Open Access. Powered by Scholars. Published by Universities.®

Digital Commons Network

Open Access. Powered by Scholars. Published by Universities.®

Articles 1 - 24 of 24

Full-Text Articles in Entire DC Network

Psychological Pathway From Obesity-Related Stigma To Anxiety Via Internalized Stigma And Self-Esteem Among Adolescents In Taiwan, Chung-Ying Lin, Meng-Che Tsai, Chih-Hsiang Liu, Yi-Ching Lin, Yi-Ping Hsieh, Carol Strong Nov 2019

Psychological Pathway From Obesity-Related Stigma To Anxiety Via Internalized Stigma And Self-Esteem Among Adolescents In Taiwan, Chung-Ying Lin, Meng-Che Tsai, Chih-Hsiang Liu, Yi-Ching Lin, Yi-Ping Hsieh, Carol Strong

Social Work Faculty Publications

The objective of this research was to examine the pathway from public stigma, to perceived stigma, to depression in adolescents via internalized stigma. Adolescents in grade 7 through 9 from a junior high school in Changhua County in Taiwan completed self-administered surveys from March to July in 2018. Adolescents were asked questions regarding depressive symptoms, obesity-related perceived stigma, and internalized stigma. Structural equation modeling was used to fit the pathway model. The pathway was first analyzed with the full sample and then stratified by actual and perceived weight status. Our final analytic sample consisted of 464 adolescents. The pathway model …


Turning Doctoral Students Into Faculty In Gerontological Social Work: The AgeSw Experience, Nancy Kusmaul, Stephanie P. Wladkowski, Sally Hageman, Allison Gibson, Rebecca L. Mauldin, Jennifer C. Greenfield, Noelle L. Fields Oct 2019

Turning Doctoral Students Into Faculty In Gerontological Social Work: The AgeSw Experience, Nancy Kusmaul, Stephanie P. Wladkowski, Sally Hageman, Allison Gibson, Rebecca L. Mauldin, Jennifer C. Greenfield, Noelle L. Fields

Social Work Faculty Publications

Developing faculty interested in aging may help social work meet the needs of our growing aging population. However, doctoral students need a variety of supports to complete PhDs and become gerontological social work faculty. This study explored one program’s role in supporting the development of social work doctoral students to faculty in gerontology. An e-mail invitation was sent to all former participants (2010–2016 cohorts) of the Association for Gerontology Education in Social Work (AGESW) Pre-Dissertation Fellows Program (PDFP). The 38-question online survey consisted of Likert-type scales, multiple answers, and one open-ended question per section about the program’s impacts on …


Peer Victimization, Internalizing Problems, And Substance Use In Urban African American Adolescents In Chicago: The Relevance Of The Self-Medication Hypothesis, Jun Sung Hong, Yi-Ping Hsieh, Kelly Lynn Clary, Rose Theda, Ryan Russ, Dexter R. Voisin Oct 2019

Peer Victimization, Internalizing Problems, And Substance Use In Urban African American Adolescents In Chicago: The Relevance Of The Self-Medication Hypothesis, Jun Sung Hong, Yi-Ping Hsieh, Kelly Lynn Clary, Rose Theda, Ryan Russ, Dexter R. Voisin

Social Work Faculty Publications

The aim of the study was to explore the link between peer victimization and substance use and tested the mediating role of internalizing problems in urban African American adolescents in Chicago. Six hundred and thirty-eight adolescents in Chicago's Southside participated in the study. Results from the hierarchical linear regression analysis showed that youth who reported peer victimization were at risk of internalizing problems. Those who were bullied by their peers were more likely to display internalizing problems, which was also significantly associated with substance use. Consistent with the self-medication hypothesis, findings from the study suggest that bullied youth are likely …


Vitamin D Status And Risk Of Incident Tuberculosis Disease: A Nested Case-Control Study, Systematic Review, And Individual-Participant Data Meta-Analysis, Omowunmi Aibana, Chuan-Chin Huang, Said Aboud, Alberto Arnedo-Pena, Mercedes C. Becerra, Juan B. Bellido-Blasco, Ramesh Bhosale, Roger Calderon, Silvia Chiang, Jerome Galea Sep 2019

Vitamin D Status And Risk Of Incident Tuberculosis Disease: A Nested Case-Control Study, Systematic Review, And Individual-Participant Data Meta-Analysis, Omowunmi Aibana, Chuan-Chin Huang, Said Aboud, Alberto Arnedo-Pena, Mercedes C. Becerra, Juan B. Bellido-Blasco, Ramesh Bhosale, Roger Calderon, Silvia Chiang, Jerome Galea

Social Work Faculty Publications

Background: Few studies have evaluated the association between preexisting vitamin D deficiency and incident tuberculosis (TB). We assessed the impact of baseline vitamins D levels on TB disease risk.

