Social Work Commons^™

Asian Americans’ Concerns And Plans About Alzheimer's Disease: The Role Of Exposure, Literacy And Cultural Beliefs, Yuri Jang, Hyumwoo Yoon, Nan Sook Park, Min-Kyoung Rhee, David A. Chiriboga

Social Work Faculty Publications

Responding to the increase of the Asian American population and the growing imperative to address issues on Alzheimer's disease (AD) in diverse populations, this study examined Asian Americans’ concerns about AD (both concerns about one's own development of AD and about becoming an AD caregiver) and plans for AD. Focus was given on exploring the role of AD exposure, AD literacy and cultural beliefs about AD in predicting AD‐related concerns and plans. Using data from 2,609 participants in the 2015 Asian American Quality of Life survey (aged 18–98), logistic regression models of three outcome measures (concerns about one's own development …

Barriers And Facilitators To Antiretroviral Therapy Adherence Among Peruvian Adolescents Living With Hiv: A Qualitative Study, Jerome Galea, Milagros Wong, Maribel Muñoz, Emiliano Valle, Segundo R. Leon, Dayana D. Perez, Lenka Kolevic, Molly F. Franke

Social Work Faculty Publications

AIDS deaths among adolescents are increasing globally. This qualitative study investigated the barriers and facilitators to cART adherence among Peruvian adolescents living with HIV. Guided by a social ecological model, we analyzed transcripts from 24 psychosocial support groups for HIV-positive adolescents aged 13–17 years and 15 individual, in-depth interviews with cART providers and caregivers to identify the barriers and facilitators to cART adherence at the individual, family/caregiver and hospital levels. Most barriers and facilitators to cART adherence clustered at the individual and family/caregiver levels, centering on support provided to adolescents; history of declining health due to suboptimal cART adherence; side …

Barriers And Facilitators To Antiretroviral Therapy Adherence Among Peruvian Adolescents Living With Hiv: A Qualitative Study, Jerome T. Galea, Milagros Wong, Maribel Muñoz, Emiliano Valle, Segundo R. Leon, Dayana D. Perez, Lenka Kolevic, Molly Franke

Social Work Faculty Publications

AIDS deaths among adolescents are increasing globally. This qualitative study investigated the barriers and facilitators to cART adherence among Peruvian adolescents living with HIV. Guided by a social ecological model, we analyzed transcripts from 24 psychosocial support groups for HIV-positive adolescents aged 13–17 years and 15 individual, in-depth interviews with cART providers and caregivers to identify the barriers and facilitators to cART adherence at the individual, family/caregiver and hospital levels. Most barriers and facilitators to cART adherence clustered at the individual and family/caregiver levels, centering on support provided to adolescents; history of declining health due to suboptimal cART adherence; side …

Crucial But Understudied: Incentives In Hiv Research, Brandon Brown, Jerome T. Galea, Karine Dubé

Social Work Faculty Publications

No abstract provided.

Use Of 'Eradication' In Hiv Cure-Related Research: A Public Health Debate, Karine Dubé, Stuart Luter, Breanne Lesnar, Luke Newton, Jerome T. Galea, Brandon Brown, Sarah Gianella

Social Work Faculty Publications

Background: The landscape of Human Immunodeficiency Virus (HIV) research has changed drastically over the past three decades. With the remarkable success of antiretroviral treatment (ART) in decreasing AIDS-related mortality, some researchers have shifted their HIV research focus from treatment to cure research. The HIV cure research community often uses the term eradication to describe the science, and talks about eradicating the virus from the body. In public discourse, the term eradication could be conflated with disease eradication at the population level. In this paper, we call for a reframing of HIV cure research as control, as it is a …

The Relationship Between Anogenital Hpv Types And Incident Hiv Infection Among Men Who Have Sex With Men And Transgender Women In Lima, Peru: Findings From A Prospective Cohort Study, Brandon Brown, Logan Marg, Segundo R. Leon, Cynthia Chen, Junice Ng Yi Siu, Gino Calvo, Hugo Sánchez, Jerome T. Galea

Social Work Faculty Publications

Although it is known that individuals living with HIV have a higher HPV prevalence, the impact of individual HPV types on HIV acquisition is less clear. In this prospective cohort study we investigated the relationship between HPV types and incident HIV infection among men who have sex with men (MSM) and transgender women (TW) in Lima, Peru. Six hundred HIV-negative Peruvian MSM and TW participated in a 2-year study with biannual visits. At baseline, participants completed a computerized, self-administered questionnaire on sexual behavior and HPV knowledge and underwent a physical exam including anogenital swabs for HPV DNA (37 genotypes via …

