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Wayne Steward, PhD, MS

Title(s)Professor, Medicine
SchoolSchool of Medicine
Phone415-502-1000 ext. 14623
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    Columbia UniversityBAPsychology
    Yale UniversityMSPsychology
    Yale UniversityPhDPsychology
    University of California, BerkeleyMPHEpidemiology
    University of California, San FranciscoPostdoctoral StudiesGraduate Division

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    My program of research focuses on optimizing the delivery of HIV care and prevention services. This work encompasses studies of health policies and systems of care, as well as projects investigating the impact of stigma among people living with or affected by HIV.

    A major component of the research centers on how the HIV workforce can be mobilized to implement new technologies and service delivery models to improve care outcomes. This constitutes an important line of inquiry within HIV implementation science, which seeks more generally to understand and reduce the barriers to the widespread uptake and dissemination of proven-effective interventions. I began the line of inquiry when serving as the Co-Principal Investigator of the Evaluation and Technical Assistance Center of the Information Technology Networks of Care Initiative, a Health Resources and Services Administration (HRSA) Special Project of National Significance (SPNS). The SPNS program is a unique component of the Ryan White HIV/AIDS Program. SPNS supports the implementation and evaluation of promising new interventions to understand how such programs can be implemented effectively across Ryan White-supported clinical care settings. Each SPNS initiative funds multiple demonstration projects, as well a multi-site evaluation center. The five-year Networks of Care Initiative was focused on the implementation of HIV-related electronic health information exchanges (HIE) in six regions of the United States. Over the course of the project, I led the development of assessments to measure HIE implementation, was responsible for overseeing evaluation activities in four of the six regions, and led analyses to understand organizational characteristics that facilitated successful HIE implementation. These findings indicated that HIE success was dependent on sites? capacities for reconfiguring their workflows. The technology could make additional patient health information available to providers, but in order for it to meaningfully influence clinical care, demonstration projects had to establish and implement procedures for using the HIE in regular day-to-day operations.

    These findings helped drive a four-year investigator-initiated project to examine the effectiveness of implementing patient-centered medical homes (PCMH) in HIV care settings. This care delivery model, which originated in pediatric oncology and has since been adopted in family medicine as an approach for primary care, seeks to fundamentally alter the organizational structure and workflows within a clinic. It redistributes patient care responsibilities among physicians, mid-level providers, clinical care staff, and even patients themselves to better align the delivery of services with each patient?s unique set of needs. Much like the HIEs in the earlier project, the PCMH incorporates health information-sharing technologies, but it moves beyond the HIEs in the attention it gives to re-designed provider teams and tools to enhance patient engagement. For this project, I collaborated with the California HIV/AIDS Research Program (CHRP), a special state appropriation that funds peer-reviewed scientific research, to develop an initiative to implement and evaluate PCMH models in five HIV clinical sites statewide. As principal investigator, I led a multi-component, longitudinal study that examined the impact of PCMH-related changes on the quality of care in the funded sites. Our research findings suggest that the PCMH model is an effective tool for improving HIV related outcomes. Across the sites during the project period, there was an increase in the proportion of patients who were virally suppressed, with the most robust findings occurring in those clinics that have evidenced the strongest improvements in PCMH-related workflows. At the same time, the research suggests that aspects of the PCMH model may need refinement in HIV settings, particularly those serving safety net populations. Providers and patients were most receptive to PCMH elements focused on coordinating and tracking care. There was far less attention to or interest in the model components to facilitate better access to care (e.g., longer clinical hours, patient portals in the electronic health record) or increase patient activation (e.g., collaboratively developed care plans, use of shared decision making). Many HIV patients in safety net settings have faced a history of stigma, and a primary concern when seeking care is knowing that they can trust their providers. To this end, providers and clinical staff have developed their own informal mechanisms for keeping patients engaged, including use of personal phone lines or email, and making themselves available to answer questions and address anxieties as they arise. Whether such strategies are sustainable is subject to debate and further research (as provider burnout is high), but it is clear that the PCMH?s traditional strategies for engaging patients are not likely to fully meet the needs of this patient population.

