Jesse Lawton Clark

Title(s)Professor-in-Residence, Medicine
SchoolMedicine
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    Other Positions
    Title(s)Professor-in-Residence, Family Medicine


    Collapse Research 
    Collapse Research Activities and Funding
    Expedited Partner Therapy and the HIV Prevention Cascade Among MSM in Peru
    NIH R01MH118973Jun 1, 2019 - Mar 31, 2024
    Role: Principal Investigator
    STI Screening as a Combined HIV Prevention Platform for MSM in Peru
    NIH R34MH105272May 15, 2015 - Feb 28, 2019
    Role: Principal Investigator
    TransPrEP: Social Network-Based PrEP Adherence for Transgender Women in Peru
    NIH R34MH104072Aug 1, 2014 - Jul 31, 2018
    Role: Principal Investigator
    South American Program in HIV Prevention Research (SAPHIR)
    NIH R25MH087222Aug 1, 2011 - Mar 31, 2026
    Role: Principal Investigator
    Partner Notification Strategies for HIV/STI Control in Peru
    NIH K23MH084611May 1, 2009 - Apr 30, 2014
    Role: Principal Investigator

    Collapse ORNG Applications 
    Collapse Clinical Trials

    Collapse Bibliographic 
    Collapse Publications
    Publications listed below are automatically derived from MEDLINE/PubMed and other sources, which might result in incorrect or missing publications. Researchers can login to make corrections and additions, or contact us for help. to make corrections and additions.
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    Altmetrics Details PMC Citations indicate the number of times the publication was cited by articles in PubMed Central, and the Altmetric score represents citations in news articles and social media. (Note that publications are often cited in additional ways that are not shown here.) Fields are based on how the National Library of Medicine (NLM) classifies the publication's journal and might not represent the specific topic of the publication. Translation tags are based on the publication type and the MeSH terms NLM assigns to the publication. Some publications (especially newer ones and publications not in PubMed) might not yet be assigned Field or Translation tags.) Click a Field or Translation tag to filter the publications.
    1. Changes in Inflammatory Cytokine Levels in Rectal Mucosa Associated With Neisseria gonorrheae and/or Chlamydia trachomatis Infection and Treatment Among Men Who Have Sex With Men in Lima, Peru. J Infect Dis. 2024 Mar 14; 229(3):845-854. Clark JL, Oldenburg CE, Passaro RC, Segura ER, Godwin W, Fulcher JA, Cabello R. PMID: 37584273; PMCID: PMC10938210.
      View in: PubMed   Mentions:    Fields:    Translation:HumansCells
    2. PrEP policy implementation gaps and opportunities in Latin America and the Caribbean: a scoping review. Ther Adv Infect Dis. 2023 Jan-Dec; 10:20499361231164030. Murphy L, Bowra A, Adams E, Cabello R, Clark JL, Konda K, Perez-Brumer A. PMID: 37114192; PMCID: PMC10126665.
      View in: PubMed   Mentions: 2  
    3. Brief Report: Impact of Methamphetamine Use and Rectal STIs on Systemic and Rectal Mucosal Inflammation. J Acquir Immune Defic Syndr. 2023 04 01; 92(4):281-285. Blair CS, Fulcher JA, Cho GD, Gorbach PM, Shoptaw S, Clark JL. PMID: 36515912; PMCID: PMC9974870.
      View in: PubMed   Mentions:    Fields:    Translation:HumansCells
    4. The Impact of COVID-19 on HIV Care in Rio de Janeiro, Brazil 2019-2021: Disparities by Age and Gender. AIDS Behav. 2023 Aug; 27(8):2629-2641. Bocage AE, Coelho LE, Lake JE, Clark JL, Torres TS, Jalil EM, Cardoso SW, Moreira RI, Veloso VG, Grinsztejn B, Luz PM. PMID: 36715887; PMCID: PMC9885404.
      View in: PubMed   Mentions: 1     Fields:    Translation:Humans
    5. Contingency Management for Integrated Harm Reduction Among Men Who Have Sex with Men Who Use Methamphetamine in Los Angeles: A Pilot Assessment. AIDS Behav. 2023 Jun; 27(6):1962-1971. Blair CS, Gandhi M, Shoptaw S, Blades C, Clark JL. PMID: 36414775; PMCID: PMC10152513.
