A5077132770- HIV/AIDS Research and Interventions
- Adolescent Sexual and Reproductive Health
- Sex work and related issues
- HIV, Drug Use, Sexual Risk
- Migration, Health and Trauma
- Intimate Partner and Family Violence
- LGBTQ Health, Identity, and Policy
- HIV/AIDS Impact and Responses
- Microfinance and Financial Inclusion
- Vaccine Coverage and Hesitancy
- Racial and Ethnic Identity Research
- Mobile Health and mHealth Applications
- ICT in Developing Communities
- Poverty, Education, and Child Welfare
- Community Health and Development
- Food Security and Health in Diverse Populations
- Viral Infections and Outbreaks Research
- Employment and Welfare Studies
- Migration and Labor Dynamics
- Health Policy Implementation Science
- Global Health Workforce Issues
- COVID-19 epidemiological studies
- Misinformation and Its Impacts
- Emotional Intelligence and Performance
- Emergency and Acute Care Studies
American University
2016-2025
Kilimanjaro Christian Medical Centre
2023
Duke University
2009-2010
University of North Carolina at Chapel Hill
2005-2010
Public Health Department
2010
Black and Latina transgender women (BLTW) face significant HIV disparities with estimated prevalence up to 50% annual incidence rates as high 2.8 per 100 person-years. However, few studies have evaluated the acceptability uptake of high-impact prevention interventions among BLTW.Data collection took place in Baltimore, MD Washington, DC from May 2015 2017.This mixed methods study included quantitative interviewer-administered surveys, key informant interviews, focus group discussions. Rapid...
Background Future infectious disease epidemics are likely to disproportionately affect countries with weak health systems, exacerbating global vulnerability. To decrease the severity of in these settings, lessons can be drawn from Ebola outbreak West Africa. There is a dearth literature on public perceptions response system that required citizens report and treat cases. Epidemiological reports suggested there were delays diagnosis treatment. The purpose our study was explore barriers...
We describe and compare the baseline rates of victimization perpetration three forms intimate partner violence (IPV)-psychological, physical, sexual-among sexually active men ( n = 1,113) women 226) enrolled in an ongoing cluster-randomized HIV gender-based prevention trial Dar es Salaam, Tanzania. IPV was measured using a modified version World Health Organization Violence Against Women instrument. assess degree to which report overlapping perpetration. Sociodemographic other factors...
The purpose of this study was to explore the contextual factors that determine or mitigate vulnerability HIV among Latina transgender women. Documentation status (legal authorization live in United States) has been cited by other studies as a barrier recruitment engagement HIV-related care immigrant Latinos, but not explored determinant risk for Latinas.We collaborated with community-based organization these contextual, including social and structural, factors. In-depth interviews Spanish...
Latina transgender women (LTW) are disproportionately vulnerable to depression, although the role of immigration/documentation status (legal authority live/work in U.S.) depression has not been explored. LTW Washington, DC were recruited into a cross-sectional study via convenience sampling. Most Spanish-speaking Central American immigrants. Participants completed rapid HIV tests, and Spanish-language survey assessing recent depressive symptoms (PHQ-2), sociodemographics, factors from...
Respondent-driven sampling (RDS) is a method for recruiting “hidden” populations through network-based, chain and peer referral process. RDS recruits hidden more effectively than other methods promises to generate unbiased estimates of their characteristics. RDS’s faithful representation relies on the validity core assumptions regarding unobserved With empirical recruitment data from an study female sex workers (FSWs) in Shanghai, we assess assumption that participants recruit...
Men continue to test for HIV at a low rate in sub-Saharan Africa. Recent quantitative evidence from Africa indicates that encouragement men’s network members is associated with higher previous testing and self-testing (HIVST) willingness. Leveraging this positive influence promote HIVST among men promising strategy could increase testing. This study investigated the reasons strategies used encourage their peers outcomes order inform development of social network-based intervention called...
Intimate partner violence (IPV) and sexually transmitted infections (STIs), including HIV, remain important public health problems with devastating effects for men women in sub-Saharan Africa. There have been calls to engage prevention efforts, however, we lack effective approaches reach them. Social network demonstrated sustained outcomes on changing risk behaviors the U.S. Our team has identified engaged naturally occurring social networks comprised mostly of young Dar es Salaam an...
Sexual and gender minority Hispanics/Latinxs (henceforth: Latinxs) continue to be disproportionately impacted by HIV/AIDS in the U.S. Pre-exposure prophylaxis (PrEP) is a biomedical prevention approach which holds significant promise for at risk vulnerable populations. We discuss barriers facilitators uptake of PrEP among sexual Latinxs living through an ecosocial lens that takes into account structural, community, individual contexts. The impact immigration status on emerges as major...
Abstract Context: This article aims to highlight challenges and adaptations made by local health officials in Tanzania working contain manage COVID-19. Methods: The study takes an inductive approach, drawing on the reported experiences of 40 at different levels government across four purposefully selected regions July 2020. Interviewees were asked about guidance they received COVID-19, source that guidance, their successes implementing if how adapted particular setting. Findings: interviews...
Despite calls to engage men in HIV and intimate partner violence (IPV) prevention efforts, effective approaches reach low-resource, high-HIV prevalence settings are limited. We identified engaged social networks of mostly young a study designed evaluate the efficacy combined microfinance peer health leadership intervention prevent IPV. conducted cluster-randomized trial among 60 locally referred as "camps" within Dar es Salaam, Tanzania. Camps were randomly assigned (1:1) or control...
Mass COVID-19 vaccination in Africa is required to end the pandemic. In low-income settings, street-level bureaucrats (SLBs), or public officials who interact directly with citizens, are typically responsible for carrying out plans and earning community confidence vaccines. The study interviewed SLBs assess their perceptions of factors affecting rollout Tanzania. We 50 (19 rural; 31 urban) implementing microplans across four diverse regions districts Tanzania September 2021. Moreover, we...
The Confidential Social Network Referrals for HIV Testing (CONSORT) intervention leverages the ubiquity of mobile phones and social networks to nudge at-risk populations test HIV. Pilot results suggest that confidential SMS testing invitations are acceptable among diverse may reach those at above-average risk infection.
There is growing evidence of the association between gender-based violence and HIV from perspective experiences women. The purpose this study to examine these associations young men living in Dar es Salaam, Tanzania. A community-based sample 951 were interviewed, whom 360 had sex past 6 months included analyses. Almost a third (29.2%) reported that they been physically violent at least once with an intimate partner. Men who more lifetime sexual partners (OR = 8.75; 95% CI 2.65, 28.92),...
Although mood clarity has been found to negatively correlate with depressive symptoms (Salovey, Mayer, Goldman, Turvey, & Palfai, 1995), little is known about why this relationship exists. Using two waves of longitudinal data collected from an older community sample, we tested whether decreases by mitigating the negative emotional impact different types stressors: experience pain and loss. First, that adults higher levels had fewer years later than low clarity. Second, attenuated effect on...
Latinx men who have sex with (MSM) continue to be disproportionately impacted by HIV/AIDS. Identifying the role of multiple syndemic factors associated sexual risk behaviors is imperative in order develop effective prevention and treatment strategies. Cross-sectional data for this study were derived from three cycles Philadelphia portion National HIV Behavioral Surveillance System. This explored impact - heavy drinking, exchange sex, homophobic discrimination on behaviors, operationalized as...