The evolution of the Fenway Community Health model.
Kenneth H. Mayer,Jonathan S. Appelbaum,Tracey Rogers,Wilson Lo,Judith Bradford,Stephen L. Boswell +5 more
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TLDR
Fenway Community Health was founded by community activists in 1971 and within a decade had rapidly expanded its medical services for gay men in response to the AIDS epidemic, and may provide a model of comprehensive LGBT health services that have a local impact.Abstract:
Fenway Community Health was founded by community activists in 1971 in the Fenway neighborhood of Boston, Mass, and within a decade had rapidly expanded its medical services for gay men in response to the AIDS epidemic. Increased expertise and cultural competence in lesbian, gay, bisexual, and transgender (LGBT) care led to expansion of medical services to address broader community concerns, ranging from substance use to parenting issues to domestic and homophobic violence, as well as specialized programs for lesbians, bisexuals, and transgendered individuals. Fenway began as a grassroots neighborhood clinic. In 1975, the center recorded 5000 patient care visits; in 2000, Fenway's clinical departments recorded 50,850 visits by 8361 individuals, including more than 1100 individuals receiving HIV-associated care. The center now has more than 170 staff people responsible for clinical programs, community education, research, administration, planning, and development. Over the past few years, Fenway's annual budget has exceeded $10 million. Fenway has established standards for improved cultural competence about LGBT health issues for other health providers and has developed programs to educate the general community about specific LGBT health concerns. This health center may provide a model of comprehensive LGBT health services that have a local impact.read more
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Emergence of Multidrug-Resistant, Community-Associated, Methicillin-Resistant Staphylococcus aureus Clone USA300 in Men Who Have Sex with Men
Binh An Diep,Henry F. Chambers,Christopher J. Graber,John D. Szumowski,Loren G. Miller,Linda L. Han,Jason H. Chen,Felice Lin,Jessica Lin,Tiffany HaiVan Phan,Heather A. Carleton,Linda K. McDougal,Fred C. Tenover,Daniel E. Cohen,Kenneth H. Mayer,George F. Sensabaugh,Francoise Perdreau-Remington +16 more
TL;DR: The authors demonstrate that the incidence of multidrug-resistant USA300 MRSA is highest in the areas of San Francisco where more male same-sex couples reside, and factors associated with its spread in this high-risk population are described.
Journal ArticleDOI
Integrated and Gender-Affirming Transgender Clinical Care and Research.
TL;DR: A model of gender-affirmative integrated clinical care and community research to address and intervene on disparities in HIV infection for transgender people is offered.
Journal ArticleDOI
Men who have sex with men: perceptions about sexual risk, HIV and sexually transmitted disease testing, and provider communication.
TL;DR: The study found that although most of the MSM knew the signs and symptoms of HIV, they were less familiar with STDs, and new strategies that include community and provider education are needed.
Journal ArticleDOI
Comprehensive Transgender Healthcare: The Gender Affirming Clinical and Public Health Model of Fenway Health
Sari L. Reisner,Sari L. Reisner,Judith Bradford,Judith Bradford,Ruben Hopwood,Ruben Hopwood,Alex Gonzalez,Harvey J. Makadon,Harvey J. Makadon,David Todisco,Timothy Cavanaugh,Rodney VanDerwarker,Chris Grasso,Shayne Zaslow,Stephen L. Boswell,Kenneth H. Mayer,Kenneth H. Mayer,Kenneth H. Mayer +17 more
TL;DR: The evolution of a Boston community health center’s multidisciplinary model of transgender healthcare, research, education, and dissemination of best practices is described.
Journal ArticleDOI
High Frequencies of Clindamycin and Tetracycline Resistance in Methicillin-Resistant Staphylococcus aureus Pulsed-Field Type USA300 Isolates Collected at a Boston Ambulatory Health Center
Linda L. Han,Linda K. McDougal,Rachel J. Gorwitz,Kenneth H. Mayer,Kenneth H. Mayer,Jean B. Patel,Janet M. Sennott,John L. Fontana +7 more
TL;DR: Individual or multiple resistance to clindamycin, tetracycline, erythromycin, levofloxacin, or mupirocin was detected in a large proportion of methicillin-resistant Staphylococcus aureus pulsed-field type USA300 isolates collected at an ambulatory health center in Boston.
References
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Association of human T lymphotropic virus type III antibodies with sexual and other behaviors in a cohort of homosexual men from Boston with and without generalized lymphadenopathy
Kenneth H. Mayer,Kenneth H. Mayer,Kenneth H. Mayer,David Ayotte,David Ayotte,Jerome E. Groopman,Jerome E. Groopman,A M Stoddard,A M Stoddard,Mangalasseril G. Sarngadharan,Mangalasseril G. Sarngadharan,Robert C. Gallo,Robert C. Gallo +12 more
TL;DR: The data suggest that educational programs among homosexual men attempting to decrease AIDS risk should focus on decreasing the number of partners, receptive anal intercourse, oral exposure to ejaculate and other intimate rectal contact, and sexual contact with men from areas of increased HTLV-III seroprevalence.
Journal ArticleDOI
Seroepidemiology of human T-lymphotropic virus type III among homosexual men with the acquired immunodeficiency syndrome or generalized lymphadenopathy and among asymptomatic controls in Boston.
Jerome E. Groopman,Kenneth H. Mayer,M. G. Sarngadharan,David Ayotte,A L DeVico,Robert W. Finberg,Ann Sliski,Allan Jd,Robert C. Gallo +8 more
TL;DR: It is suggested that persistent generalized lymphadenopathy and the acquired immunodeficiency syndrome are part of a clinical spectrum of HTLV-III infection and that most high-risk homosexual men in some regions of the United States have not yet been infected with this virus.
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