      View in: PubMed   Mentions:    Fields:    Translation:HumansPHPublic Health
    6. Gut dysbiosis and inflammatory blood markers precede HIV with limited changes after early seroconversion. EBioMedicine. 2022 Oct; 84:104286. Fulcher JA, Li F, Tobin NH, Zabih S, Elliott J, Clark JL, D'Aquila R, Mustanski B, Kipke MD, Shoptaw S, Gorbach PM, Aldrovandi GM. PMID: 36179550; PMCID: PMC9520213.
      View in: PubMed   Mentions: 6     Fields:    Translation:Humans
    7. Pre-exposure prophylaxis awareness, use, and intention to use in a regional sample of Latin American geosocial networking application users in 2018-2019. Int J STD AIDS. 2021 11; 32(13):1261-1267. Blair KJ, Segura ER, Garner A, Lai J, Ritterbusch A, Leon-Giraldo S, Guilamo-Ramos V, Lake JE, Clark JL, Holloway IW. PMID: 34340629; PMCID: PMC10351438.
      View in: PubMed   Mentions: 1     Fields:    Translation:HumansPHPublic Health
    8. Sexual health norms and communication patterns within the close social networks of men who have sex with men and transgender women in Lima, Peru: a 2017 cross-sectional study. BMC Public Health. 2021 06 07; 21(1):1090. Ayer A, Segura ER, Perez-Brumer A, Chavez-Gomez S, Fernandez R, Gutierrez J, Suárez K, Lake JE, Clark JL, Cabello R. PMID: 34098916; PMCID: PMC8186208.
      View in: PubMed   Mentions: 2     Fields:    Translation:Humans
    9. Brief Report: HIV-1 Seroconversion Is Not Associated With Prolonged Rectal Mucosal Inflammation. J Acquir Immune Defic Syndr. 2021 04 15; 86(5):e134-e138. Blair CS, Lake JE, Passaro RC, Chavez-Gomez S, Segura ER, Elliott J, Fulcher JA, Shoptaw S, Cabello R, Clark JL. PMID: 33351532; PMCID: PMC7933122.
      View in: PubMed   Mentions: 2     Fields:    Translation:HumansCells
    10. Let's Talk About Sex: The Impact of Partnership Contexts on Communication About HIV Serostatus and Condom Use Among Men Who Have Sex with Men (MSM) and Transgender Women (TW) in Lima, Peru. AIDS Behav. 2021 Jul; 25(7):2139-2153. Ayer A, Perez-Brumer A, Segura ER, Chavez-Gomez S, Fernandez R, Arroyo C, Barrantes A, Lake JE, Cabello R, Clark JL. PMID: 33411208; PMCID: PMC8169512.
      View in: PubMed   Mentions: 5     Fields:    Translation:Humans
    11. TransPrEP: Results from the Pilot Study of a Social Network-Based Intervention to Support PrEP Adherence Among Transgender Women in Lima, Peru. AIDS Behav. 2021 Jun; 25(6):1873-1883. Clark J, Reisner S, Perez-Brumer A, Huerta L, Sanchez H, Moriarty K, Luque MM, Okochi H, Salazar X, Mimiaga M, Sanchez J, Gandhi M, Mayer KH, Lama JR. PMID: 33385279; PMCID: PMC8084919.
      View in: PubMed   Mentions: 12     Fields:    Translation:HumansPHPublic Health
    12. Social Network Organization, Structure, and Patterns of Influence Within a Community of Transgender Women in Lima, Peru: Implications for Biomedical HIV Prevention. AIDS Behav. 2020 Jan; 24(1):233-245. Clark JL, Perez-Brumer AG, Reisner SL, Salazar X, McLean S, Huerta L, Silva-Santisteban A, Moriarty KM, Mimiaga MJ, Sanchez J, Mayer KH, Lama JR. PMID: 30989553; PMCID: PMC6801001.
      View in: PubMed   Mentions: 10     Fields:    Translation:Humans
    13. Assessing Sexually Transmitted Infections and HIV Risk Among Transgender Women in Lima, Peru: Beyond Behavior. LGBT Health. 2019 10; 6(7):370-376. Moriarty KE, Segura ER, Gonzales W, Lake JE, Cabello R, Clark JL. PMID: 31618167; PMCID: PMC6797071.
