Shayna D. Cunningham

ORCID: 0000-0001-8876-9962
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About
Contact & Profiles
Research Areas
  • Pelvic floor disorders treatments
  • Adolescent Sexual and Reproductive Health
  • Urinary Bladder and Prostate Research
  • Urinary Tract Infections Management
  • Maternal Mental Health During Pregnancy and Postpartum
  • Maternal and Perinatal Health Interventions
  • HIV/AIDS Research and Interventions
  • Food Security and Health in Diverse Populations
  • Health Policy Implementation Science
  • Global Maternal and Child Health
  • HIV, Drug Use, Sexual Risk
  • Breastfeeding Practices and Influences
  • Primary Care and Health Outcomes
  • Gestational Diabetes Research and Management
  • Health disparities and outcomes
  • Obesity, Physical Activity, Diet
  • Child Abuse and Trauma
  • Maternal and fetal healthcare
  • Sex work and related issues
  • Healthcare Policy and Management
  • Community Health and Development
  • Public Health Policies and Education
  • Assisted Reproductive Technology and Twin Pregnancy
  • Homelessness and Social Issues
  • Family and Disability Support Research

University of Connecticut
2021-2025

University of Pennsylvania
2020-2024

Sage Therapeutics (United States)
2024

Yale University
2014-2023

UConn Health
2021-2023

Sigma Theta Tau International
2022

Johnson & Johnson (Sweden)
2022

Community Impact
2022

Johnson & Johnson (United States)
2022

Cornell University
2022

We compared an evidence-based model of group prenatal care to traditional individual on birth, neonatal, and reproductive health outcomes.We performed a multisite cluster randomized controlled trial in 14 centers New York City (2008-2012). analyzed 1148 pregnant women aged 21 years, at less than 24 weeks gestation, not high obstetrical risk. assessed outcomes via medical records surveys.In intention-to-treat analyses, intervention sites were significantly likely have infants small for...

10.2105/ajph.2015.302960 article EN American Journal of Public Health 2015-12-21

<b>Objectives:</b> To determine the association between stigma and shame about having a sexually transmitted disease adolescents' past STD related care seeking; stigma, shame, perceptions disclosure of sexual behaviours to doctor or nurse; whether seeking was moderated by disclosure. <b>Methods:</b> A household sample 142 active African-American youths, 13–19 years old, questioned (alpha = 0.89), 0.90), nurse 0.81). <b>Results:</b> Among females, associated with increased anticipation...

10.1136/sti.78.5.334 article EN Sexually Transmitted Infections 2002-10-01

CONTEXT: Important barriers to STD testing may include individuals' perceptions of STD‐related stigma (negative societal attitudes toward infection) and expectations shame personal feelings) that would result from a positive test. Obtaining clear understanding the relationship between stigma, help inform programs policies aimed at reducing transmission. METHODS: Measures derived previously published scales were used assess perceived anticipated receipt an test in past year urban, household...

10.1363/4122509 article EN Perspectives on Sexual and Reproductive Health 2009-12-01

A wide variety of underused effective HIV prevention programs exist. This article describes sources for obtaining such and issues to consider in selecting an existing program use with one's priority population. It also discusses seven steps involved adapting meet the needs a new context while preserving core components (what made, or is believed have intervention first place) best practices (characteristics common programs). Although examples presented are from field, seven-step framework...

10.1177/1524839909348592 article EN Health Promotion Practice 2009-10-26

In this study HIV health-related quality of life (HIV-HRQOL) is examined among 179 behaviorally infected adolescent and young adult women. Modifiable psychosocial variables including depression, stigma, social support, illness acceptance, the biological end-points CD4 cell count viral load were explored in relation to HIV-HRQOL. The three factors HIV-HRQOL measure include current satisfaction, related anxiety burden. Bivariate linear regression analysis demonstrated statistically significant...

10.1521/aeap.2011.23.4.367 article EN AIDS Education and Prevention 2011-08-01

Group prenatal care is a promising strategy to improve perinatal outcomes. Research in larger more diverse populations with attention adherence needed inform clinical practice recommendations. We examined the impact of group on preterm birth and low weight large metropolitan hospital, accounting for patient adherence, over an 8.5-year period.We analyzed data from 9,348 pregnant women live, singleton who received (CenteringPregnancy or Expect With Me) individual at Vanderbilt University...

10.1089/jwh.2017.6817 article EN Journal of Women s Health 2018-09-26

This applied paper is intended to serve as a “how to” guide for public health researchers, practitioners, and policy makers who are interested in building conceptual models convey their ideas diverse audiences. Conceptual can provide visual representation of specific research questions. They also show key components programs, practices, policies designed promote health. may improved guidance prevention intervention efforts if they based on frameworks that integrate social ecological...

10.1177/1524839919890869 article EN Health Promotion Practice 2020-01-07

Abstract Background Maternal health outcomes in the USA are far worse than peer nations. Increasing implementation research maternity care is critical to addressing quality gaps and unwarranted variations care. Implementation priorities have not yet been defined or well represented plans for maternal investments USA. Methods This descriptive study used a modified Delphi method solicit rank at intersection of science through two sequential web-based surveys. A purposeful, broad sample...