Methods and findings: We assessed the association between baseline vitamin D and incident TB in a prospective cohort of 6,751 HIV-negative household contacts of TB patients enrolled between September 1, 2009, and August 29, 2012, in Lima, Peru. We screened for TB disease at 2, 6, and 12 months after enrollment. We defined cases as household contacts who developed TB disease at least 15 days after enrollment of the index patient. …


Effects Of Childhood Adversity And Resilience On Taiwanese Youth Health Behaviors, Yu-Ching Wang, Miguel M. Guerola, Yi-Ching Lin, Yi-Ping Hsieh, Carol Strong, Meng-Che Tsai, Chung-Ying Lin Aug 2019

Effects Of Childhood Adversity And Resilience On Taiwanese Youth Health Behaviors, Yu-Ching Wang, Miguel M. Guerola, Yi-Ching Lin, Yi-Ping Hsieh, Carol Strong, Meng-Che Tsai, Chung-Ying Lin

Social Work Faculty Publications

Adverse childhood experiences (ACEs) can leave negative impacts on one's health behaviors or social functioning later in life. Resilient characteristics have been shown to mitigate effects against risk behaviors in developing adolescents. However, clinical and research attention has rarely been given to jointly consider the effects of ACEs and resilient characteristics on health behaviors in Taiwanese youth. Method: A total of 200 individuals aged 15–22 years were recruited from primary care settings, communities, and schools. Participants completed questionnaires assessing their ACEs, resilient characteristics, and health behaviors. Univariate analysis was firstly used to describe the correlates of ACEs and resilient characteristics. …


Psychosocial Determinants Of Insomnia In Adolescents: Roles Of Mental Health, Behavioral Health, And Social Environment, Yi-Ping Hsieh, Wei-Hsin Lu, Cheng-Fang Yen Aug 2019

Psychosocial Determinants Of Insomnia In Adolescents: Roles Of Mental Health, Behavioral Health, And Social Environment, Yi-Ping Hsieh, Wei-Hsin Lu, Cheng-Fang Yen

Social Work Faculty Publications

The theoretical explanation of human problems is derived from the complex interplay of psychological, social, economic, political, and physical factors.

Aims: This study examined the roles of behavioral health (i.e., alcohol abuse and suicidality) and social environment (i.e., family support, school connectedness, and favorable neighborhood) and mental health [i.e., depression, anxiety, and attention deficit hyperactivity disorder (ADHD)] in predicting insomnia in adolescents in an ecological perspective.

Methods: Approximately 6445 high school students in Taiwan were administered an anonymous self-report survey. Hierarchical multiple regression was performed to examine how multidimensional social environment, behavioral health, and mental health factors were associated with …


Proving Their Love: Violence And Gender Norms In Descriptions Of Relationships Among Rural Mexican Adolescents, Heidi Adams Rueda, Steven Hoffman, Kaitlin Grytza Aug 2019

Proving Their Love: Violence And Gender Norms In Descriptions Of Relationships Among Rural Mexican Adolescents, Heidi Adams Rueda, Steven Hoffman, Kaitlin Grytza

Social Work Faculty Publications

Mexican youth from impoverished areas are at increased risk for experiencing relationship violence. Research in the United States has suggested that perpetration may be contextualized by culturally-influenced gender values, specifically performance of negative aspects of male masculinity (i.e., machismo) and its female counterpart (i.e., marianismo). This study utilized focus group methods to explore how middle school adolescents (N = 98) from a rural area of Central Mexico differentiate between healthy and unhealthy dating relationships.

We evoked a feminist developmental lens to interpret themes which centralized males as physical and sexual aggressors and to offer culturally-relevant program and practice recommendations.


