Sten H Vermund
Dados Biográficos
| ID | 354970 |
|---|---|
| NOME | Sten H Vermund |
| PRENOMES | Sten H |
| SOBRENOME | Vermund |
| ASSINATURA | VERMUND S H |
| AFILIAÇÕES | Yale University |
| ORCID | 0000-0001-7289-8698 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 66 |
| TOTAL DE CITAÇÕES | 50 |
| TOTAL COMO AUTOR | 64 |
| TOTAL COMO EDITOR | 2 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 1986 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2025 |
| ÍNDICE H | 4 |
Mixed methods pilot evaluation of a gender-sensitivity training for HIV care providers in Uganda
In sub-Saharan Africa, gender norms shape women’s and men’s barriers to HIV care engagement, and influence providers’ behaviors. Interventions are needed to build providers’ capacity for delivering gender-sensitive HIV care. We pilot tested a gender-sensitivity training for HIV care providers and staff in Uganda. Using a quasi-experimental controlled trial (2022–23), we assessed a 4-session intervention, developed by the study team, focused on: g…
Acceptability, feasibility, and factors affecting implementation of a gender-sensitivity training for HIV providers and staff in Uganda
Clinicaltrials.gov, NCT05178979, registered: November 15, 2021
HIV Trends in Metropolitan US Cities From 2014 to 2021
Objective. To examine baseline trends for the 2019 Ending the HIV Epidemic in the United States (EHE), which aims to reduce HIV incidence by 90% by 2030 in the 57 counties and states responsible for half of incident infections, and to provide a counterfactual comparator for future evaluation of the initiative’s midpoint. Methods. We used 2014‒2021 metropolitan statistical area (MSA) data to compare HIV diagnostic rate trends between MSAs subsumin…
Trends of HIV, hepatitis C virus and syphilis seroprevalence among injection and non-injection drug users in southwestern China, 2010–2017
Background The primary risk of HIV transmission in China has shifted from injecting drug use (IDU) to sexual contact since 2006. We evaluated the prevalence trends of HIV, hepatitis C virus (HCV), syphilis, and sexual and drug use behaviors among drug users. Methods: People who use drugs participated in any of four rounds of cross-sectional surveys during 2010–2017 in Chongqing. Participants were tested for HIV, HCV, and syphilis. Questionnaire i…
A Mixed Methods Exploration of Young Women’s Agency and Mental Health during Covid-19 in Low-Income Communities in Mumbai, India
Pandemic stress was difficult for low-income AGYW in Mumbai. Mitigating programs for COVID-19 control helped address acute needs and enable capabilities. Exploring similar themes among a broader population of youth can help design strategies and opportunities for young people in low-income communities during health emergencies
Advantages and Limitations of the Body Mass Index (BMI) to Assess Adult Obesity
Obesity reflects excessive fat deposits. At-risk individuals are guided by healthcare professionals to eat fewer calories and exercise more, often using body mass index (BMI; weight/height 2 ) thresholds for screening and to guide progress and prognosis. By conducting a mini-narrative review of original articles, websites, editorials, commentaries, and guidelines, we sought to place BMI in the context of its appropriate use in population health, …
Overall, Direct, Spillover, and Composite Effects of Components of a Peer-Driven Intervention Package on Injection Risk Behavior Among People Who Inject Drugs in the HPTN 037 Study
The role of agriculture in achieving Universal Health Coverage in Africa
The World Health Organization strives to assist nations towards “the attainment by all peoples of the highest possible level of health” within the context of the Sustainable Development Goals (SDGs) [1]. The Universal Health Coverage (UHC) policy is the first joint United Nations resolution calling for all countries worldwide to provide affordable, equitable, and quality [...]
