A5029974191- HIV/AIDS Research and Interventions
- Adolescent Sexual and Reproductive Health
- HIV, Drug Use, Sexual Risk
- Sex work and related issues
- HIV/AIDS Impact and Responses
- Poverty, Education, and Child Welfare
- HIV Research and Treatment
- Intimate Partner and Family Violence
- Reproductive Health and Contraception
- Reproductive tract infections research
- Global Maternal and Child Health
- Food Security and Health in Diverse Populations
- Child Abuse and Trauma
- Maternal Mental Health During Pregnancy and Postpartum
- Hip and Femur Fractures
- Homelessness and Social Issues
- LGBTQ Health, Identity, and Policy
- Bone health and osteoporosis research
- Healthcare Systems and Reforms
- Migration, Health and Trauma
- Demographic Trends and Gender Preferences
- Patient Satisfaction in Healthcare
- Migration and Labor Dynamics
- Ethics and Legal Issues in Pediatric Healthcare
- Medical Coding and Health Information
Columbia University
2016-2025
New York Psychoanalytic Society and Institute
2016-2025
National Institute of Mental Health
2024
New York State Psychiatric Institute
2002-2023
Columbia University Irving Medical Center
2016-2023
South African Medical Research Council
2006-2023
University of Virginia
2020
Hunter College
2013
Meharry Medical College
2013
Gay Men's Health Crisis
2011
Although even in the elderly most falls are not associated with fractures, over 90 percent of hip fractures result a fall. Few studies have assessed whether risk factors for also important fracture.To examine importance epidemiology fracture, we performed case-control study 174 women (median age, 80 years) admitted first fracture to 1 30 hospitals New York and Philadelphia. Controls, matched case patients according age hospital, were selected from general surgical orthopedic hospital...
The relationship between depressive symptom scores on the Center for Epidemiological Studies Depression Scale (CES-D; L. S. Radloff, 1977) at each trimester of pregnancy and a decrement in either fetal growth or gestational duration was evaluated among 666 pregnant women. There no association overall, but 222 women from lower occupational status households, unit increase CES-D 28 weeks gestation associated with reduction 9.1 g (95% confidence interval [CI] = -16.0, -2.3)...
Although more than 1 percent of black women 80 years age or older have hip fractures each year, little is known about risk factors for fracture in these women.
Timely antiretroviral therapy (ART) initiation requires early diagnosis of human immunodeficiency virus (HIV) infection with prompt enrollment and engagement in HIV care.We examined programmatic data on 334 557 adults enrolling care, including 149 032 who initiated ART during 2006-2011 at 132 facilities Kenya, Mozambique, Rwanda, Tanzania. We trends advanced disease (CD4+ count <100 cells/μL or World Health Organization stage IV) determinants initiation.Between 2006-2011, the median CD4+...
Recommendations suggest that older children and adolescents perinatally infected with HIV (PHIV+) be informed of their diagnosis; however, delayed disclosure is commonly reported. This study examined the prevalence timing to PHIV+ associations between psychological functioning other behavioral outcomes. Recruitment took place at four medical centers in New York City December 2003 2008. sample included data from 196 youth caregivers: 50% were male, 58% African American, 42% Hispanic, a mean...
Background: One barrier to wider preexposure prophylaxis (PrEP) availability is uncertainty about the most appropriate providers and practice settings for offering PrEP. Methods: The authors conducted in-depth interviews with 30 clinicians—primary care HIV specialists—in New York City (NYC) region explore issues related PrEP rollout, including who should provide it in what settings. Results: A diverse group favored non-HIV specialty order reach high-risk HIV-negative individuals. Yet, each...
This study assessed the short- and long-term effect of a gender-specific group intervention for women on unsafe sexual encounters strategies protection against HIV/STD infection. Family planning clients (N = 360) from high HIV seroprevalence area in New York City were randomized to an eight-session, four-session or control condition followed at one, six 12 months post-intervention. Using intention-to-treat analysis, who assigned eight-session had about twice odds reporting decreased no...
