A5046094837- HIV/AIDS Research and Interventions
- HIV, Drug Use, Sexual Risk
- Adolescent Sexual and Reproductive Health
- HIV Research and Treatment
- Adolescent and Pediatric Healthcare
- HIV/AIDS drug development and treatment
- Pediatric Pain Management Techniques
- HIV/AIDS Impact and Responses
- Poverty, Education, and Child Welfare
- Sex work and related issues
- Maternal Mental Health During Pregnancy and Postpartum
- Global Maternal and Child Health
- Female Genital Mutilation/Cutting Issues
- HIV-related health complications and treatments
- Infant Health and Development
- Genital Health and Disease
- Child and Adolescent Health
- Childhood Cancer Survivors' Quality of Life
- Child and Adolescent Psychosocial and Emotional Development
- Family and Disability Support Research
- Tuberculosis Research and Epidemiology
- Ethics in Clinical Research
- COVID-19 and healthcare impacts
- Vaccine Coverage and Hesitancy
- Feminism, Gender, and Sexuality Studies
Centers for Disease Control and Prevention
2015-2024
Center for Global Health
2013-2023
Centers for Disease Control and Prevention
2014-2022
World Health Organization
2016
United States Agency for International Development
2016
Creative Commons
2016
U.S. President's Malaria Initiative
2016
United States Department of Health and Human Services
2013
Emory University
1995-2012
Central Methodist University
2007
The feasibility of reducing the population-level incidence human immunodeficiency virus (HIV) infection by increasing community coverage antiretroviral therapy (ART) and male circumcision is unknown.
Objective: To describe empirically the risky sexual behavior of an at-risk sample adolescent girls, to assess psychosocial correlates behavior, and examine utility applying a risk protective model predicting teens' behavior. Method: Participants included 158 African American ages 12 19, who were receiving medical care in primary clinic. Teens completed measures depression, conduct problems, substance use, peer norms, social support, HIV knowledge, self-efficacy, Results: this reported high...
Investigated the validity of Child-Adult Medical Procedure Interaction Scale-Revised (CAMPIS-R) using multiple concurrent objective and subjective measures child distress, approach-avoidance behavior, fear, pain, cooperation, parents' perceived ability to help their preschool children during routine immunizations. Parents', staffs', children's behaviors in treatment room were videotaped coded. Results indicate that CAMPIS-R codes Child Coping Distress, Parent Distress Promoting Promoting,...
To assess developmental differences in the psychological functioning, substance use, coping style, social support, HIV knowledge, and risky sexual behavior of at-risk, minority adolescent girls; to psychosocial correlates older younger adolescents.Participants included 164 teens, ages 12-19, who were receiving medical care an primary clinic. Teens completed measures adjustment, religious involvement, knowledge attitudes. In addition, they answered questions regarding their history, family...
Abstract Background To accelerate progress toward the UNAIDS 90-90-90 targets, US Centers for Disease Control and Prevention Nigeria country office (CDC Nigeria) initiated an Antiretroviral Treatment (ART) Surge in 2019 to identify link 340,000 people living with HIV/AIDS (PLHIV) ART. Coronavirus disease (COVID-19) threatened interrupt ART following detection of first case February 2020. overcome this disruption, CDC designed implemented adapted strategies during February–September Methods...
Objective: To assess for significant differences in psychological functioning between HIV-infected children and a demographically matched healthy control group to examine the utility of applying stress coping model with HIV disease. Methods: Participants included (ages 6-16) their caregivers (n = 36) 32). During routine clinic visits, completed measures adjustment, health locus control, style, own child's adjustment. Results: Caregiver-reported child self-reported adjustment scores did not...
Taught 4 preschool leukemia patients (ages 3–5) to engage in specific coping behaviors before and during painful intramuscular intravenous injections. Parents were taught coach their children the use of behaviors. Intervention was delivered a multiple baseline across-subjects design. Parent child behavior coded using Child-Adult Medical Procedure Interaction Scale-Revised (CAMPIS-R, Blount, Powers, & Sturges) Observation Scale Behavioral Distress (OSBD, Elliott, Jay, Woody). nurses rated as...
We describe the frequency of and factors associated with disclosure, knowledge partner's HIV status, consistent condom use among 3538 HIV-positive patients attending eighteen care treatment clinics in Kenya, Namibia, Tanzania. Overall, 42% were male, 64% on antiretroviral treatment. The majority (80%) had disclosed their status to partners, knew 77% reported use. Of those who 18% partner was negative. Compared men, women significantly less likely report disclosing sex partner(s), knowing...
Background: Mathematical models predict that community-wide access to HIV testing-and-treatment can rapidly and substantially reduce new infections. Yet several large universal test-and-treat prevention trials in high-prevalence epidemics demonstrated variable reduction population-level incidence. Methods: To elucidate patterns of spread trials, we quantified the contribution geographic-location, gender, age, randomized-HIV-intervention transmissions 30-community Ya Tsie trial Botswana. We...
