A5076077884- HIV/AIDS Research and Interventions
- Adolescent Sexual and Reproductive Health
- HIV, Drug Use, Sexual Risk
- HIV/AIDS Impact and Responses
- LGBTQ Health, Identity, and Policy
- Mental Health Treatment and Access
- Adolescent and Pediatric Healthcare
- Family and Disability Support Research
- Intimate Partner and Family Violence
- Child and Adolescent Psychosocial and Emotional Development
- Family Support in Illness
- Global Maternal and Child Health
- Child Abuse and Trauma
- Health Policy Implementation Science
- Prenatal Substance Exposure Effects
- Counseling Practices and Supervision
- Disability Rights and Representation
- Resilience and Mental Health
- Community Health and Development
- Health, psychology, and well-being
- Cultural Competency in Health Care
- Sexuality, Behavior, and Technology
- Eating Disorders and Behaviors
- Children's Rights and Participation
- Maternal Mental Health During Pregnancy and Postpartum
Columbia University
2017-2024
New York Psychoanalytic Society and Institute
2022-2024
New York State Psychiatric Institute
2022-2024
Johns Hopkins University
2020-2023
Columbia University Irving Medical Center
2023
San Francisco State University
2021
New York University
2021
Boston University
2018-2019
Mental illness is a common comorbidity of HIV and complicates treatment. In Botswana, stigma impedes treatment mental illness. We examined explanatory beliefs about illness, stigma, interactions between among 42 adults, from clinic community settings, via thematic analysis interviews. Respondents endorse witchcraft as predominant causal belief, in addition to drug abuse effects HIV. describe occurring “when the trees blossom,” underscoring conceptualization it seasonal, chronic, often...
Gastrointestinal problems are common in the autism spectrum disorder community and may affect both person with their families. However, little research is available on experiences of families who have a child gastrointestinal symptoms. We held one-on-one interviews 12 parents children had analyzed raw text responses from these identified four main themes. First, shared that trouble verbally communicating when they were experiencing symptoms (Theme 1). This led to use bodily signs, such as...
Objectives. To explore whether beneficial health care policies, when implemented in the context of gender inequality, yield unintended structural consequences that stigmatize and ostracize women with HIV from "what matters most" local culture. Methods. We conducted 46 in-depth interviews 5 focus groups (38 individuals) men living without Gaborone, Botswana, 2017. Results. Cultural imperatives to bear children bring pregnant into contact free antenatal services including routine testing,...
We conducted a pilot trial of an intervention targeting intersectional stigma related to being pregnant and living with HIV while promoting capabilities for achieving 'respected motherhood' ('what matters most') in Botswana. A pragmatic design allocated participants the (N = 44) group treatment-as-usual 15) group. An intent-to-treat, difference-in-difference analysis found had significant decreases (d - 1.20; 95% CI 1.99, 0.39) depressive symptoms 1.96; 2.89, 1.02) from baseline 4-months...
Introduction Some African countries plan to introduce and scale-up new long-acting pre-exposure prophylaxis methods (LA-PrEP), like the monthly dapivirine vaginal ring (PrEP ring) injectable cabotegravir. National costed implementation plans, roadmaps for successful product implementation, are often overlooked. International stakeholders engaged in oral PrEP planning, introduction an information resource of lessons learned advise LA-PrEP planning. We consulted such international synthesised...
Abstract Background For men who have sex with (MSM) across sub-Saharan Africa (SSA), disclosure of same-sex practices to family and healthcare workers (HCWs) can facilitate access HIV prevention services support, but also lead experiences stigma. Methods We performed mixed-effects regressions on pooled data from MSM in Cameroon, Senegal, Côte d’Ivoire, Lesotho, eSwatini assess associations between sexual behavior stigma contexts; we used logistic analyze country-specific data. Results...
Youth living with HIV (YLWH) have higher rates of common mental disorders (CMDs) when compared HIV-negative youth. We adapted the Friendship Bench to create a problem solving-based counselling intervention in Botswana delivered by near peer youth lay counsellors for YLWH called Safe Haven. In August 2020, and from June 2021, we conducted 22 semistructured interviews aged 13-25 years mild-to-moderate symptoms CMDs. Two independent coders carried out an inductive thematic analysis transcribed...
