Publications

Tobacco Use among Sexual and Gender Minorities and People Living with HIV in California

Recent trends suggest that declines in California’s adult tobacco use rates have stalled in the last few years, which has serious implications for reversing the substantial progress made in California to reduce tobacco-related diseases. Sexual and gender minorities (SGM) are more likely to use tobacco compared to their heterosexual and cisgender peers. Compared to their heterosexual, cisgender peers, SGM adults experience a younger age of smoking initiation, have higher frequency of smoking, score higher on nicotine dependence, and have elevated polysubstance use. With this policy brief, we aim to better understand the prevalence of smoking among sexual and gender minorities...

The Role of the 340B Drug Pricing Program in HIV-Related Services in California

The 340B Drug Pricing Program allows safety net health care entities to access discounts on medications they provide, and to use the savings to invest in expanded programs and services. This study characterizes current use of the 340B Program by health care entities that serve people living with HIV and vulnerable to HIV in California, and assesses possible changes to current HIV‐related care that may occur if a recent proposal by Gov Brown to eliminate discounts on Medi-Cal transactions is enacted. Our findings strongly support maintaining access to robust 340B savings as a vital source of support for comprehensive HIV-related...

California State Office of AIDS PrEP Assistance Program (PrEP-AP): Who Will Benefit?

The California State Office of AIDS has launched a financial assistance program for eligible persons currently using or seeking PrEP. This informational sheet provides 3 examples of potential PrEP-AP candidates and a simple enrollment flow to aid PrEP navigators, benefits enrollment workers, and others.

Immigrant Health: Implications for HIV care and prevention in California

Access to health care is a growing concern for immigrants living in the U.S. This brief report describes how immigrants may be deterred from seeking health care services, and how this may affect the continuity of HIV care and prevention. The report also features recommendations for HIV care providers who serve immigrant communities.

Addressing HIV Prevention Among Transmasculine Californians

Transgender men and others on the transmasculine spectrum have been largely excluded from HIV prevention research, policy, and practice. The Transmasculine Sexual Health and Reproductive Justice Research Study was part of a community-based participatory research project that engaged diverse transmasculine people and their healthcare providers to better understand their health needs, concerns, and priorities, including factors related to HIV prevention. This report focuses on findings related to HIV and STIs, sexual partners and networks, HIV/STI testing, access and uptake of PrEP, safer sex information and consent, and barriers to seeking healthcare.

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