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Berman M, Eaton LA, Watson RJ, Earnshaw VA, Wiginton JM, Layland E. Factors Associated with Disclosure of Sexual Orientation Among Black Sexual Minority Men. LGBT Health 2023; 10:51-61. [PMID: 36099207 PMCID: PMC10039276 DOI: 10.1089/lgbt.2021.0446] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/25/2023] Open
Abstract
Purpose: This study evaluated the characteristics associated with sexual orientation disclosure among HIV-negative Black sexual minority men (BSMM) in the greater Atlanta, Georgia area. Survey data were collected from 475 HIV-negative BSMM from 2017 to 2019 as part of a larger behavioral intervention study focused on stigma, prejudice, and HIV-testing uptake. Methods: Participants reported their levels of sexual orientation disclosure globally, to their community, and to their family. Data were analyzed using one-way analysis of variance and multinomial logistic regression to determine whether demographic, minority stress, substance use, and mental health were associated with sexual orientation disclosure globally, to community members, and to family members. Results: Findings revealed that participants with older age, bisexual identity, and higher levels of internalized homophobia had higher odds of global, community, and family sexual orientation nondisclosure. Furthermore, participants with higher levels of resilience had lower odds of partial sexual orientation disclosure compared with their fully disclosed counterparts. Conclusions: These findings reveal variations associated with sexual orientation disclosure across varying contexts among HIV-negative BSMM, particularly among family member disclosure.
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Affiliation(s)
- Marcie Berman
- Department of Psychological Science, Central Connecticut State University, New Britain, Connecticut, USA
| | - Lisa A Eaton
- Department of Human Development and Family Sciences, University of Connecticut, Storrs, Connecticut, USA
| | - Ryan J Watson
- Department of Human Development and Family Sciences, University of Connecticut, Storrs, Connecticut, USA
| | - Valerie A Earnshaw
- Department of Human Development and Family Sciences, University of Delaware, Newark, Delaware, USA
| | - John Mark Wiginton
- Department of Health, Behavior and Society, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland, USA
| | - Eric Layland
- Department of Public Health, Yale University, New Haven, Connecticut, USA
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Wiginton JM, Eaton LA, Watson RJ, Maksut JL, Earnshaw VA, Berman M. Sex-Positivity, Medical Mistrust, and PrEP Conspiracy Beliefs Among HIV-Negative Cisgender Black Sexual Minority Men in Atlanta, Georgia. Arch Sex Behav 2022; 51:2571-2581. [PMID: 34761347 PMCID: PMC9085967 DOI: 10.1007/s10508-021-02174-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/29/2020] [Revised: 08/18/2021] [Accepted: 10/05/2021] [Indexed: 06/13/2023]
Abstract
Because the public health response to the disproportionate HIV burden faced by Black sexual minority men (BSMMM) has focused on sexual risk reduction and disease prevention, other vital components of sexual health (e.g., intimacy, pleasure, benefits of sex) have been often overlooked. Sex-positive describes a more open, holistic approach toward sex and sexuality that prioritizes these other components, though such an approach is rarely applied to BSMM's sexual health. For sex-positive BSMM, risk/preventive discourse may foster or exacerbate medical mistrust as a reaction to the dissonance between how these men view sexual health and how the medical establishment views it, which may discourage sexual healthcare-seeking. We assessed sex-positivity and its association with medical mistrust and PrEP conspiracy beliefs among 206 HIV-negative cisgender BSMM in Atlanta, Georgia. We performed exploratory factor analytic procedures on responses to a sex-positivity scale, followed by multivariable linear regressions to determine sex-positivity's associations with medical mistrust and PrEP conspiracy beliefs. We extracted two sex-positivity factors: sexual freedom (α = 0.90), reflecting openness toward casual sex and rejection of sexual mores, and essence of sex (α = 0.77), reflecting the intimate, relational, and pleasurable qualities of sex. Sexual freedom was independently associated with perceived provider deception (β = 0.19, CI = 0.04, 0.34). Essence of sex was independently associated with PrEP conspiracy beliefs (β = 0.16, CI = 0.02, 0.31) and marginally associated with perceived provider deception (β = 0.14, CI = - 0.00, 0.29). Healthcare providers and public health practitioners may cultivate greater trust with BSMM by incorporating a sex-positive approach into patient/participant interactions, clinical decision-making, and interventions. Improving access to sexual pleasure acknowledges BSMM's right to optimal, holistic sexual health.
