Graduate
December 26, 2023
Long-term risk of recurrence of pre-cancerous cervical lesions among women living with HIV in Kenya
Women living with HIV (WLHIV) have a six-fold increased risk of developing cervical cancer compared to HIV-uninfected women. Despite this, limited data exists on the recurrence of precancerous cervical lesions among WLHIV following treatment with loop electrical excision procedure (LEEP) or cryotherapy. We sought to determine the long-term risk of recurrence of cervical intraepithelial neoplasia…
Gender minority stress and depressive symptoms among transfeminine and gender non-conforming individuals in China: mediating and moderating roles of coping
Transgender and gender non-conforming populations in China experience disproportionately higher burdens of mental health issues such as depression compared to their cisgender counterparts. The gender minority stress and resilience model further elaborates on the original minority stress theory in an effort to understand how various experiences such as gender-based violence, discrimination and rejection impact the…
Prevalence of Depressive Symptoms Among Children Exposed to Parental Incarceration in the 2019 and 2021 National Health Interview Survey (NHIS)
Depression is a prevalent mental health disorder among 2.7 million (4.4%) children aged 3-17 in the United States (US), with adverse childhood experiences (ACEs) being a contributing factor. Parental incarceration is an ACE associated with various negative social and health outcomes for this demographic. Such outcomes include inequitable healthcare access, increased risk of housing instability,…
Suicide and Firearm Access among Legal System Involved Perpetrators of Domestic Violence
Individuals incarcerated for DV-related offenses or subject to domestic violence protection orders (DVPOs; i.e., respondents) have threatened or engaged in one form of violence perpetration and may be at increased risk for experiencing others forms of violence, including suicide death. Several risk factors for perpetration of DV overlap with suicide; however, few studies have examined…
Novel Testing Strategies to Support HIV Treatment and Prevention: Acceptability, Preferences, and Impact on Engagement in Care and Sexual Behaviors
The primary goal of this dissertation project was to advance our understanding of the impact of novel testing strategies to support HIV treatment and prevention. Despite significant advancements in antiretroviral therapy (ART) and pre-exposure prophylaxis (PrEP), rates of suboptimal medication adherence and disengagement from care, particularly in the first year of care, remain extraordinarily high….
Pregnancy and cervical cancer: a retrospective study of the associations of age at first pregnancy and parity with non-invasive and invasive cervical lesions among HIV-negative women in Senegal
Cervical cancer is the leading cause of cancer-related deaths in Senegal. Senegal’s cervical cancer prevention strategy has prioritized vaccinating young girls with human papillomaviruses (HPV) vaccines, but not screening of older women. There is limited knowledge about the roles of age at first pregnancy (AFP) and parity in developing cervical intra-epithelial lesions (CIN) and invasive…
Empowerment, Stigma, and Structural Factors and their Influences on Sexual and Reproductive Health Care of Young Women
Adolescent girls and young women (AGYW) in East and southern Africa face parallel epidemics of HIV incidence and unintended pregnancy. AGYW in Kenya, specifically, confront unique challenges to sexual and reproductive health access, quality, and wellbeing. To understand the social and structural barriers that impede optimal reproductive health outcomes, it is crucial to understand the…
PrEP Persistence Among Key Populations in Ukraine: Analysis of Scaled PrEP Program Data from October 2020 through February 2022
While global HIV incidence has rapidly decreased during the last decade, Central and Eastern Europe have experienced a significant rise in new cases annually. Ukraine, located in Eastern Europe, has been one of the most ambitious in the region in implementing programs to combat HIV since 2017, including expanding access to PrEP among key populations…
December 22, 2023
Associations of Prescription Opioid Use during Pregnancy with Low Birth Weight and Length of Hospital Stay: Analysis of PRAMS Data
Prescription opioid use among US pregnant women, primarily used for its analgesic properties, has increased substantially over the last decades. Findings from several studies investigating associations of prescription opioid use with adverse neonatal outcomes (including preterm birth, poor fetal growth, longer hospital stays, neonatal abstinence syndrome, and birth defects) were not consistent. We examined overall…
Impact of the American Heart Association’s Life’s Essential 8 goals on incident cardiovascular diseases (CVD) in the Strong Heart Family Study
Cardiovascular diseases (CVD) are a leading cause of morbidity and mortality among American Indians. In 2022, the American Heart Association (AHA) developed the Life’s Essential 8 goals to promote optimal cardiovascular health (CVH) for Americans. The goals comprise 4 health behaviors (i.e., diet, physical activity, nicotine exposure, and sleep) and 4 health factors (i.e., body…
Previous page Next page