Genotypic Clustering Does Not Imply Recent Tuberculosis Transmission In A High Prevalence Setting: A Genomic Epidemiology Study In Lima, Peru, Avika Dixit, Luca Freschi, Roger Vargas, Roger Calderon, James Sacchettini, Francis Drobniewski, Jerome Galea, Carmen Contreras, Rosa Yataco, Zibiao Zhang

Social Work Faculty Publications

Background: 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 transmissibility study of 4,000 TB patients in Lima, Peru, we identified a large MIRU-VNTR Mtb cluster with a range of resistance phenotypes and studied host and bacterial factors contributing to its spread.

Methods: WGS was performed on 61 of 148 isolates in the cluster. We compared transmission link inference using epidemiological or genomic data with and without the inclusion of controversial variants, and estimated the dates of emergence of the cluster and antimicrobial …

The Risk Typology Of Healthcare Access And Its Association With Unmet Healthcare Needs In Asian Americans, Yuri Jang, Nan Sook Park, Hyunwoo Yoon, Ya-Ching Huang, Min-Kyoung Rhee, David A. Chiriboga, Miyong T. Kim

Social Work Faculty Publications

Using data from the 2015 Asian American Quality of Life Survey (N = 2,609), latent profile analysis was conducted on general (health insurance, usual place for care and income) and immigrant‐specific (nativity, length of stay in the U.S., English proficiency and acculturation) risk factors of healthcare access. Latent profile analysis identified a three‐cluster model (low‐risk, moderate‐risk and high‐risk groups). Compared with the low‐risk group, the odds of having an unmet healthcare need was 1.52 times greater in the moderate‐risk group and 2.24 times greater in the high‐risk group. Challenging the myth of model minority, the present sample of Asian …

Preparing To Launch The ‘Thinking Healthy Programme’ Perinatal Depression Intervention In Urban Lima, Peru: Experiences From The Field, B. S. Eappen, M. Aguilar, K. Ramos, C. Contreras, M. C. Prom, P. Scorza, B. Gelaye, M. Rondon, G. Raviola, Jerome T. Galea

Social Work Faculty Publications

Background. An estimated 19–25% of perinatal women in low- and middle-income countries are affected by depression which, untreated, is associated with multiple health problems for mothers and children. Nonetheless, few perinatal women have access to depression care. The Thinking Healthy Programme (THP), promoted by the World Health Organization (WHO), is an evidence-based, non-specialist delivered depression intervention that addresses this care gap. However, the WHO THP manual explains intervention delivery but not the antecedents to implementation. Here, we describe a principled, planned approach leading to the implementation of THP in Lima, Peru by the non-profit organization Socios En Salud with community …

Measurement Equivalence Of English Versus Native Language Versions Of The Kessler 6 (K6) Scale: An Examination In Three Asian American Groups, Yuri Jang, Daniel A. Powers, Hyunwoo Yoon, Min-Kyoung Rhee, Nan Sook Park, David A. Chiriboga

Social Work Faculty Publications

The use of languages other than English in population-based surveys is necessitated by the linguistic diversities in the United States. However, inclusion of multiple languages in survey data collection raises concerns about whether an instrument administered in different languages functions equivalently across groups. Using the Kessler Psychological Distress Scale 6 (K6), the present study examined differential item functioning (DIF) between surveys conducted either in English or the native language of the groups of Chinese Americans (n = 622), Korean Americans (n = 471), and Vietnamese Americans (n = 513). DIF analyses using a series of multiple-indicator multiple-cause models showed that …

Community Strengthening And Mental Health System Linking After Flooding In Two Informal Human Settlements In Peru: A Model For Small-Scale Disaster Response, Carmen C. Contreras, M. Aguilar, B. Eappen, C. Guzmán, P. Carrasco, A. K. Millones, Jerome T. Galea

Social Work Faculty Publications

Background: Mental health is an important factor in responding to natural disasters. Observations of unmet mental health needs motivated the subsequent development of a community-based mental health intervention following one such disaster affecting Peru in 2017.

