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Autoimmunities After Covid: An Interview With Cindy Patton, Cindy Patton, Travis Alexander, Nishant Shahani

English Faculty Publications

Taken collectively, Patton’s scholarship and activism has laid the foundation for insights in the health humanities, particularly AIDS studies, that consider the inextricable connections between epidemiology and ideology. Patton’s theorizations of stigma and discrimination patterns, her deconstruction of “truth” discourses subtending science, her critical re-evaluations of axioms associated with risk, safe sex, community, and knowledge production have been crucial interventions in the understanding of health and illness as cultural and discursive scripts. Among Patton’s most enduring contributions has been her theorization of how “African AIDS” was invented and circulated—that is, the notion of geographically bifurcated HIV pandemics split by the …

Community Healthcare Providers’ Perspectives On Hiv Pre-Exposure Prophylaxis (Prep) Use Among Black Women, Kayla Pitchford, Sylvia Shangani, Charlotte Dawson, Kristin Heron

College of Sciences Posters

The most at-risk population among women for HIV diagnosis in the U.S. are Black women, who account for 61% of all new HIV cases. Pre-exposure prophylaxis (PrEP) is a safe and effective HIV prevention method for people at risk of HIV acquisition. Despite being disproportionately affected by HIV, Black women’s knowledge, perceived benefits, and uptake of PrEP remain low. The socio-ecological model may be useful for understanding why there is a low uptake of PrEP among Black women by examining the complex interplay between individual, relationship, community, and societal factors. The current study used the socio-ecological framework to explore provider …

The Role Of Harm, Detectability, And Knowledge Of Hiv Non-Disclosure Laws In Affecting Punishment Recommendations For Hiv Law Violators, Christina Marie Dodson

Psychology Theses & Dissertations

Many U.S. states have passed HIV non-disclosure laws that criminalize sexual behavior on the part of HIV-positive persons who do not disclose their HIV status to sexual partners. This study broadly focused on the impact of two major philosophical approaches for meting out punishment to law violators: the just deserts and the deterrence perspectives. The study examined how these two approaches may influence laypersons’ motivations for punishing someone with HIV who violates an HIV non-disclosure law. In addition, the study examined how knowledge or no knowledge of an HIV non-disclosure law by the law violator influenced punishment recommendations. A 2 …

An Intersectional Perspective On Stigma As A Barrier To Effective Hiv Self-Management And Treatment For Hiv-Infected African American Women, Kimberly Adams Tufts

Nursing Faculty Publications

Among those who are HIV-infected and striving to live well with HIV, African American women have poorer health outcomes and represent a higher portion of those women who die from HIV-related causes. Those health inequalities have been associated with the presence of social determinants of health such as stigma. This analytical review asserts that stigmas precipitated by gender, race, and class in the context of HIV-related stigma constitute substantial barriers to active engagement in HIV self-management, care, and treatment for HIV-infected African American women. The utility of the intersectionality framework for analyzing how these various stigmas interact to create unique …

Novel Interventions For Hiv Self-Management In African American Women: A Systematic Review Of Mhealth Interventions, Kimberly Adams Tufts, Kaprea F. Johnson, Jewel Goodman Shepherd, Juyoung Lee, Muna S. Bait Ajzoon, Lauren B. Mahan, Miyoung Kim

Nursing Faculty Publications

The purpose of this systematic review was to assess the quality of interventions using mobile health (mHealth) technology being developed for and trialed with HIV-infected African American (AA) women. We aimed to assess rigor and to ascertain if these interventions have been expanded to include the broad domain of self-management. After an extensive search using the PRISMA approach and reviewing 450 records (411 published studies and 39 ongoing trials atclinicaltrials.gov), we found little completed research that tested mHealth HIV self-management interventions for AA women. Atclinicaltrials.gov, we found several mHealth HIV intervention studies designed for women in general, forecasting a promising …

Experiences Of Kenyan Healthcare Workers Providing Services To Men Who Have Sex With Men: Qualitative Findings From A Sensitivity Training Programme, Elise M. Van Der Elst, Evans Gichuru, Anisa Omar, Jennifer Kanungi, Zoe Duby, Miriam Midoun, Sylvia Shangani, Susan M. Graham, Adrian D. Smith, Eduard J. Sanders, Don Operario

Community & Environmental Health Faculty Publications

Introduction

Men who have sex with men (MSM) in Kenya are at high risk for HIV and may experience prejudiced treatment in health settings due to stigma. An on-line computer-facilitated MSM sensitivity programme was conducted to educate healthcare workers (HCWs) about the health issues and needs of MSM patients.

