The San Francisco Department of Public Health (SFDPH), previously called the San Francisco Health Department, is composed of various subdivisions that work together to serve the city of San Francisco.
Despite expansion of publicly funded HIV pre-exposure prophylaxis (PrEP) in Peru, uptake remains limited. We conducted a cross-sectional online survey (June–August 2023) among 463 men who have sex with men eligible for PrEP to examine progression across the PrEP cascade and identify implementation-relevant determinants of PrEP seeking and initiation. Although 78.6
Syndemic conditions of sex work and violence are associated with elevated HIV risk for trans women. Less is known about the types of violence experienced by trans women who engage in sex work. We examined the prevalence of types of violence for trans women engaged in sex work and correlates of interpersonal violence (IPV). Data were from National HIV Biobehavioral Surveillance among trans women in San Francisco, 2023–2024. Demographic characteristics, substance use, sex work, and IPV were selfreported. Multivariable logistic regression identified factors associated with IPV among trans women engaged in sex work. Of 117 trans women engaged in sex work, over half were aged 18–39 (50.4
To elucidate the role of housing status in observed racial disparities in opioid overdose mortality, we conducted a cross-sectional study using vital statistics, medical, and housing records in San Francisco, California from 2021 to 2023. We reported standardized mortality ratio (SMR); indirectly age- and sex-standardized mortality rate; and observed, expected, and excess deaths for each race or ethnicity group among people experiencing homelessness, using adult Californians as the standard population. Forty-seven percent (812/1727) of overdose decedents were recently homeless, and people experiencing homelessness had 33 times the rate of opioid overdose mortality (SMR 33.2, CI 29.1-37.3) compared to the general population, standardized by age, race, and sex. There were a minimum of 244 excess deaths per year in San Francisco due to the increased risk of overdose among people experiencing homelessness, which disproportionally affected Black people. Reducing opioid overdose mortality and related disparities requires addressing the housing crisis.
Our survey of venue-attending men who have sex with men (MSM) in San Francisco (N=545) found that one year after the first reported case of mpox, 76
Women of transgender experience and transfeminine people (WTE/TFP) are disproportionately impacted by HIV. Between July 2023 and May 2024, a total of 2059 eligible WTE/TFP across nine project areas participated in the National HIV Behavioral Surveillance (NHBS-Trans) project. Among the 1993 participants with valid HIV test results, 35.7