Estimating non-communicable disease treatment costs using probability-based cost estimation
The burden and impact of non-communicable diseases (NCDs) are well documented, accounting for 70% of premature deaths globally. In Sub-Saharan Africa, rising NCDs are estimated to account for 27% of mortality by 2020, a 4% increase from 2005. This increase will inevitably lead to a higher demand for NCD treatment services, exerting pressure on limited public financial resources. To get a sense of the resources required to treat NCDs, it is necess…
Blockchain Technology for Electronic Health Records
Compared with traditional paper-based medical records, electronic health records (EHRs) are widely used because of their efficiency, security, and reducing data redundancy. However, EHRs still manifest poor interoperability and privacy issues are unresolved. As a distributed ledger protocol composed of encrypted blocks of data organized in chains, blockchain represents a potential tool to solve the shortcomings of EHRs in terms of interoperabilit…
Trends in Prescription Opioid Use in Motor Vehicle Crash Injuries in the United States
Motor vehicle crashes (MVC) cause over three million people to be nonfatally injured each year in the United States alone. We investigated trends and patterns in prescription opioid usage among nonfatal MVC injuries in 50 states in the US and the District of Columbia from 2014 to 2018. All emergency department visits for an MVC event ( N = 142,204) were identified from the IBM ® MarketScan ® Databases. Using log-binomial regression models, we inv…
Leveraging HIV Care Infrastructures for Integrated Chronic Disease and Pandemic Management in Sub-Saharan Africa
In Sub-Saharan Africa, communicable and other tropical infectious diseases remain major challenges apart from the continuing HIV/AIDS epidemic. Recognition and prevalence of non-communicable diseases have risen throughout Africa, and the reimagining of healthcare delivery is needed to support communities coping with not only with HIV, tuberculosis, and COVID-19, but also cancer, cardiovascular disease, diabetes, and depression. Many non-communica…
Community-based health workers implementing universal access to HIV testing and treatment
The global expansion of HIV testing, prevention and treatment services is necessary to achieve HIV epidemic control and promote individual and population health benefits for people living with HIV (PLHIV) in sub-Saharan Africa. Community-based health workers (CHWs) could play a key role in supporting implementation at scale. In the HPTN 071 (PopART) trial in Zambia and South Africa, a cadre of 737 study-specific CHWs, working closely with governm…
Syndemic Framework Evaluation of Severe Covid-19 Outcomes in the United States
Socially and economically disadvantaged racial and ethnic minorities have experienced comparatively severe clinical outcomes from the coronavirus disease (COVID-19) pandemic in the United States. Disparities in health outcomes arise from a myriad of synergistic biomedical and societal factors. Syndemic theory provides a useful framework for examining COVID-19 and other diseases that disproportionately affect vulnerable populations. Syndemic model…
Measuring child survival for the Millennium Development Goals in Africa
Reducing child mortality is a key global health challenge. We examined reasons for greater or lesser success in meeting under-five mortality rate reductions, i.e. Millennium Development Goal #4, between 1990 and 2015 in Sub-Saharan Africa where child mortality remains high. We first examined factors associated with child mortality from all World Health Organization African Region nations during the Millennium Development Goal period. This analysi…
Predicting the long-term impact of voluntary medical male circumcision on HIV incidence among men who have sex with men in Beijing, China
Using a deterministic compartmental modeling procedure to fit prevalence from 2005–2015, we projected new HIV cases during 2016–2026 under different coverage rates ranging from 0.0001 (at baseline) to 0.15 (an optimistic assumption) with simulations on varying transmission rates, model calibration to match historical data, and sensitivity analyses for different assumptions. Compared with the baseline (λ = 0.0001), we found the new HIV cases would…
Social Distancing among Medical Students during the 2019 Coronavirus Disease Pandemic in China
Despite medical students' knowledge of disease control and prevention, their lives were greatly affected by social distancing, especially in the Wuhan epicenter. Even well-informed students needed psychological support during these extraordinarily stressful times
Association between stigma towards HIV and MSM and intimate partner violence among newly HIV-diagnosed Chinese men who have sex with men
HIV- and MSM-related stigmas was positively associated with IPV experiences among newly diagnosed MSM in China. The manner in which stigma may exacerbate IPV, and/or the influence of IPV on worsening stigma should be further evaluated. The high prevalence of IPV and stigma in this population suggests that interventions should be taken to reduce stigma and prevent this risky behavior among MSM
Building Partnerships and Stakeholder Relationships for HIV Prevention
