South Africa has one of the highest HIV prevalence rates in the world, with women and girls bearing the greatest burden. Although HIV preexposure prophylaxis (PrEP) is effective, data on its implementation in rural South Africa remain limited. Our study explores how female nurses in Msinga, South Africa, navigate communal hopes and anxieties regarding PrEP for women.
View Article and Find Full Text PDFObjectives: This study aimed to investigate the HIV vulnerability and PrEP awareness among AGYW in Cameroon.
Methods: This was a cross-sectional survey in which 637 AGYW were recruited. We conducted descriptive and logistic regression models to identify the factors associated with HIV vulnerability and PrEP awareness.
Black women face a myriad of challenges that heighten their susceptibility to sexually transmitted infections (STIs), resulting in a disproportionate impact of STIs among this population. Yet, there is a lack of research that explores how women navigate these diagnoses with resilience. Instead, much of the prevention research on Black women's sexual health and wellness reflects a deficit orientation and focuses on risk.
View Article and Find Full Text PDFPLOS Glob Public Health
July 2025
Black maternal health narratives have long been dominated by crisis-focused frameworks that emphasize morbidity and mortality, often reinforcing narratives of vulnerability, pathology, and systemic failure. While these statistics are crucial in identifying disparities, they obscure the full spectrum of Black maternal experiences, erasing stories of joy, resilience, and thriving. This essay argues for a shift toward a vitality framework-one that reimagines Black maternal health beyond survival to center joy, liberation, and healing.
View Article and Find Full Text PDFJ Aggress Maltreat Trauma
February 2025
Teen dating violence (TDV) is a public health problem in the United States (U.S.) with little investigation among Asian American adolescents.
View Article and Find Full Text PDFPromotion and tenure (P&T) is the process by which academic faculty are evaluated on the trajectory and impact of their scholarly career. Faculty are typically assessed on their grants, publications, teaching, and service. Ethnically minoritized faculty face disparities in P&T, perhaps due to the lack of standards for quantifying their efforts in the community and scholarship that is relevant to issues of social justice and public concern.
View Article and Find Full Text PDFBackground: Passaic county, New Jersey (NJ) has a high population density and diverse racial composition, with significant socioeconomic disparities that vary by city. Such disparities expose residents, and particularly children, to environmental conditions that may be harmful to their health and wellbeing such as high exposure to crime, violence, and high amounts of alcohol outlets. This study explores the association between alcohol outlet density (AOD) and neighborhood-level crime rates and child opportunity index (COI) measures in Passaic county, NJ.
View Article and Find Full Text PDFBackground: Wayne State University School of Medicine (WSUSOM) is the largest single-campus medical school located in a diverse community. WSUSOM's religious holiday policy guarantees time off for observance of one religious holiday. For all other religious holidays, students must request for time off.
View Article and Find Full Text PDFGlobal health (GH) interest is rising among graduate medical education (GME) trainees, yet GH engagement is marred by the impact of colonization or racism, and there remains a lack of training to confront these challenges. To develop a modular, open-access curriculum that provides training in decolonization for GH GME and evaluate its feasibility and impact on learners' critical reflection on decolonization. From 2019 to 2022, 40 GH educators, including international and indigenous scholars from diverse organizations, created the Global Health Education for Equity, Anti-Racism, and Decolonization (GHEARD) curriculum.
View Article and Find Full Text PDFSex Reprod Health Matters
December 2024
Black girls in the United States are disproportionately diagnosed with sexually transmitted infections (STIs), which can increase the risk of contracting HIV (human immunodeficiency virus), compared to adolescent girls of other races. Therefore, this study was designed to understand barriers to impactful HIV/STI and substance use prevention programmes for Black girls. Data was collected between October 2021 and June 2022 from twelve focus groups which included ( = 62) participants who identified as Black and female between the ages of 13 and 18 years old.
View Article and Find Full Text PDFUrban Educ (Beverly Hills Calif)
November 2024
Leveraging publicly available data about schools' absenteeism from the New Jersey Department of Education, the present study examined how neighborhood-level resource deprivation and violent crime related to chronic absenteeism in Passaic County's elementary, middle, and high schools. Results highlighted geographic disparities in Passaic County, New Jersey, whereby predominantly racial/ethnic, under-resourced, communities of color have significantly greater levels of resource deprivation and threat. Additionally, greater neighborhood-level resource deprivation and neighborhood violent crime were associated with higher rates and trajectories of absenteeism across three academic school years.