Methods

Seventy-four HCWs from 49 ART-providing health facilities in the Kenyan Coast were recruited through purposive sampling to undergo a two-day MSM sensitivity training. We conducted eight focus group discussions (FGDs) with programme participants prior to and three months after completing the training programme. Discussions aimed to characterize HCWs’ challenges in …

Correlates Of Consistent Condom Use Among Female Entertainment Workers In Shanghai, China: A Repeated Measures Analysis, Xiushi Yang, Guomei Xia

Sociology & Criminal Justice Faculty Publications

Female entertainment workers (FEWs) in China are at increased risk of HIV and other sexually transmitted infections, but correlates of their risky sexual behaviour remain poorly understood. Using data from a series of four surveys, this paper employs repeated measures analysis to identify individual and social correlates of consistent condom use among FEWs in Shanghai. Results reveal that both individual cognitive and social influence factors are statistically significant in their bivariate relationships to consistent condom use with a stable or non-stable partner; only prevention motivation and perceived self-efficacy in condom use remain significant in the multiple regressions. When individual and …

The Effects Of Intent And Consequences On The Assignment Of Penalties Related To Hiv Non-Disclosure Situations, Yang Deng

Psychology Theses & Dissertations

Laws related to HIV require individuals infected with HIV to disclose their HIV-positive status before engaging in sexual behavior. These laws vary as to whether to include the intent of HIV non-disclosure as a criterion for prosecution. Penalty assignment for HIV non-disclosure is consistent with moral judgment. Literature regarding moral judgment has been inconsistent as to whether individuals process information regarding intent and consequences independently or interdependently when recommending penalties. The present study seeks to explore the effects of intent and consequences on recommended penalties in HIV non-disclosure situations. A 3(intent) × 2(consequence) ANOVA design was conducted with recommended penalties …

The Role Of Just Desserts, Deterrence, And An Apology In Recommending Punishment For Violations Of Hiv Non-Disclosure Laws, William Alexander Woody

Psychology Theses & Dissertations

HIV non-disclosure laws, which require people with HIV to disclose their HIV serostatus to potential sexual partners, are common in the U.S. This thesis applied philosophical theories of punishment to examine why people would punish these law violators. Specifically, retribution/just deserts (i.e., an eye for an eye) and deterrence (i.e., general crime prevention) were examined as punishment motivations. Additionally, offender apology was investigated as a potential moderator of the effects of retribution on punishment. A 2 (Just Deserts) X 2 (Deterrence) X 2 (Apology) ANOVA design was used with recommendations for a prison sentence and financial fine as the dependent …

Positive Religious/Spiritual Coping Among African American Men Living With Hiv In Jails And/Or Prisons, E. James Baesler, Valerian J. Derlega, James Lolley

Communication & Theatre Arts Faculty Publications

No abstract provided.

Do Hospitalists Or Physicians With Greater Inpatient Hiv Experience Improve Hiv Care In The Era Of Highly Active Antiretroviral Therapy? Results From A Multicenter Trial Of Academic Hospitalists, John A. Schneider, Qi Zhang, Andrew Auerbach, David Gonzales, Peter Kaboli, Jeffrey Schnipper, Tosha B. Wetterneck, David L. Pitrak, David O. Meltzer

Community & Environmental Health Faculty Publications

Background. Little is known about the effect of provider type and experience on outcomes, resource use, and processes of care of hospitalized patients with human immunodeficiency virus (HIV) infection. Hospitalists are caring for this population with increasing frequency.