Building Partnerships and Stakeholder Relationships for HIV Prevention:Longitudinal Cohort Study Focuses on Community Engagement Rondalya D. DeShields, MSN, RN, Jonathan Paul Lucas, MPH, Melissa Turner, MSW, LICSW, Kemi Amola, PhD, Valarie Hunter, Stephanie Lykes, MPH, Anne M. Rompalo, MD, ScM, Sten H. Vermund, MD, Suzanne Fischer, MA, and Danielle F. Haley, MPH, PhD What Is the Purpose of This Study? • HIV Prevention Trials Network 064 assessed …
Building Partnerships and Stakeholder Relationships for HIV Prevention
The COPR model maximized inclusiveness and participation of African American women impacted by HIV, supported recruitment and retention, and was the cornerstone of community engagement
Negative associations between general self-efficacy and anxiety/depression among newly HIV-diagnosed men who have sex with men in Beijing, China
To evaluate the association between general self-efficacy and depression/anxiety among newly HIV-diagnosed Chinese men who have sex with men (MSM) in Beijing, our study evaluated the baseline survey data of MSM taking part in a clinical trial among Chinese MSM in Beijing. The baseline survey of the trial was conducted between March 2013 and March 2014. General self-efficacy and depression/anxiety were measured using standard scales. Logistic regr…
Promoting progress in child survival across four African countries
Despite numerous international and national efforts, only 12 countries in the World Health Organization's African Region met the Millennium Development Goal #4 (MDG#4) to reduce under-five mortality by two-thirds by 2015. Given the variability across sub-Saharan Africa, a four-country study was undertaken to examine barriers and facilitators of child survival prior to 2015. Liberia and Zambia were chosen to represent countries making substantial …
HIV testing and sexual risks among migrant men who have sex with men
Despite the exacerbating HIV transmission among migrant men who have sex with men (MSM) in China, few epidemiological studies explore their HIV testing/risk profiles. We sought to explore sociodemographic/behavioral correlates of HIV/syphilis and HIV testing among migrant MSM. A study was conducted among 3,588 HIV-uninfected MSM. Participants were recruited via short message services, peer referral, web-advertisement and community outreach. HIV/s…
Exploration of Implementation Patterns and Content from a Text-Based Outreach Intervention Clinical Trial for Newly Diagnosed, HIV-Positive MSM in Beijing, China
Risk Prediction Score for HIV Infection
Health-related outcomes of war in Nicaragua
Since 1983, war in Nicaragua has slowed improvements in health which had developed rapidly from 1979-82. The rate of war-related deaths among Nicaraguans now exceeds that of the United States citizens in either the Vietnam War or World War II. Forty-two of the 84 documented war-related casualties among Nicaraguan health workers have been deaths. This high case fatality rate reflects the targeting of health workers by contra troops. The number of …
Expansion of HIV/Aids in China
Human papillomavirus, gonorrhea, syphilis, and cervical dysplasia in jailed women
We assessed the prevalence of human papillomavirus (HPV) by cervicovaginal lavage and Southern blot and inquired about behavioral risk factors for cervical disease and sexually transmitted diseases by interview in 114 female detainees at a large New York City jail. Of the women screened, 8% had abnormal Pap smears, 35% had HPV, 7% had gonorrhea, and 22% had serologic syphilis. Given the high rates of HPV infection and cervical cytology, Pap smear…
Chlamydial cervical infection in jailed women
OBJECTIVES. The prevalence of Chlamydia trachomatis cervical infection in incarcerated adult women has not been reported. To develop a policy for testing and treatment, we determined the prevalence of and risk factors for chlamydial infection in women in a New York City jail. METHODS. Interviews and cervical cultures for C trachomatis were obtained from 101 consenting female inmates. RESULTS. Positive cultures for C trachomatis were found in 27% …
Health education and community participation in mass drug administration for malaria in Nicaragua
Syndemic Framework Evaluation of Severe Covid-19 Outcomes in the United States
Socially and economically disadvantaged racial and ethnic minorities have experienced comparatively severe clinical outcomes from the coronavirus disease (COVID-19) pandemic in the United States. Disparities in health outcomes arise from a myriad of synergistic biomedical and societal factors. Syndemic theory provides a useful framework for examining COVID-19 and other diseases that disproportionately affect vulnerable populations. Syndemic model…
Building Partnerships and Stakeholder Relationships for HIV Prevention
The COPR model maximized inclusiveness and participation of African American women impacted by HIV, supported recruitment and retention, and was the cornerstone of community engagement
Promoting progress in child survival across four African countries
Despite numerous international and national efforts, only 12 countries in the World Health Organization's African Region met the Millennium Development Goal #4 (MDG#4) to reduce under-five mortality by two-thirds by 2015. Given the variability across sub-Saharan Africa, a four-country study was undertaken to examine barriers and facilitators of child survival prior to 2015. Liberia and Zambia were chosen to represent countries making substantial …