Methods: Two informal human settlements on the outskirts of Lima were selected for a mental health intervention that included: (1) screening for depression and domestic violence, (2) children's activities to strengthen social and emotional skills and diminish stress, (3) participatory theater activities to support conflict resolution and community resilience, and (4) community health worker (CHW) accompaniment to government health services.

Results: A total of …

Perceptions Of Macro Social Work Education: An Exploratory Study Of Educators And Practitioners, Katherine Hill, Christina L. Erickson, Linda P. Donaldson, Sondra J. Fogel, Sarah M. Ferguson

Social Work Faculty Publications

Social work graduate education is responsive to and reflective of larger environmental forces, including economic and job market trends, regulations by diverse organizations, and student interests. A national online survey of macro social work educators (n=208) and macro social work practitioners (n=383) explored their perceptions of the intersections between these forces and graduate social work education. Findings indicate that while there remains a consistent level of support for and inclusion of macro social work within MSW programs from both groups, macro practitioners identified a concurrent experience of negative perceptions, attitudes, and experiences toward macro social work education while in their …

Polyclonal Pulmonary Tuberculosis Infections And Risk For Multidrug Resistance, Lima, Peru, Ruvandhi R. Nathavitharana, Cynthia X. Shi, Leonid. Chindelevitch, Roger Calderon, Zibiao Zhang, Jerome T. Galea, Carmen C. Contreras, Rosa Yataco, Leonid Lecca, Mercedes C. Becerra, Megan B. Murray, Ted Cohen

Social Work Faculty Publications

Because within-host Mycobacterium tuberculosis diversity complicates diagnosis and treatment of tuberculosis (TB), we measured diversity prevalence and associated factors among 3,098 pulmonary TB patients in Lima, Peru. The 161 patients with polyclonal infection were more likely than the 115 with clonal or the 2,822 with simple infections to have multidrug-resistant TB.

Peruvian Mental Health Reform: A Framework For Scaling-Up Mental Health Services, Mauricio Toyama, Humberto Castillo, Jerome T. Galea, L.R. Brandt, María Mendoza, Vanessa Herrera, Martha Mitrani, Yuri Cutipé, Victoria Cavero, Francisco Diez-Canseco, Jaime J. Miranda

Social Work Faculty Publications

Background: Mental, neurological, and substance (MNS) use disorders are a leading cause of disability worldwide; specifically in Peru, MNS affect 1 in 5 persons. However, the great majority of people suffering from these disorders do not access care, thereby making necessary the improvement of existing conditions including a major rearranging of current health system structures beyond care delivery strategies. This paper reviews and examines recent developments in mental health policies in Peru, presenting an overview of the initiatives currently being introduced and the main implementation challenges they face.

Methods: Key documents issued by Peruvian governmental entities regarding mental …

Understanding The Experience Of Early-Onset Bipolar Disorder: A Phenomenological Study Of Emerging Adults, Kristin M. Smyth

USF Tampa Graduate Theses and Dissertations

While early-onset bipolar disorder (EOBD) has increased in prevalence, much remains to be understood about its phenomenology. Research and treatment models remain rooted in neurobiological conceptualizations of the illness that borrow heavily from models for the traditional adult-onset form of bipolar disorder. This study utilized a transcendental phenomenological design as a first step in obtaining an understanding of the lived experience of EOBD. A purposive sample of eight participants ages 18-25 participated in semi-structured interviews that elicited information on experiences of EOBD symptomatology and course of illness, stigma, experience with healthcare and treatment, and impact on identity, interpersonal relationships, and …

Physical, Verbal, Relational And Cyber-Bullying And Victimization: Examining The Social And Emotional Adjustment Of Participants, Melanie Mcvean

USF Tampa Graduate Theses and Dissertations

Cyber-bullying has been gaining in popularity as online technology use has greatly expanded in the past decade. There has been quite a bit of research on traditional forms of bullying, which has demonstrated links to various demographic and psychosocial factors. Participation in cyber-bullying and victimization has been linked to some characteristics that are different from other types of bullying. There has been some discussion in the literature regarding whether cyber-bullying is significantly different from other forms of bullying. The literature has also noted the need for more studies utilizing peer-report data. This study utilized peer-report bullying data to examine self-reported …

Sow 4510 Integrative Seminar, Penne Williams

Service-Learning Syllabi

No abstract provided.

Sow 3203 Intro To Social Work, Manisha Joshi

Service-Learning Syllabi

No abstract provided.