View Article and Find Full Text PDFAdolescents in the United States (US) continue to be disproportionately impacted by HIV and STIs. We investigated the associations between sexual health and substance use behaviors with HIV and STI testing among high school students in the US. Cross-sectional weighted stepwise multivariate logistic regression models were conducted to determine the odds of lifetime HIV and STI testing among students, stratified by sex.
View Article and Find Full Text PDFAm J Community Psychol
December 2024
Although predictive algorithms have been described as the definitive solution to bias in health care, machine learning techniques may also propagate existing health inequities within the community context. However, there may be ways in which machine learning techniques can help community psychologists, public health researchers and practitioners identify patterns in data in a way that empowers improved outcomes. Incorporating community insight in all stages of machine learning research mitigates bias by positioning members of underrepresented communities as the experts of their lived experiences.
View Article and Find Full Text PDFDue to systemic racism and homophobia, Lesbian, Gay, Bisexual, and Queer (LGBQ+) youth of color are disproportionately affected by HIV (human immunodeficiency virus) / AIDS (acquired immunodeficiency syndrome) and viral hepatitis (VH). Innovative approaches that acknowledge strengths such as ethnic identity need to be examined to understand specific protective factors that can support LGBQ+ youth of color. This study aimed to examine the moderating effects of ethnic identity and LGBQ+ identity on indicators of HIV knowledge (i.
View Article and Find Full Text PDFJ Clin Child Adolesc Psychol
May 2024
Objective: While Black adolescent girls use drugs at much lower rates than White and Hispanic girls, Black adolescent girls often have worse health outcomes due to drug use. This study seeks to highlight the voices of Black adolescent girls in order to understand their unique risk factors for substance use and misuse.
Methods: Utilizing the intersectionality and ecological systems theoretical frameworks, the research team conducted twelve focus groups among a sample of Black adolescent girls ( = 62) between the ages of 13-18 ( = 15.
Background: Substance use continues to remain a public health issue for youths in the United States. Black youths living in urban communities are at a heightened risk of poor outcomes associated with substance use and misuse due to exposure to stressors in their neighborhoods, racial discrimination, and lack of prevention education programs specifically targeting Black youths. Many Black youths, especially those who live in urban communities, do not have access to culturally tailored interventions, leaving a critical gap in prevention.
View Article and Find Full Text PDFSchools in urban neighborhoods receive less funding, have less programming, and have poorer infrastructure. Such disparities may impede academic outcomes among youth. This study used publicly available data to examine the association between school characteristics and surrounding neighborhood environment on educational outcomes across three academic years among 132 schools in Passaic County, New Jersey.
View Article and Find Full Text PDFInt J Environ Res Public Health
December 2023
Objectives: To understand the role and future implications of social distancing on mental health and substance use in young adults between the ages of 18 and 35 living in high-disease-prevalent areas of New York.
Methods: Participants completed a self-administered online survey through Qualtrics.
Results: 43.
This systematic review aimed to investigate the prevalence of internalizing symptomatology among Multiracial adolescents in the United States and to report on the methods utilized to measure Multiracial race and internalizing symptoms. A comprehensive search was conducted in Ovid MEDLINE, Embase, APA PsycInfo, and Web of Science Core Collection. The search was confined to peer-reviewed studies reporting the prevalence of any internalizing symptom among Multiracial adolescents between 10 and 24 years in the United States.
View Article and Find Full Text PDFBackground: Lower socioeconomic status (SES) has been associated with hypertension; however, the mediators and moderators of this association remain understudied. We examined the mediation effect of psychological distress on the link between lower SES and self-reported hypertension and the racial and sex moderation effects.
Methods: We analyzed the data collected from 2009 to 2019 among adults from the Panel Study of Income Dynamics (PSID).
One quarter of Medicare beneficiaries hospitalized for chronic obstructive pulmonary disease (COPD) die within 1 year. Although overall mortality rates are higher among White patients with COPD, racial and ethnic differences in the vulnerable period following hospitalization are unknown. To determine the association between race and ethnicity and mortality following COPD hospitalization and to evaluate the extent to which differences are explained by clinical, geographic, socioeconomic, and post-acute care factors among Medicare beneficiaries in the United States.
View Article and Find Full Text PDF