Robert L. Cook
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View article: Racial and Ethnic Disparities in Cancer Care among People with HIV in the USA
Racial and Ethnic Disparities in Cancer Care among People with HIV in the USA Open
Background: People with HIV (PwH) are at heightened cancer risk, but racial/ethnic disparities across the cancer care are not well understood. Our systematic review examined racial/ethnic differences in cancer risk, screening, treatment, a…
View article: Cannabis use, microbial diversity, and <i>Dialister</i> abundance in older adults with HIV: a cross-sectional study
Cannabis use, microbial diversity, and <i>Dialister</i> abundance in older adults with HIV: a cross-sectional study Open
Objectives People living with HIV (PLWH) frequently experience gastrointestinal symptoms linked to dysbiosis, impaired mucosal barrier integrity, and persistent immune activation. Cannabis is widely used for symptom management by PLWH, but…
View article: Sociodemographic Characteristics Associated with Lifetime and Recent Traumatic Experiences Among People Living with HIV in Florida
Sociodemographic Characteristics Associated with Lifetime and Recent Traumatic Experiences Among People Living with HIV in Florida Open
Trauma prevalence among people with HIV (PWH) exceeds that of the general population by 2 times in the United States. Conducted within the Florida Cohort (2019-2022; n = 509), this study aimed to (1) describe the prevalence of 12 types of …
View article: Alcohol interventions for persons with HIV: Meta-analysis of randomized controlled trials using phosphatidylethanol and self-report
Alcohol interventions for persons with HIV: Meta-analysis of randomized controlled trials using phosphatidylethanol and self-report Open
Results confirm prior findings of significant efficacy of alcohol interventions for PWH. Effect sizes were small across measurements, while heterogeneity was high when using self-report alone. Combined PEth/self-report is a useful primary …
View article: HIV Pre-Exposure Prophylaxis Care Continuum in Outpatient Settings: A Systematic Review and Meta-Analysis
HIV Pre-Exposure Prophylaxis Care Continuum in Outpatient Settings: A Systematic Review and Meta-Analysis Open
View article: Exploring how women with HIV develop hazardous drinking patterns: a qualitative assessment of drinking histories
Exploring how women with HIV develop hazardous drinking patterns: a qualitative assessment of drinking histories Open
View article: Development and Validation of a Machine Learning–Based Screening Algorithm to Predict High-Risk Hepatitis C Infection
Development and Validation of a Machine Learning–Based Screening Algorithm to Predict High-Risk Hepatitis C Infection Open
Background Amid the opioid epidemic in the United States, hepatitis C virus (HCV) infections are rising, with one-third of individuals with infection unaware due to the asymptomatic nature. This study aimed to develop and validate a machin…
View article: Identifying Factors Associated With HIV Viral Suppression and Health Care Outcomes in the Florida Cohort Study Wave 3: Protocol for a Prospective Cohort Study
Identifying Factors Associated With HIV Viral Suppression and Health Care Outcomes in the Florida Cohort Study Wave 3: Protocol for a Prospective Cohort Study Open
Background Ending the HIV epidemic remains a high public health priority, and the state of Florida continues to have high HIV prevalence and incidence. Objective This protocol aims to identify factors associated with the HIV care continuum…
View article: Alcohol reduction strategies among persons with HIV: past attempts, self-reported effectiveness, and future strategies of interest
Alcohol reduction strategies among persons with HIV: past attempts, self-reported effectiveness, and future strategies of interest Open
View article: Development of an electronic health record-based Human Immunodeficiency Virus (HIV) risk prediction model for women, incorporating social determinants of health
Development of an electronic health record-based Human Immunodeficiency Virus (HIV) risk prediction model for women, incorporating social determinants of health Open