      View in: PubMed   Mentions: 3     Fields:    Translation:HumansCells
    14. Sexual network characteristics of men who have sex with men with syphilis and/or gonorrhoea/chlamydia in Lima, Peru: network patterns as roadmaps for STI prevention interventions. Sex Transm Infect. 2019 08; 95(5):336-341. Blair C, Passaro RC, Segura ER, Lake JE, Perez-Brumer AG, Sanchez J, Lama JR, Clark JL. PMID: 31010954; PMCID: PMC6642006.
      View in: PubMed   Mentions: 5     Fields:    Translation:Humans
    15. Speed kills: Associations between methamphetamine use, HIV infection, tobacco use, and accelerated mortality among gay and bisexual men in Los Angeles, CA 20years after methamphetamine dependence treatment. Drug Alcohol Depend. 2019 02 01; 195:164-169. Passaro RC, Ramsey K, Segura ER, Lake JE, Reback CJ, Clark JL, Shoptaw S. PMID: 30429048; PMCID: PMC6512788.
      View in: PubMed   Mentions: 1     Fields:    Translation:Humans
    16. Obesity following ART initiation is common and influenced by both traditional and HIV-/ART-specific risk factors. J Antimicrob Chemother. 2018 08 01; 73(8):2177-2185. Bakal DR, Coelho LE, Luz PM, Clark JL, De Boni RB, Cardoso SW, Veloso VG, Lake JE, Grinsztejn B. PMID: 29722811; PMCID: PMC6054231.
      View in: PubMed   Mentions: 72     Fields:    Translation:Humans
    17. Traditional and Web-Based Technologies to Improve Partner Notification Following Syphilis Diagnosis Among Men Who Have Sex With Men in Lima, Peru: Pilot Randomized Controlled Trial. J Med Internet Res. 2018 07 03; 20(7):e232. Clark JL, Segura ER, Oldenburg CE, Salvatierra HJ, Rios J, Perez-Brumer AG, Gonzales P, Sheoran B, Sanchez J, Lama JR. PMID: 29970355; PMCID: PMC6053614.
      View in: PubMed   Mentions: 7     Fields:    Translation:HumansPHPublic Health
    18. Syphilis in the Americas: a protocol for a systematic review of syphilis prevalence and incidence in four high-risk groups, 1980-2016. Syst Rev. 2017 10 10; 6(1):195. Kitayama K, Segura ER, Lake JE, Perez-Brumer AG, Oldenburg CE, Myers BA, Pourjavaheri P, Okorie CN, Cabello RL, Clark JL. PMID: 29017552; PMCID: PMC5634900.
      View in: PubMed   Mentions: 10     Fields:    Translation:Humans
    19. Partner-Level Factors Associated with Insertive and Receptive Condomless Anal Intercourse Among Transgender Women in Lima, Peru. AIDS Behav. 2017 Aug; 21(8):2439-2451. Satcher MF, Segura ER, Silva-Santisteban A, Sanchez J, Lama JR, Clark JL. PMID: 27639404; PMCID: PMC5357202.
      View in: PubMed   Mentions: 11     Fields:    Translation:Humans
    20. Substance use among HIV-infected patients in Rio de Janeiro, Brazil: Agreement between medical records and the ASSIST questionnaire. Drug Alcohol Depend. 2017 09 01; 178:115-118. Machado IK, Luz PM, Lake JE, Castro R, Velasque L, Clark JL, Veloso VG, Grinsztejn B, De Boni RB. PMID: 28646713; PMCID: PMC5712472.
      View in: PubMed   Mentions: 2     Fields:    Translation:HumansAnimals
    21. Expedited Partner Therapy (EPT) increases the frequency of partner notification among MSM in Lima, Peru: a pilot randomized controlled trial. BMC Med. 2017 05 04; 15(1):94. Clark JL, Segura ER, Oldenburg CE, Rios J, Montano SM, Perez-Brumer A, Villaran M, Sanchez J, Coates TJ, Lama JR. PMID: 28468648; PMCID: PMC5415724.
      View in: PubMed   Mentions: 13     Fields:    Translation:HumansPHPublic Health
    22. Self-rated health and substance use among individuals in HIV care in Rio de Janeiro, Brazil: a cross-sectional study. Int J STD AIDS. 2017 10; 28(12):1175-1183. Machado IK, Luz PM, Lake JE, Castro R, Velasque L, Clark JL, Veloso VG, Grinsztejn B, De Boni RB. PMID: 28152664; PMCID: PMC5501998.