Abstract Background With high rates of HIV and multiple vulnerable subgroups across diverse settings, there is a need for culturally based, stigma reduction interventions. Pregnant women who are living with especially in services to protect not only their own but also children’s lives. Uptake worldwide hindered by towards persons HIV/AIDS. While cultural context plays key role shaping stigma, these insights have yet been fully integrated into strategies. By utilizing the “What Matters Most”...
Because of privacy and ethical concerns, the data cannot be made available because sensitivity HIV relatively small sample ease identifying people if a few demographics are known.Few studies have examined intimate partner violence (IPV) victimization among adolescents young adults (AYAs) with perinatally acquired HIV-infection (PHIV) or perinatal exposure without infection (PHEU) in United States. The purpose this study was to (1) estimate lifetime past-year prevalence IPV (2) examine...
Despite advances in HIV-treatment, adolescents and young adults (AYA) with HIV (AYAHIV) face myriad challenges. They are less likely than children older to be virally suppressed at higher risk for mental health conditions compared their peers who do not have HIV. AYA also developing the context of numerous biomedical, neurocognitive, psychosocial developmental changes. Normative challenges during this time can exacerbated by result significant physical problems. Yet, many AYAHIV shown...
Background: With few psychometrically evaluated HIV-related stigma measures for adolescents and young adults living with HIV, we examined the developmental applicability (ie, validity) of 2 subscales commonly used measure, Social Impact Scale, among a cohort perinatally acquired HIV. Setting: Data were obtained from New York City longitudinal study (N = 340). This primarily comprised Black Latinx either HIV or those perinatal exposure but who are uninfected. this analysis population spanned...
Vietnam is experiencing a growing burden of cancer, including among people living with HIV. Stigma acts as sociocultural barrier to the prevention and treatment both conditions. This study investigates how cultural notions "respected personhood" (or "what matters most") influence manifestations HIV-related stigma cancer in Hanoi, Vietnam.
Abstract This brief report describes key periods in the history of national public health response to human immunodeficiency virus (HIV) epidemic Botswana. It reveals context leading development HIV policies presently place and current challenges that remain. The concludes with opportunities for future directions, initiatives, policy changes reduce high rates HIV.
Despite a comprehensive national program of free HIV services, men living with in Botswana participate at lower rates and have worse outcomes than women. Directed content analysis five focus groups (
Valid measures of sexual violence stigma that can be readily incorporated into program monitoring and evaluation systems are needed to strengthen gender-based (GBV) services in humanitarian emergencies. This study sought assess the psychometric properties, construct validity, measurement invariance scales among female Somali GBV survivors Kenya Syrian Jordan identify an abbreviated scale could used across contexts.We administered 209 aged 15 older Jordan. Exploratory factor analysis was...
Traumatic events (TEs) in early life can precede adult psychopathology. Limited research exists on this relationship young adults with perinatally acquired HIV-infection (PHIV) or perinatal HIV-exposure without infection (PHEU), who often experience social and health disparities. This study examined TEs experienced childhood/adolescence their association psychiatric substance use disorders PHIV PHEU.
Abstract Adolescent mental health (AMH) is a critical driver of HIV outcomes, but often overlooked in research and programming. The implementation science Exploration, Preparation, Implementation, Sustainment (EPIS) framework informed development questionnaire that was sent to global alliance adolescent researchers, providers, implementors working sub-Saharan Africa with the aim (1) describe current AMH outcomes incorporated into within alliance; (2) identify determinants (barriers/gaps)...
In addition to the pervasive anti-Black racism faced by Black people in United States, men who have sex with (BMSM) face sexual minority stigma and, among BMSM living HIV, HIV-related stigma. These multilevel social forces shape networks, which are important sources of resources, support, and behavior regulation. This study quantitatively examined relationship between network characteristics (e.g., homophobia, biphobia), assessed reported concerns around disclosing one's status, Baltimore,...
This article describes the virtual implementation of Photovoice activities conducted as part a project that sought to gather youths’ perspectives on neighborhood and housing conditions, community redevelopment, health well-being in Baltimore. We discuss original in-person design how were implemented virtually, light coronavirus disease 2019 (COVID-19) physical distancing guidelines. Challenges included establishing rapport with youth families during recruitment data collection, encouraging...