Chukwuemeka N. Okafor

ORCID: 0000-0002-6080-4866
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About
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Research Areas
  • HIV/AIDS Research and Interventions
  • HIV, Drug Use, Sexual Risk
  • Cannabis and Cannabinoid Research
  • Homelessness and Social Issues
  • Adolescent Sexual and Reproductive Health
  • Food Security and Health in Diverse Populations
  • HIV Research and Treatment
  • LGBTQ Health, Identity, and Policy
  • Substance Abuse Treatment and Outcomes
  • HIV-related health complications and treatments
  • COVID-19 and Mental Health
  • Sex work and related issues
  • Attention Deficit Hyperactivity Disorder
  • Health disparities and outcomes
  • Opioid Use Disorder Treatment
  • Eating Disorders and Behaviors
  • Neurotransmitter Receptor Influence on Behavior
  • Cervical Cancer and HPV Research
  • Sleep and related disorders
  • Smoking Behavior and Cessation
  • Cardiovascular Health and Risk Factors
  • Global Educational Reforms and Inequalities
  • Nuclear Receptors and Signaling
  • Digital Mental Health Interventions
  • Prenatal Substance Exposure Effects

The University of Texas Health Science Center at San Antonio
2023-2025

Baylor University
2020-2024

University of California, Los Angeles
2017-2020

University of Chicago
2020

Florida College
2016

University of Florida
2013-2016

Baze University
2016

Among millions of people who suffer from schistosomiasis in China, adolescents are at increased risk to be infected. However, there is a lack theory-guided behavioral prevention intervention programs protect these adolescents. This study attempted apply the Protection Motivation Theory (PMT) predicting intentions engage protective behaviors against infection.The participants were selected using stratified cluster sampling method. Survey data collected anonymous self-reported questionnaire....

10.1371/journal.pntd.0003246 article EN cc-by PLoS neglected tropical diseases 2014-10-16

Marijuana use is common among persons living with HIV (PLWH), but studies on its effect clinical outcomes are limited.We determined the association between marijuana and viral suppression PLWH.Data came from five repeated cross-sections (2009-2013) of Florida Medical Monitoring Project, a population-based sample PLWH in Florida. Data were obtained via interview medical record abstraction (MRA). Weighted logistic regression models used to determine (past 12 months) durable (HIV-1 RNA value ≤...

10.1080/00952990.2016.1191505 article EN The American Journal of Drug and Alcohol Abuse 2016-07-11

Pre-exposure prophylaxis (PrEP) is efficacious for HIV prevention. Black men who have sex with (MSM) accounted the largest proportion of new diagnoses in United States relative to other racial/ethnic groups. MSM use substances are at an increased risk infection and ideal candidates PrEP, but barriers maintaining PrEP adherence remain a concern. We assessed whether substance behaviors associated initiation among sample black States.Data this analysis come from Prevention Trails Network Study...

10.1097/qai.0000000000002407 article EN JAIDS Journal of Acquired Immune Deficiency Syndromes 2020-05-26

The Global Flourishing Study is a longitudinal panel study of over 200,000 participants in 22 geographically and culturally diverse countries, spanning all six populated continents, with nationally representative sampling, intended annual data collection for five years on numerous aspects flourishing its determinants. A description the study, design, survey development, sampling procedures, participant characteristics provided. We report relations between composite index demographic...

10.31219/osf.io/uag5b_v1 preprint EN 2025-03-21

Research has demonstrated strong associations between social relationships and health well-being, but considerably less is known about the upstream factors–specifically, childhood antecedents–that contribute to quality of one’s in adulthood. We use data from first wave Global Flourishing Study, a diverse, global sample 202,898 individuals across 22 countries, evaluate an array economic factors, adverse events experiences, status, sociodemographic characteristics as potential predictors adult...

10.31219/osf.io/n2pxk_v1 preprint EN 2025-03-24

While prior research demonstrated strong positive associations between social relationships and health well-being, less is known about how subjective evaluations of the quality one’s differ across countries sociodemographic groups within different national contexts. Using data from Global Flourishing Study, a diverse global dataset 202,898 adults 22 countries, we examined average level distributions relationship by characteristics these countries. Our results showed variation in nations,...

10.31219/osf.io/nd42q_v1 preprint EN 2025-03-31

Background: Recent work has explored the sociocultural aspects of pain. However, global evidence is scarce, and little known about how levels pain differ across cultures demographic groups within those different cultures.Methods: Using a nationally representative dataset 202,898 individuals from 22 countries random effects meta-analysis, we examine proportion people in key (age, gender, marital status, employment education, immigration religious service attendance, race/ethnicity)...