    Building off of the expertise gained in the course of the PCMH study, I am now leading another SPNS initiative to examine the uptake of practice transformations to enhance HIV care outcomes. The four-year initiative responds to current demographic and temporal trends suggesting that there may soon be a shortage of HIV specialists, relative to the growing demand for their services. In collaboration with colleagues from the Pacific AIDS Education and Training Center (PAETC) and the UCSF Center for Excellence in Primary Care (CEPC), my team and I have adopted the CEPC?s Building Blocks of Primary Care as a model for understanding the practice transformations taking place in the 15 funded demonstration project sites. We have identified three primary transformational strategies, each of which responds to workforce challenges in its own way. First, some sites are seeking to expand the overall workforce by training new providers to deliver services to HIV patients and by pairing those new providers with established HIV specialists to co-manage patients or serve as an expert resource. Second, other sites are seeking to improve the efficiency of service delivery by task shafting, or ?sharing the care.? This strategy, which aligns with PCMH tenants, involves developing clinical staff members? skills and furthering their responsibilities, thereby freeing up primary care providers to focus on patients? most complex needs. Third, still other sites are seeking to better engage patients, most specifically by ensuring that they are reliably receiving HIV primary care services in order to reduce the need for urgent, emergency, inpatient, or long-term care. This last strategy is of particular interest, given the challenges that sites in the PCMH initiative faced in implementing patient engagement strategies. Based on lesson learned in our prior work and in the work of colleagues in the CEPC and PAETC, we developed a comprehensive checklist for launching a practice transformation, which guided demonstration project work in the first year of the initiative. Sites subsequently launched their projects successfully. We are now wrapping up the multi-year evaluation. Preliminary findings suggests that the practice transformations were successful at increasing patient retention in HIV care and viral suppression.

    My domestic research agenda also includes several projects utilizing community collaborations to respond more effectively to the HIV epidemic. Through a CHRP-supported HIV Policy Research Center grant, I lead a UCSF team of researchers who work in close consultation with two local HIV services organizations (the San Francisco AIDS Foundation (SFAF) and Project Inform) and a parallel research center in southern California to identify policy issues likely to affect care and services in the state. We then design and implement research projects intended to answer key questions of relevance to those policy issues. Recent studies have focused on the best design for a state-funded assistance program for pre-exposure prophylaxis (PrEP), a biomedical prevention intervention, and the potential impact to HIV care for safety net populations of restricting pharmacies' savings from the federal 340B monies. I also collaborated with SFAF to lead an evaluation of its Magnet clinic, a sexual health services center and community space for gay men. The study sought to understand if the visibility of this centrally located clinic influenced community norms around HIV testing and sexual health.

    My research in international environments has tackled similar themes, but with a somewhat stronger emphasis on the role of stigma in patients? lives. I have been collaborating on a cluster randomized trial of a text messaging and peer navigation intervention in South African primary health facilities. This work, which is funded by the Health Resources and Services Administration?s Global HIV/AIDS Program, looked at whether the interventions could improve patients? retention in HIV services. My primary roles as a co-investigator were to design the navigation intervention component and monitor its implementation, and now to analyze and publish the trial?s retention findings. Our analyses indicate that the text messaging component improved patient?s initial linkage to HIV services after diagnosis. But, on its own, the messaging was not sufficient to enhance retention. The addition of the peer navigation program, however, led to significant increases in linkage to and retention in care over a one-year follow-up period. The navigation intervention was successful in part because it was able to respond to the influence of stigma in patients? lives, which served as a major barrier to services.