Early Progression To Active Tuberculosis Is A Highly Heritable Trait Driven By 3q23 In Peruvians, Yang Luo, Sara Suliman, Samira Asagari, Tiffany Amariuta, Yuriy Baglaenko, Marta Martinez-Bonet, Kazuyoshi Ishigaki, Maria Gutierrez-Arcelus, Roger Calderon, Jerome Galea Aug 2019

Early Progression To Active Tuberculosis Is A Highly Heritable Trait Driven By 3q23 In Peruvians, Yang Luo, Sara Suliman, Samira Asagari, Tiffany Amariuta, Yuriy Baglaenko, Marta Martinez-Bonet, Kazuyoshi Ishigaki, Maria Gutierrez-Arcelus, Roger Calderon, Jerome Galea

Social Work Faculty Publications

Of the 1.8 billion people worldwide infected with Mycobacterium tuberculosis, 5–15% will develop active tuberculosis (TB). Approximately half will progress to active TB within the first 18 months after infection, presumably because they fail to mount an effective initial immune response. Here, in a genome-wide genetic study of early TB progression, we genotype 4002 active TB cases and their household contacts in Peru. We quantify genetic heritability hg2 of early TB progression to be 21.2% (standard error 0.08). This suggests TB progression has a strong genetic basis, and is comparable to traits with well-established genetic bases. We …


Technology And Dating Among Pregnant And Parenting Youth In Residential Foster Care: A Mixed Qualitative Approach Comparing Staff And Adolescent Perspectives, Heidi Adams Rueda, Megan Lindsay Brown, Jennifer M. Geiger Jul 2019

Technology And Dating Among Pregnant And Parenting Youth In Residential Foster Care: A Mixed Qualitative Approach Comparing Staff And Adolescent Perspectives, Heidi Adams Rueda, Megan Lindsay Brown, Jennifer M. Geiger

Social Work Faculty Publications

The aim of this study was to explore the role of technology in the dating and sexual experiences of pregnant and parenting adolescent girls placed in residential foster care. Interviews with program staff (N = 12; 50% Hispanic) and focus groups with adolescent foster youth (N = 13; 46% Hispanic) were conducted to understand how technologies (e.g., cell phone, texting, and social media) influence youth’s dating lives, including how youth navigate conflict with a dating partner in technology spaces and their experiences with cyber abuse. Both staff and youth emphasized technology as providing an outlet from the home …


Gender-Differential Associations Between Attention Deficit And Hyperactivity Symptoms And Youth Health Risk Behaviors, Kai-Jyun Jhang, Yu-Fang Lin, Meng-Che Tsai, Carol Strong, Yi-Chang Lin, Yi-Ping Hsieh, Chung-Ying Lin Jun 2019

Gender-Differential Associations Between Attention Deficit And Hyperactivity Symptoms And Youth Health Risk Behaviors, Kai-Jyun Jhang, Yu-Fang Lin, Meng-Che Tsai, Carol Strong, Yi-Chang Lin, Yi-Ping Hsieh, Chung-Ying Lin

Social Work Faculty Publications

Attention deficit and hyperactivity disorder (ADHD) is one of the common developmental disorders that generally receives clinical attention at learning ages, and some symptoms may persist in young adulthood.1 Past research has demonstrated a consistent association between ADHD and youth health risk behaviors (e.g., cigarette smoking), which often develop during adolescence and contribute to early morbidity and mortality among young adults.2 However, ADHD symptoms are not routinely screened in adolescents and emerging adults during their visits to healthcare providers.3 The six-item Adult Self-Report Scale (ASRS-6) for ADHD has been validated in the young population for screening purposes.4 This short form …


Branch Campuses: Extending The Reach Of Social Work Education, Simon Funge, Dana Sullivan, Larry Owens, Whitney Harper Apr 2019

Branch Campuses: Extending The Reach Of Social Work Education, Simon Funge, Dana Sullivan, Larry Owens, Whitney Harper

Social Work Faculty Publications

The study explored the characteristics and experiences of branch campus social work education programs and educators in the U.S. Eighty-one (n = 81) branch campus social work educators in 26 states completed an online survey. Findings revealed that undergraduate and graduate branch campus social work education was primarily delivered face-to-face to non-traditional students. Half of these programs were recently established, and the majority were expected to grow. However, teaching these students was not necessarily viewed as a shared responsibility. Though some branch campus faculty reported higher workloads and limited connections to parent campus colleagues, faculty generally reported great satisfaction teaching …


Development And Validation Of The Parental Smartphone Use Management Scale (Psums): Parents’ Perceived Self-Efficacy With Adolescents With Attention Deficit Hyperactivity Disorder, Yi-Ping Hsieh, Cheng-Fang Yen, Wen-Jiun Chou Apr 2019

Development And Validation Of The Parental Smartphone Use Management Scale (Psums): Parents’ Perceived Self-Efficacy With Adolescents With Attention Deficit Hyperactivity Disorder, Yi-Ping Hsieh, Cheng-Fang Yen, Wen-Jiun Chou

