A5000560308- HIV/AIDS Research and Interventions
- Adolescent Sexual and Reproductive Health
- Food Security and Health in Diverse Populations
- Smoking Behavior and Cessation
- Ethics in medical practice
- HIV, Drug Use, Sexual Risk
- Ethics in Clinical Research
- Sex work and related issues
- Public Health Policies and Education
- Racial and Ethnic Identity Research
- Diversity and Career in Medicine
- Reproductive Health and Technologies
- HIV Research and Treatment
- Ethics and Legal Issues in Pediatric Healthcare
- Global Health Workforce Issues
- Health Policy Implementation Science
- Cervical Cancer and HPV Research
- Biomedical Ethics and Regulation
- Global Cancer Incidence and Screening
- Reproductive Health and Contraception
- Health Literacy and Information Accessibility
- Maternal Mental Health During Pregnancy and Postpartum
- BRCA gene mutations in cancer
- Prenatal Screening and Diagnostics
- Race, Genetics, and Society
Baylor College of Medicine
2021-2025
Institute of Medical Ethics
2021-2025
National Human Genome Research Institute
2024
Office of the Director
2024
University of Louisville
2024
Johns Hopkins University
2022
University of Alabama at Birmingham
2018-2021
Baylor University
2021
University of Illinois Chicago
2014-2020
Alabama Department of Public Health
2020
African Americans are disproportionately affected by COVID-19-related disease and mortality due to long-standing social, political, economic, environmental injustice; COVID-19 inequities exacerbated institutional distrust. In the absence of trust, public health authorities have not adequately fulfilled their professional ethical obligations protect American communities from negative effects COVID-19. As distrust is shaped individual collective experiences untrustworthiness, we propose a...
Recent calls to address racism in bioethics reflect a sense of urgency mitigate the lethal effects lack action. While field was catalyzed largely response pivotal events deeply rooted and other structures oppression embedded research health care, it has failed center racial justice its scholarship, pedagogy, advocacy, practice, neglected integrate anti-racism as central consideration. Academic programs play key role determining field's norms practices, including methodologies, funding...
People living with human immunodeficiency virus (HIV)/AIDS (PLWHA) have a substantially higher prevalence of cigarette smoking compared to the general population. In addition, PLWHA are particularly susceptible adverse health effects smoking. Our primary objective was design and test efficacy over 12 months cessation intervention targeting PLWHA.
Optimal retention in HIV care postpartum is necessary to benefit the health and wellbeing of mothers their infants. However, among low-income women suboptimal, particularly Southern United States. A mixed-methods study was conducted identify factors associated with HIV-infected women. Participants (n=35) were recruited during pregnancy at two county clinics completed self-report demographic psychosocial surveys. Twenty-two who returned for a appointment semi-structured interview about...
Among places where people living with HIV experience and anticipate HIV-related stigma, stigma in health care settings may be particularly harmful. Utilizing an exploratory sequential mixed methods approach, we conducted interviews (n = 76) questionnaires (N 460) older adult women enrolled the Women's Interagency Study Birmingham, AL; Jackson, MS; Atlanta, GA; San Francisco, CA. Interviews addressed facilitators barriers to treatment adherence, including stigma. Qualitative data were coded...
Adherence to antiretroviral therapy (ART) has markedly improved HIV disease management, and significantly reduced HIV/AIDS-associated morbidity mortality. Although recent studies suggest a relationship between smoking suboptimal adherence ART, more in-depth understanding of this is needed. We conducted secondary analysis using data from randomized controlled cessation trial investigate the association nonadherence ART with potential demographic, psychosocial (perceived stress depression),...
African American women bear a disproportionate burden of HIV/AIDS in the United States.Although they constitute only 13% US population, Americans account for nearly 65% all new HIV infections among women.In addition, this population suffers comparatively greater adverse health outcomes related to status.African living with South may be further burdened by HIV/ AIDS stigma, which is more pronounced region.To explore burden, we used narrative data and Social Ecological Model how recount,...