    I have also partnered as a collaborator in multidisciplinary teams studying HIV stigma in India and China. My contribution to these projects has focused on forms of stigma that affect people living with or at risk of HIV. A now-concluded NIMH-funded study in southern India examined the impact of prejudice on health and wellbeing of HIV-infected men and women. As co-investigator, I collaborated on the development of instruments to assess HIV stigma in Indian contexts and took the lead in publishing multiple papers that used the scales to document how stigma affects HIV disclosure, mental health, and care-seeking behaviors. A new, ongoing NIMH-funded study is examining the impact of an intervention on reducing stigmatizing attitudes among healthcare workers. As co-investigator, I have contributed content to the intervention modules. And a recently concluded project in China focused on prejudice against men who have sex with men (MSM). As co-investigator of this NIMH-funded project, I led the development of quantitative assessments to measure MSM stigma. The measures were administered to participants in Beijing, China, and used to examine how stigma affects the men?s HIV risk behaviors and the kinds of HIV-related services they are willing to access.

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    Publications listed below are automatically derived from MEDLINE/PubMed and other sources, which might result in incorrect or missing publications. Researchers can login to make corrections and additions, or contact us for help.
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    1. Fuller SM, Steward WT, Martinez O, Arnold EA. Medical-Legal Partnerships to Support Continuity of Care for Immigrants Impacted by HIV: Lessons Learned from California. J Immigr Minor Health. 2019 Jul 22. PMID: 31332651.
      View in: PubMed
    2. Fuller SM, Koester KA, Erguera XA, Wilde Botta E, von Beetzen F, Steward WT, Avery A. The collaborative care model for HIV and depression: Patient perspectives and experiences from a safety-net clinic in the United States. SAGE Open Med. 2019; 7:2050312119842249. PMID: 31044076.
      View in: PubMed
    3. Kelly JD, Weiser SD, Wilson B, Cooper JB, Glayweon M, Sneller MC, Drew C, Steward WT, Reilly C, Johnson K, Fallah MP. Ebola virus disease-related stigma among survivors declined in Liberia over an 18-month, post-outbreak period: An observational cohort study. PLoS Negl Trop Dis. 2019 02; 13(2):e0007185. PMID: 30811388.
      View in: PubMed
    4. Fuller SM, Koester KA, Maiorana A, Steward WT, Broaddus MR, Lass K, Zamudio-Haas S, Quinlivan EB, Myers JJ. "I don't have to do this all by myself": Systems Navigation to Ensure Continuity of HIV Care for Persons Leaving Prison. AIDS Behav. 2019 Jan; 23(Suppl 1):14-24. PMID: 29442194.
      View in: PubMed
    5. Zamudio-Haas S, Koester KA, Maiorana A, Fuller SM, Steward WT, Gruber D, Hauge JC, Parnell HE, Quinlivan EB, Myers JJ. "Closing the Loop" Developing State-Level Data Sharing Interventions to Promote Optimum Outcomes Along the HIV Continuum of Care. AIDS Behav. 2019 Jan; 23(Suppl 1):70-77. PMID: 29797160.
      View in: PubMed
    6. DeLorenzo LA, Fox J, Quinlivan EB, Gilmore KM, Ruetten M, Broaddus M, Steward W, Meyers J. Lessons Learned from Applying a Modified Learning Collaborative Model to Promote Change in Regional and Statewide HIV Care Systems. AIDS Behav. 2019 Jan; 23(Suppl 1):94-104. PMID: 29936605.
      View in: PubMed
    7. Ekstrand ML, Heylen E, Mazur A, Steward WT, Carpenter C, Yadav K, Sinha S, Nyamathi A. The Role of HIV Stigma in ART Adherence and Quality of Life Among Rural Women Living with HIV in India. AIDS Behav. 2018 Dec; 22(12):3859-3868. PMID: 29789984.
      View in: PubMed
    8. Arnold EA, Fuller S, Kirby V, Steward WT. The Impact Of Medicaid Expansion On People Living With HIV And Seeking Behavioral Health Services. Health Aff (Millwood). 2018 09; 37(9):1450-1456. PMID: 30179563.