10.31219/osf.io/yg5ar_v1 preprint EN 2025-04-02

Background: The socioeconomic, psychosocial, and behavioural factors that influence physical pain have been largely explored. However, evidence on the childhood circumstances shape in adulthood is scarce.Methods: Using a nationally representative dataset of 202,898 individuals from 22 countries random effects meta-analysis, we examine 13 potential predictors adulthood.Results: We find experiences, personal attributes, familial social meaningful varied associations with levels pain....

10.31219/osf.io/b2y48_v1 preprint EN 2025-04-02

Background: Alcohol beverages are the group of psychoactive substances with most cultural and legal acceptance worldwide, so there is abundant empirical literature available about relationships between people's wellbeing alcohol. Methods: We analyzed nationally representative data from 22 countries in Global Flourishing Study (N=202,898) evaluated distribution mean weekly alcohol use, proportion drinkers, use across key demographic variables. Results synthesized a random-effects metanalysis...

10.31219/osf.io/kp2g9_v1 preprint EN 2025-04-04

Background: The present study aims to examine global trends in exercise levels and explore the potential influence of demographic factors on participation. Methods: Using data from Global Flourishing Study (GFS), which includes 202,898 participants 22 geographically culturally diverse countries, we assessed average number days across various groups (age, gender, marital status, employment, religious service attendance, education, immigration status) different countries.Results: While...

10.31219/osf.io/zq3n4_v1 preprint EN 2025-04-04

Understanding childhood correlates of health problems is critical for developing upstream interventions and policies holistic health, leading to flourishing later in life. An individual’s self-reported limitations adulthood are likely vary by country, reflecting the influence diverse sociocultural, economic, religious, contexts that characterize each nation. The purpose this study was examine predictors limiting age-appropriate activities across countries. We used data from Global...

10.31219/osf.io/8tcws_v1 preprint EN 2025-04-04

Background: Health limitations, defined as problems in life that limit an individual from activities of daily living, have been associated with human flourishing, globally. However, risk factors for health leading to functional limitations not investigated across different cultures and countries. Chronic disease, musculoskeletal, neurological, physical, cognitive back pain, infectious diseases all contribute the impacts on functioning.Methods: The Global Flourishing Study is a 5-year...

10.31219/osf.io/hpuqr_v1 preprint EN 2025-04-04

This study presents a cross-national analysis of the childhood antecedents alcohol use in adulthood across 22 diverse countries included first wave Global Flourishing Study. pre-registered aimed to assess how 13 predictors (age, gender, parental marital status/family structure, religious service attendance at age 12, relationship with mother, father, outsider growing up, abuse, self-rated health subjective financial status immigration status, and, when available, race/ethnicity and...

10.31219/osf.io/hb3yr_v1 preprint EN 2025-04-04

Background: This study examines the impact of childhood demographic characteristics, such as socioeconomic status, health and well-being family dynamics relationships, religious spiritual on physical activity levels in adulthood across 22 countries.Methods: We analyzed data from Global Flourishing Study (GFS), which includes 202,898 participants countries. The examined whether characteristics predict these relationships differ by country.Results: between predictors varied However, overall...

10.31219/osf.io/y7qnm_v1 preprint EN 2025-04-04

Abstract Background and Objectives Conversion therapies to minimize same-sex attractions are classified as a dangerous practice by numerous scientific institutions in the United States. These practices may contribute poor long-term psychosocial health, thereby interrupting processes of healthy aging. Few studies have examined differences between persons with without prior experiences conversion therapy. We assessed associations therapy health among midlife older men who sex (MSM; age 40+...

10.1093/geront/gnaa069 article EN The Gerontologist 2020-06-10

Policies to reduce the spread of COVID-19 are negatively impacting psychological well-being general population. This cross-sectional study explores associations coping strategies with symptoms depression and anxiety among adults residing in United States. Our results showed that participants who turned religion were less depressed or anxious. Those engaging substance use, behavioral disengagement, seeking social support for emotional reasons had increased odds feelings about future. These...

10.1080/15325024.2021.1914987 article EN Journal of Loss and Trauma 2021-04-30

Violence against women remains a significant public health problem globally. The majority of longitudinal studies documenting the negative impact intimate partner violence (IPV) on mental come from high-income countries. aim this study was to investigate association between emotional, physical, or sexual IPV and depression symptoms among South African in prospective cohort study. Participants were 981 enrolled Drakenstein Child Health Study-a investigating early life determinants child...

10.1177/0886260518796522 article EN Journal of Interpersonal Violence 2018-08-30

Background: The relationship between cannabis and inflammation among persons with HIV (PWH) remains unclear. We examined whether the metabolite 11-nor-9-carboxy THC (THC-COOH) is associated lower levels of plasma biomarkers inflammation, immune activation, microbial translocation in PWH. hypothesized that use would be inflammatory than noncannabis use.

10.1089/can.2023.0109 article EN Cannabis and Cannabinoid Research 2024-02-09
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