An Exploration Of The Relationship Between Child Welfare Workers’ Ambivalent Sexism And Beliefs About Father Involvement, Katrina Lee Brewsaugh

USF Tampa Graduate Theses and Dissertations

Research over the last few decades has consistently found that fathers are not routinely included in the provision of child welfare services. The current study examined whether ambivalent sexism on the part of child welfare workers was related to their beliefs about involving fathers. Ambivalent sexism theory posits that gender stereotypes include subjectively positive beliefs in addition to hostile beliefs that both serve to perpetuate patriarchal systems. Participants (N = 490) were currently front-line child welfare workers in the United States who completed an online survey assessing ambivalent sexism and beliefs about father involvement in child welfare cases. Ambivalent sexism …

Hpv Vaccine Knowledge And Acceptability Among Peruvian Men Who Have Sex With Men And Transgender Women: A Pilot, Qualitative Study, Jerome T. Galea, Emmi Monsour, César R. Nureña, Magaly M. Blas, Brandon Brown

Social Work Faculty Publications

Purpose Human papillomavirus (HPV) is the most common sexually transmitted infection globally and is responsible for a variety of cancers in men and women. An effective HPV vaccine licensed for use in girls and boys has been indicated forbut is not widely implemented in men who have sex with men (MSM). Limited data are available for transgender women (TW). We explored the social and behavioral aspects related to HPV vaccine uptake and participation in HPV vaccine studies among Peruvian MSM and TW.

Methods Focus groups and individual in-depth interviews were conducted to obtain the knowledge, thoughts, and opinions from Peruvian …

Hpv Knowledge, Burden And Genital Wart Location Among Heterosexually Identified Versus Homosexually Identified Men Who Have Sex With Men In Lima, Peru: Cross-Sectional Results From A Cohort Study, Jerome T. Galea, Segundo R. León, Jesús Peinado, Gino Calvo, Jonathan Zamora, Hugo Sánchez, Brandon J. Brown

Social Work Faculty Publications

Objectives: The relationship between sexual practices, identity and role among Latino men who have sex with men (MSM) and HIV risk is the subject of ongoing investigation but less is known about how these aspects of sexuality relate to human papilloma-virus (HPV), an independent risk factor for HIV. This observational study investigated the relationship between HPV and sexual practices, identity and role as well as other sexually transmitted infection (STI)/HIV risk factors among HIV-negative heterosexually and homosexually identified Peruvian MSM.

Setting: Community-based clinic for MSM in Lima, Peru.

Participants: 756 subjects were screened based on inclusion criteria of: born anatomically …

Mental Disorders And Drug/Alcohol Use In Patients Commencing Extensively Drug-Resistant Tuberculosis Treatment, J. Scuffell, D. Boccia, F. Garcia Velarde, Segundo R. Leon, G. Raviola, Leonid Lecca, Jerome T. Galea

Social Work Faculty Publications

Mental disorders and alcohol/drug use worsen treatment outcomes for multidrug-resistant tuberculosis (TB), but data are lacking for extensively drug-resistant (XDR) TB. We investigated the association of baseline mental disorders and alcohol/drug use on XDR-TB treatment outcomes in a retrospective study of 53 XDR-TB Peruvian patients during 2010–2012. Logistic regression estimated the odds ratios for unfavourable XDR-TB treatment outcomes. Overall treatment success was 25%. Mental disorders and drug/alcohol use were found in respectively 22.4% and 20.4% of patients; neither were associated with unfavourable treatment outcomes. Future research should explore the relationship between mental health and drug/alcohol use in XDR-TB treatment outcomes.

Therapeutic Alliance And Adherence To A Plant-Based Eating Plan To Treat Chronic Disease, Michiel A. Zyl, Lesley M. Harris, Rachel Hale

Social Work Faculty Publications

Background: Systematic reviews show that a plant-based diet offers many benefits to patients with a variety of chronic illnesses. However, more research is needed to show how plant-based diets are successfully prescribed by physicians and what supports are essential for adherence. The primary research questions in this study were: Is therapeutic alliance correlated with adherence to the eating plan?; Does a change in therapeutic alliance result in a change in adherence?; and How do patients view the doctor-patient relationship and adherence? Methods: This multiple methods feasibility study combined cross-sectional pre-post and six-month follow-up survey, a focus group and case study …