      View in: PubMed
    9. Heylen E, Shamban E, Steward WT, Krishnan G, Solomon R, Srikrishnan AK, Ekstrand ML. Alcohol Use and Experiences of Partner Violence Among Female Sex Workers in Coastal Andhra Pradesh, India. Violence Against Women. 2019 Mar; 25(3):251-273. PMID: 29953335.
      View in: PubMed
    10. Steward WT, Koester KA, Fuller SM. Shaping the Patient-Centered Medical Home to the Needs of HIV Safety Net Patients: The Impact of Stigma and the Need for Trust. J Assoc Nurses AIDS Care. 2018 Nov - Dec; 29(6):807-821. PMID: 30017667.
      View in: PubMed
    11. Steward WT, Satyanarayana VA, Heylen E, Srikrishnan AK, Vasudevan CK, Krishnan G, Solomon D, Ekstrand ML. Alcohol use, expectancies and HIV-related sexual risk: a cross-sectional survey of male migrant workers in South India. AIDS Care. 2018 05; 30(5):656-662. PMID: 29084445.
      View in: PubMed
    12. Steward WT, Sumitani J, Moran ME, Ratlhagana MJ, Morris JL, Isidoro L, Gilvydis JM, Tumbo J, Grignon J, Barnhart S, Lippman SA. Engaging HIV-positive clients in care: acceptability and mechanisms of action of a peer navigation program in South Africa. AIDS Care. 2018 Mar; 30(3):330-337. PMID: 28814110.
      View in: PubMed
    13. Vincent W, Pollack LM, Huebner DM, Peterson JL, Steward WT, Rebchook GM, Storholm ED, Kegeles SM. HIV risk and multiple sources of heterosexism among young Black men who have sex with men. J Consult Clin Psychol. 2017 Dec; 85(12):1122-1130. PMID: 28714706.
      View in: PubMed
    14. Choi KH, Steward WT, Miège P, Gregorich SE. Unpacking the Influence of Sexual Stigma on HIV Risk: Results From a Prospective Study of Men Who Have Sex With Men in Beijing, China. J Acquir Immune Defic Syndr. 2017 Feb 01; 74(2):e38-e44. PMID: 27787344.
      View in: PubMed
    15. Fuller SM, Koester KA, Guinness RR, Steward WT. Patients' Perceptions and Experiences of Shared Decision-Making in Primary HIV Care Clinics. J Assoc Nurses AIDS Care. 2017 Jan - Feb; 28(1):75-84. PMID: 27712863.
      View in: PubMed
    16. Truong HM, Chen YH, Grasso M, Robertson T, Tao L, Fatch R, Curotto A, McFarland W, Grant RM, Reznick O, Raymond HF, Steward WT. HIV Serodisclosure and Sexual Behavior During International Travel. Sex Transm Dis. 2016 07; 43(7):459-64. PMID: 27322049.
      View in: PubMed
    17. Lippman SA, Shade SB, Sumitani J, DeKadt J, Gilvydis JM, Ratlhagana MJ, Grignon J, Tumbo J, Gilmore H, Agnew E, Saberi P, Barnhart S, Steward WT. Evaluation of short message service and peer navigation to improve engagement in HIV care in South Africa: study protocol for a three-arm cluster randomized controlled trial. Trials. 2016 Feb 06; 17:68. PMID: 26852237; PMCID: PMC4744624.
    18. Treves-Kagan S, Steward WT, Ntswane L, Haller R, Gilvydis JM, Gulati H, Barnhart S, Lippman SA. Why increasing availability of ART is not enough: a rapid, community-based study on how HIV-related stigma impacts engagement to care in rural South Africa. BMC Public Health. 2016 Jan 28; 16:87. PMID: 26823077; PMCID: PMC4730651.
    19. Arnold EA, Steward WT. HIV transmission in MSM: considerations for PrEP scale-up. Lancet HIV. 2016 Feb; 3(2):e62-3. PMID: 26847227.