View article: The Florida Cohort Wave 3: Recruitment and Data Collection from Persons with HIV in Florida: 2019-2023 (Preprint)
The Florida Cohort Wave 3: Recruitment and Data Collection from Persons with HIV in Florida: 2019-2023 (Preprint) Open
BACKGROUND Ending the HIV Epidemic remains a high public health priority, and the state of Florida continues to have high HIV prevalence and incidence. OBJECTIVE The Florida Cohort study seeks to identify factors associated with the HIV…
View article: Using Phosphatidylethanol as an Adjunct to Self-Reported Alcohol Use Improves Identification of Liver Fibrosis Risk
Using Phosphatidylethanol as an Adjunct to Self-Reported Alcohol Use Improves Identification of Liver Fibrosis Risk Open
INTRODUCTION: Accurate assessment of alcohol use informs prevention and management of liver disease. We examined whether phosphatidylethanol (PEth, an alcohol metabolite) blood concentrations are associated with liver fibrosis risk indepen…
View article: Proceedings of the 2024 Cannabis Clinical Outcomes Research Conference
Proceedings of the 2024 Cannabis Clinical Outcomes Research Conference Open
View article: Trajectories of Adherence to Oral Pre-exposure Prophylaxis and Risks of HIV and Sexually Transmitted Infections
Trajectories of Adherence to Oral Pre-exposure Prophylaxis and Risks of HIV and Sexually Transmitted Infections Open
Background Pre-exposure prophylaxis (PrEP) effectiveness is highly dependent on medication adherence, which is associated with differential HIV risks and possibly sexually transmitted infection (STI). Methods This retrospective cohort stud…
View article: Perspectives Among Health Care Providers and People with HIV on the Implementation of Long-Acting Injectable Cabotegravir/Rilpivirine for Antiretroviral Therapy in Florida
Perspectives Among Health Care Providers and People with HIV on the Implementation of Long-Acting Injectable Cabotegravir/Rilpivirine for Antiretroviral Therapy in Florida Open
Long-acting injectable (LAI) cabotegravir/rilpivirine (CAB/RPV) for antiretroviral therapy (ART) could benefit many people with HIV (PWH). However, its impact will largely be determined by providers' willingness to prescribe it and PWH's w…
View article: Intersectional Stigma, Fear of Negative Evaluation, Depression, and ART Adherence Among Women Living with HIV Who Engage in Substance Use: A Latent Class Serial Mediation Analysis
Intersectional Stigma, Fear of Negative Evaluation, Depression, and ART Adherence Among Women Living with HIV Who Engage in Substance Use: A Latent Class Serial Mediation Analysis Open
View article: A Behavioral Economic Examination of Sexual Behaviors in the Era of Pre-exposure Prophylaxis via Explanatory Sequential Mixed Methods
A Behavioral Economic Examination of Sexual Behaviors in the Era of Pre-exposure Prophylaxis via Explanatory Sequential Mixed Methods Open
View article: Spatial and temporal analysis of HIV clinical outcomes in Florida reveals counties with persistent racial and ethnic disparities during 2012-2019
Spatial and temporal analysis of HIV clinical outcomes in Florida reveals counties with persistent racial and ethnic disparities during 2012-2019 Open
View article: Associations of Intimate Partner Violence and Drug Use on Viral Suppression Among Women Living With HIV in South Florida: A Secondary Analysis
Associations of Intimate Partner Violence and Drug Use on Viral Suppression Among Women Living With HIV in South Florida: A Secondary Analysis Open
Suboptimal viral suppression is associated with worse outcomes and increased HIV transmission among women with HIV (WWH). Based on syndemic theory, we hypothesized that women exposed to recent intimate partner violence (IPV) and current dr…
View article: Correction: The impact of pet ownership on healthcare access and utilization among people with HIV
Correction: The impact of pet ownership on healthcare access and utilization among people with HIV Open
[This corrects the article DOI: 10.1371/journal.pone.0292658.].
