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Article
“It’s Better If I Die Because Even in the Hospital, There is a Stigma, People Still Gossip”: Gossip as a Culturally Shaped Labeling Process and Its Implications for HIV-Related Stigma in Botswana
This study qualitatively explores HIV-related gossip as both a manifestation and driver of HIV-related stigma, which is a known barrier to HIV testing and treatment in Botswana. Data were elicited from 5 focus...
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Article
Open AccessA pilot pragmatic trial of a “what matters most”-based intervention targeting intersectional stigma related to being pregnant and living with HIV in Botswana
We conducted a pilot trial of an intervention targeting intersectional stigma related to being pregnant and living with HIV while promoting capabilities for achieving ‘respected motherhood’ (‘what matters most...
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Article
HIV Infection and Depression Among Opiate Users in a US Epicenter of the Opioid Epidemic
Using a mobile research facility, we enrolled 141 opioid users from a neighborhood of Philadelphia, an urban epicenter of the opioid epidemic. Nearly all (95.6%) met DSM-5 criteria for severe opioid use disord...
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Article
Psychometric Validation of a Scale to Assess Culturally-Salient Aspects of HIV Stigma Among Women Living with HIV in Botswana: Engaging “What Matters Most” to Resist Stigma
Perceived stigma deters engagement in HIV care and is powerfully shaped by culture. Yet few stigma measures consider how cultural capabilities that signify “full personhood” could be engaged to resist stigma. ...
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Article
Open Access‘Mothers moving towards empowerment’ intervention to reduce stigma and improve treatment adherence in pregnant women living with HIV in Botswana: study protocol for a pragmatic clinical trial
With high rates of HIV and multiple vulnerable subgroups across diverse settings, there is a need for culturally based, HIV stigma reduction interventions. Pregnant women who are living with HIV are especially...
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Article
Causal Pathways Between Severe Mental Illness and Behaviors Related to HIV: Patient Perspectives
The purpose of this study was to identify causal pathways between HIV infection and severe mental illness. Data were collected through open-ended, semi-structured interviews. An integrated approach to the anal...
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Article
HIV Prevalence Among Hospitalized Patients at the Main Psychiatric Referral Hospital in Botswana
We examined HIV prevalence among patients 18–49 year olds admitted to a psychiatric hospital in Botswana in 2011 and 2012. The retrospective study analyzed females (F) and males (M) separately, comparing propo...
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Article
Does Diagnosis Make a Difference? Estimating the Impact of an HIV Medication Adherence Intervention for Persons with Serious Mental Illness
The heightened risk of persons with serious mental illness to contract and transmit human immunodeficiency virus (HIV) is a public health problem. Here we evaluate the interaction between psychiatric diagnosis...
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Article
Coercion or Caring: The Fundamental Paradox for Adherence Interventions for HIV+ People with Mental Illness
To determine if an escalating HIV treatment adherence intervention would be considered by participants from a caring or coercive perspective, perceived coercion was examined in 238 community-based dually diagn...
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Article
Determining the Cost-Savings Threshold for HIV Adherence Intervention Studies for Persons with Serious Mental Illness and HIV
Persons with serious mental illnesses are at increased risk for contracting and transmitting HIV and often have poor adherence to medication regimens. Determining the economic feasibility of different HIV adhe...
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Article
Increasing Quality of Life and Reducing HIV Burden: The PATH+ Intervention
The heightened risk of persons with serious mental illness (SMI) to contract and transmit human immunodeficiency virus (HIV) is a public health problem. Our objective was test the effectiveness of a community-...
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Article
Treatment Considerations for HIV-Infected Individuals with Severe Mental Illness
There has been a general recognition of a syndemic that includes HIV/AIDS and serve mental illnesses including schizophrenia, major depression, bipolar disorder, post-traumatic stress disorder, and others. The...
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Article
Using Psychiatric Symptomatology to Assess Risk for HIV Infection in Individuals with Severe Mental Illness
In this study, we use the Colorado Symptom Index, a measure of psychiatric symptomatology, to identify vulnerable subgroups within the severely mentally ill population at elevated risk for HIV infection. Basel...
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Article
Use of HIV and Psychotropic Medications among Persons with Serious Mental Illness and HIV/AIDS
Persons with serious mental illness (SMI) have higher rates of co-morbid HIV disorders compared to the general population. There are concerns that the SMI/HIV population may be receiving fewer HIV and psychotr...
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Article
Challenges in Addressing Depression in HIV Research: Assessment, Cultural Context, and Methods
Depression is one of the most common co-morbidities of HIV infection. It negatively impacts self-care, quality of life, and biomedical outcomes among people living with HIV (PLWH) and may interfere with their ...
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Article
Empirically Supported Treatments in Rural Community Mental Health Centers: A Preliminary Report on Current Utilization and Attitudes Toward Adoption
Rural community mental health centers (CMHCs) face numerous problems that might be alleviated by the dissemination of empirically supported treatments (ESTs). The current study lays the groundwork for EST diss...
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Article
NPACT: Enhancing Programs of Assertive Community Treatment for the Seriously Mentally Ill
Morbidity and mortality due to physical illness is extremely high in the population of persons with serious mental illness. The purpose of this study was to examine the impact on psychiatric and physical outco...
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Chapter
Ethical Considerations in Prevention
As David Stenmark prepared his Presidential address to what was then the Division of Community Psychology* of the American Psychological Association, he was approached by his daughter, Marci, and asked what he...
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Article
Introduction to special issue health care reform and rural special populations
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Article
Introduction to special issue rural mental health theory and practice