Resume

• 2011

  Master of Arts (M.A.)

  Condoms

  Pleasure & Policy: Exploring condom fit and sexual pleasure among gay men.

  Human Sexuality Studies

  Sexuality Studies Graduate Representative

  Teaching Assistant \"Variations in Sexuality\"

  Co-instructor \"Research Design in Human Sexuality Studies\"

  San Francisco State University

  RESEARCH DESIGN IN HUMAN SEXUALITY

  SEXUALITY EDUCATION & POLICY

  RESEARCH METHODS IN HUMAN SEXUALITY

  BIO & PSYCHOLOGICAL FOUNDATIONS - HUMAN SEXUALITY

  BIOLOGY : HUMAN SEXUALITY

  PUBLIC HEALTH & COMMUNITY ORGANIZING

  SOCIOCULTURAL FOUNDATIONS OF HUMAN SEXUALITY

  SEXUAL CULTURES / SEXUAL IDENTITIES

• 2006

  Spanish

  English

  Bachelor of Arts (B.A.)

  Community Psychology & Sociology

  The Evergreen State College

• Supervisory Skills

  Project Coordination

  Educational Leadership

  Spanish-speaking

  University Teaching

  Infectious Diseases

  Sociology

  Sexuality Education

  Event Planning

  Sexual Identity

  Survey Design

  Residential Counseling

  Sexual Health Educator

  Disease Surveillance

  Phlebotomy

  HIV prevention

  Qualitative Research

  STD/HIV testing & counseling

  Community Psychology

  Quantitative Research

  Performance of Determine Combo and other point-of-care HIV tests among Seattle MSM

  Joanne D Stekler

  George Ure

  Joshua D O'Neal

  Aric Lane

  Fred Swanson

  Janine Maenza

  Claire Stevens

  Robert W Coombs

  Joan Dragavon

  Paul D Swenson

  Matthew R Golden\n\nBackground and objective The rapid test study was a real-time comparison of point-of-care\n(POC) HIV tests to determine their abilities to detect early HIV infection. Study design Men\nand transgender persons reporting sex with men in the prior year were recruited at the\nPublic Health—Seattle & King County STD Clinic

  Gay City Health Project

  and University of\nWashington Primary Infection Clinic. Study tests included the OraQuick ADVANCE Rapid\nHIV-1/2 Antibody Test performed on oral fluids and tests performed on fingerstick whole\nblood specimens including OraQuick

  Uni-Gold Recombigen HIV test

  Determine HIV-1/2\nAg/Ab Combo

  and INSTI HIV-1 Rapid Antibody Test. Specimens from subjects with negative\nresults were sent for EIA and nucleic acid amplification testing. McNemar's exact tests\ncompared the numbers of HIV-infected subjects detected.

  Performance of Determine Combo and other point-of-care HIV tests among Seattle MSM

  This study utilizes qualitative methodologies including interviews and focus groups

  to examine the relationship between condom fit and pleasure by exploring how variations in condom size

  material

  and shape affects sexual pleasure. Participants received a “fit kit” intervention

  including twelve different condom styles to experiment with and reported back after a month trial period. Additional interviews with public health officials regarding policies related to condom education and distribution highlight policy impacts on MSM condom preferences and experiences. Study findings suggest that a better condom fit should decrease condom problems and increase pleasure

  thereby increasing condom usage among some sexually active men who have sex with men (MSM). Improvements in condom distribution and promotion on behalf of public health could also contribute to increased condom usage and improved attitudes related to condoms. Ultimately

  discovering and accessing a better fitting condom could reduce HIV/STI acquisition rates among MSM.

  Condoms

  Pleasure & Policy: Gay Men Explore Condom Fit & Access Issues

  “Findings from the 2009 “Where HIV/AIDS Tangles with Substance Use Prevention” (WHATS UP) Needs Assessment”

  Authors- Stekler

  J. D.

  O’Neal

  J. D.

  Lane

  A.

  Swanson

  F.

  Maenza

  J.

  Stevens

  C. E.

  ... & Branson

  B. M. (2013).\n\nBackground Point-of-care (POC) rapid HIV tests have sensitivity during the “window period”\ncomparable only to earliest generation EIAs. To date

  it is unclear whether any POC test\nperforms significantly better than others. Objective Compare abilities of POC tests to detect\nearly infection in real time. Study design Men who have sex with men (MSM) were recruited\ninto a prospective

  cross-sectional study at two HIV testing sites and a research clinic.\nProcedures compared four POC tests: one performed on oral fluids and three on fingerstick\nwhole blood specimens. Specimens from participants with negative POC results were tested\nby EIA and pooled nucleic acid amplification testing (NAAT). McNemar's exact tests\ncompared numbers of HIV-infected participants detected. Results Between February 2010\nand May 2013

  104 men tested HIV-positive during 2479 visits.

