A5016634287- Adolescent Sexual and Reproductive Health
- HIV/AIDS Research and Interventions
- HIV, Drug Use, Sexual Risk
- Food Security and Health in Diverse Populations
- Neurosurgical Procedures and Complications
- Intimate Partner and Family Violence
- Intracranial Aneurysms: Treatment and Complications
- Posttraumatic Stress Disorder Research
- Homelessness and Social Issues
- Traumatic Brain Injury and Neurovascular Disturbances
- Sex work and related issues
- Stress Responses and Cortisol
- HIV Research and Treatment
- Cardiovascular and Diving-Related Complications
- Traumatic Brain Injury Research
- Digital Mental Health Interventions
- Mental Health Research Topics
- Child Nutrition and Feeding Issues
- Energy, Economy, and Technology Trends
- Neuroendocrine regulation and behavior
- Sexual Assault and Victimization Studies
- Cannabis and Cannabinoid Research
- Healthcare professionals’ stress and burnout
- Maternal Mental Health During Pregnancy and Postpartum
- Alcohol Consumption and Health Effects
University of California, San Francisco
2004-2023
San Francisco VA Medical Center
2019-2023
San Francisco VA Health Care System
2020-2022
Physicians for Human Rights
2008-2011
University of Michigan
2011
Wölfel (Germany)
2003
Background: Botswana has the highest rate of HIV infection in world, estimated at 36% among population aged 15-49 years. To improve antiretroviral (ARV) treatment delivery, we conducted a cross-sectional study social, cultural, and structural determinants adherence. Methods: We used both qualitative quantitative research methodologies, including questionnaires interviews with patients receiving ARV their health care providers to elicit principal barriers Patient report provider estimate...
We sought to examine the impact of treatment access on HIV stigma in Botswana 3 years after introduction a national program universal antiretroviral therapy.We studied prevalence and correlates population-based study 1268 adults 2004. used multivariate logistic regression assess stigmatizing attitudes new measure, anticipated stigma.Overall, 38% participants had at least 1 attitude: 23% would not buy food from shopkeeper with HIV; 5% care for relative HIV. Seventy percent reported measure...
Botswana, with its estimated HIV prevalence of 37%, instituted a policy universal access to antiretroviral therapy (ART) in 2002. Initial enrolment lagged behind expectations, shortfall voluntary testing that observers have attributed HIV-related stigma - although there are no published data on among HIV-positive individuals Botswana. We interviewed 112 patients receiving ART 2000, finding evidence pervasive patterns disclosure, social sequelae, and delays testing. Ninety-four percent...
We sought to identify correlates of forced sex perpetration among men and victimization women in Botswana Swaziland.We surveyed a 2-stage probability sample 2074 adults from the 5 districts with highest HIV prevalence rates all 4 regions Swaziland. used multivariable logistic regression perpetration.Lifetime were 10.3% 11.4% Swaziland; men, 3.9% 5.0% Lifetime history was strongest predictor by (adjusted odds ratio [OR] = 13.70; 95% confidence interval [CI] 4.55, 41.50) Swaziland OR 5.98; CI...
The association between sexual violence and depression is well known, but the temporal aspects of have not been established. We analyzed data from a cohort 173 HIV-positive women in rural Uganda who were interviewed every 3 months for median 1.8 years follow-up. method generalized estimating equations (GEE) was used to model marginal expectation symptom severity (Hopkins Symptom Checklist Depression), mental health–related quality life (MOS-HIV Mental Health Summary), heavy drinking (Alcohol...
Posttraumatic stress disorder (PTSD) has significant negative effects on occupational, interpersonal, and social functioning. Supported employment is highly effective in helping people with a diagnosis of PTSD obtain maintain competitive employment. However, less known about the impact supported functioning work or school, social, interpersonal areas as specifically related to symptoms PTSD.The Veterans Individual Placement Support Toward Advancing Recovery study was prospective, multisite,...
This study examined routine computerized screening for alcohol and drug use of men women seeking outpatient psychiatric services (excluding chemical dependency treatment) prevalence based on electronic medical records consecutive admissions.The sample 422 patients, ages 18-91, completed a self-administered questionnaire. Measures included 30-day, one-year, lifetime substance alcohol-related problems.Seventy-five percent patients intakes during the period. Prior-month was reported by 90 (70%)...
Psychotropic prescription rates continue to increase in the United States (USA). Few studies have investigated whether social-structural factors may play a role psychotropic medication use independent of mental illness. Food insecurity is prevalent among people living with HIV USA and has been associated poor health. We food was symptoms depression anxiety women USA.We used cross-sectional data from Women's Interagency Study (WIHS), nationwide cohort study. security (FS) primary explanatory...
Background Brain aneurysms represent a significant cause of hemorrhagic stroke. Prior research has demonstrated links between stress and stroke, including brain aneurysms. We aimed to determine relationships select psychiatric disorders aneurysmal SAH. Methods performed retrospective, case-control study National Veterans Affairs population with two experimental groups (aneurysm-only SAH) 10-fold controls per group matched by age, date, clinical data source. The studied the presence 4...
Veterans with posttraumatic stress disorder (PTSD) initiate and complete cognitive processing therapy (CPT) prolonged exposure (PE) at low rates within Health Administration (VHA) despite substantial dissemination training. This study investigated how trauma-informed, skills-based treatment ("stabilization") administered before CPT PE was related to initiation completion of trauma-focused evidence-based psychotherapies (TF-EBPs).
Gamper et al. raise an important concern regarding our sample. As we noted in limitations section, although individuals were randomly selected from the 5 districts of Botswana with highest number HIV infected individuals, did not sample more remote Botswana, limiting generalizability results. It is to note, however, that outcome greatest interest study one showing association between stigma and perceived access antiretroviral therapy; if, as letter writers suggest, greater among people who...
Abstract Background Brain aneurysms represent a significant cause of hemorrhagic stroke. Prior research has demonstrated links between stress and stroke, including brain aneurysms. We aimed to determine relationships select psychiatric disorders aneurysmal SAH. Methods performed retrospective, case-control study National Veterans Affairs population with two experimental groups (aneurysm-only SAH) 10-fold controls per group matched by age, date, clinical data source. The studied the presence...
Background Measurement-based care (MBC) is associated with improved patient outcomes, but seldom fully implemented. Electronic self-report screening systems may help overcome some obstacles implementing MBC. One such program, eScreening, provides customized and automated mental physical health via mobile tablet for veterans seen in Veterans Health Administration (VHA) settings by web browser patients remotely telemedicine. We aimed to describe how electronic can support the implementation of...