- HIV/AIDS Research and Interventions
- HIV, Drug Use, Sexual Risk
- Adolescent Sexual and Reproductive Health
- Mental Health Treatment and Access
- HIV-related health complications and treatments
- Schizophrenia research and treatment
- Healthcare cost, quality, practices
- Family Caregiving in Mental Illness
- HIV/AIDS drug development and treatment
- Mobile Health and mHealth Applications
- Reproductive Health and Contraception
- Poverty, Education, and Child Welfare
- Maternal Mental Health During Pregnancy and Postpartum
- Venous Thromboembolism Diagnosis and Management
- Healthcare Policy and Management
- Peripheral Artery Disease Management
- Adolescent and Pediatric Healthcare
- Food Security and Health in Diverse Populations
- Diagnosis and Treatment of Venous Diseases
- HIV Research and Treatment
University of North Carolina at Chapel Hill
2019-2025
Objectives: To explore the prevalence of depressive symptoms and associated factors among reproductive-aged women participating in Study Treatment Reproductive outcomes (STAR) cohort. Design: Cross-sectional analysis. Methods: We analyzed baseline data from with HIV (WWH) without (WwoH) but at risk for enrolled STAR, a prospective observational cohort six Southern U.S. states. used Center Epidemiologic Studies Depression (CES-D) scale to measure symptoms. Crude ratios (PRs) were describe by...
Black adolescent and young adult women (AYAW) in the Southern United States are disproportionately affected by HIV. Pre-exposure prophylaxis (PrEP) is an effective, scalable, individual-controlled HIV prevention strategy that grossly underutilized among of all ages requires innovative delivery approaches to optimize its benefit. Anchoring PrEP health services AYAW already trust, access routinely, deem useful for their sexual may offer ideal opportunity reach at risk enhance uptake adherence....
Youth living with HIV (YLWH) are confronted many self-care challenges that can be experienced as overwhelming in the context of normal developmental processes characterize adolescence and young adulthood. A sizable minority YLWH have unsuppressed viral loads United States attributable to antiretroviral therapy (ART) nonadherence. Interventions promote sustained suppression needed.The aim this study is evaluate efficacy Triggered Escalating Real-Time Adherence (TERA) intervention comparison...
The prevalence of common mental disorders (CMDs) among people living with HIV and who inject drugs is high worldwide in Vietnam. However, few evidence-informed CMD programs for have been adapted use We the Friendship Bench (FB), a problem-solving therapy (PST)-based program that was successfully implemented patients CMDs primary health settings Zimbabwe Malawi on methadone maintenance treatment (MMT) Hanoi,
A sizable portion of youth (ages 13–24) living with HIV in the United States have unsuppressed viral load. The AIDS Interventions (ATN) 152 study [evaluating Triggered Escalating Real-Time Adherence (TERA) intervention] baseline data were examined to identify correlates high viremia (>5000 copies/mL) and self-reported adherence, which can help planning differentiated services for viremic youth. Depression, HIV-stigma, cannabis use common this sample 87 Almost half (48%) had viremia,...
Stigma around human immunodeficiency virus (HIV), injection drug use (IDU), and mental health disorders can be co-occurring have different impacts on the well-being of people living with HIV (PWH) who drugs disorders. This stigma come from society, professionals, internalized stigma. A person has more than one condition experience overlapping health-related levels which prevent them receiving necessary support healthcare, serving to intensify their study investigates HIV, use, stigmas in...
Background Adolescent and young adult women (AYAW), particularly racial ethnic minorities, in the Southern United States are disproportionately affected by HIV. Pre-exposure prophylaxis (PrEP) is an effective, scalable, individual-controlled HIV prevention strategy that grossly underutilized among of all ages requires innovative delivery approaches to optimize its benefit. Anchoring PrEP family planning (FP) services AYAW already trust, access routinely, deem useful for their sexual health...
Depression, anxiety, post-traumatic stress, and alcohol/substance use disorders are prevalent among people with HIV (PWH), commonly co-occur, predict worse care outcomes. Transdiagnostic counseling approaches simultaneously address multiple co-occurring mental health disorders.
Background HIV treatment engagement is critical for people with HIV; however, behavioral health comorbidities and HIV-related stigma are key barriers to engagement. Treatments that address these can be readily implemented in care settings needed. Objective We presented the process adapting transdiagnostic cognitive psychotherapy, Common Elements Treatment Approach (CETA), receiving at a Southern US clinic. Behavioral targets included posttraumatic stress, depression, anxiety, substance use,...
Chronic limb-threatening ischemia (CLTI) is associated with significant morbidity, including major limb amputation, and mortality. Healing ischemic wounds necessary to optimise vascular outcomes can be facilitated by dedicated appointments at a wound clinic. This study aimed estimate the association between successful care initiation 6-month healing, specific attention differences race/ethnicity. retrospective included 398 patients CLTI least one ischaemic who scheduled an appointment our...
<sec> <title>BACKGROUND</title> Black adolescent and young adult women (AYAW) in the Southern United States (US) are disproportionately affected by HIV. Pre-exposure prophylaxis (PrEP) is an effective, scalable, individual-controlled HIV prevention strategy that grossly underutilized among of all ages requires innovative delivery approaches to optimize its benefit. Anchoring PrEP health services AYAW already trust, access routinely, deem useful for their sexual offers ideal opportunity reach...
<sec> <title>BACKGROUND</title> Youth living with HIV (YLWH) are confronted many self-care challenges that can be experienced as overwhelming in the context of normal developmental processes characterize adolescence and young adulthood. A sizable minority YLWH have unsuppressed viral loads United States attributable to antiretroviral therapy (ART) nonadherence. Interventions promote sustained suppression needed. </sec> <title>OBJECTIVE</title> The aim this study is evaluate efficacy...
<sec> <title>BACKGROUND</title> Adolescent and young adult women (AYAW), particularly racial ethnic minorities, in the Southern United States are disproportionately affected by HIV. Pre-exposure prophylaxis (PrEP) is an effective, scalable, individual-controlled HIV prevention strategy that grossly underutilized among of all ages requires innovative delivery approaches to optimize its benefit. Anchoring PrEP family planning (FP) services AYAW already trust, access routinely, deem useful for...
<sec> <title>BACKGROUND</title> The prevalence of common mental disorders (CMDs) among people living with HIV and who inject drugs is high worldwide in Vietnam. However, few evidence-informed CMD programs for have been adapted use We the <i>Friendship Bench</i> (FB), a problem-solving therapy (PST)–based program that was successfully implemented patients CMDs primary health settings Zimbabwe Malawi on methadone maintenance treatment (MMT) Hanoi, </sec> <title>OBJECTIVE</title>...
<sec> <title>BACKGROUND</title> HIV treatment engagement is critical for people with HIV; however, behavioral health comorbidities and HIV-related stigma are key barriers to engagement. Treatments that address these can be readily implemented in care settings needed. </sec> <title>OBJECTIVE</title> We presented the process adapting transdiagnostic cognitive psychotherapy, Common Elements Treatment Approach (CETA), receiving at a Southern US clinic. Behavioral targets included posttraumatic...