Biography:

In the past David W. Pantalone has collaborated on articles with Christian Grov and Kimberly M. Nelson. One of their most recent publications is Original articleRecruiting vulnerable populations to participate in HIV prevention research: findings from the Together 5000 cohort study. Which was published in journal Annals of Epidemiology.

More information about David W. Pantalone research including statistics on their citations can be found on their Copernicus Academic profile page.

David W. Pantalone's Articles: (5)

Original articleRecruiting vulnerable populations to participate in HIV prevention research: findings from the Together 5000 cohort study

AbstractPurposeThe aim of the article was to examine factors associated with completing enrollment milestones in the Together 5000 cohort of at-risk men (n = 8661), transmen (n = 53), and transwomen (n = 63) who have sex with men.MethodsBetween 2017 and 2018, participants completed an online enrollment survey and were offered opportunities to complete an incentivized secondary online survey as well as self-administered at-home HIV testing (OraSure). We explored factors associated with completing each study component.ResultsIn total, 8777 individuals completed our enrollment survey, 6166 (70.3%) completed the secondary survey, and 5010 returned the at-home HIV test kit that was mailed to them (81.3% of those mailed a kit). In our multivariable models, those who were White, with more years of education, were more likely to complete study components, although the magnitude of these associations was small. For example, 50.9% of those enrolled, 47.9% of those completing the secondary survey, and 46.8% of those completing HIV testing were persons of color—a statistically significant, but meaningfully insignificant decline.ConclusionsThese findings highlight the need for researchers to identify barriers that may prevent persons of color and younger individuals from participating in research studies.

Original articleSexual Health Education for Adolescent Males Who Are Interested in Sex With Males: An Investigation of Experiences, Preferences, and Needs

ABSTRACTPurposeThere is a dearth of research to inform sexual education programs to address sexual health disparities experienced by adolescent males who are interested in sex with males (AMSM). The current study sought to determine where AMSM receive sexual health information, clarify their preferences, and explore relations with sexual behavior.MethodsAMSM (N = 207; ages 14–17) in the United States completed an online sexual health survey. Bivariate associations between sexual education exposure/preferences by sexual behavior were assessed using Fisher's exact tests and one-way analyses of variance.ResultsEighty-nine (43%) participants reported no sexual contact with male partners, 77 (37%) reported sexual contact without condomless anal sex, and 41 (20%) reported condomless anal sex. Participants received sexual health information from their parents/guardians (n = 122, 59%), formal sources (n = 160, 78%), and the Internet (n = 135, 65%). The most commonly covered topics by parents/guardians and formal sources were how to say no to sex, how to prevent HIV and other sexually transmitted infections, and methods of birth control. The most common online-researched topics were how to safely have anal sex, the types of sex you can have with a male partner, how to use a condom, and how to use lubrication. Participants noted preferring a sexually-explicit online sexual health program that addresses male–male sex.ConclusionsOnline sexual education programs that explicitly address male–male sex are needed. Tailored programs can help AMSM develop healthy sexual behaviors and decrease their HIV/STI risk.

FeatureThe Role of Social Support and Negative Affect in Medication Adherence for HIV-Infected Men Who Have Sex With Men

Combinations of medications that control HIV viral replication are called antiretroviral therapy (ART). Regimens can be complex, so medication adherence is often suboptimal, although high rates of adherence are necessary for ART to be effective. Social support, which has been directly and indirectly associated with better treatment adherence in HIV-infected individuals, influences negative affect, including depression and anxiety. Our study assessed whether current anxious and depressive symptoms mediated the relationship between general social support and recent self-reported medication adherence in HIV-infected men who have sex with men (N = 136; 65% White, 15% Black/African American). Results revealed no direct effect, but an indirect effect of depressive (95% CI [−.011, −.0011]) and anxious symptoms (95% CI [−.0097, −.0009]), between social support and medication adherence. Greater levels of social support were associated with lower levels of depression and anxiety, which in turn were associated with lower ART adherence.

FeatureUnmet Mental Health and Social Service Needs of Formerly Incarcerated Women Living with HIV in the Deep South

Due to the disproportionate burden of HIV among incarcerated women in the United States, jails and prisons have been identified as key sites for health service delivery. Recidivism remains high, potentially reflecting unmet mental health and social service needs of incarcerated women, especially during the postrelease adjustment period. However, little published research has investigated this possibility directly. We conducted semi-structured, in-depth interviews with previously incarcerated women living with HIV, and other key informants, and completed service-availability mapping in two Alabama cities. Key findings were: (a) discharge planning and postrelease support services to manage risky environments were absent, (b) postrelease services were concentrated in a few community-based organizations, (c) mental health and substance abuse treatment during re-entry was essential to prevent relapse, and (d) social support was crucial for postrelease adjustment. We propose a novel conceptual model with key steps to establish continuous care for previously incarcerated women living with HIV.

Introduction: Using Evidence-Based Cognitive and Behavioral Principles to Improve HIV-Related Psychosocial Interventions

Highlights•HIV-related behavioral interventions focus on reducing unprotected sex or improving medication adherence or quality of life.•Cognitive behavioral principles have formed the basis for many efficacious HIV-related behavioral interventions.•Current HIV-related behavioral interventions combine treatment of existing mental health problems or novel delivery systems.•This special series presents detailed “how to” information of a variety of cutting-edge HIV-related behavioral interventions.

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