HIV knowledge and health-seeking behavior in Zambézia Province, Mozambique
HIV prevalence rates in Zambézia Province were estimated to be 12.6% in 2009. A number of educational campaigns have been aimed at improving HIV transmission and prevention knowledge among community members in an effort to reduce infection rates. These campaigns have also encouraged people to seek health care at clinical sites, instead of employing traditional healers to cure serious illness. The impact of these programs on the rural population h…
Smallpox and biological warfare
Smallpox was officially declared eradicated from the world in 1980. Earlier, in 1972, over 50 nations signed the Biological Weapons Convention renouncing this entire category of weapons. Despite this international agreement, both the United States and the Soviet Union continue to vaccinate their military troops against smallpox, thus implying that each fears the other might still use it in biological warfare. Vaccination is not a harmless procedu…
Parasitic infections in a New York City hospital
We report the frequency of parasitic infections 1971-84 in a major New York City Medical Center whose catchment area includes many immigrants from Dominican Republic. Infection with 7,803 parasites was documented in 41,958 laboratory specimens. Trends were toward fewer total specimens being sent and fewer still being positive, although a rise in G. lamblia, E. histolytica, and Cryptosporidium is apparent in recent years. Parasitology laboratories…
Smallpox and biological warfare
Smallpox was officially declared eradicated from the world in 1980. Earlier, in 1972, over 50 nations signed the Biological Weapons Convention renouncing this entire category of weapons. Despite this international agreement, both the United States and the Soviet Union continue to vaccinate their military troops against smallpox, thus implying that each fears the other might still use it in biological warfare. Vaccination is not a harmless procedu…
Health education and community participation in mass drug administration for malaria in Nicaragua
Health-related outcomes of war in Nicaragua
Since 1983, war in Nicaragua has slowed improvements in health which had developed rapidly from 1979-82. The rate of war-related deaths among Nicaraguans now exceeds that of the United States citizens in either the Vietnam War or World War II. Forty-two of the 84 documented war-related casualties among Nicaraguan health workers have been deaths. This high case fatality rate reflects the targeting of health workers by contra troops. The number of …
Race/ethnic-specific Aids risk in New York City, 1981-87
Race/ethnic-specific AIDS risk in New York City, 1981-87. B S Menendez, S H Vermund, E Drucker, and S BlumCopyRight https://doi.org/10.2105/AJPH.79.12.1679-a Published Online: October 07, 2011
Human papillomavirus, gonorrhea, syphilis, and cervical dysplasia in jailed women
We assessed the prevalence of human papillomavirus (HPV) by cervicovaginal lavage and Southern blot and inquired about behavioral risk factors for cervical disease and sexually transmitted diseases by interview in 114 female detainees at a large New York City jail. Of the women screened, 8% had abnormal Pap smears, 35% had HPV, 7% had gonorrhea, and 22% had serologic syphilis. Given the high rates of HPV infection and cervical cytology, Pap smear…
Chlamydial cervical infection in jailed women
OBJECTIVES. The prevalence of Chlamydia trachomatis cervical infection in incarcerated adult women has not been reported. To develop a policy for testing and treatment, we determined the prevalence of and risk factors for chlamydial infection in women in a New York City jail. METHODS. Interviews and cervical cultures for C trachomatis were obtained from 101 consenting female inmates. RESULTS. Positive cultures for C trachomatis were found in 27% …
Effect of Nevirapine Toxicity on Choice of Perinatal HIV Prevention Strategies
Objectives. This study evaluated the validity of concerns about the toxicity of nevirapine (NVP) that have delayed its implementation as a perinatal HIV prevention strategy. Methods. A decision analysis model compared 3 strategies: single-dose NVP, short-course zidovudine (ZDV), and no intervention. Results. NVP would prevent more deaths than ZDV and no intervention as long as the rate of NVP toxicity did not exceed, respectively, 9 times that ob…
A Comparison of Three Sources of Data on Child Homicide
This study compared data from death certificates (DC), medical examiner (ME) reports, and Uniform Crime Reporting (UCR) Program for homicides among children age 5 years or younger in Jefferson County, Alabama between 1988 and 1998. Records from each source were matched independently to records from the other two sources. Kappa coefficients measured the chance-corrected agreement between sources. The strongest correlations were for victim's gender…
Delayed access to HIV diagnosis and care
