Publications by authors named "Abby Rudolph"

Objectives: To assess the public health and economic impact of vaccination with the Pfizer-BioNTech COVID-19 vaccine, KP.2, in 2024/2025 in the United States.

Methods: A combined cohort Markov-decision tree model was used to estimate the cost-effectiveness and budget impact of vaccination versus no vaccination in adults aged ≥18 years.

View Article and Find Full Text PDF

Objective: Conduct a comprehensive analysis of the health and economic outcomes of patients with a COVID-19-associated hospitalization in the US during the predominance of the XBB and JN.1 Omicron lineages.

Methods: This analysis used data from the PINC AI Healthcare Database (PHD) for all patients with a hospital admission date occurring between February 4, 2023, and February 29, 2024 with an ICD-10-CM code U07.

View Article and Find Full Text PDF
Article Synopsis
  • Illicitly manufactured fentanyl is a major cause of opioid overdose deaths in the U.S., prompting this study to explore harm reduction strategies among rural drug users.
  • The research included 349 qualitative interviews across 10 states, focusing on drug use behaviors and specific aspects of fentanyl exposure.
  • Participants employed various strategies to minimize overdose risks, such as avoiding certain drugs, using fentanyl test strips, and having naloxone on hand, highlighting the need for improved access to harm reduction resources.
View Article and Find Full Text PDF

Introduction: Although real-world studies demonstrate that those prescribed nirmatrelvir/ritonavir (and particularly within 5 days of symptom onset) are less likely to experience severe COVID-19 outcomes, prior studies show that only a small fraction of patients with COVID-19 who are eligible for nirmatrelvir/ritonavir receive a prescription. Studies calculating the proportion of nirmatrelvir/ritonavir prescriptions filled and identifying individual- and pharmacy-level correlates of filling nirmatrelvir/ritonavir are lacking.

Methods: This retrospective cohort study included individuals aged ≥ 12 years with a nirmatrelvir/ritonavir prescription ordered at a large national retail pharmacy (December 22, 2021-August 12, 2023).

View Article and Find Full Text PDF

Background: Injection-equipment-sharing networks play an important role in hepatitis C virus (HCV) transmission among people who inject drugs (PWID). Direct-acting antiviral (DAA) treatments for HCV infection and interventions to prevent HCV transmission are critical components of an overall hepatitis C elimination strategy, but how they contribute to the elimination outcomes in different PWID network settings are unclear.

Methods: We developed an agent-based network model of HCV transmission through the sharing of injection equipment among PWID and parameterized and calibrated the model with rural PWID data in the United States.

View Article and Find Full Text PDF

Purpose: HIV biomedical intervention uptake is suboptimal among Black sexually minoritized men (SMM) and transgender women (TW). Venues where people meet and interact shape HIV-related risk and prevention behaviors. We aimed to construct GPS-defined venue-based affiliation networks and identify the unique set of venues that could maximize reach of HIV biomedical interventions among Black SMM and TW.

View Article and Find Full Text PDF
Article Synopsis
  • Efforts to distribute naloxone are improving overdose reversal abilities, yet individuals using drugs in rural areas are often hesitant to call 911 due to fears of legal repercussions and stigma.
  • The Rural Opioid Initiative involves eight studies in various rural US communities, analyzing how contextual factors impact drug use and health behaviors through qualitative interviews with drug users.
  • Findings reveal that many respondents prefer non-evidence-based methods for reversing overdoses, emphasizing the need for better education on effective strategies and addressing concerns about law enforcement to encourage seeking emergency help.
View Article and Find Full Text PDF

Background: Prior studies have shown that individuals and their peers often have similar substance use behaviors, but the mechanisms driving these similarities - particularly in rural settings, are not well understood. The primary objectives of this analysis are to (1) identify factors that contribute to relationship turnover and maintenance within a rural network of persons who use drugs (PWUD), (2) determine whether assimilation and/or homophily shape participants use of injection drugs, heroin, and stimulants (methamphetamine and cocaine), and (3) assess the extent that these mechanisms influence networks ties and/or behaviors and whether these effects vary across time.

Methods: Sociometric network data were collected from a cohort of PWUD in rural Eastern Kentucky at baseline (2008-2010) and at four follow-up visits conducted approximately semiannually.

View Article and Find Full Text PDF
Article Synopsis
  • Accurate estimates of drug use and related health issues among marginalized populations, especially persons who use drugs (PWUD) in rural areas, are essential for effective intervention and understanding health disparities.* -
  • The study used respondent-driven sampling (RDS) to recruit PWUD and evaluated the assumptions behind RDS to ensure the reliability of its prevalence estimates, analyzing various drug usage variables and health indicators among participants.* -
  • Findings indicated a median participant age of 34, with opioids being the most commonly used drug; however, recruitment chains often lacked sufficient length for reliable sample representation, and different weighting methods showed minimal differences in prevalence estimates.*
View Article and Find Full Text PDF

Unlabelled: Post-COVID-19 conditions (PCC) is an umbrella term that encompasses a range of signs, symptoms and conditions present weeks after the acute phase of a SARS-CoV-2 infection. This systematic literature review summarises the heterogeneous methodology used to measure PCC across real-world studies and highlights trends by region, age group, PCC follow-up period and data source.

