug Use, Increasing Incarceration Rates, and Prison-Associated HIV Risks in Thailand
Public health, human rights, and the beneficence of states
Global sex
HIV incidence and risk behaviours after voluntary HIV counselling and testing (VCT) among adults aged 19–35 years living in peri-urban communities around Chiang Mai city in northern Thailand, 1999
The Thai government began HIV voluntary counselling and testing (VCT) in all provinces in 1992. We evaluated HIV incidence after participants utilized VCT and its effect on risk behaviours among northern Thai adults aged 19-35 years. A total of 924 men and 1,327 women volunteered to participate in the study. Subjects were counseled, interviewed (socio-demographic, HIV risk behaviour, and HIV testing history), and tested for HIV infection at basel…
Injection prevalence and risks among male ethnic minority drug users in northern Thailand
Thailand's rate of HIV due to drug use is increasing, and nearly one-half of clients at a drug treatment centre in the north are from marginalized ethnic minority groups. We describe and compare socio-demographics, drug use, and sexual practices across ethnic minority people presenting for treatment at the Northern Drug Treatment Center, Mae Rim, Thailand. A prevalence study was conducted between February 1999 and January 2000. Trained interviewe…
Changes in Willingness to Participate in HIV Vaccine Trials Among HIV-Negative Injection Drug Users
Personal History of Voluntary HIV Counseling and Testing (VCT) Among Adults Aged 19–35 Years Living in Peri-urban Communities, Chiang Mai, Northern Thailand
Human Rights Abuses and Vulnerability to HIV/Aids
Karen Leiter, Voravit Suwanvanichkij, Ingrid Tamm, Vincent Iacopino, Chris Beyrer, Human Rights Abuses and Vulnerability to HIV/AIDS: The Experiences of Burmese Women in Thailand, Health and Human Rights, Vol. 9, No. 2, Rights-Based Approaches to Health (2006), pp. 88-111
Elevated Risk for HIV Infection among Men Who Have Sex with Men in Low- and Middle-Income Countries 2000–2006
Public Health and Human Rights
Community-based Voluntary Counseling and Testing Services in Rural Communities of Chiang Mai Province, Northern Thailand
Population-based survey methods to quantify associations between human rights violations and health outcomes among internally displaced persons in eastern Burma
BACKGROUND: Case reports of human rights violations have focused on individuals' experiences. Population-based quantification of associations between rights indicators and health outcomes is rare and has not been documented in eastern Burma. OBJECTIVE: We describe the association between mortality and morbidity and the household-level experience of human rights violations among internally displaced persons in eastern Burma. METHODS: Mobile health…
Users' guides to the medical literature
The accurate interpretation of mortality surveys in humanitarian crises is useful for both public health responses and security responses. Recent examples suggest that few medical personnel and researchers can accurately interpret the validity of a mortality survey in these settings. Using an example of a mortality survey from the Democratic Republic of Congo (DRC), we demonstrate important methodological considerations that readers should keep i…
The MOM Project
Alternative strategies to increase access to reproductive health services among internally displaced populations are urgently needed. In eastern Burma, continuing conflict and lack of functioning health systems render the emphasis on facility-based delivery with skilled attendants unfeasible. Along the Thailand-Burma border, local organisations have implemented an innovative pilot, the Mobile Obstetric Maternal Health Workers (MOM) Project, estab…
Explaining Adherence Success in Sub-Saharan Africa
BACKGROUND: Individuals living with HIV/AIDS in sub-Saharan Africa generally take more than 90% of prescribed doses of antiretroviral therapy (ART). This number exceeds the levels of adherence observed in North America and dispels early scale-up concerns that adherence would be inadequate in settings of extreme poverty. This paper offers an explanation and theoretical model of ART adherence success based on the results of an ethnographic study in…
HIV Prevalence, Risks for HIV Infection, and Human Rights among Men Who Have Sex with Men (MSM) in Malawi, Namibia, and Botswana
BACKGROUND: In the generalized epidemics of HIV in southern Sub-Saharan Africa, men who have sex with men have been largely excluded from HIV surveillance and research. Epidemiologic data for MSM in southern Africa are among the sparsest globally, and HIV risk among these men has yet to be characterized in the majority of countries. METHODOLOGY: A cross-sectional anonymous probe of 537 men recruited with non-probability sampling among men who rep…
Community-based delivery of maternal care in conflict-affected areas of eastern Burma
Health and historical levels of freedom
BACKGROUND: The link between political freedom and health is unclear. We aimed to determine the association by exploring the relationship of historical and cumulative freedom levels with important health outcomes. METHODS: We obtained countrywide health indicators for life expectancy, infant mortality, maternal mortality ratio, % low birth weight babies, Gini coefficient (a measure of wealth inequality) and various markers of freedom based on pol…
Medicine (95 obras) · HIV/AIDS Research and Interventions (65 obras) · HIV, Drug Use, Sexual Risk (61 obras) · Environmental health (52 obras) · Sociology (45 obras) · Demography (42 obras) · Political science (42 obras) · Family medicine (40 obras) · Population (38 obras) · Sex work and related issues (38 obras)