  Relative accuracy of serum

  whole blood

  and oral fluid HIV tests among Seattle men who have sex with men.

  Matt Golden

  We conducted a study comparing the OraQuickADVANCE Rapid HIV-1/2 Antibody Test

  Uni-\nGold Recombigen HIV Test

  Determine HIV 1/2 Ag/Ab Combo

  EIA

  and pooled nucleic acid\namplification testing (NAAT). Men who have sex with men rated tests based on specimen\ncollection method and trust in each test. Among 490 subjects

  OraQuick performed on oral\nfluids ranked highest for specimen collection method but lowest on trust; NAAT scored\nhighest on trust. Among a subset of these subjects

  46% would opt for NAAT if choosing one\ntest. Strategies are needed to increase HIV testing that is accurate and consistent with client\npreferences.

  “HIV Nucleic Acid Amplification Testing Versus Rapid Testing: It Is Worth the Wait. Testing Preferences of Men Who Have Sex With Men”

  Authors: Joshua D O’Neal

  Lorree C Berteau\n\nHIV infection rates remain steady in the USA despite the numerous prevention programs and tools available. Condoms play a central role in HIV prevention because they are highly effective

  readily available

  and affordable. Unfortunately

  condom promotion efforts often incite fear as a motive force

  while also taking the common “one-size-fits-all” approach. Reframing condom promotion through a sexual health framework

  focusing on pleasure and highlighting condom fit issues

  improves intervention efficacy. Condom distribution policies may further perpetuate condom users’ difficulty

  by withholding particular condom styles

  brands

  and information highlighting the nuances in shape

  size

  and material. Condom education and distribution practices focused on pleasure

  proper fit

  and condom access issues might increase condom utilization among high-risk populations.

  Revitalizing Condom-Centered HIV Prevention Strategies

  Authors: Joanne D Stekler

  Kenneth Tapia

  Janine Maenza

  Claire E Stevens

  George A Ure

  Joshua D O'Neal

  Aric Lane

  James I Mullins

  Robert W Coombs

  Sarah Holte

  Ann C Collier\n\nThere has been increasing recognition of the importance of diagnosing individuals during\nthe earliest stages of human immunodeficiency virus (HIV) infection. Sera from individuals\nreferred to a primary HIV infection research program were screened using the IgG-sensitive\nVironostika HIV-1 Microelisa System

  IgG/IgM-sensitive GS HIV-1/HIV-2 Plus O antibody\nenzyme immunoassay (EIA)

  or Abbott ARCHITECT HIV antigen (Ag)/antibody (Ab) Combo\nassay and confirmed by the Bio-Rad Multispot and Western blot. A subset of participants\nwas co-enrolled in a study designed to compare the ability of point-of-care tests to detect\nearly infection. We calculated time within primary infection laboratory stages using actual\nobserved transitions and with an expectation-maximization algorithm. Three hundred and\nsixty participants contributed data to this analysis.

  No time to delay! Fiebig stages and referral in acute HIV infection: Seattle Primary Infection Program Experience

  Support building HIV/HCV testing and prevention pilot program funded by SAMHSA. Worked with leadership and project staff in developing testing policies and procedures

  providing on-site technical assistance and staff training

  creation of resources and referrals for client’s with new Dx

  and negotiating an agreement with community partners providing confirmation testing and health navigation.\n\n\n

  O'Neal

  San Francisco State University

  Larkin Street Youth Services

  San Francisco State University

  Public Health - Seattle & King County

  University of Washington

  City College of San Francisco

  San Francisco AIDS Foundation

  San Francisco Bay Area

  The Manager of Testing Services is responsible for developing

  implementation and ongoing evaluation of programmatic outcomes for HIV

  HCV and STI testing conducted at Magnet

  1035 Market Street

  Syringe Access Services sites

  Mobile Testing Program

  as well as various other venue and mobile testing conducted by SFAF and its sub-contractors. \n\n•Provide direction and oversight of testing services across multiple SFAF locations and in collaboration with community partners\n•Monitor and evaluate testing initiatives

  making appropriate adjustments to meet contract goals\n•Supervise and work with SFAF staff and volunteers conducting testing to ensure optimal performance \n•Facilitate the expansion of STI screening at SFAF testing sites

  to increase program capacity and outreach\n•Initiate and establish PrEP Clinic prioritizing low-income

