Publications by authors named "Stacy M Crim"
Article Synopsis
- * Data from the Medical Monitoring Project (2017-2022) shows that among PWH aged 50 and older, significant gaps remain in achieving these goals, with only hunger reduction meeting the 2025 target thus far.
- * To hit the 2025 QoL objectives, there needs to be a coordinated effort to enhance access to essential resources like housing, job opportunities, food, and mental health services
Article Synopsis
- This study evaluated the connection between self-rated health (SRH) and care outcomes in U.S. adults with HIV, analyzing data from a nationally representative sample of 3,692 individuals.
- The results showed that 72% reported "good or better" SRH, but certain factors like missed appointments, depression and anxiety symptoms, unstable housing, and food insecurity were linked to lower SRH.
- The authors suggest that addressing these non-physical health needs, along with improving mental health and housing stability, could enhance SRH among people living with HIV in the U.S.
Background: We compared HIV care outcomes by HIV provider type to inform efforts to strengthen the HIV provider workforce.
Setting: United States.
Methods: We analyzed data from Center for Disease Control and Prevention's Medical Monitoring Project collected during June, 2019-May, 2021 from 6323 adults receiving HIV medical care.
Article Synopsis
- - The study examines the sexual and reproductive health of cisgender women with HIV, focusing on national outcomes from 2018 to 2021, to understand their overall health and well-being.
- - Findings revealed that while a high percentage received cervical screenings (86.4%), only 38.5% underwent testing for STIs, and many faced issues like unintended pregnancies and miscarriages, particularly among socioeconomically disadvantaged groups.
- - The authors emphasize the need for improved access to sexual and reproductive health services for women with HIV, noting disparities linked to social determinants of health that could be addressed through more comprehensive strategies.
Unmet Needs for HIV Ancillary Services Among Persons With Diagnosed HIV Aged 55 years and Older.
J Acquir Immune Defic Syndr
April 2024
Background: Approximately 2 in 5 persons with HIV (PWH) in the United States are aged 55 years or older. HIV ancillary services, such as case management and transportation services, can help older PWH remain engaged in care. We used data from the Medical Monitoring Project (MMP) to describe the prevalence of unmet needs for ancillary services among persons with diagnosed HIV aged 55 years or older.
View Article and Find Full Text PDFAccess to ancillary services-including HIV support services, non-HIV clinical services, and subsistence services-can support care engagement and viral suppression and reduce disparities among people with HIV (PWH). We used representative U.S.
View Article and Find Full Text PDFArticle Synopsis
- The study assessed the ability of US HIV care facilities to implement strategies for Ending the HIV Epidemic using survey data from 514 facilities in 2021.
- Findings showed that while many facilities offered critical services like pre- and post-exposure prophylaxis, there were significant gaps in support such as on-site substance use treatment and connection to food and housing resources.
- Overall, while strengths exist in providing some key services, improvements are needed in staff training and support systems for patients to enhance care effectiveness.
Article Synopsis
- Experiences of stigma and discrimination in healthcare settings significantly negatively impact the health outcomes of persons with HIV (PWH), particularly those with multiple marginalized identities.
- A study using data from the Medical Monitoring Project found that nearly 25% of PWH reported intersectional discrimination linked to various characteristics like race, sexual orientation, and socioeconomic status.
- Those facing intersectional discrimination were less likely to engage with regular HIV care providers, trust healthcare information, or adhere to antiretroviral treatment, suggesting the need for further research on these experiences to improve care and intervention strategies.
Antibiotic prescribing for acute gastroenteritis during ambulatory care visits-United States, 2006-2015.
Infect Control Hosp Epidemiol
December 2022
Article Synopsis
- *Data was collected from two major surveys (NAMCS/NHAMCS) and a commercial claims database (MarketScan), revealing that approximately 13% of AGE visits resulted in antibiotic prescriptions.
- *Findings highlighted that antibiotics, particularly for viral gastroenteritis and certain bacterial infections where they are not warranted, are being prescribed unnecessarily, indicating a need for better antibiotic stewardship in outpatient care.
Article Synopsis
- Unstably housed individuals living with HIV face a greater risk for sexually transmitted infections (STIs) and struggle to access the recommended annual STI screenings.
- The study utilizes data from the Medical Monitoring Project to investigate STI testing practices among these individuals.
- It focuses on how attendance at Ryan White HIV/AIDS Program-funded facilities impacts STI testing rates for unstably housed people with HIV.
Objectives: Assess concordance of assigned transmission category between National HIV Surveillance System (NHSS) and Medical Monitoring Project (MMP); assess persistence of behaviors by comparing transmission category to current behavior.
Design: Retrospective analysis of HIV surveillance data.
Methods: For 4034 participants in the 2016 MMP cycle, transmission category was assigned in NHSS and MMP by applying a hierarchy to acquisition risk behaviors and selecting the most likely risk behavior that led to HIV acquisition.
Objective: To investigate unmet needs for HIV ancillary care services by healthcare coverage type and Ryan White HIV/AIDS Program (RWHAP) assistance among adults with HIV.
Design: We analyzed data using the 2017-2019 cycles of the CDC Medical Monitoring Project, an annual, cross-sectional study designed to produce nationally representative estimates of characteristics among adults with diagnosed HIV.
Methods: Unmet need was defined as needing, but not receiving, one or more HIV ancillary care services.