      View in: PubMed   Mentions: 4     Fields:    Translation:HumansCells
    23. Event-level analysis of alcohol consumption and condom use in partnership contexts among men who have sex with men and transgender women in Lima, Peru. Drug Alcohol Depend. 2017 Jan 01; 170:17-24. Delgado JR, Segura ER, Lake JE, Sanchez J, Lama JR, Clark JL. PMID: 27865150; PMCID: PMC5183551.
      View in: PubMed   Mentions: 12     Fields:    Translation:Humans
    24. Sexual Orientation, Gender Identity and Perceived Source of Infection Among Men Who Have Sex with Men (MSM) and Transgender Women (TW) Recently Diagnosed with HIV and/or STI in Lima, Peru. AIDS Behav. 2016 10; 20(10):2178-2185. Blair CS, Segura ER, Perez-Brumer AG, Sanchez J, Lama JR, Clark JL. PMID: 26767533; PMCID: PMC4945472.
      View in: PubMed   Mentions: 12     Fields:    Translation:Humans
    25. Anticipated Notification of Sexual Partners following STD Diagnosis among Men Who Have Sex with Men and Transgender Women in Lima, Peru: A Mixed Methods Analysis. PLoS One. 2016; 11(9):e0163905. Clark JL, Perez-Brumer AG, Segura ER, Salvatierra HJ, Sanchez J, Lama JR. PMID: 27685158; PMCID: PMC5042523.
      View in: PubMed   Mentions: 9     Fields:    Translation:HumansPHPublic Health
    26. Risk Factors Associated with Incident Syphilis in a Cohort of High-Risk Men in Peru. PLoS One. 2016; 11(9):e0162156. Park H, Konda KA, Roberts CP, Maguiña JL, Leon SR, Clark JL, Coates TJ, Caceres CF, Klausner JD. PMID: 27602569; PMCID: PMC5014407.
      View in: PubMed   Mentions: 8     Fields:    Translation:Humans
    27. Traditional and HIV-specific risk factors for cardiovascular morbidity and mortality among HIV-infected adults in Brazil: a retrospective cohort study. BMC Infect Dis. 2016 Aug 08; 16:376. Diaz CM, Segura ER, Luz PM, Clark JL, Ribeiro SR, De Boni R, Eksterman L, Moreira R, Currier JS, Veloso VG, Grinsztejn B, Lake JE. PMID: 27503230; PMCID: PMC4977901.
      View in: PubMed   Mentions: 11     Fields:    Translation:HumansCells
    28. Poor retention in early care increases risk of mortality in a Brazilian HIV-infected clinical cohort. AIDS Care. 2017 02; 29(2):263-267. Teixeira da Silva DS, Luz PM, Lake JE, Cardoso SW, Ribeiro S, Moreira RI, Clark JL, Veloso VG, Grinsztejn B, De Boni RB. PMID: 27461407; PMCID: PMC5138101.
      View in: PubMed   Mentions: 7     Fields:    Translation:HumansCells
    29. Retention in Early Care at an HIV Outpatient Clinic in Rio de Janeiro, Brazil, 2000-2013. AIDS Behav. 2016 05; 20(5):1039-48. Silva DS, De Boni RB, Lake JE, Cardoso SW, Ribeiro S, Moreira RI, Clark JL, Veloso VG, Grinsztejn B, Luz PM. PMID: 26525222; PMCID: PMC4840032.
      View in: PubMed   Mentions: 4     Fields:    Translation:HumansCells
    30. "Manejar la Situacion": Partner Notification, Partner Management, and Conceptual Frameworks for HIV/STI Control Among MSM in Peru. AIDS Behav. 2015 Dec; 19(12):2245-54. Clark JL, Perez-Brumer A, Salazar X. PMID: 25821149; PMCID: PMC4586286.
      View in: PubMed   Mentions: 16     Fields:    Translation:HumansPHPublic Health
    31. The syphilis care cascade: tracking the course of care after screening positive among men and transgender women who have sex with men in Lima, Peru. BMJ Open. 2015 Sep 18; 5(9):e008552. Tang EC, Segura ER, Clark JL, Sanchez J, Lama JR. PMID: 26384725; PMCID: PMC4577872.