Methods: Medline, EMBASE and the Cochrane Library were searched and supplemented with conference and grey literature searches.

View Article and Find Full Text PDF

Background: Data on the effectiveness of BA.4/5 bivalent vaccine stratified by age and prior infection are lacking.

Methods: This test-negative study used data from individuals ≥5 years of age testing for SARS-CoV-2 with symptoms (15 September 2022 to 31 January 2023) at a large national retail pharmacy chain.

View Article and Find Full Text PDF

Background And Aims: Analyzing long-term trajectories of alcohol use has the potential to strengthen policy and intervention priorities and timing. We identified and described trajectories of alcohol use and binge drinking frequency from mid-adolescence to early adulthood and measured the association of the role of early drinking initiation with trajectory membership.

Design, Setting, Participants: This was a longitudinal cohort study conducted in the United States.

View Article and Find Full Text PDF

The present study examined the associations between networks of social relationships and psychological well-being among mothers of adolescents and adults with autism (n = 352) over a 12-year period of time. A structural equation modeling approach was used to delineate the relative impacts of network size and relationship diversity on maternal mental health, and to assess whether such effects are bidirectional. Mothers with more diverse relationships experienced reductions in depression and anxiety symptoms over time, and the psychological benefits of diversity remained after adjusting for network size.

View Article and Find Full Text PDF

Background: Among people who inject drugs (PWID), obtaining syringes via syringe services programs (SSPs) and pharmacies reduces injection sharing practices associated with hepatitis C virus (HCV). Whether indirect use of SSPs via secondary exchange confers a similar benefit remains unknown, particularly in rural settings. We compared HCV serostatus and injection sharing practices by primary syringe source among a sample of rural PWID.

View Article and Find Full Text PDF

Purpose: Quantify the misclassification of abortion accessibility resulting from calculations based on block groups, census tracts, ZCTAs, or counties versus census blocks.

Methods: We included 850 facilities from the 2018 ANSIRH Facility Database and Planned Parenthood website. Accessibility was the proportions of 18-44 year-old women living within a 30-, 60-, and 90-minute drive from an abortion-providing facility.

View Article and Find Full Text PDF

This analysis aims to identify relationship-level correlates of receptive syringe sharing among women who inject drugs in Philadelphia. Sixty-four women who injected daily were recruited from Prevention Point Philadelphia's syringe exchange program (9/2/20 - 11/23/20). Interviewer-administered surveys collected (1) individual-level demographics and risk behaviors and (2) relationship-level information about each past-6-month injection partner and injecting practices between the two.

View Article and Find Full Text PDF

Objectives: HIV scholars and practitioners have worked to expand strategies for prevention among marginalised populations who are disproportionately impacted by the epidemic, such as racial minority men who have sex with men (MSM). Given this urgency, the objective of this study was to assess interest in biomedical prevention strategies.

Methods: This exploratory and cross-sectional study investigated interest in four biomedical prevention tools-rectal douche, dissolvable implant, removable implant and injection-among a racially diverse sample of MSM from the Northeast Corridor region between Philadelphia and Trenton.

View Article and Find Full Text PDF

Background: Previous research has revealed under-reporting of personal network members (i.e., alters) in studies involving people who use drugs (PWUD).

View Article and Find Full Text PDF

To quantify the impact of telemedicine for medication abortion (TMAB) expansion or ban removal on abortion accessibility. We included 1091 facilities from the 2018 Advancing New Standards in Reproductive Health facility database and Planned Parenthood Web site, among which 241 did not offer abortion as sites for TMAB expansion. Accessibility was defined as the proportion of reproductive-aged women living within a 30-, 60-, or 90-minute drive time from an abortion-providing facility.

View Article and Find Full Text PDF

Black women disproportionately experience STIs (including HIV/AIDS), gender-based violence, substance misuse and mental health conditions. Addressing a gap in syndemic research, we characterised comorbidity overlap within the context of sociostructural inequities and adverse childhood experiences (ACEs) among black women in Baltimore, Maryland. Between 2015 and 2018, black women (n=305) were recruited from STI clinics in Baltimore, Maryland.

View Article and Find Full Text PDF

Objective: There is increasing interest in the role of contextual factors in promoting well-being among parents of children with developmental disabilities. This study aimed to examine whether social network types moderate the impacts of having a child with a developmental disability on parents' health.

Methods: Using cross-sectional data from the Midlife in the United States survey (MIDUS 2 and Refresher cohorts), we analyzed a sample of 363 parents of children with developmental disabilities and 4,919 parents of children without developmental disabilities.

View Article and Find Full Text PDF

Aspects of the physical and social environment play an important role in shaping HIV-related risk/prevention behaviors and access to prevention and treatment services. Here, we describe the feasibility of integrating a web-based survey application to collect risk locations into Qualtrics and compare this approach with a JavaScript-based alternative. Between 2017 and 2018, we enrolled 29 persons living with HIV in Boston Massachusetts to complete an interviewer-administered questionnaire using Qualtrics.

View Article and Find Full Text PDF

Studies aiming to construct risk networks have historically collected network members' names, demographic characteristics and relational data (i.e., type, strength, duration, frequency of interaction, and HIV-related risk behaviors between the pair).

View Article and Find Full Text PDF