Publications by authors named "Mary R Tanner"

Article Synopsis
  • - The study aimed to assess the number of women receiving HIV/STI testing and PrEP services across seven jurisdictions, focusing on racial and ethnic demographics, particularly Black women.
  • - An analysis of data from 2015 to 2020 showed that Black women represented 69.2% of those served in THRIVE, and they had higher STI positivity rates compared to non-Black women, as well as an increased likelihood of being screened for PrEP eligibility.
  • - Despite high screening rates, the study revealed a low prescription rate of PrEP among Black women diagnosed with syphilis and gonorrhea, indicating a gap in utilizing PrEP services effectively.
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Background And Objectives: HIV preexposure prophylaxis (PrEP) is safe, effective, and was approved for adolescents in 2018. Adolescents and young adults make up 20% of HIV diagnoses in the United States. Our objective was to describe trends in adolescents prescribed PrEP during 2018 through 2021 and characteristics of these adolescents and their PrEP providers.

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To describe HIV testing among clients in the Targeted Highly Effective Interventions to Reverse the HIV Epidemic (THRIVE) demonstration project and evaluate testing frequency. We identified factors associated with an average testing frequency of 180 days or less compared with more than 180 days using adjusted Poisson regression models. We performed the Kaplan-Meier survival analysis to compare time to diagnosis by testing frequency.

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Article Synopsis
  • The study focused on the impact of HIV prevention services on Hispanic/Latino men who have sex with men (MSM) and transgender women (TGW) as part of a larger project called THRIVE, which ran from 2015 to 2020.
  • Results showed that health services tailored to Hispanic/Latino populations improved access to pre-exposure prophylaxis (PrEP), with higher prescription rates found at sites offering these focused services compared to others.
  • The overall conclusion suggests that creating Hispanic/Latino-oriented clinical settings can significantly enhance HIV prevention efforts within these communities.
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Background And Setting: From 2015 to 2020, the THRIVE project supported 7 US health departments to improve HIV prevention services for Black or African American (Black) and Hispanic or Latino gay, bisexual, and other men who have sex with men (GBM) and transgender women (TGW).

Methods: We described services provided in the THRIVE PrEP continuum. Using Poisson regression models, we estimated associations between race or ethnicity and age and PrEP screening, linkage, and prescription.

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Our objective is to evaluate the effect of navigation on linkage to a PrEP provider among PrEP-eligible men who have sex with men (MSM) in THRIVE, a demonstration project in seven U.S. public health jurisdictions during 2015-2020.

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Article Synopsis
  • Black and Hispanic/Latino men who have sex with men (MSM) are significantly affected by HIV, prompting the creation of the THRIVE project, which provides targeted prevention services in seven community collaboratives.
  • Analysis of HIV diagnosis data from 2014 to 2019 showed that those in THRIVE areas experienced greater declines in HIV diagnoses compared to similar areas without THRIVE funding, particularly among Black and Hispanic/Latino MSM.
  • The results underline the effectiveness of the THRIVE model, suggesting that to meet the US goal of ending the HIV epidemic, more focus is needed on increasing preexposure prophylaxis (PrEP) among Black and Hispanic/Latino MSM.
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Purpose: The purpose of this study was to analyze trends in severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) testing and test positivity among persons aged <18 years in a three-site outpatient pediatric practice in Atlanta, Georgia, serving approximately 35,000 pediatric patients.

Methods: Using electronic medical records, weekly trends in SARS-CoV-2 tests performed and the 14-day moving average of test positivity were examined, overall and by age group, during May 24-December 5, 2020.

Results: Among 4,995 patients who received at least 1 SARS-CoV-2 test, 6,813 total tests were completed.

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Objectives: Retention in care is a critical component of effective HIV treatment, and adolescents and young adults are at higher risk of inadequate retention than older adults. The objective of our study was to examine the patterns of retention in care among adolescents and young adults with HIV infection by analyzing Medicaid and commercial health insurance claims data.

Methods: We evaluated retention in care for HIV-diagnosed adolescents and young adults aged 13-24 using the 2010-2014 MarketScan Medicaid and MarketScan Commercial Claims health insurance databases.

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Objective: The Targeted Highly Effective Interventions to Reverse the HIV Epidemic (THRIVE) demonstration project created collaboratives of health departments, community-based organizations, and clinical partners to improve HIV prevention services for men who have sex with men (MSM) and transgender women (TGW) of color. We administered an online survey from September 2018 through February 2019 to assess the collaboratives.

Methods: We used a Likert scale to measure agreement on collaborative characteristics.

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Preexposure prophylaxis (PrEP) with antiretroviral medication has been proven effective in reducing the risk for acquiring human immunodeficiency virus (HIV). The fixed-dose combination tablet of tenofovir disoproxil fumarate (TDF)/emtricitabine (FTC) was approved by the U.S.

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Objective: To describe an adenovirus outbreak in a neonatal intensive care unit (NICU), including the use of qualitative and semiquantitative real-time polymerase chain reaction (qPCR) data to inform the outbreak response.

Design: Mixed prospective and retrospective observational study.

Setting: A level IV NICU in the southeastern United States.

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In 2014, an estimated 2,477 children aged <13 years were living with diagnosed human immunodeficiency virus (HIV) infection in the United States (1). Nationally, little is known about how well children with a diagnosis of HIV infection are retained in medical care. CDC analyzed insurance claims data to evaluate retention in medical care for children in the United States with a diagnosis of HIV infection.

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Background: Although central venous catheters (CVCs) are essential to pediatric cancer care, complications are common (eg, occlusion, central line-associated bloodstream infection [CLABSI]). Parenteral nutrition (PN) and external CVCs are associated with an increased complication risk, but their interaction is unknown.

Methods: A retrospective matched cohort study of pediatric oncology patients who received PN through subcutaneous ports or external CVCs.

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