HIV diagnosis and presentation to appropriate medical care during early stages of disease has substantial clinical and public health benefits. However, a large proportion of HIV-infected Americans experience diagnosis and treatment related delays. Prior research evaluating barriers to early HIV diagnosis and care presentation have been published primarily from large East and West coast urban centers. Therefore, predictors of delayed presentation …
Migration patterns following HIV diagnosis among adults residing in the nonurban Deep South
Health care needs of those infected with the human immunodeficiency virus (HIV) and subsequent transmission dynamics are altered by migration after infection. We interviewed 760 HIV-infected persons attending HIV-specialty clinics living in non-urban Alabama and Mississippi to ascertain the likely geographic origins of their infections, determine their post-HIV diagnosis mobility, and identify predictors of this mobility. Most subjects (81%) were…
Increasing Aids case reports in the South
This study compares the trends in AIDS case reports in Southern states and in other regions and estimates the factors associated with the trends. Data from the HIV/AIDS Surveillance Reports 1999 and 2004 of the Centers for Disease Control and Prevention were used to calculate the proportion of the total cumulative cases (1981-2004) that occurred in the five most recent years (2000-2004). A linear regression model was fitted to estimate the factor…
Association of misconceptions about HIV transmission and discriminatory attitudes in rural China
This study examined HIV-related knowledge and attitudes among 524 randomly selected adult residents from 12 rural Chinese communities where HIV infection among plasma donors has been reported. Most participants were familiar with the main routes of HIV transmission but had substantial misconceptions about risk of HIV transmission through casual social contacts. Higher score of misconception and being older and married independently predicted stro…
HIV Voluntary Counseling and Testing among Injection Drug Users in South China
Frequent HTLV-1 infection in the offspring of Peruvian women with HTLV-1-associated myelopathy/tropical spastic paraparesis or strongyloidiasis
In addition to known risk factors for HTLV-1 transmission (duration of breast-feeding and history of blood transfusion), maternal HAM/TSP and strongyloidiasis were associated with seropositivity among offspring of HTLV-1-infected mothers
Expansion of HIV/Aids in China
Sexual Behavior and Risk Factors for HIV Infection Among Homosexual and Bisexual Men in Thailand
Risk Factors for Syphilis and Prevalence of HIV, Hepatitis B and C among Men Who Have Sex with Men in Beijing, China
Sociocultural and epidemiological aspects of HIV/Aids in Mozambique
BACKGROUND: A legacy of colonial rule coupled with a devastating 16-year civil war through 1992 left Mozambique economically impoverished just as the human immunodeficiency virus (HIV) epidemic swept over southern Africa in the late 1980s. The crumbling Mozambican health care system was wholly inadequate to support the need for new chronic disease services for people with the acquired immunodeficiency syndrome (AIDS). METHODS: To review the uniqu…
Estimation of HIV-1 incidence among five focal populations in Dehong, Yunnan
The HIV epidemic in Dehong continued to expand during a five-year period but at a slowing rate among IDUs, and HIV incidence remains high among IDUs and discordant couples. Intensive prevention measures should target sub-groups at highest risk to further slow the epidemic and control the migration of HIV to other areas of China, and multivariate analysis is needed to explore which measures are more effective for different populations
Factors associated with partner referral among patients with sexually transmitted infections in Bangladesh
Combination HIV Prevention
Barriers to antiretroviral therapy adherence in rural Mozambique
Perspectives of CP and HCW likely reflect differing sociocultural and educational backgrounds. Health care workers must understand community perspectives on causes of suboptimal adherence as a first step toward effective intervention
Contemporary profile of oral manifestations of HIV/Aids and associated risk factors in a southeastern US clinic
OM continues to be common despite HAART. General OM and OPC were closely associated with a low baseline CD4 count. Knowledge of risk factors for OM can potentially help clinicians target oral evaluation of HIV-positive individuals
Limited Awareness and Low Immediate Uptake of Pre-Exposure Prophylaxis among Men Who Have Sex with Men Using an Internet Social Networking Site
BACKGROUND: In 2010, the iPrEx trial demonstrated that oral antiretroviral pre-exposure prophylaxis (PrEP) reduced the risk of HIV acquisition among high-risk men who have sex with men (MSM). The impact of iPrEx on PrEP knowledge and actual use among at-risk MSM is unknown. Online surveys were conducted to assess PrEP awareness, interest and experience among at-risk MSM before and after iPrEx, and to determine demographic and behavioral factors a…
Medicine (62 obras) · Environmental health (42 obras) · HIV/AIDS Research and Interventions (40 obras) · Public health (32 obras) · Family medicine (27 obras) · HIV, Drug Use, Sexual Risk (27 obras) · Demography (25 obras) · Nursing (22 obras) · Human immunodeficiency virus (HIV (21 obras) · Population (20 obras)