10.1186/s43058-023-00461-z article EN cc-by Implementation Science Communications 2023-07-21

Depressive symptoms are associated with preterm birth among adults. Pregnant adolescents have high rates of depressive and low treatment; however, few interventions targeted this vulnerable group. Objectives to: (a) examine impact CenteringPregnancy® Plus group prenatal care on perinatal compared to individual care; (b) determine effects gestational age pregnant adolescents.This cluster-randomized controlled trial was conducted in 14 community health centers hospitals New York City. Clinical...

10.1037/ccp0000191 article EN other-oa Journal of Consulting and Clinical Psychology 2017-03-13

To have public health impact, evidence-based interventions (EBIs) must be implemented appropriately at meaningful scale. The Center for Disease Control and Prevention’s Replicating Effective Programs Diffusion of Behavioral Interventions programs disseminate select EBIs by providing program materials training providers on their appropriate use implementation. Sociometrics’ HIV/AIDS Prevention Program Archive (HAPPA) Sexuality, Health, Adolescents (PASHA) are likewise the largest EBI...

10.1186/1748-5908-9-5 article EN cc-by Implementation Science 2014-01-06

Despite biomedical advances and intervention efforts, rates of preterm birth other adverse outcomes in the United States have remained relatively intransigent. Evidence suggests that group prenatal care can reduce these risks, with implications for maternal child health as well substantial cost savings. However, widespread dissemination presents challenges, part because training systems not been designed to deliver a setting. This manuscript describes design evaluation Expect With Me, an...

10.1186/s12884-017-1327-3 article EN cc-by BMC Pregnancy and Childbirth 2017-05-18

Area-level deprivation is associated with multiple adverse birth outcomes. Few studies have examined the mediating pathways through which area-level affects these The objective of this study was to investigate association between and preterm birth, examine effects maternal medical, behavioural, psychosocial factors. We conducted a retrospective cohort using national, commercial health insurance claims data from 2011, obtained Health Care Cost Institute. derived principal components methods...

10.1186/s12889-019-6533-7 article EN cc-by BMC Public Health 2019-02-27

Geographic information system (GIS) analysis is an emerging tool for public health intervention planning. Connect to Protect, a researcher-community collaboration working in 15 cities reduce HIV infection among youths, developed GIS databases of local health, crime, and demographic data evaluate the geographic epidemiology sexually transmitted infections risk adolescents. We describe process problems acquisition, analysis, mapping development structural interventions, demonstrating how...

10.2105/ajph.2005.076851 article EN American Journal of Public Health 2007-09-28

Intimate partner violence (IPV) during pregnancy is associated with adverse maternal and child health outcomes, including poor mental health. Previous IPV research has largely focused on women's victimization experiences; however, evidence suggests young women may be more likely to engage in bilateral (report both perpetration) or perpetrate (unilateral than report being victimized victimization). This study examined prevalence of unilateral victimization, perpetration, violence, the...

10.1186/s12884-019-2256-0 article EN cc-by BMC Pregnancy and Childbirth 2019-04-25

Introduction: Toileting behaviors are recognized as potential contributors to lower urinary tract symptoms (LUTS) in women. This study examines the association between toileting and LUTS among community-dwelling women whether age modifies these associations. Methods: Cross-sectional analyses were conducted using baseline data from a population-based cohort study, RISE FOR HEALTH (RISE). Women completed validated questionnaires assessing (Toileting Behaviors-Women's Elimination Behaviors...

10.1089/jwh.2024.0743 article EN Journal of Women s Health 2025-03-03

Evidence suggests that, despite routine engagement with the health system, pregnant women commonly seek emergency care. The objectives of this study were to examine association between maternal comorbidities and department (ED) use among a national sample commercially insured women.We conducted retrospective cohort using multipayer medical claims data maintained by Health Care Cost Institute for ages 18 44 years live singleton birth in 2011 (N = 157,786). common (e.g., hypertension,...

10.1111/acem.13215 article EN Academic Emergency Medicine 2017-05-04

Objective Older, relatively small studies identified female sex as a risk factor for adverse events after catheter ablation atrial fibrillation (AF). We aimed to assess contemporary sex-based differences in baseline and procedural characteristics, events, quality of life among adults undergoing AF. Methods In this observational cohort study, we evaluated those enrolled the National Cardiovascular Data Registry AFib Ablation between January 2016 September 2020. Using logistic regression,...

10.1136/heartjnl-2022-321192 article EN Heart 2022-09-14

You have accessJournal of UrologyAdult Urology4 May 2024Lower Urinary Tract Symptoms in US Women: Contemporary Prevalence Estimates from the RISE FOR HEALTH Study Siobhan Sutcliffe, Chloe Falke, Cynthia S. Fok, James W. Griffith, Bernard L. Harlow, Kimberly A. Kenton, Cora E. Lewis, Lisa Kane Low, Jerry Lowder, Emily Lukacz, Alayne D. Markland, Gerald McGwin, Melanie R. Meister, Elizabeth Mueller, Diane K. Newman, Ratna Pakpahan, Leslie M. Rickey, Todd Rockwood, Melissa Simon, Abigail Smith,...

10.1097/ju.0000000000004009 article EN The Journal of Urology 2024-05-04
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