Social Work Faculty Publications

The psychometric properties of the Parental Smartphone Use Management Scale (PSUMS) and its prospective relationships with symptoms of smartphone addiction and attention deficit hyperactivity disorder (ADHD) were studies in a sample of parents of adolescents with ADHD. This is a scale to measure parents’ perceived self-efficacy on managing their children’s smartphone use. Construct validity (exploratory factor analysis and confirmatory factor analysis), criterion-related validity (known-group validity and concurrent validity), and reliability (Cronbach’s alpha) were performed for data analyses. The results showed that the PSUMS had good factorials validity and high reliabilities, with Cronbach’s alphas ranging between 0.93 and 0.95. The 17-item …


Whole Genome Sequencing Identifies Bacterial Factors Affecting Transmission Of Multidrug-Resistant Tuberculosis In A High-Prevalence Setting, Avika Dixit, Luca Freschi, Roger Vargas, Roger Calderon, James Sacchettini, Francis Drobniewski, Jerome Galea, Carmen Contreras, Rosa Yataco, Zibiao Zhang Apr 2019

Whole Genome Sequencing Identifies Bacterial Factors Affecting Transmission Of Multidrug-Resistant Tuberculosis In A High-Prevalence Setting, Avika Dixit, Luca Freschi, Roger Vargas, Roger Calderon, James Sacchettini, Francis Drobniewski, Jerome Galea, Carmen Contreras, Rosa Yataco, Zibiao Zhang

Social Work Faculty Publications

Whole genome sequencing (WGS) can elucidate Mycobacterium tuberculosis (Mtb) transmission patterns but more data is needed to guide its use in high-burden settings. In a household-based TB transmissibility study in Peru, we identified a large MIRU-VNTR Mtb cluster (148 isolates) with a range of resistance phenotypes, and studied host and bacterial factors contributing to its spread. WGS was performed on 61 of the 148 isolates. We compared transmission link inference using epidemiological or genomic data and estimated the dates of emergence of the cluster and antimicrobial drug resistance (DR) acquisition events by generating a time-calibrated phylogeny. Using a set of …


A Needs Based Theory Of Human Injustice: Oppression, Dehumanization, Exploitation, And Sytematic Inequality In Opportunities To Address Human Needs, Michael A. Dover Mar 2019

A Needs Based Theory Of Human Injustice: Oppression, Dehumanization, Exploitation, And Sytematic Inequality In Opportunities To Address Human Needs, Michael A. Dover

Social Work Faculty Publications

This article presents an original needs-based partial theory of human injustice and shows its relationship to existing theories of human need and human liberation. The theory is based on an original typology of three social structural sources of human injustice, a partial theorization of the mechanisms of human injustice, and a needs-based theorization of the nature of human injustice, as experienced by individuals. This article makes a sociological contribution to normative social theory by clarifying the relationship of human injustice to human needs, human rights, and human liberation. The theory contends that human injustice is produced when oppression, mechanistic dehumanization, …


Theories Of Human Injustice, Human Need, And Human Liberation [Figure], Michael A. Dover Mar 2019

Theories Of Human Injustice, Human Need, And Human Liberation [Figure], Michael A. Dover

Social Work Faculty Publications

No abstract provided.


Youth Perspectives Of Healthcare In Central Mexico: An Application Of Massey’S Critical Health Literacy Framework, Steven Hoffman, Heidi Adams Rueda, Lauren Beasley Mar 2019

Youth Perspectives Of Healthcare In Central Mexico: An Application Of Massey’S Critical Health Literacy Framework, Steven Hoffman, Heidi Adams Rueda, Lauren Beasley

Social Work Faculty Publications

Attention to health literacy is essential more now than ever given the recognition, attention, and resources being dedicated to addressing health disparities throughout the world. Unfortunately, health literacy research is scarce in many parts of the world, particularly among youth. Using focus group discussions with junior high school students (N = 98) in a rural town of Central Mexico, we sought to learn about their experiences utilizing healthcare services at a local health clinic. The themes that naturally emerged from focus group discussions aligned with Massey’s framework on critical health literacy among US youth, and included problems navigating the health …


Relationships Between Parent-Reported Parenting, Child-Perceived Parenting, And Children’S Mental Health In Taiwanese Children, Ching-Yu Huang, Yi-Ping Hsieh, April Chiung-Tao Shen, Hsi-Sheng Wei, Jui-Ying Feng, Hsiao-Lin Hwa, Joyce Yen Feng Mar 2019