HIV-related stigma undermines HIV prevention, testing, and treatment. Multipronged risk-reduction strategies may reduce among African American adolescents. To test the effectiveness of a strategy in addressing stigma, 1613 adolescents from four mid-sized cities participated randomized control trial. Participants received sexual-risk reduction [Focus on Youth (FOY)] or general health curriculum [Promoting Health Among Teens (PHAT)]. Two culturally-tailored media intervention. completed...
Resilience is defined as the ability and process to transform adversity into opportunities for growth adaptation. may be especially important people living with HIV (PLWH), who are susceptible anxiety depressive disorders, which commonly linked risk behaviors (i.e., alcohol drug abuse), poor adherence medical regimens, increased of morbidity mortality, related stigma discrimination. To date, few studies have examined impact resilience on health-related outcomes among PLWH, particularly...
In recent years, phylogenetic analysis of HIV sequence data has been used in research studies to investigate transmission patterns between individuals and groups, including from prevention clinical trials, molecular epidemiology, public health surveillance programs. Phylogenetic can provide valuable information inform efforts, but it also risks, stigma marginalization or potential identification individuals. response these concerns, an interdisciplinary working group was assembled address...
As a field concerned with ethical issues in health and care, particularly how structures, policies, practices unfairly advantage some disadvantage others, bioethics has moral obligation to address the long-standing challenges that racism posed overall well-being of Black, Indigenous, Latinx people other color. Arguably, premature death disease disproportionately affecting Black Americans well-documented association such illness are have not gained due attention bioethics. This multiauthored...
In this narrative medicine essay, a bioethicist deliberates about whether she should consent to an autopsy following her mother’s sudden death advance science or decline honor, respect, and protect her.
Background: This study examines the views of bioethicists in US and Canada on incorporating social justice into their work field more broadly. Methods: Through an iterative process with leaders bioethics, we created a survey distributed it via bioethics listservs individual emails. Results: Ultimately, received responses from 355 Canada. Respondents showed strong support for integrating concerns, 80% endorsing its inclusion 75% believing should be key aim scholarship. However, engagement...
Despite the demonstrated effectiveness of preexposure prophylaxis (PrEP) to reduce incident HIV infections, PrEP’s potential as an prevention strategy for adolescent populations is unknown. This study assessed perceptions PrEP use and clinical trial participation among African American women their daughters. We conducted focus group discussions with 15 mother/daughter pairs ( N = 30). Findings suggest a general lack awareness, favorable attitudes toward use, altruistic regarding research...
Black/African-American girls are infected with sexually transmitted infections (STIs) at higher rates than their White counterparts. This study tested the efficacy of IMARA, a mother-daughter psychosocial STI/HIV prevention program, on adolescent girls' incident STIs 12 months in 2-arm group randomized controlled trial. 14–18 years old and primary female caregiver were eligible for study. Girls provided urine samples to test N. gonorrhoeae, C. trachomatis, T. vaginalis infection baseline...
Significantly elevated rates of cervical cancer and low Papanicolaou (Pap) smear screening have been documented among HIV-infected women. However, little is known about women's perceptions utilization. Hence, this study describes barriers facilitators related to in a sample women seeking care at an integrated HIV clinic Houston, Texas. Using inductive qualitative methodological approach, data were obtained from five focus group discussions with total 33, The majority the consisted who...
Ending the HIV epidemic requires that women living with (WLWH) have access to structurally competent HIV-related and other health care. WLWH may not regularly engage in care due inadequate quality; however, women's perspectives on quality of they receive are understudied. We conducted 12 focus groups three in-depth interviews Black (90%) Latina (11%) enrolled Women's Interagency Study Atlanta, GA, Birmingham, AL, Brooklyn, NY, Chapel Hill, NC, Chicago, IL, Jackson, MS from November 2017 May...
COVID-19 has created a rapidly evolving public health crisis disproportionately impacting African Americans due to persistent inequities. The changing guidelines have resulted in concerns expressed by the American public, including unique Americans. To increase COVID-19-related awareness and dialogue among community, University of Alabama at Birmingham School Public Health Housing Association District convened virtual town hall. This process stakeholder engagement underscored importance...