      View in: PubMed
    20. Koester KA, Fuller SM, Maiorana A, Steward WT, Zamudio-Haas S, Xavier J, Safon C, Collins SP, Morin SF, Myers JJ. Implementing Multi-Level Interventions to Improve HIV Testing, Linkage-to-and Retention-in-Care Interventions. J Health Care Poor Underserved. 2016; 27(3):1234-51. PMID: 27524765.
      View in: PubMed
    21. Choi KH, Steward WT, Miège P, Hudes E, Gregorich SE. Sexual Stigma, Coping Styles, and Psychological Distress: A Longitudinal Study of Men Who Have Sex With Men in Beijing, China. Arch Sex Behav. 2016 08; 45(6):1483-91. PMID: 26679303.
      View in: PubMed
    22. Gilvydis JM, Steward WT, Saberi P, Tumbo J, Sumitani J, Barnhart S, Lippman SA. Need for improvements in clinical practice to retain patients in pre-antiretroviral therapy care: Data from rural clinics in North West Province, South Africa. AIDS Care. 2015; 27(10):1275-8. PMID: 26278130; PMCID: PMC4780844.
    23. Heylen E, Panicker ST, Chandy S, Steward WT, Ekstrand ML. Food Insecurity and Its Relation to Psychological Well-Being Among South Indian People Living with HIV. AIDS Behav. 2015 Aug; 19(8):1548-58. PMID: 25488171; PMCID: PMC4556434.
    24. Evans D, Van Gorder D, Morin SF, Steward WT, Gaffney S, Charlebois ED. Acceptance of the use of HIV surveillance data for care engagement: national and local community perspectives. J Acquir Immune Defic Syndr. 2015 May 01; 69 Suppl 1:S31-6. PMID: 25867776; PMCID: PMC4530777.
    25. Christopoulos KA, Scheer S, Steward WT, Barnes R, Hartogensis W, Charlebois ED, Morin SF, Truong HM, Geng EH. Examining clinic-based and public health approaches to ascertainment of HIV care status. J Acquir Immune Defic Syndr. 2015 May 01; 69 Suppl 1:S56-62. PMID: 25867779; PMCID: PMC4495955.
    26. Truong HM, Fatch R, Grasso M, Robertson T, Tao L, Chen YH, Curotto A, McFarland W, Grant RM, Reznick O, Raymond HF, Steward WT. Gay and bisexual men engage in fewer risky sexual behaviors while traveling internationally: a cross-sectional study in San Francisco. Sex Transm Infect. 2015 May; 91(3):220-5. PMID: 25355773.
      View in: PubMed
    27. Shade SB, Steward WT, Koester KA, Chakravarty D, Myers JJ. Health information technology interventions enhance care completion, engagement in HIV care and treatment, and viral suppression among HIV-infected patients in publicly funded settings. J Am Med Inform Assoc. 2015 Apr; 22(e1):e104-11. PMID: 25030033.
      View in: PubMed
    28. Hazelton PT, Steward WT, Collins SP, Gaffney S, Morin SF, Arnold EA. California's "Bridge to Reform": identifying challenges and defining strategies for providers and policymakers implementing the Affordable Care Act in low-income HIV/AIDS care and treatment settings. PLoS One. 2014; 9(3):e90306. PMID: 24599337; PMCID: PMC3943953.
    29. Lang T, Heylen E, Perumpil S, Shet A, Perumpil M, Steward W, Shamban E, Ekstrand ML. Quality of life and psychosocial well-being among children living with HIV at a care home in Southern India. Vulnerable Child Youth Stud. 2014; 9(4):345-352. PMID: 25987890.
      View in: PubMed
    30. Truong HM, Grasso M, Chen YH, Kellogg TA, Robertson T, Curotto A, Steward WT, McFarland W. Balancing theory and practice in respondent-driven sampling: a case study of innovations developed to overcome recruitment challenges. PLoS One. 2013; 8(8):e70344. PMID: 23990901; PMCID: PMC3749182.