A Mixed Methods Inquiry Of Caregivers Of Veterans With Sustained Serious "Invisible" Injuries In Iraq And/Or Afghanistan, Bina Ranjit Patel

USF Tampa Graduate Theses and Dissertations

Currently, there are approximately 1.1 million caregivers who are caring for veterans who have served in the military following September 11 (9/11), 2001 (Ramchand et al., 2014). In this study, a mixed methods analysis of post 9/11 caregivers enrolled in the North Florida South Georgia Caregiver Support Program was completed with a convenience sample of 172 participants for quantitative analysis which included 16 participants for the phenomenological query. Correlations, t-tests, and ANOVAs were used to determine the associations among race, gender, age, caregiver type, diagnosis, tier level, and the presence of children in the home with caregiver burden as measured …

Transparency Of Participant Incentives In Hiv Research, Brandon Brown, Jerome T. Galea, Peter Davidson, Kaveh Khoshnood

Social Work Faculty Publications

No abstract provided.

Health Vulnerability Of Immigrants With Limited English Proficiency: A Study Of Older Korean Americans, Yuri Jang, Hyunwoo Yoon, Nan Sook Park, David A. Chiriboga

Social Work Faculty Publications

OBJECTIVES—To examine the extent to which limited English proficiency (LEP) poses a risk to physical and mental health, using older Korean Americans as a target population.

DESIGN—Cross-sectional survey.

PARTICIPANTS—Older Korean Americans (N = 1,301).

MEASUREMENTS—Health outcomes were indexed using binary variables covering activity limitation, self-rated health, and probable depression. Participants who reported that they spoke English less than very well were categorized as manifesting LEP.

RESULTS—Approximately 71% of the sample had LEP. Those with LEP scored lower on all measures of health than their English-proficient counterparts. In multivariate models, the risk of having activity limitations was 2.72 times as great …

Placing Evidence-Based Interventions At The Fingertips Of School Social Workers, Jose Castillo, Tommi Rivers, Catherine Randall, Ken Gaughan, Tiina Ojanen, Oliver Tom Massey, Donna L. Burton

Psychology Faculty Publications

Through a university-community collaborative partnership, the perceived needs of evidence-based practices (EBPs) among school social workers (SSWs) in a large school district in central Florida was assessed. A survey (response rate = 83.6%) found that although 70% of SSWs claim to use EBPs in their everyday practice, 40% do not know where to find them, which may partially explain why 78% of respondents claim to spend 1 to 4 h every week looking for adequate EBPs. From this needs assessment, the translational model was used to address these perceived needs. A systematic review of the literature found 40 tier 2 …

Exploring The Relationship Of Healthy Lifestyle Characteristics With Food Behaviors Of Low-Income, Food Insecure Women In The United States (Us), Kimberly Ann Wollard

USF Tampa Graduate Theses and Dissertations

Using data from the National Health and Nutrition Examination Survey (NHANES) self-reported surveys from 2007-2012, this research explored the relationship between four healthy lifestyle characteristics - healthy weight, adequate daily fruit and vegetable intake, regular moderate to vigorous physical activity and not smoking - with food behaviors of low-income, food insecure women. The study examined three specific food behaviors (the use of SNAP, consumption of fast foods, and the utilization of community emergency food programs) to determine if these behaviors had a significant impact on low-income, food insecure women to follow healthy lifestyle characteristics. A secondary data analysis was conducted …

Anogenital Human Papillomavirus Infection And Hiv Infection Outcomes Among Peruvian Transgender Women: Results From A Cohort Study, Brandon Brown, Jerome T. Galea, Gita Byraiah, Tonia Poteat, Segundo R. Leon, Gino Calvo, Hugo Sánchez, Thomas J. Coates, Jeffrey D. Klausner

Social Work Faculty Publications

Latin American transgender women are highly vulnerable to HIV infection, and although much is known about factors associated with HIV infection in this population, little is known about the association of human papilloma virus (HPV) with HIV infection. We investigated anogenital HPV and cumulative HIV incidence among 68, initially HIV uninfected, Peruvian transgender women enrolled into a 2-year, prospective cohort study: 95.6% had at least one anogenital HPV genotype at baseline, 19.1% had visible anogenital warts, and 6.0% became infected with HIV over the course of the study. Due to the high anogenital HPV prevalence, this population would likely benefit …

Sow 3203 Intro To Social Work, Penne Williams

Service-Learning Syllabi

No abstract provided.