View article: Lessons from the COVID-19 pandemic: the unequal burden of COVID-19 on vulnerable populations in the Brazilian Central-West
Lessons from the COVID-19 pandemic: the unequal burden of COVID-19 on vulnerable populations in the Brazilian Central-West Open
This study aimed to estimate the prevalence and identify social factors and preventive strategies associated with the coronavirus disease 2019 (COVID-19) in socio and economically vulnerable people (recyclable waste pikers, immigrants/refu…
View article: Demographics, Trends, and Clinical Characteristics of HIV Pre-Exposure Prophylaxis Recipients and People Newly Diagnosed with HIV from Large Electronic Health Records in Florida
Demographics, Trends, and Clinical Characteristics of HIV Pre-Exposure Prophylaxis Recipients and People Newly Diagnosed with HIV from Large Electronic Health Records in Florida Open
Florida is one of the HIV epicenters with high incidence and marked sociodemographic disparities. We analyzed a decade of statewide electronic health record/claims data-OneFlorida+-to identify and characterize pre-exposure prophylaxis (PrE…
View article: REAL-TIME HEALTH OUTCOMES AMONG OLDER ADULTS INITIATING MEDICAL CANNABIS FOR CHRONIC PAIN
REAL-TIME HEALTH OUTCOMES AMONG OLDER ADULTS INITIATING MEDICAL CANNABIS FOR CHRONIC PAIN Open
Background: Rigorous data are needed on the short- and long-term effects of medical cannabis (MC) on older adults with chronic pain. In response, this prospective study combines technology-based ecological momentary assessments (EMA) and i…
View article: Improved Post-Traumatic Stress Disorder Symptoms and Related Sleep Disturbances after Initiation of Medical Marijuana Use: Evidence from a Prospective Single Arm Pilot Study
Improved Post-Traumatic Stress Disorder Symptoms and Related Sleep Disturbances after Initiation of Medical Marijuana Use: Evidence from a Prospective Single Arm Pilot Study Open
Introduction: Post-traumatic stress disorder (PTSD) is a debilitating disorder experienced by a subgroup of individuals following a life-threatening trauma. Several US states have passed laws permitting the medical use of marijuana (MMJ) b…
View article: Experimentally Induced Reductions in Alcohol Consumption and Brain, Cognitive, and Clinical Outcomes in Older Persons With and Those Without HIV Infection (30-Day Challenge Study): Protocol for a Nonrandomized Clinical Trial
Experimentally Induced Reductions in Alcohol Consumption and Brain, Cognitive, and Clinical Outcomes in Older Persons With and Those Without HIV Infection (30-Day Challenge Study): Protocol for a Nonrandomized Clinical Trial Open
Background Both alcohol consumption and HIV infection are associated with worse brain, cognitive, and clinical outcomes in older adults. However, the extent to which brain and cognitive dysfunction is reversible with reduction or cessation…
View article: Assessing HIV-related stigma in the clinical setting: are providers in Florida interested?
Assessing HIV-related stigma in the clinical setting: are providers in Florida interested? Open
HIV-related stigma is a key contributor to poor HIV-related health outcomes. The purpose of this study is to explore implementing a stigma measure into routine HIV care focusing on the 10-item Medical Monitoring Project measure as a propos…
View article: 54 Age-Related Differences in the Associations Between Cannabis Use and Cognition in People Living with HIV (PLWH)
54 Age-Related Differences in the Associations Between Cannabis Use and Cognition in People Living with HIV (PLWH) Open
Objective: PLWH report using cannabis for both recreational reasons and HIV symptom management (e.g., nausea, pain, depression/anxiety). Recent literature suggests that cannabis may attenuate HIV symptoms and neuroinflammation, which are s…
View article: The impact of pet ownership on healthcare access and utilization among people with HIV
The impact of pet ownership on healthcare access and utilization among people with HIV Open
Though bonds with pets can be health-promoting for people with HIV (PWH), recent studies indicate that owning pets may complicate healthcare access, especially for those with fewer economic resources, poorer social support, and a strong hu…
View article: Emotion regulation and cognitive function as mediating factors for the association between lifetime abuse and risky behaviors in women of color
Emotion regulation and cognitive function as mediating factors for the association between lifetime abuse and risky behaviors in women of color Open
Background The relationship between lifetime abuse (i.e., childhood abuse, intimate partner violence) and risky behaviors is well established. One proposed mechanism is poor emotion regulation and executive functioning, as a potential mech…
View article: Antiretroviral Therapy Concealment Behaviors and their Association with Antiretroviral Therapy Adherence among People with HIV: Findings from the Florida Cohort Study
Antiretroviral Therapy Concealment Behaviors and their Association with Antiretroviral Therapy Adherence among People with HIV: Findings from the Florida Cohort Study Open