    31. Koester KA, Collins SP, Fuller SM, Galindo GR, Gibson S, Steward WT. Sexual healthcare preferences among gay and bisexual men: a qualitative study in San Francisco, California. PLoS One. 2013; 8(8):e71546. PMID: 23977073.
      View in: PubMed
    32. Steward WT, Miège P, Choi KH. Charting a moral life: the influence of stigma and filial duties on marital decisions among Chinese men who have sex with men. PLoS One. 2013; 8(8):e71778. PMID: 23951245; PMCID: PMC3739721.
    33. Tsai AC, Weiser SD, Steward WT, Mukiibi NF, Kawuma A, Kembabazi A, Muzoora C, Hunt PW, Martin JN, Bangsberg DR. Evidence for the reliability and validity of the internalized AIDS-related stigma scale in rural Uganda. AIDS Behav. 2013 Jan; 17(1):427-33. PMID: 22869104.
      View in: PubMed
    34. Galindo GR, Walker JJ, Hazelton P, Lane T, Steward WT, Morin SF, Arnold EA. Community member perspectives from transgender women and men who have sex with men on pre-exposure prophylaxis as an HIV prevention strategy: implications for implementation. Implement Sci. 2012 Nov 26; 7:116. PMID: 23181780.
      View in: PubMed
    35. Shade SB, Chakravarty D, Koester KA, Steward WT, Myers JJ. Health information exchange interventions can enhance quality and continuity of HIV care. Int J Med Inform. 2012 Oct; 81(10):e1-9. PMID: 22854158.
      View in: PubMed
    36. Myers JJ, Koester KA, Chakravarty D, Pearson C, Maiorana A, Shade SB, Steward WT. Perceptions regarding the ease of use and usefulness of health information exchange systems among medical providers, case managers and non-clinical staff members working in HIV care and community settings. Int J Med Inform. 2012 Oct; 81(10):e21-9. PMID: 22854159.
      View in: PubMed
    37. Steward WT, Koester KA, Collins SP, Maiorana A, Myers JJ. The essential role of reconfiguration capabilities in the implementation of HIV-related health information exchanges. Int J Med Inform. 2012 Oct; 81(10):e10-20. PMID: 22841703.
      View in: PubMed
    38. Arnold EA, Hazelton P, Lane T, Christopoulos KA, Galindo GR, Steward WT, Morin SF. A qualitative study of provider thoughts on implementing pre-exposure prophylaxis (PrEP) in clinical settings to prevent HIV infection. PLoS One. 2012; 7(7):e40603. PMID: 22792384; PMCID: PMC3394704.
    39. Maiorana A, Steward WT, Koester KA, Pearson C, Shade SB, Chakravarty D, Myers JJ. Trust, confidentiality, and the acceptability of sharing HIV-related patient data: lessons learned from a mixed methods study about Health Information Exchanges. Implement Sci. 2012 Apr 19; 7:34. PMID: 22515736; PMCID: PMC3428648.
    40. Steward WT, Bharat S, Ramakrishna J, Heylen E, Ekstrand ML. Stigma is associated with delays in seeking care among HIV-infected people in India. J Int Assoc Provid AIDS Care. 2013 Mar-Apr; 12(2):103-9. PMID: 22282878; PMCID: PMC3482419.
    41. Carrico AW, Riley ED, Johnson MO, Charlebois ED, Neilands TB, Remien RH, Lightfoot MA, Steward WT, Weinhardt LS, Kelly JA, Rotheram-Borus MJ, Morin SF, Chesney MA. Psychiatric risk factors for HIV disease progression: the role of inconsistent patterns of antiretroviral therapy utilization. J Acquir Immune Defic Syndr. 2011 Feb 01; 56(2):146-50. PMID: 21116186; PMCID: PMC3494991.