Relationships Between Parent-Reported Parenting, Child-Perceived Parenting, And Children’S Mental Health In Taiwanese Children, Ching-Yu Huang, Yi-Ping Hsieh, April Chiung-Tao Shen, Hsi-Sheng Wei, Jui-Ying Feng, Hsiao-Lin Hwa, Joyce Yen Feng

Social Work Faculty Publications

The current study examines the relationship between parents’ and children’s reports of parenting and their effects on children’s mental health symptoms. Six hundred and sixty-six parent-child dyads in Taiwan participated in this study. The parents and the children filled out the parenting questionnaires, and the children also reported their general mental health. The results demonstrated that parental-reported and child-perceived parenting were positively correlated, but parents tended to report lower scores on authoritarian parenting and higher scores on Chinese parenting than did their children. There were also significant gender differences: The mothers reported higher authoritative parenting than did the fathers; and …


Preventive Benefits Of U.S. Childcare Subsidies In Supervisory Child Neglect, Kathryn Maguire-Jack, Kelly M. Purtell, Kathryn Showalter, Sheila Barnhart, Mi-Youn Yang Mar 2019

Preventive Benefits Of U.S. Childcare Subsidies In Supervisory Child Neglect, Kathryn Maguire-Jack, Kelly M. Purtell, Kathryn Showalter, Sheila Barnhart, Mi-Youn Yang

Social Work Faculty Publications

Using data from age 3 of the Fragile Families and Child Wellbeing Study, the current study explores the complex relationships between U.S. child care subsidies and neglect. Specifically, the study examines two research questions: (1) Are U.S. child care subsidies associated with selfreported neglect among low-income mothers? (2) What individual types of self-reported neglect are significantly reduced by receipt of child care subsidy? Using negative binomial regression examining the relationships among mothers who were income-eligible for child care subsidy, we found that child care subsidy was associated with lower levels of supervisory neglect, indicating an important role of subsidy in …


A Needs-Based Partial Theory Of Human Injustice: Oppression, Dehumanization, Exploitation, And Systematic Inequality In Opportunities To Address Human Needs, Michael A. Dover Jan 2019

A Needs-Based Partial Theory Of Human Injustice: Oppression, Dehumanization, Exploitation, And Systematic Inequality In Opportunities To Address Human Needs, Michael A. Dover

Social Work Faculty Publications

The article presents an original needs-based partial theory of human injustice and shows its relationship to existing theories of human need and human liberation. The theory is based on an original typology of three social structural sources of human injustice, a partial theorization of the mechanisms of human injustice, and a needs-based theorization of the nature of human injustice, as experienced by individuals. The article makes a sociological contribution to normative social theory by clarifying the relationship of human injustice to human needs, human rights, and human liberation. The theory contends that human injustice is produced when oppression, mechanistic dehumanization, …


Using Social Network Analysis To Assess Professional Network Development Among AgeSw Pre-Dissertation Fellowship Program Participants, Rebecca L. Mauldin, Jennifer C. Greenfield, Nancy Kusmal, Noelle L. Fields, Staphanie P. Wladkowski, Allison Gibson Jan 2019

Using Social Network Analysis To Assess Professional Network Development Among AgeSw Pre-Dissertation Fellowship Program Participants, Rebecca L. Mauldin, Jennifer C. Greenfield, Nancy Kusmal, Noelle L. Fields, Staphanie P. Wladkowski, Allison Gibson

Social Work Faculty Publications

Professional networks are important for the success of doctoral students and early career faculty members, yet there is little research about what types of experiences help emerging scholars develop these networks. Social network analysis may be an ideal method for studying the effectiveness of training programs in nurturing network development among emerging scholars. We describe one application of this method, which was used to examine the professional networks formed through participation in the Association of Gerontological Education in Social Work (AGESW)’s Pre-Dissertation Fellowship Program (PDFP). Alumni (n = 12) from the first three cohorts of the program (2010–2012) reported …


Retention Of Child Welfare Caseworkers: The Wisdom Of Supervisors, Austin G. Griffiths, Patricia Desrosiers, Jay Gabbard, David Royse, Kristine Piescher Jan 2019

Retention Of Child Welfare Caseworkers: The Wisdom Of Supervisors, Austin G. Griffiths, Patricia Desrosiers, Jay Gabbard, David Royse, Kristine Piescher

