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Member Information
Barbara J. Turner, MD
Professor, Department of Medicine
Office Phone: 215-898-2022
Office Fax: 215-873-8779
Email: bturner@mail.med.upenn.edu
Website(s):
Education: MD 1978, University of Pennsylvania
Keywords: Adherence to Antiretroviral Therapy; Access to Care; Gender Inequities; Substance Abuse and HIV, HIV and Hepatitis C Diagnosis and Treatment
Research and/or Clinical Interests:
My research has focused on examining patient and health care factors associated with improved clinical outcomes and improved access to care for vulnerable populations with HIV.
Summary:
My recent HIV research focus is on improving diagnosis and access to treatment for persons with HIV and hepatitis C. On the inpatient general medicine and trauma services at HUP and Presbyterian, our group has found that the seroprevalence of apparently undiagnosed HIV infection is over 3% in early winter months of 2001-02. In a second study, we found that the seroprevalence of apparently undiagnosed HCV infection was 8% in patients admitted to these services in the fall of 2002. We are pursuing further work to evaluate approaches to promote routine testing and counseling for HIV and HCV in the general medicine inpatient service and to promote linkage to further evaluation and treatment for those who test positive. Other work by our group is examining the effect of dysthymia and depression as well as substance abuse on access to HAART in women and men with HIV using the HIV Cost and Services Utilization Study data.
Representative Publications:
Turner, B.J., Newschaffer, C.J., Zhang, D., Cosler, L., Hauck, W.W. Antiretroviral use and pharmacy-based measurement of adherence in post-partum HIV-infected women. Medical Care. 38:911-925, 2000.
Turner, B.J., Cunningham, W. E., Duan, N., Andersen, R.M., Shapiro, M.F., Bozzette , S.A. , Nakazono, T., Morton, S., Crystal S., St. Clair, P., Stein, M., Zierler, S., HIV Cost and Services Utilization Study (HCSUS) Access Research Team Members. Delayed medical care after diagnosis in a U. S. national probability sample of HIV-infected persons. Arch Intern Med. 160:2614-22, 2000.
Laine, C.L., Zhang, D., Gourevitch M.N., Rothman, J., Hauck, W.W., Turner, B.J. Association of regular outpatient medical and drug abuse care with hospitalization of persons who use illicit drugs. JAMA. 285:2355-62, 2001.
Turner, B.J., Fleishman, J.A., Wenger, N., London , A.S., Burnam, M.A., Shapiro, M.F., Bing, E.G., Stein, M.D., Longshore, D., Bozzette , S.A. Effects of drug abuse and mental disorders on use and type of antiretroviral therapy in HIV-infected persons. J Gen Intern Med. 16:625-633, 2001..
Turner, B.J., Zhang, D., Laine, C.L., Pomerantz, R.Jl, Cosler, L., Hauck, W.W. Association of provider and patient characteristics with HIV-infected women's antiretroviral therapy regimen. J Acquir Immune Defic Syndr. 27:20-29, 2001.
Turner, B.J. Adherence to antiretroviral therapy by human immunodeficiency virus-infected patients. J Infect Dis. 15;185 Suppl 2:S143-51, 2002.
Laine, C., Zhang, D., Hauck, W.W., Turner, B.J. HIV-1 RNA viral load monitoring in HIV-infected drug users on antiretroviral therapy: relationship with outpatient care patterns. J Acquir Immune Defic Syndr. 29:270-4, 2002.
Laine, C., Hauck, W.W. Turner, B.J. Outpatient pattern of care and longitudinal intensity of antiretroviral therapy for HIV-infected drug users. Medical Care 40:976-995, 2002
Powell-Cope, G., White, J, Henkelman, E., Turner, B.J. Qualitative and quantitative assessments of HAART adherence of substance abusing women. AIDS Care. 15:239-249, 2003
Turner, B.J., Laine, C.L., Cosler, L., Hauck, W.W. Relationship of gender, depression, and health care delivery with antiretroviral adherence in HIV-infected drug users. J Gen Intern Med. 18: 248-257, 2003