  ‘at-risk’ populations who lack medical coverage\n•Address and work with agency staff on intersectionality and oppression from a social justice framework including sexism

  racism

  homoprejudice

  transphobia

  heterosexism

  classism and privileges\n• Improving condom education

  promotion and distribution practices throughout the agency and city\n

  Manager

  HIV/HCV/STI Testing Services

  San Francisco AIDS Foundation

  San Francisco Bay Area

  Interim Director of Strut

  San Francisco AIDS Foundation

  •Supervision of 12 teaching assistants for a 600+ student course \n•Collaborated on curriculum

  exam and quiz development\n•Held weekly office hours

  acted as student liaison and graded final papers

  San Francisco State University

  City College of San Francisco

  San Francisco Bay Area

  IDST 17 - Human Sexuality Studies \nIDST 80 - Transphobia\nIDST 80 - Heterosexism\n\n\nStudent Learning Outcome (SLO) Coordinator (Interdisciplinary Department) \n+ Student Learning Outcome Appointed Committee Member (CCSF) 2014-2015\n\n•Coordination of learning outcome evaluation processes for courses and certification programs within the department \n•Ensure each course SLO evaluations are conducted

  analyzed and submitted in a timely manner \n•Compiles course

  program and department evaluations and analyzes final data set \n•Finalizes and submits final reports within college guidelines and deadlines

  Instructor - Human Sexuality

  San Francisco Bay Area

  SXS 300 - Intro to Human Sexuality \nSXS 421- Homophobia & Coming Out

  Lecturer - Sexuality Studies / Sociology

  San Francisco State University

  • Residential supervision in emergency shelter

  drop-in center and transitional living spaces for homeless youth aged 15-24 \n• Responsible for counseling

  conflict resolution

  ensuring safety

  emergency service referrals

  suicide intervention

  enforcing site policies and procedures

  assisting with staff interviews and training

  all within a harm reduction framework\n• Administrative work including client intakes

  questionnaires

  daily logs

  facility maintenance forms and incidence reports\n• Personal assistance with employment

  education and housing search and application processes

  Larkin Street Youth Services

  San Francisco AIDS Foundation

  Strut (470 Castro)

  The Director of Sexual Health Services oversees the development

  management

  evaluation and expansion of HIV testing

  STI and HCV screening

  linkage to treatment

  PrEP navigation

  and health education at SFAF. The Director is responsible for assuring that services are offered within a sex-positive

  social-justice and harm-reduction centered framework

  prioritizing communities most impacted by HIV and other STI’s. The Director is part of the agency’s program leadership team and works alongside other managers and directors to create coordinated programs and services. \n\n• Responsible for managing grants and budgets\n• Created Magnet \"Express\" STI/HIV screening service

  doubling clinical capacity\n• STI/HCV screening services expansion throughout multiple testing and clinical sites\n• Electronic health records system roll-out and implementation \n• PrEP capacity building

  technical assistance & case management programming \n• Sexual Health Intern program

  prioritizing QTPOC

  youth

  HIV+ & others experiencing health disparities \n• Instructs Queer Sex U

  monthly sexuality education series located at Strut

  Director of Sexual Health Services

  •\tCoordination of two NIH funded studies entitled Comparisons of Public Health Screening Methods for Acute and Early HIV Infection. Major responsibilities include conducting the HIV testing

  counseling and data collection at the Public Health - Seattle & King County STD Clinic following research guidelines and protocol. This position also required regular contact

  trainings

  and coordination with the two other performance sites (University of Washington Primary Infection Clinic & Gay City Wellness Center) and other industry partners. Additional tasks - order and stock testing materials

  distribute and process payment for subject participation at all sites

  assist with IRB modifications and survey development

  service referrals and connections

  along with maintaining and analyzing study survey response database.

  University of Washington

  Disease Intervention Specialist - Lead Position

  •\tInterviewer position on the National HIV Behavioral Surveillance (NHBS) research project monitoring HIV prevalence and trends in association with sexual and drug-use behaviors by conducting in-depth surveys soliciting various HIV “risk” behaviors

  focusing on intravenous drug users and men who have sex with men \n•\tAdditional responsibilities include HIV testing

  Hepatitis C testing

  harm reduction counseling and making referrals to services / Study protocol required completion of detailed forms and records / Maintaining study materials and supplies \n•\tConducted formative assessment activities to identify

  observe

  and assess venues through key informant interviews

  street intercepts and surveys / Duties also included establishing community awareness and support for project\n•\tConducted needle exchange and outreach services to IV substance users throughout King County

  including harm reduction and health information dissemination.

  Public Health - Seattle & King County

  Gay City Health Project

  Intern