Methods. Data from a natural experiment in which patients were assigned to physicians on the basis of call cycle was used to study the effects of provider type—that is, hospitalist versus non hospitalist—and HIV-specific inpatient experience on resource use, outcomes, and selected measures of processes of care at 6 academic institutions. Administrative data, inpatient interviews, 30-day follow-up interviews, and the National Death …

Prayer As Interpersonal Coping In The Lives Of Mothers With Hiv, E. James Baesler, Valerian J. Derlega, Barbara A. Winstead, Anita Barbee

Communication & Theatre Arts Faculty Publications

The spirituality of 22 mothers diagnosed with HIV was explored through face-to-face interviews and revealed that 95% of the mothers pray. Active prayers (e.g., talking to God by adoring, thanking, confessing, and supplicating) were more frequently reported than receptive prayers (e.g., quietly listening to God, being open, surrendering). Supplicatory or petitionary prayers for help and health were the most frequent type of prayer, and adoration was the least frequent. The majority of mothers in the sample perceived prayer as a positive coping mechanism associated with outcomes such as: support, positive attitude/affect, and peace. Overall, results supported expanding the boundary conditions …

Affective Reactions, Social Support And Willingness To Self-Disclose To Hiv Seropositive Individuals: Impact Of Sexual Orientation And Responsibility For The Infection, Susan Paige Sherburne

Psychology Theses & Dissertations

An attributional model of controllability suggests that perceptions of someone's controllability of an event lead to anger and rejection, whereas perceptions of uncontrollability lead to pity and helping. This study examined the impact of an HIV victim's sexual orientation and "responsibility" for infection on subjects' affective responses, self-disclosure to the person, social support, and liking and trust for the person. Subjects received messages from their "partner" (a confederate) stating that he had just learned he was HIV positive. The message either stated that he was heterosexual or homosexual, and that he had either only one partner or many partners. Subjects …

Attachment Theory And Self-Disclosure Of Hiv Status, Amy H. Grimshaw

Psychology Theses & Dissertations

This study examined the influence of attachment style on self-disclosure of HIV seropositive status. Subjects were classified according to Bartholomew's model of adult attachment (i.e., secure, preoccupied, fearful, or dismissing). Steps were then taken to assess differences in the subjects' willingness to disclose their HIV seropositive status, the communication style chosen for disclosure, the subjects' perceptions of the importance of disclosing their HIV seropositive status, and the feared negative consequences of disclosure. To increase generalizability subjects were asked to assess their self-disclosure to three types of target persons: lover, same-sex friend, and opposite-sex friend. Attachment style significantly affected perceived importance …

The Effect Of Human Immunodeficiency Virus/Acquired Immune Deficiency Syndrome Education Program On Knowledge, Attitudes And Sexual Behavior Of Selected College Students, Arlene Jaine Jackson Montgomery

Health Services Research Dissertations

The problem studied in this investigation was whether a behaviorally focused Human Immunodeficiency Virus (HIV)/Acquired Immune Deficiency Syndrome (AIDS) Program affects the knowledge, sexual attitudes and sexual behavior of college students.

Three hundred and six first-and third-year college students were included in the study from one university located in Southeastern Virginia. The sample was predominately female, African-American and mainly between the ages of 16-22 years of age.

Freshmen students were presently enrolled in the institution's HIV/AIDS education program, which was a part of a required course. The class sessions consisted of a pretest prior to student's completing the reading assignment …

Subunit Interactions Of Recombinant Hiv-1 Reverse Transcriptase With Mutations At L289, Jacquelyn R. Smith

Theses and Dissertations in Biomedical Sciences

Reverse transcriptase (RT) is a dimeric enzyme required for replication of the human immunodeficiency virus (HIV). If the subunits of the RT dimer are dissociated, the enzyme is no longer active; therefore, identification of subunit binding sites could lead to potential targets for antiviral therapy. In order to identify where subunit binding of RT occurs, mutations were made at leucine (L) 289, a residue believed to be involved in dimerization through hydrophobic interactions with other leucines. L289 is the central leucine of a leucine repeat sequence which resembles a leucine zipper protein-DNA binding motif. Two mutations, leucine to arginine (L289R) …