This study examines the relationship between adherence to pediatric HIV regimens and three family experience factors: (1) regimen responsibility; (2) barriers adherence; (3) strategies for remembering give medications. Caregivers of 127 children ages 2-15 years in PACTS-HOPE multisite were interviewed. Seventy-six percent caregivers reported that their adherent (taking > or = 90% prescribed doses within prior 6 months). Most taking primary responsibility medication-related activities...
This article describes the frequency of alcohol use among HIV-positive patients attending clinical care in sub-Saharan Africa and explores association between use, medication adherence, sexual risk behavior. Data from 3538 an HIV clinic Kenya, Tanzania, or Namibia were captured through interview medical record abstraction. Participants categorized into three drinking categories: nondrinkers, nonharmful drinkers, harmful/likely dependent drinkers. A proportional odds model was used to...
Aim To describe factors associated with pregnancy desire and dual method use among people living HIV in clinical care sub-Saharan Africa. Design Sexually active HIV-positive adults were enrolled 18 clinics Kenya, Namibia Tanzania. Demographic, reproductive health data captured by interview medical record abstraction. Correlates of desiring a within the next 6 months, [defined as consistent condom together highly effective contraception (hormonal, intrauterine device (IUD), permanent)], those...
Despite efforts to increase access HIV testing and counseling services, population coverage remains low. As a result, many people in sub-Saharan Africa do not know their own status or the of sex partner(s). Recent evidence, however, indicates that as half HIV-positive individuals ongoing sexual relationships have an HIV-negative partner significant proportion new infections generalized epidemics occur within serodiscordant couples. Integrating couples (CHTC) into routine clinic-...
Objective(s): To determine the proportion of individuals linking to HIV-care with advanced HIV-disease (CD4 + cell counts ≤200 cells/μl) in Botswana Combination Prevention Project, describe characteristics these individuals, and examine treatment outcomes. Design: A subanalysis a cluster-randomized HIV-prevention trial. HIV status was assessed 16–64-year-olds through home mobile testing. All HIV-positive persons not on antiretroviral therapy were referred local Ministry Health Wellness...
Background Increasing HIV treatment coverage is crucial to reducing population-level incidence. Methods The Botswana Combination Prevention Project (BCPP) was a community randomized trial examining the impact of multiple prevention interventions on incidence and conducted from October 2013 through June 2017. Home mobile campaigns offered testing all individuals ≥ age 16. All identified HIV-positive persons who were not antiretroviral therapy (ART) referred tracked determine linkage care, ART...
The potential disruption in antiretroviral therapy (ART) services Africa at the start of COVID-19 pandemic raised concern for increased morbidity and mortality among people living with HIV (PLHIV). We describe treatment trends before during interventions implemented to mitigate impact countries supported by US Centers Disease Control Prevention (CDC) through President's Emergency Plan AIDS Relief (PEPFAR).We analysed quantitative qualitative data reported 10,387 PEPFAR-CDC-supported ART...
HIV care and treatment settings provide an opportunity to reach people living with HIV/AIDS (PLHIV) prevention messages services. Population-based surveys in sub-Saharan Africa have identified risk behaviors among PLHIV, yet data are limited regarding of PLHIV clinical care. This paper describes the baseline sociodemographic, transmission behaviors, a study evaluating intervention package for clinics Africa. The was longitudinal group-randomized trial 9 comparison Kenya, Namibia, Tanzania (N...
Objective: To assess for significant differences in psychological functioning between caregivers of HIV-infected children and healthy children, to examine the utility applying a stress coping model with HIV disease. Methods: Participants included (n = 36) demographically matched control group 32). During their child's pediatric clinic visits, completed measures adjustment, stress, style, family resources support. They also measure adjustment. Results: Caregiver distress scores did not...
Introduction Achieving widespread knowledge of HIV-positive status is a crucial step to reaching universal ART coverage, population level viral suppression, and ultimately epidemic control. We implemented multi-modality HIV testing approach identify 90% or greater persons in the Botswana Combination Prevention Project (BCPP) intervention communities. Methods BCPP cluster-randomized trial designed evaluate impact combination prevention interventions on incidence 30 communities Botswana....
In 2018, an estimated 1.8 million persons living in Nigeria had HIV infection (1.3% of the total population), including 1.1 (64%) who were receiving antiretroviral therapy (ART) (1).Effective ART reduces morbidity and mortality rates among with prevents transmission once viral load is suppressed to undetectable levels (2,3).In April 2019, through U.S. President's Emergency Plan for AIDS Relief (PEPFAR),* CDC launched 18-month Surge program nine Nigerian states rapidly increase number ART.CDC...