    42. Steward WT, Chandy S, Singh G, Panicker ST, Osmand TA, Heylen E, Ekstrand ML. Depression is not an inevitable outcome of disclosure avoidance: HIV stigma and mental health in a cohort of HIV-infected individuals from Southern India. Psychol Health Med. 2011 Jan; 16(1):74-85. PMID: 21218366.
      View in: PubMed
    43. Ekstrand ML, Chandy S, Heylen E, Steward W, Singh G. Developing useful highly active antiretroviral therapy adherence measures for India: the Prerana study. J Acquir Immune Defic Syndr. 2010 Mar; 53(3):415-6. PMID: 20190588; PMCID: PMC2831235.
    44. Remien RH, Higgins JA, Correale J, Bauermeister J, Dubrow R, Bradley M, Steward WT, Seal DW, Sikkema KJ, Kerndt PR, Mayer KH, Truong HM, Casey CY, Ehrhardt AA, Morin SF. Lack of understanding of acute HIV infection among newly-infected persons-implications for prevention and public health: The NIMH Multisite Acute HIV Infection Study: II. AIDS Behav. 2009 Dec; 13(6):1046-53. PMID: 19533323; PMCID: PMC2787764.
    45. Atkinson JH, Higgins JA, Vigil O, Dubrow R, Remien RH, Steward WT, Casey CY, Sikkema KJ, Correale J, Ake C, McCutchan JA, Kerndt PR, Morin SF, Grant I. Psychiatric context of acute/early HIV infection. The NIMH Multisite Acute HIV Infection Study: IV. AIDS Behav. 2009 Dec; 13(6):1061-7. PMID: 19517225; PMCID: PMC2785895.
    46. Steward WT, Remien RH, Higgins JA, Dubrow R, Pinkerton SD, Sikkema KJ, Truong HM, Johnson MO, Hirsch J, Brooks RA, Morin SF. Behavior change following diagnosis with acute/early HIV infection-a move to serosorting with other HIV-infected individuals. The NIMH Multisite Acute HIV Infection Study: III. AIDS Behav. 2009 Dec; 13(6):1054-60. PMID: 19504178; PMCID: PMC2785897.
    47. Kelly JA, Morin SF, Remien RH, Steward WT, Higgins JA, Seal DW, Dubrow R, Atkinson JH, Kerndt PR, Pinkerton SD, Mayer K, Sikkema KJ. Lessons learned about behavioral science and acute/early HIV infection. The NIMH Multisite Acute HIV Infection Study: V. AIDS Behav. 2009 Dec; 13(6):1068-74. PMID: 19504179; PMCID: PMC2787956.
    48. Kerndt PR, Dubrow R, Aynalem G, Mayer KH, Beckwith C, Remien RH, Truong HM, Uniyal A, Chien M, Brooks RA, Vigil OR, Steward WT, Merson M, Rotheram-Borus MJ, Morin SF. Strategies used in the detection of acute/early HIV infections. The NIMH Multisite Acute HIV Infection Study: I. AIDS Behav. 2009 Dec; 13(6):1037-45. PMID: 19495954; PMCID: PMC2785898.
    49. Morin SF, Shade SB, Steward WT, Carrico AW, Remien RH, Rotheram-Borus MJ, Kelly JA, Charlebois ED, Johnson MO, Chesney MA. A behavioral intervention reduces HIV transmission risk by promoting sustained serosorting practices among HIV-infected men who have sex with men. J Acquir Immune Defic Syndr. 2008 Dec 15; 49(5):544-51. PMID: 18989221; PMCID: PMC2659703.
    50. Wolfe WR, Weiser SD, Leiter K, Steward WT, Percy-de Korte F, Phaladze N, Iacopino V, Heisler M. The impact of universal access to antiretroviral therapy on HIV stigma in Botswana. Am J Public Health. 2008 Oct; 98(10):1865-71. PMID: 18703447; PMCID: PMC2636454.
