A5079184503- HIV/AIDS Research and Interventions
- HIV, Drug Use, Sexual Risk
- LGBTQ Health, Identity, and Policy
- Adolescent Sexual and Reproductive Health
- HIV Research and Treatment
- Racial and Ethnic Identity Research
- Medication Adherence and Compliance
- Dementia and Cognitive Impairment Research
- Bipolar Disorder and Treatment
- Tryptophan and brain disorders
- HIV/AIDS oral health manifestations
- Sex work and related issues
- Technology Use by Older Adults
- Mental Health Treatment and Access
- Nursing Roles and Practices
- Childhood Cancer Survivors' Quality of Life
- Sexuality, Behavior, and Technology
- Psychological and Temporal Perspectives Research
- Health Literacy and Information Accessibility
- Diagnosis and Treatment of Venous Diseases
- Cannabis and Cannabinoid Research
- Intergenerational Family Dynamics and Caregiving
- Mobile Health and mHealth Applications
- HIV/AIDS drug development and treatment
- Venous Thromboembolism Diagnosis and Management
University of Miami
2022-2025
University of Florida
2018-2021
Florida College
2018-2021
Background Mental illness is among the most common health conditions in U.S., yet clients needing mental services such as psychotherapy may not be able to receive these because of providers psychiatric/mental nurse practitioners (PMHNPs). PMHNP students could used future clinicians address this gap. However, little known about students' attitudes, knowledge, and modality preferences for providing psychotherapy.
Substance use during the COVID-19 (SARS-CoV-2) pandemic has exponentially increased among sexually minoritized men (SMM), who are more vulnerable to transmission, morbidity, and mortality than their heterosexual counterparts. Understanding factors that mediate associated with vaccine uptake in a national sample of SMM substances may inform targeted interventions maximize public acceptance. A cross-sectional analysis was performed using data from 2753 United States between May 2021-July 2022....
We sought to determine the prevalence and examine demographic disparities of viral suppression (VS, <200 copies/mL) awareness VS status among people with HIV (PWH) on a popular geosocial networking/dating application (GSN-app). Cross-sectional, observational study. U.S. adult PWH were remotely-recruited through GSN-app complete survey from January-September 2024. assessed correlates self-reported using modified Poisson regression following variables: demographics, substance use, region,...
Objective: The CDC recommends doxycycline post-exposure prophylaxis (doxyPEP) for men who have sex with (MSM) a bacterial sexually transmitted infection (bSTI) in the past year. This study explored determinants of doxyPEP awareness and uptake, associations HIV care outcomes, among U.S. MSM living HIV. Design: Cross-sectional study. Methods: From 10/2023–10/2024, we enrolled 827 from 46 states, Washington, D.C., Puerto Rico via popular geospatial networking app. Adjusted multivariable...
Abstract Background Human Immunodeficiency Virus (HIV) disproportionately affects the Southern United States, accounting for approximately 46% of people living with HIV. HIV-related stigma is recognized as a barrier to testing, treatment, and prevention efforts. However, little known about experiences in Florida. Using data collected from Florida Medical Monitoring Project, we sought examine individual characteristics associated stigma. Methods We analyzed secondary 2015–2016 Project ( n =...
Sexual minority men (e.g., gay, bisexual, and other who have sex with men) experience stigma sexual stress, which are theorized to drive negative health outcomes. treated HIV display persistent immune dysregulation, could be amplified by stress responses potentiate cellular aging.This cross-sectional study included 52 living had undetectable viral load (<40 copies/mL) biologically confirmed recent methamphetamine use. Participants completed measures assessing openness about status (i.e.,...
Background Peripheral arterial disease (PAD) carries a significant morbidity and mortality. Women are more commonly affected with this condition mostly asymptomatic, undertreated. The objective of the study was to develop validate simple risk score identify women PAD. Hypothesis Identifying those at early stage could help reduce complications. Methods Using data from National Health Nutrition Examination Survey 1999‐2004, we identified who had on ankle brachial index. cohort divided into...
The purpose of this study is to describe human immunodeficiency virus (HIV)-related stigma and strategies reduce it in Florida within the context social ecological model (SEM). Qualitative surveys were distributed at community events, advisory meetings, conferences via electronic paper-based methods persons living with without HIV over an 8-month period 2018. A directed content analysis was used code responses 76 participants (33 HIV, 43 HIV) into five levels SEM (individual, interpersonal,...
Latino sexual minority men (LSMM) may experience oppression based on their ethnicity, orientation, and migratory status, yet scientific literature is only beginning to explore the intersection of these experiences. This study examined mental health (MH) in relation LSMM's experiences intersectional affirmation.
HIV remains a significant health issue in the United States and disproportionately affects African Americans. American women living with (AAWH) experience particularly high number of barriers when attempting to manage their care, including antiretroviral therapy (ART) adherence. To enable development assessment effective interventions that address these support ART adherence, there is critical need understand more fully use objective measures adherence among AAWH, electronic medication...
Abstract African Americans are disproportionally affected by HIV/AIDS compared with other races/ethnicities, yet few studies have examined the cultural and/or attitudinal precursors that can make American women vulnerable to HIV-related stigma in rural South. This study qualitatively explored meaning and perceptions of among Florida. Thirteen semi-structured interviews were conducted using an empirical phenomenological approach. Five observer perspectives 26 participant emerged. Participants...
Using data collected from the Florida Medical Monitoring Project, we sought to compare prevalence of overall HIV-related stigma, including its subdimensions among persons with HIV and disability(s) without disability in Florida. Disability was classified as having difficulty one or more areas: activity limitations, participation restrictions, functional sensory activities. stigma assessed using Stigma Scale, which measures (1) (2) negative self-image, (3) personalized, (4) anticipated...
Loneliness has reached epidemic proportions, affecting nearly one-in-two adults in the United States and is particularly potent sexually minoritized men (SMM). Individual differences optimism pessimism may exert protective or maladaptive effects for impact of discrimination on loneliness. This study investigated interrelationships between optimism/pessimism, discrimination, loneliness within a sample sexual Self-report data from 103 SMM were used six-month August 2020 to February 2022 South...
<sec> <title>BACKGROUND</title> The human immunodeficiency virus (HIV) remains a significant health issue in the United States and disproportionately affects African Americans. African-American women living with HIV (AAWH) experience particularly high number of barriers when attempting to manage their care, including antiretroviral therapy (ART) adherence. To enable development assessment effective interventions that address these support ART adherence, there is critical need understand more...
Abstract Background: Although evidence suggests HIV-related stigma directly affects health and behaviors, we have a limited understanding of stigma’s influence beyond the individual-level. We aimed to describe strategies reduce it in Southeastern U.S. within context social ecological model (SEM). Methods: Qualitative surveys were distributed in-person at community events, conferences, via email persons affected by HIV periodically over 8 months. The final sample size included 87 participants...