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Affiliation(s)
- John Mark Wiginton
- Department of Health, Behavior, and Society, Johns Hopkins Bloomberg School of Public Health, 624 N Broadway Street, Baltimore, MD, 21205, USA.
| | - Lisa A Eaton
- Department of Human Development and Family Sciences, University of Connecticut, Storrs, CT, USA
- Institute for Collaboration on Health, Intervention, and Policy (InCHIP), University of Connecticut, Storrs, CT, USA
| | - Ryan J Watson
- Department of Human Development and Family Sciences, University of Connecticut, Storrs, CT, USA
| | - Jessica L Maksut
- Institute for Collaboration on Health, Intervention, and Policy (InCHIP), University of Connecticut, Storrs, CT, USA
| | - Valerie A Earnshaw
- Department of Human Development and Family Sciences, University of Delaware, Newark, DE, USA
| | - Marcie Berman
- Department of Human Development and Family Sciences, University of Connecticut, Storrs, CT, USA
- Institute for Collaboration on Health, Intervention, and Policy (InCHIP), University of Connecticut, Storrs, CT, USA
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Berman M, Berliner S, Bashouti N, Elkayam O, Ziv-Baran T. AB0331 REDUCED C-REACTIVE PROTEIN LEVEL AT HOSPITAL ADMISSION IN PATIENTS TREATED WITH TOCILIZUMAB IN COMPARISON WITH OTHER ADVANCED ANTIINFLAMMATORY TREATMENTS- AN ATTENTION MAY BE REQUIRED. Ann Rheum Dis 2022. [DOI: 10.1136/annrheumdis-2022-eular.422] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
BackgroundC-reactive protein (CRP) is a marker of inflammation and infection. The main proinflammatory cytokine that leads to CRP gene expression is IL-6[1]. Different DMARDS may influence CRP levels due to their specific mechanisms of action and alter its usage as an important indicator of acute infection/inflammationObjectivesThe study aimed to compare CRP level between patients who were treated with Tocilizumab (TCZ), an il-6 receptor blocker, and other advanced anti-inflammatory treatments (AAIT), as well as with other admitted and non-admitted populations.MethodsA cross-sectional study of all patients (≥18 years) hospitalized at tertiary medical center between 12/2009 and 02/2020 and treated before hospitalization with (AAIT). Data on background DMARDS treatment was collected and then categorized to one of the two following groups: tocilizumab treatment and other treatments. In further investigation, the other treatments groups were divided into 3 subgroups: anti-TNF subgroup which included Infliximab (IFX), Adalimumab (ADA), etanercept (ETN), Golimumab, and Certolizumab, JAK-inhibitor subgroup which included Tofacitinib and Baricitinib, and another subgroup which included Rituximab, Abatacept and Anakinra Only the first hospitalization of each patient was included. Women admitted to obstetrics department were excluded. Demographic data, first blood tests results, and comorbidities were collected.ResultsThe study included 563 patients treated with AAIT (2.5% received TCZ). Patients treated with TCZ were older (median 75 vs. 50 years, p<0.001), had higher Charlson score (median 5 vs. 1, p<0.001) and more infectious diseases at admission (50% vs. 23.4%, p=0.05). Patients treated with TCZ had lower CRP levels (median 0.5 vs. 25mg/l, p<0.001) and more common normal values (64.3% vs. 20.8%, p<0.001) compared to patients treated with other AAIT.CRP level in patients treated TCZ (median 0.5mg/l) was lower than that of 58,548 patients admitted to the hospital between 2010-2020 (median 12.55mg/l, p<0.001) and not statistically different from 140 non-admitted randomly selected individuals without acute disease (1.33 mg/l, p=0.294).ConclusionWhen compared to other anti-inflammatory drugs, tocilizumab is associated with lower CRP levels in individuals admitted to an acute care hospital. This finding must be considered by treating physician to avoid misinterpretation of CRP results.References[1]Zhang D, Sun M, Samols D, Kushner I. STAT3 participates in transcriptional activation of the C-reactive protein gene by interleukin-6. J Biol Chem. 1996;271(16):9503-9509. https://doi.org/10.1074/jbc.271.16.9503Disclosure of InterestsNone declared
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Quigley R, Berman M, Kaul P, Baxter J. Nursing Staff at Transplant Centre Increase Their Oncall Responsibilities to Ensure National DCD Heart Pilot Can Continue. J Heart Lung Transplant 2022. [DOI: 10.1016/j.healun.2022.01.1566] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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Jothidasan A, Husain M, Garcia D, Berman M, Currie I, Stock U. Direct Lung Procurement with Ongoing Abdominal Normothermic Regional Perfusion. J Heart Lung Transplant 2022. [DOI: 10.1016/j.healun.2022.01.1503] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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Pai V, Talukder S, Martinez L, Kydd A, Bhagra S, Lewis C, Parameshwar J, Messer S, Osman M, Virdi A, Cacciottolo P, Kaul P, Rafiq M, Allen J, Large S, Tsui S, Jenkins D, Pettit S, Berman M. Outcomes of Mechanical Circulatory Support for Severe Primary Graft Dysfunction After DBD versus DCD Heart Transplantation. J Heart Lung Transplant 2022. [DOI: 10.1016/j.healun.2022.01.109] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
