Miao-Jung Chen

San Francisco Department of Public Health

Author Statistics

Papers

Citation

H-Index

i-10 index

Research Trends

Author Order

Document Type

Co-Authors

Susan Scheer

San Francisco Department of Public Health

Robert Kohn

San Francisco Department of Public Health

Maya Yoshida-Cervantes

San Francisco Department of Public Health

Maree Kay Parisi

San Francisco Department of Public Health

Erin Antunez

San Francisco Department of Public Health

Sandra Schwarcz

San Francisco Department of Public Health

Kate Buchacz

Centers for Disease Control and Prevention

Viva Delgado

San Francisco Department of Public Health

Nicholas J. Moss

Alameda County Public Health Department

Trang Nguyen

San Francisco Department of Public Health

Cooperative Institutions

San Francisco Department of Public Health

Centers for Disease Control and Prevention

The Centers

University of California, San Francisco

San Francisco AIDS Foundation

Creative Commons

Rapt Therapeutics (United States)

National Center for HIV/AIDS Viral Hepatitis STD and TB Prevention

Fundación Juan March

Brown University

Author Statistics

Papers

Citation

H-Index

i-10 index

Research Field

Using HIV Surveillance Registry Data to Re-Link Persons to Care: The RSVP Project in San Francisco

PLoS ONE (2015)

Kate Buchacz Miao-Jung Chen Maree Kay Parisi Maya Yoshida-Cervantes Erin Antunez

Background Persons with unsuppressed HIV viral load (VL) who disengage from care may experience poor clinical outcomes and potentially transmit HIV. We assessed the feasibility and yield of using the San Francisco Department of Public Health (SFDPH) enhanced HIV surveillance system (eHARS) to identify and re-engage such persons in care. Methods Using SFDPH eHARS data as of 4/20/2012 (index date), we selected HIV-infected adults who were alive, had no reported VL or CD4 cell count results in the past nine months (proxy for "out-of-care") and a VL >200 copies/mL drawn nine to 15 months earlier. We prioritized cases residing locally for investigation, and used information from eHARS and medical and public health databases to contact them for interview and referral to the SFDPH linkage services (LINCS). Twelve months later, we matched-back to eHARS data to assess how HIV laboratory reporting delays affected original eligibility, and if persons had any HIV laboratory results performed and reported within 12 months after index date ('new labs'). Results Among 434 eligible persons, 282 were prioritized for investigation, of whom 75 (27%) were interviewed, 79 (28%) could not be located, and 48 (17%) were located out of the area. Among the interviewed, 54 (72%) persons accepted referral to LINCS. Upon match-back to eHARS data, 324 (75%) in total were confirmed as eligible, including 221 (78%) of the investigated; most had new labs. Conclusions Among the investigated persons presumed out-of-care, we interviewed and offered LINCS referral to about one-quarter, demonstrating the feasibility but limited yield of our project. Matching to updated surveillance data revealed that a substantial minority did not disengage from care and that most re-engaged in HIV care. Verifying persons' HIV care status with medical providers and improving timeliness of transfer and cross-jurisdictional sharing of HIV laboratory data may aid future efforts.

Public health surveillance

Proxy (statistics)

10.1371/journal.pone.0118923

Cite

Citations (60)

HIV Coinfection Among Persons Diagnosed As Having Sexually Transmitted Diseases, San Francisco, 2007 to 2014

Sexually Transmitted Diseases (2018)

Miao-Jung Chen Susan Scheer Trang Nguyen Robert Kohn Sandra Schwarcz

Early syphilis, gonorrhea, and chlamydia but not HIV infections have increased in San Francisco, primarily among men.We linked records of persons reported with early syphilis, gonorrhea, and chlamydia to records of persons reported with HIV to measure the proportion and characteristics of San Francisco residents with HIV-sexually transmitted disease (STD) coinfection between 2007 and 2014. We measured trends in HIV coinfection separately for men and women for each STD.From 2007 to 2014, of the 5745 early syphilis, 18,037 gonorrhea, and 37,224 chlamydia diagnoses that were reported, 66%, 28%, and 15%, respectively, were among persons coinfected with HIV. Men accounted for most persons with early syphilis, gonorrhea, and chlamydia HIV coinfection. For early syphilis and HIV coinfection, among men who have sex with men (MSM), Latinos were more likely and Asian/Pacific Islanders were less likely to have HIV coinfection compared with whites. Older age at diagnosis and history of an STD were both also significantly associated with early syphilis and HIV coinfection. Transgender persons, older ages, Latino MSM compared with white MSM, and those with a history of STD were more likely to have HIV coinfection, whereas Asian/Pacific Islander MSM were less likely to have HIV coinfection for both gonorrhea and chlamydia, CONCLUSIONS: Our findings highlight the high burden of HIV-STD coinfection in San Francisco. To maintain the current declines in HIV incidence and turn the curve in rising STD incidence, there is an urgent need for collaborative HIV and STD prevention and control efforts.

10.1097/olq.0000000000000789

Cite

Citations (11)