In recent years, sexually transmitted infections (STI) rates in the United States have risen dramatically, with more than 2.4 million STIs reported in the United States alone (CDC, 2024). STIs can have a profound impact on health, including infertility, neurological and cardiovascular disease, stillbirths, and increased risk of Human Immunodeficiency Virus (HIV). This growing epidemic demands urgent action to enhance the prevention, diagnosis, and treatment of STIs.
Limited evidence suggests that doxycycline may be comparable to penicillin for the treatment of syphilis, but perhaps less so for latent stages. A total of 655 individuals were included, 539 who were treated with benzathine PCN G (BPG) and 116 treated with doxycycline. For our primary analysis, we included all RPR titers up to 24 months after treatment for all stages of syphilis treated from April 2022 through September 2023.
Hepatitis C (HCV) is a curable disease, yet many patients remain untreated due to lack of awareness, outdated perceptions, and barriers to care. This project aimed to identify and link untreated HCV RNA-positive individuals to care within a large, not-for-profit health system in Virginia.
This presentation will outline the current understanding of BV as a dysbiosis, the role of sexual transmission in pathogenesis, and the recent findings of the Australian StepUp* Trial. Practical suggestions will be offered regarding designing and implementing a policy to provide partner therapy for BV in clinical settings in the United States based on the experience at a walk in public Sexual Health Clinic.
This interactive presentation explores the intersection of sexual pleasure, HIV prevention, and liberation for communities of color. The Science of Sexuality and Pleasure, it reframes PrEP and PEP not just as biomedical tools, but as instruments of sexual agency, protection, and empowerment. Drawing on the imagery of chains, whips, handcuffs, and doxycycline, we assert that protection and pleasure are not mutually exclusive, but deeply intertwined. Through storytelling, case-based dialogue, and visual metaphors, we invite attendees to challenge conventional narratives that separate safety from desire.
This session showcases how nurses are transforming HIV prevention in one of the nation’s highest-incidence regions. This innovative, nurse-led model expands access to pre-exposure prophylaxis (PrEP) through standing orders, telehealth, and mobile outreach, allowing same-day initiation of care.
This presentation offers an in-depth exploration of NKY Health's expansive HIV self-test distribution program, highlighting its multifaceted approach to making test kits readily available throughout the Northern Kentucky community. Our primary goal has been to maximize reach, ensuring these vital resources get into the hands of as many people as possible.
Men who have sex with men (MSM) in the U.S. South face a disproportionate burden of HIV yet remain underserved in traditional prevention and care pathways. Stigma, structural inequities, and limited access to culturally competent services contribute to poor engagement across the HIV care continuum. These barriers are exacerbated by resource-constrained settings such as the rural South.
This session will introduce some of the dating apps people are using - specifically Sniffies - and outlining how agencies can use the software to establish patterns for sexual activity in the immediate area and develop strategies to outreach options in real time, ultimately leading to an increase in PrEP and STI prevention uptake across all demographics.
Imagine a world where every individual, regardless of their past, has access to essential healthcare services and the support they need to thrive. For returning citizens living with HIV, this is not just a dream—it’s a necessity. The Intervention Services Program (ISP), part of the DC Health’s HIV AIDS Hepatitis STD Tuberculosis Administration (HAHSTA), is on a mission to transform this vision into reality.
Black Health’s Outreach Enhancement: Faith Based Organization Program (OEF) collaborates with faith-based organizations across the five boroughs of New York City to provide high impact HIV prevention services in geographical hot spots in communities of color where HIV infections are most heavily concentrated (as defined by the New York City Department of Health and Mental Hygiene (NYCDOHMH).
Us Helping Us, People Into Living, Inc., a Black-led, LGBTQ+-affirming health organization in Washington, DC, developed a harm reduction and capacity-building model rooted in health equity to address the opioid crisis. While naloxone distribution remains vital, we go beyond it by centering legal literacy, reducing stigma, and community empowerment.
Integrating harm reduction conversations into primary care visits can help to provide education, resources, and support for behavioral change for the patient, their family, and their community. Patients are already considering their safety related to substance use and pain control but may not know all the facts or strategies to keep themselves and their loved ones safe. Asking patients without judgment about how they control pain and use substances can open communication between patients and healthcare providers.