      View in: PubMed   Mentions: 11     Fields:    Translation:HumansPHPublic Health
    32. A cross-sectional study of low HIV testing frequency and high-risk behaviour among men who have sex with men and transgender women in Lima, Peru. BMC Public Health. 2015 Apr 21; 15:408. Lee SW, Deiss RG, Segura ER, Clark JL, Lake JE, Konda KA, Coates TJ, Caceres CF. PMID: 25896917; PMCID: PMC4407786.
      View in: PubMed   Mentions: 34     Fields:    Translation:HumansPHPublic Health
    33. Sampling methodologies for epidemiologic surveillance of men who have sex with men and transgender women in Latin America: an empiric comparison of convenience sampling, time space sampling, and respondent driven sampling. AIDS Behav. 2014 Dec; 18(12):2338-48. Clark JL, Konda KA, Silva-Santisteban A, Peinado J, Lama JR, Kusunoki L, Perez-Brumer A, Pun M, Cabello R, Sebastian JL, Suarez-Ognio L, Sanchez J. PMID: 24362754; PMCID: PMC4065637.
      View in: PubMed   Mentions: 34     Fields:    Translation:HumansPHPublic Health
    34. The risk of stable partnerships: associations between partnership characteristics and unprotected anal intercourse among men who have sex with men and transgender women recently diagnosed with HIV and/or STI in Lima, Peru. PLoS One. 2014; 9(7):e102894. Cambou MC, Perez-Brumer AG, Segura ER, Salvatierra HJ, Lama JR, Sanchez J, Clark JL. PMID: 25029514; PMCID: PMC4100899.
      View in: PubMed   Mentions: 21     Fields:    Translation:Humans
    35. Improved virologic outcomes over time for HIV-infected patients on antiretroviral therapy in a cohort from Rio de Janeiro, 1997-2011. BMC Infect Dis. 2014 Jun 11; 14:322. Martin DA, Luz PM, Lake JE, Clark JL, Veloso VG, Moreira RI, Cardoso SW, Klausner JD, Grinsztejn B. PMID: 24919778; PMCID: PMC4067376.
      View in: PubMed   Mentions: 13     Fields:    Translation:HumansCellsCTClinical Trials
    36. Potential impact and acceptability of Internet partner notification for men who have sex with men and transgender women recently diagnosed as having sexually transmitted disease in Lima, Peru. Sex Transm Dis. 2014 Jan; 41(1):43-5. Clark JL, Segura ER, Perez-Brumer AG, Reisner SL, Peinado J, Salvatierra HJ, Sanchez J, Lama JR. PMID: 24326581; PMCID: PMC3932828.
      View in: PubMed   Mentions: 7     Fields:    Translation:HumansPHPublic Health
    37. Bringing testing to the people - benefits of mobile unit HIV/syphilis testing in Lima, Peru, 2007-2009. Int J STD AIDS. 2014 Apr; 25(5):325-31. Lipsitz MC, Segura ER, Castro JL, Smith E, Medrano C, Clark JL, Lake JE, Cabello R. PMID: 24108451; PMCID: PMC4110635.
      View in: PubMed   Mentions: 27     Fields:    Translation:HumansPHPublic Health
    38. Moderno love: sexual role-based identities and HIV/STI prevention among men who have sex with men in Lima, Peru. AIDS Behav. 2013 May; 17(4):1313-28. Clark J, Salvatierra J, Segura E, Salazar X, Konda K, Perez-Brumer A, Hall E, Klausner J, Caceres C, Coates T. PMID: 22614747; PMCID: PMC3494756.
      View in: PubMed   Mentions: 47     Fields:    Translation:Humans
    39. Prevalence of HIV, STIs, and risk behaviors in a cross-sectional community- and clinic-based sample of men who have sex with men (MSM) in Lima, Peru. PLoS One. 2013; 8(4):e59072. Perez-Brumer AG, Konda KA, Salvatierra HJ, Segura ER, Hall ER, Montano SM, Coates TJ, Klausner JD, Caceres CF, Clark JL. PMID: 23634201; PMCID: PMC3636243.
