- Adolescent Sexual and Reproductive Health
- HIV/AIDS Research and Interventions
- HIV, Drug Use, Sexual Risk
- Sex work and related issues
- Global Maternal and Child Health
- Poverty, Education, and Child Welfare
- Intimate Partner and Family Violence
- Substance Abuse Treatment and Outcomes
- Homelessness and Social Issues
- Hepatitis C virus research
- HIV Research and Treatment
- Food Security and Health in Diverse Populations
- Hepatitis B Virus Studies
- Respiratory viral infections research
- HIV/AIDS Impact and Responses
- SARS-CoV-2 detection and testing
- Reproductive Health and Contraception
- Health Policy Implementation Science
- Behavioral Health and Interventions
- Statistical Methods and Bayesian Inference
- Bayesian Methods and Mixture Models
- Demographic Trends and Gender Preferences
- Prenatal Substance Exposure Effects
- Census and Population Estimation
- SARS-CoV-2 and COVID-19 Research
San Diego State University
2015-2024
Makerere University
2010-2024
Center for Interdisciplinary Studies
2019
Yale University
2019
Brown University
2007-2018
UConn Health
2013-2016
Rhode Island Hospital
2007-2016
University of Connecticut
2005-2015
John Brown University
2007-2015
Harvard Global Health Institute
2013
A motivational/individual differences model of infidelity is proposed in the course empirically evaluating traditional dichotomy between emotional and sexual motives. scale assessing motivations for was developed administered to 432 college students, 120 whom reported past dating infidelity. Four were identified associated as predicted with Big Five other trait constructs; Sex by male gender, lower age, unrestricted sociosexual orientation (SO); Dissatisfaction female gender Extraversion;...
According to prospect theory (A. Tversky & D. Kahneman, 1981), messages advocating a low-risk (i.e., easy, low-cost) behavior are most effective if they stress the benefits of adherence (gain framed), whereas risky costs nonadherence (loss framed). Although condom use is viewed as behavior, it may entail interpersonal negotiations. Study 1 (N = 167) compared ratings relational behaviors (e.g., discussing condoms) or health carrying condoms). As predicted, loss-framed and gain-framed received...
Objectives: The objectives of this study were to assess the prevalence unprotected sex and examine association between alcohol consumption before among HIV-positive individuals in Cape Town, South Africa. Methods: For 42 days, daily phone interviews assessed sexual behavior consumption. Logistic Poisson generalized estimating equation models used associations subsequent sex. Results: During which yielded 3035 data points, 58 women 24 men drank an average 6.13 drinks when they reported 4927...
Intimate partner violence (IPV), alcohol use, and depression are key vulnerabilities for HIV in Uganda, taken together may have a synergistic effect on risk. Our objective was to investigate the associations between depression, IPV, use HIV-risk indicators among sample of outpatients rural co-occurrence these factors indicators.In structured interview we collected data high-risk sexual behavior, symptoms, emotional physical as well blood syphilis tests urine chlamydia gonorrhea from 325 male...
Objective: To evaluate the feasibility, fidelity, and effectiveness of a human immunodeficiency virus (HIV) prevention intervention delivered to HIV-infected patients by counselors during routine clinical care in KwaZulu-Natal, South Africa. Methods: A total 152 patients, aged 18 years older, receiving at an urban hospital Africa, were randomly assigned or standard-of-care control counselors. Intervention implemented brief risk reduction each encounter help reduce their unprotected sexual...
Abstract Background Married adolescent girls are vulnerable to risky sexual and reproductive health outcomes. We examined the association of fertility pressure from in-laws’ early in marriage with contraceptive use ever, parity, time until first birth, couple communication about family size, among married girls. Methods Data were taken a cross-sectional survey aged 15–19 years (N = 4893) collected September 2015 July 2016 Bihar Uttar Pradesh, India. Multivariable regression assessed...
Most models of health behavior change applied to condom use have focused on individual differences in theoretical constructs explain or non-use, while ignoring the possibility that day-to-day within-person changes these may contribute understanding this behavior.Using a daily process approach, present study investigated if attitudes, self-efficacy and behavioral intentions vary day-to-day, variability predicts behavior, negative affective states help variability.Sexually-active college...
HIV and risky alcohol use are intertwined public health issues in sub-Saharan Africa. Research supports the association between unprotected sex, but there is limited data using event-level analysis to examine this relationship. Using from Demographic Health Surveys AIDS Information collected 8 African countries (Kenya, Lesotho, Mozambique, Rwanda, Swaziland, Tanzania, Zambia, Zimbabwe) drunkenness (reporting male partner or both female being drunk during last sexual intercourse) at sex was...
This study explored the intersection of masculinity and HIV care engagement among fishermen other male fisherfolk on antiretroviral therapy (ART) in Wakiso District, Uganda. We conducted 30 in-depth interviews with men ART recruited from treatment sites used a thematic analysis approach. Since diagnosis initiation, had adopted masculine identities more conducive to engagement. The roles worker provider, husband sexual partner appearance physical strength were compromised by HIV, but restored...
We assessed the incidence and predictors of unprotected sex among 152 HIV-positive patients in clinical care KwaZulu-Natal, South Africa. Nearly 50% were sexually active; 30% those reported sex. Alcohol use during sex, reporting forced with a perceived partner, casual partner predicted more whereas HIV status disclosure was related to less These findings highlight need for linking prevention
Provider-initiated routine HIV testing is being scaled up throughout the world, however, little known about outcomes of on subsequent behavior. This study examined initial provider-initiated at a rural Ugandan hospital regarding partner testing, sexual risk behavior, disclosure, and care seeking. In prospective cohort study, 245 outpatients receiving completed baseline 3-month follow-up interviews. After percentage participants engaging in risky sex decreased from 70.1% to 50.3% among...
In Uganda, increasing male involvement in reproductive health services may improve women’s access to care. The purpose of this study was explore factors influencing support for and elicit suggestions strategies increase involvement. 2008–2009, focus groups ( N = 76) were conducted with men women a rural hospital Uganda. A content analysis approach used data analysis. Our findings point the need multi-level approaches that educate mobilize men, while improving quality care at facility level services.