Radical Rapport is a dynamic, trauma-informed training/presentation designed to help harm reduction providers and health professionals build deeper trust with Black, Brown, Indigenous and LGBTQ+ communities. Through reflection, skill-building, and cultural humility, Dr. Vivid guides participants toward creating safer spaces rooted in affirmation, not assumption. This training centers identity, orientation, expression, plant medicine, and spiritual healing as vital to holistic harm reduction.
Black women at are increased risk HIV of infection compared to women in general. In 2022 in Alabama, over half of HIV people living with HIV were Black, almost a quarter were women, and 1 in 5 were unaware of their status. This data supports a need for HIV prevention interventions among youth and adults in the state.
This session explores how cultural competency and community-based participatory practice (CBPP) models are being implemented to center community voices and ensure public health interventions are both relevant and affirming. Strategies include peer-led engagement, wellness-themed mini-balls, and house-based dialogues that allow for honest conversations around HIV, stigma, and care. Participants will be introduced to the CBPP model and the Cultural Competence Continuum as guiding frameworks for equity-driven outreach.
This session will provide creative ways to go beyond the clinic walls to reach the underserved population. To teach individuals "Out of the box thinking" to get them introduced to PreP and HIV treatment.
This session explores how sex-positive, pleasure-centered approaches enhance HIV and STI prevention – especially for people living with HIV and communities greatly impacted by HIV. We discuss the benefits of this approach and highlight an innovative initiative based in community voices and engagement: San Francisco Department of Public Health (SFDPH)’s Have Good Sex campaign, which promotes sexual empowerment, inclusivity, and self-directed care through home-based testing. Centering the needs of communities disproportionately impacted by HIV, this program affirms sexual health and well-being through messaging that centers pleasure and autonomy.
This session will share retrospective results from SHIF’s 8 Year history, as well as SHIF’s community engagement strategies, developed to intentionally address the common mismatch between public health programs and community needs that often hamper impact. This session will both describe SHIF’s robust community engagement strategies, as well as recommendations to adapt such strategies for similar programming.
This presentation will provide an in-depth overview of our agency’s innovative street outreach strategies for HIV prevention and treatment across Texas. We focus on connecting with populations often labeled as “hard to reach” through a combination of trauma-informed care and peer navigation, designed to foster trust and engagement. Our approach prioritizes immediacy—once we identify individuals in need, we work to link them to HIV care or initiate PrEP within 24 hours, and often on the same day. We are leading the effort for prompt diagnosis and linkage to care in Texas when individuals in many areas have to wait days, even weeks, for a doctor's appointment.
This session explores the experience of Us Helping Us while equipping participants with the tools and strategies to overcome barriers to HIV prevention by developing effective, community-centered PrEP services. Facilitators will guide attendees through experiential learning and hands-on activities, demonstrating how to establish partnerships, develop tailored PrEP protocols, and address common challenges such as client engagement, stigma, and resource constraints in a resource-limited setting. By the end of this interactive session, participants will be prepared to transform their respective organizations into a "one-stop shop" that eliminates access barriers and contributes to the goal of ending the HIV epidemic by 2030.
In 2023, 1,686 people were newly diagnosed with HIV in New York City, with Brooklyn reporting the highest rate and 19% concurrent AIDS diagnoses. To address these disparities, the NYU Langone Family Health Centers’ Community Medicine Program (CMP)—a collaboration with the NYC shelter system—integrated medical services directly within shelters to improve outcomes among unstably housed individuals. After piloting a part-time patient navigator to support HIV-positive patients with linkage and retention in care, the program demonstrated early success and secured a grant in December 2024 to expand into a status-neutral navigation model.
Information on credits offered to SYNC participants for attending institutes, sessions, and plenaries — live or in-person — is available here.
Commercial Support Acknowledgement
This conference is supported, in part, by independent educational grants from ineligible companies. A full list of supporters is available here. All accredited content has been developed and delivered in accordance with the ACCME Standards for Integrity and Independence and the criteria of Joint Accreditation for Interprofessional Continuing Education™, and is free of commercial bias.
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