      View in: PubMed   Mentions: 28     Fields:    Translation:Humans
    40. A cross-sectional study of knowledge of sex partner serostatus among high-risk Peruvian men who have sex with men and transgender women: implications for HIV prevention. BMC Public Health. 2013 Feb 28; 13:181. Nagaraj S, Segura ER, Peinado J, Konda KA, Segura P, Casapia M, Ortiz A, Montano SM, Clark JL, Sanchez J, Lama JR, Peruvian HIV Sentinel Surveillance Working Group. PMID: 23448153; PMCID: PMC3599550.
      View in: PubMed   Mentions: 26     Fields:    Translation:Humans
    41. Problem drinking is associated with increased prevalence of sexual risk behaviors among men who have sex with men (MSM) in Lima, Peru. Drug Alcohol Depend. 2013 Sep 01; 132(1-2):134-9. Deiss RG, Clark JL, Konda KA, Leon SR, Klausner JD, Caceres CF, Coates TJ. PMID: 23434130; PMCID: PMC3932358.
      View in: PubMed   Mentions: 29     Fields:    Translation:Humans
    42. Frequency, patterns, and preferences of lubricant use during anal intercourse within male sexual partnerships in Lima, Peru: implications for a rectal microbicide HIV prevention intervention. AIDS Care. 2013; 25(5):579-85. Clark JL, Salvatierra HJ, Segura ER, Salazar X, Konda K, Galea J, Klausner JD, Coates TJ, Caceres CF. PMID: 23082796; PMCID: PMC3556347.
      View in: PubMed   Mentions: 10     Fields:    Translation:Humans
    43. Routine laboratory screening for acute and recent HIV infection in Lima, Peru. Sex Transm Infect. 2010 Dec; 86(7):545-7. Clark JL, Segura ER, Montano SM, Leon SR, Kochel T, Salvatierra HJ, Alcantara J, Cáceres CF, Coates TJ, Klausner JD. PMID: 21113069; PMCID: PMC3050669.
      View in: PubMed   Mentions: 8     Fields:    Translation:Humans
    44. Syndromic management and STI control in urban Peru. PLoS One. 2009 Sep 25; 4(9):e7201. Clark JL, Lescano AG, Konda KA, Leon SR, Jones FR, Klausner JD, Coates TJ, Caceres CF, NIMH International Collaborative HIV/STD Prevention Trial. PMID: 19779620; PMCID: PMC2745701.
      View in: PubMed   Mentions: 18     Fields:    Translation:HumansCellsPHPublic Health
    45. Risk factors for the spread of HIV and other sexually transmitted infections among men who have sex with men infected with HIV in Lima, Peru. Sex Transm Infect. 2008 Nov; 84(6):449-54. Clark JL, Konda KA, Segura ER, Salvatierra HJ, Leon SR, Hall ER, Caceres CF, Klausner JD, Coates TJ. PMID: 19028945; PMCID: PMC2613035.
      View in: PubMed   Mentions: 22     Fields:    Translation:Humans
    46. Prevalence of HIV, herpes simplex virus-2, and syphilis in male sex partners of pregnant women in Peru. BMC Public Health. 2008 Feb 19; 8:65. Clark JL, Konda KA, Munayco CV, Pún M, Lescano AG, Leon SR, Pajuelo J, Suarez-Ognio L, Klausner JD, Coates TJ, Cáceres CF. PMID: 18284696; PMCID: PMC2265685.
      View in: PubMed   Mentions: 17     Fields:    Translation:HumansCells
    47. Prevalence of same-sex sexual behavior and associated characteristics among low-income urban males in Peru. PLoS One. 2007 Aug 22; 2(8):e778. Clark JL, Caceres CF, Lescano AG, Konda KA, Leon SR, Jones FR, Kegeles SM, Klausner JD, Coates TJ, NIMH STD/HIV Collaborative Prevention Trial. PMID: 17712426; PMCID: PMC1945085.
      View in: PubMed   Mentions: 21     Fields:    Translation:Humans
    48. Partner notification for sexually transmitted diseases in Peru: knowledge, attitudes, and practices in a high-risk community. Sex Transm Dis. 2007 May; 34(5):309-13. Clark JL, Long CM, Giron JM, Cuadros JA, Caceres CF, Coates TJ, Klausner JD, NIMH Collaborative HIV/STD Prevention Trial. PMID: 17016236.
      View in: PubMed   Mentions: 27     Fields:    Translation:HumansPHPublic Health
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