    51. Steward WT, Herek GM, Ramakrishna J, Bharat S, Chandy S, Wrubel J, Ekstrand ML. HIV-related stigma: adapting a theoretical framework for use in India. Soc Sci Med. 2008 Oct; 67(8):1225-35. PMID: 18599171; PMCID: PMC2603621.
    52. Steward WT, Charlebois ED, Johnson MO, Remien RH, Goldstein RB, Wong FL, Morin SF. Receipt of prevention services among HIV-infected men who have sex with men. Am J Public Health. 2008 Jun; 98(6):1011-4. PMID: 18445790; PMCID: PMC2377307.
    53. Choi KH, Hudes ES, Steward WT. Social discrimination, concurrent sexual partnerships, and HIV risk among men who have sex with men in Shanghai, China. AIDS Behav. 2008 Jul; 12(4 Suppl):S71-7. PMID: 18427972.
      View in: PubMed
    54. Neilands TB, Steward WT, Choi KH. Assessment of stigma towards homosexuality in China: a study of men who have sex with men. Arch Sex Behav. 2008 Oct; 37(5):838-44. PMID: 18274889.
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    55. Carrico AW, Johnson MO, Moskowitz JT, Neilands TB, Morin SF, Charlebois ED, Steward WT, Remien RH, Wong FL, Rotheram-Borus MJ, Lightfoot MA, Chesney MA. Affect regulation, stimulant use, and viral load among HIV-positive persons on anti-retroviral therapy. Psychosom Med. 2007 Nov; 69(8):785-92. PMID: 17942835.
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    56. Myers JJ, Rose CD, Shade SB, Koester KA, Maiorana A, Malitz F, Steward WT, Morin SF. Sex, risk and responsibility: provider attitudes and beliefs predict HIV transmission risk prevention counseling in clinical care settings. AIDS Behav. 2007 Sep; 11(5 Suppl):S30-8. PMID: 17594138.
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    57. Carrico AW, Johnson MO, Morin SF, Remien RH, Charlebois ED, Steward WT, Chesney MA. Correlates of suicidal ideation among HIV-positive persons. AIDS. 2007 May 31; 21(9):1199-203. PMID: 17502730.
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    58. Steward WT, Koester KA, Myers JJ, Morin SF. Provider fatalism reduces the likelihood of HIV-prevention counseling in primary care settings. AIDS Behav. 2006 Jan; 10(1):3-12. PMID: 16323037.
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    59. Morin SF, Steward WT, Charlebois ED, Remien RH, Pinkerton SD, Johnson MO, Rotheram-Borus MJ, Lightfoot M, Goldstein RB, Kittel L, Samimy-Muzaffar F, Weinhardt L, Kelly JA, Chesney MA. Predicting HIV transmission risk among HIV-infected men who have sex with men: findings from the healthy living project. J Acquir Immune Defic Syndr. 2005 Oct 01; 40(2):226-35. PMID: 16186742.
      View in: PubMed
    60. Morin SF, Carrillo H, Steward WT, Maiorana A, Trautwein M, Gómez CA. Policy perspectives on public health for Mexican migrants in California. J Acquir Immune Defic Syndr. 2004 Nov 01; 37 Suppl 4:S252-9. PMID: 15722867.
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    61. Myers JJ, Steward WT, Charlebois E, Koester KA, Maiorana A, Morin SF. Written clinic procedures enhance delivery of HIV "prevention with positives" counseling in primary health care settings. J Acquir Immune Defic Syndr. 2004 Oct 01; 37 Suppl 2:S95-S100. PMID: 15385905.
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    62. Morin SF, Koester KA, Steward WT, Maiorana A, McLaughlin M, Myers JJ, Vernon K, Chesney MA. Missed opportunities: prevention with HIV-infected patients in clinical care settings. J Acquir Immune Defic Syndr. 2004 Aug 01; 36(4):960-6. PMID: 15220703.
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