Objectives: The Ending the HIV Epidemic (EHE) initiative prioritizes treatment and prevention efforts in counties where most new HIV diagnoses occur and states with substantial incidence of new HIV diagnoses in rural areas. Understanding the characteristics of adults with HIV living in EHE priority areas, and how these characteristics compare with adults with HIV living in non-EHE priority areas, can inform EHE efforts.
Methods: We analyzed data from the 2018 Medical Monitoring Project (MMP) to understand the characteristics of adults with HIV living in 36 of 48 EHE priority counties; San Juan, Puerto Rico; and 1 of 7 EHE priority states.
Background: Men who have sex with men (MSM) accounted for two thirds of new HIV infections in the United States in 2019 despite representing approximately 2% of the adult population.
Methods: CDC analyzed surveillance data to determine trends in estimated new HIV infections and to assess measures of undiagnosed infection and HIV prevention and treatment services including HIV testing, preexposure prophylaxis (PrEP) use, antiretroviral therapy (ART) adherence, and viral suppression, as well as HIV-related stigma.
Results: The estimated number of new HIV infections among MSM was 25,100 in 2010 and 23,100 in 2019.
Background: HIV-related discrimination in health care settings is associated with negative health outcomes among persons with HIV (PWH). This article describes and compares differences in the prevalence of self-reported experiences with discrimination in health care settings by sociodemographic and clinical care factors among persons with diagnosed HIV in the United States.
Methods: We analyzed interview and medical record data collected during June 2018-May 2019 from 3850 PWH who had received HIV care in the past 12 months.
National guidelines recommend annual sexually transmitted infection testing for sexually active people living with human immunodeficiency virus, including transgender women. Using data from the US Medical Monitoring Project during 2015-2019, in the previous 12 months, 63.3% of sexually active transgender women who were human immunodeficiency virus positive were tested for syphilis, 56.
View Article and Find Full Text PDFArticle Synopsis
- Food and waterborne illnesses remain a significant health issue in the U.S., even with improved safety measures.
- A study involving 48 experts estimated the disease burden from various transmission routes, including foodborne and waterborne pathways.
- The findings, which included 33 pathogens, emphasize the need to address multiple transmission routes for effective public health strategies.
During 2018, estimated incidence of human immunodeficiency virus (HIV) infection among Hispanic and Latino (Hispanic/Latino) persons in the United States was four times that of non-Hispanic White persons (1). Hispanic/Latino men who have sex with men (MSM) accounted for 24% (138,023) of U.S.
View Article and Find Full Text PDFPostinfectious Irritable Bowel Syndrome After Campylobacter Infection.
Am J Gastroenterol
October 2019
Objectives: Postinfectious irritable bowel syndrome (PI-IBS) is an important sequela of Campylobacter infection. Our goal is to estimate the incidence of Campylobacter-associated PI-IBS in the United States.
Methods: Data from January 1, 2010 to December 31, 2014, were obtained from the MarketScan Research Commercial Claims and Encounters Database.
Guillain-Barré syndrome (GBS) is sometimes preceded by infection. We estimated the cumulative incidence of -associated GBS in the United States using a retrospective cohort design. We identified a cohort of patients with an International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) diagnosis code of "intestinal infection due to " (008.
View Article and Find Full Text PDFNewport is the third most common Salmonella enterica serotype identified among the estimated 1.2 million human salmonellosis infections occurring annually in the United States. Risk factors for infection and food items implicated in outbreaks vary by antimicrobial resistance pattern.
View Article and Find Full Text PDFBackground: Shigella causes approximately 500,000 illnesses, 6000 hospitalizations, and 40 deaths in the United States annually, but incidence and populations at risk for severe shigellosis among adults are unclear. This study describes severe shigellosis among US adults.
Methods: We analyzed Foodborne Diseases Active Surveillance Network data for infections caused by Shigella among adults ≥18 years old during 2002-2014.
Article Synopsis
- Salmonella enterica serotype Dublin is a type of bacteria that mainly affects cattle but can cause serious bloodstream infections in humans.
- From 1968 to 2013, infections caused by Salmonella Dublin in the U.S. surged in comparison to other Salmonella infections.
- Between 2005-2013, a significant increase in hospitalization rates (78%) and mortality (4.2%) was observed, along with a rise in drug resistance to multiple antimicrobial classes (50.8%) compared to previous years (1996-2004).
The Foodborne Diseases Active Surveillance Network (FoodNet) is currently using a negative binomial (NB) regression model to estimate temporal changes in the incidence of Campylobacter infection. FoodNet active surveillance in 483 counties collected data on 40,212 Campylobacter cases between years 2004 and 2011. We explored models that disaggregated these data to allow us to account for demographic, geographic, and seasonal factors when examining changes in incidence of Campylobacter infection.
View Article and Find Full Text PDFBackground: A growing segment of the population-adults aged ≥65 years-is more susceptible than younger adults to certain enteric (including foodborne) infections and experience more severe disease.
Materials And Methods: Using data on laboratory-confirmed infections from the Foodborne Diseases Active Surveillance Network (FoodNet), we describe trends in the incidence of Campylobacter spp., Escherichia coli O157, Listeria monocytogenes, and nontyphoidal Salmonella infections in adults aged ≥65 years over time and by age group and sex.