Social Work Faculty Publications

Child welfare supervisors have a unique vantage point, leading local service delivery efforts while representing a larger organizational bureaucracy. They also play a key role in workforce stability, as high caseworker turnover remains a real problem that affects clients, communities, and agency budgets. Using a qualitative thematic content analysis to analyze data collected from a sample of public child welfare supervisors in a southern state (n=117), findings from this study provide suggestions for systematically addressing workforce turnover through the unique perspective of the child welfare supervisor. Supervisors made recommendations to improve agency infrastructure, organizational climate, and organizational culture as areas …


Transmissibility And Potential For Disease Progression Of Drug Resistant Mycobacterium Tuberculosis: Prospective Cohort Study, Mercedes C. Becerra, Chuan-Chin Huang, Leonid Lecca, Jaime Bayona, Carmen Contreras, Roger Calderon, Rosa Yataco, Jerome Galea, Zibiao Zhang, Sidney Atwood, Ted Cohen, Carole D. Mitnick, Paul Farmer, Megan Murray Jan 2019

Transmissibility And Potential For Disease Progression Of Drug Resistant Mycobacterium Tuberculosis: Prospective Cohort Study, Mercedes C. Becerra, Chuan-Chin Huang, Leonid Lecca, Jaime Bayona, Carmen Contreras, Roger Calderon, Rosa Yataco, Jerome Galea, Zibiao Zhang, Sidney Atwood, Ted Cohen, Carole D. Mitnick, Paul Farmer, Megan Murray

Social Work Faculty Publications

Objective: To measure the association between phenotypic drug resistance and the risk of tuberculosis infection and disease among household contacts of patients with pulmonary tuberculosis.

Setting: 106 district health centers in Lima, Peru between September 2009 and September 2012.

Design: Prospective cohort study.

Participants: 10 160 household contacts of 3339 index patients with tuberculosis were classified on the basis of the drug resistance profile of the patient: 6189 were exposed to drug susceptible strains of Mycobacterium tuberculosis, 1659 to strains resistant to isoniazid or rifampicin, and 1541 to strains that were multidrug resistant (resistant to isoniazid and rifampicin).

Main outcome …


Endure, Evolve, Achieve: Stakeholder Perspectives On The Effectiveness Of The Swamp Apes Program In Restoring Biopsychosocial Functioning Of American Veterans, Manisha Joshi, Joshua Zaris Goldman Jan 2019

Endure, Evolve, Achieve: Stakeholder Perspectives On The Effectiveness Of The Swamp Apes Program In Restoring Biopsychosocial Functioning Of American Veterans, Manisha Joshi, Joshua Zaris Goldman

Social Work Faculty Publications

A growing body of evidence highlights the benefits of recreational outdoor therapy for veterans experiencing posttraumatic stress disorder. We employed the Hawkins Model for “Nature as Strengths-based Recreational Therapy Intervention for Military Members” to assess the Swamp Apes/Volunteer Wilderness Alliance (SA/VWA) in South Florida, which has among its key objectives ridding the Everglades National Park of invasive species (e.g., Burmese python). Focus group and interviews with 10 veterans and seven non-veterans (i.e., family, health providers) were conducted to assess benefits, risks, and potential for developing SA/VWA activities into a formal therapy program for veterans rooted in the American Therapeutic Recreation …


Understanding Health-Related Behavior Among Adolescents Living With Hiv In Lima, Peru, Carly A. Rodriguez, Emiliano Valle, Jerome Galea, Milagros Wong, Lenka Kolevic, Maribel Muñoz, Leonid Lecca, Molly F. Franke Jan 2019

Understanding Health-Related Behavior Among Adolescents Living With Hiv In Lima, Peru, Carly A. Rodriguez, Emiliano Valle, Jerome Galea, Milagros Wong, Lenka Kolevic, Maribel Muñoz, Leonid Lecca, Molly F. Franke

Social Work Faculty Publications

Background: The global HIV burden among adolescents ages 10–19 is growing. This population concurrently confronts the multifaceted challenges of adolescence and living with HIV. With the goal of informing future interventions tailored to this group, we assessed sexual activity, HIV diagnosis disclosure, combination antiretroviral therapy (cART) adherence, and drug use among adolescents living with HIV (ALHIV) in Lima, Peru.

Methods: Adolescents at risk or with a history of suboptimal cART adherence completed a self-administered, health behaviors survey and participated in support group sessions, which were audio recorded and used as a qualitative data source. Additionally, we conducted in-depth interviews with …