Numerous epidemiological studies of various kinds stress and preterm delivery have produced either negative or weakly positive results. Those inconclusive findings could be because the absence an association recognised methodological problems that may masked association. The biological plausibility hypothesis provides one rationale for continuing research, using better study designs. To further this agenda, we propose model, based on classic "host, environment, agent" triangle causality....
Gender inequalities in relationship power may promote unprotected sexual intercourse. The goal of this study was to gain insight into the specific gender dynamics intimate relationships rural South African young adults that contribute risk for HIV infection. Using diary methods, 25 female and male secondary school students Africa provided daily reports (N = 1000) over a 3-week timeframe, including details regarding 466 interactions. Inconsistent condom use more likely which partner had ever...
Journal Article Psychosocial Concerns In the Medical Encounter: A Comparison of Interactions Doctors with Their Old and Young Patients Get access Michele G. Greene, DrPH, DrPH Assistant Professor 2Department Health Nutrition Sciences, Brooklyn CollegeBrooklyn, N. Y. 11210 Search for other works by this author on: Oxford Academic PubMed Google Scholar Susie Hoffman, MPH, MPH Research Associate 3Division General Medicine, College Physicians Surgeons, Columbia UniversityNew York, N.Y. 10032...
Little is known about how condoms and other contraceptives influence women's sexual enjoyment, which could shape use patterns.Data from an online study of health functioning were used to examine three categories contraceptive - hormonal method only, primarily, dual help predict decreased pleasure associated with overall satisfaction in the past 4 weeks.In analyses controlling for age, relationship length, variables, male most strongly pleasure, whether alone or conjunction methods. Women who...
In this phase I safety trial of tenofovir gel, a candidate vaginal microbicide for human immunodeficiency virus (HIV) prevention, mixed-methods design was used to gather acceptability data among women participants. The impact factors on use the gel and relationship between qualitative quantitative are explored. Participants included low-risk, HIV-uninfected, clinically stable HIV-infected women. were enrolled into cohorts stratified by HIV serostatus, sexual activity, concentration,...
Most HIV-positive persons in sub-Saharan Africa initiate antiretroviral therapy (ART) with advanced infection (late ART initiation). Intervening on the drivers of late initiation is a critical step towards achieving full potential HIV treatment scale-up. This study aimed to identify modifiable factors associated Ethiopia.From 2012 2013, Ethiopian adults (n=1180) were interviewed within two weeks initiation. Interview data merged care histories assess correlates (CD4+ count <150 cells/µL or...
HIV acquisition among adolescents and young adults (AYA, 15-24 years) is influenced by individual factors, community public policies programs. We explored the association of incidence prevalence with these factors over time AYA in Rakai, Uganda. examined trends nine survey rounds (2005-2020) Rakai Community Cohort Study (RCCS), an open population-based surveillance cohort individuals living 30 continuously followed communities south-central Uganda (n= 35,938 person rounds). evaluated...
Background: Preventing HIV infections among adolescents and young adults (AYA) is crucial for curtailing the epidemic. Oral pre-exposure prophylaxis (PrEP) a highly effective prevention method increasingly available to this age group in sub-Saharan Africa but population-based data on awareness use of PrEP AYA remains limited. Methods: Analyzing survey from two rounds Rakai Community Cohort Study, an open, cohort, we estimated prevalence ratios associating various sociodemographic...
HIV pre-exposure prophylaxis (PrEP) is underutilized in the United States. Emergency Departments (EDs) can be strategic locations for initiating PrEP; however, knowledge concerning patients' receptivity to ED PrEP programs limited. This study explores perspectives on service delivery and their preferences implementation. Semi-structured qualitative interviews were conducted with 15 potentially PrEP-eligible patients examine receptiveness services, methods, logistical considerations. Most...