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Berman M, Ali A, Macklam D, Garcia Saez D, Jothidasan A, Husain M, Stock U, Mehta V, Venkateswaran R, Curry P, Messer S, Mukadam M, Mascaro J, Clarke S, Baxter J, Tsui S, Large S, Osman M, Kaul P, Boda G, Jenkins D, Simmonds J, Quigley R, Whitney J, Gardiner D, Watson C, Rubino A, Currie I, Foley J, Macleod A, Slater C, Marley F, Downward L, Rushton S, Armstrong L, Ayton L, Ryan M, Parker M, Gibson S, Spence S, Quinn K, Watson S, Forsythe J. UK National DCD Heart Transplant Program - First Year Experience. J Heart Lung Transplant 2022. [DOI: 10.1016/j.healun.2022.01.117] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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Baxter J, Quigley R, Osman M, Berman M, Kaul P. Continuing to Extend the Nurses Role in Novel Technologies. J Heart Lung Transplant 2022. [DOI: 10.1016/j.healun.2022.01.1567] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
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Eaton LA, Watson RJ, Maksut JL, Rucinski KB, Earnshaw VA, Berman M. Elevated Perceived Risk for HIV as a Barrier to Accessing Health Care Among Black Men Who Have Sex with Men. Prev Sci 2021; 21:917-925. [PMID: 32504393 DOI: 10.1007/s11121-020-01135-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
We sought to examine how self-perception of risk for HIV and HIV status information avoidance are related to HIV testing uptake and engagement in routine health care among Black men who have sex with men (BMSM)-the group at highest risk for HIV in the USA. To do so, we used generalized linear modeling and serial mediation modeling to assess data from 342 HIV-negative BMSM collected from 2017 to 2019 in Atlanta, GA, USA. Participants reported considerable concern for testing HIV-positive; 40% reported believing they would test positive for HIV; 27% reported being "extremely concerned about getting HIV"; and 17% reported worrying about HIV "all the time". Mediation analyses demonstrated that greater concern for HIV was associated with longer intervals since the last HIV test and the last health-care appointment. BMSM perceived themselves to be at considerable risk for HIV, but critically, this outlook did not yield improved health-care behaviors. Findings highlight the need to reconceptualize our public health approach to reaching BMSM. Emphasizing risk behavior and targeting efforts toward BMSM may have unintended consequences and need to be reevaluated. Despite continued efforts to improve HIV-related outcomes, we are failing to meet the needs of BMSM.
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Affiliation(s)
- Lisa A Eaton
- Institute for Collaboration on Health, Intervention, and Policy University of Connecticut, 2006 Hillside Rd, Storrs, CT, 06269-1248, USA
| | - Ryan J Watson
- Institute for Collaboration on Health, Intervention, and Policy University of Connecticut, 2006 Hillside Rd, Storrs, CT, 06269-1248, USA.
| | - Jessica L Maksut
- Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, 21205, USA
| | - Katherine B Rucinski
- Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, 21205, USA
| | - Valerie A Earnshaw
- Human Development and Family Sciences, University of Delaware, 240 Academy St, Newark, DE, 19716, USA
| | - Marcie Berman
- Institute for Collaboration on Health, Intervention, and Policy University of Connecticut, 2006 Hillside Rd, Storrs, CT, 06269-1248, USA
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Berman J, Furer V, Berman M, Isakov O, Zisman D, Haddad A, Matz H, Elkayam O. AB0551 TREATMENT WITH IXEKIZUMAB FOLLOWING SECUKINUMAB FAILURE IN PATIENTS WITH PSORIATIC ARTHRITIS: REAL-LIFE EXPERIENCE FROM A RESISTANT POPULATION. Ann Rheum Dis 2021. [DOI: 10.1136/annrheumdis-2021-eular.2186] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Background:Anti-IL17 agents, such as Secukinumab (SEC) and Ixekizumab (IXE) have been shown to be efficacious for the treatment of psoriasis and PsA12. In the field of psoriasis, there is growing evidence of a successful switching between the two anti-IL-17 agents in case of an insufficient response to one of the treatments3 There is no information on the efficacy of switching between anti IL17 agents in PsA.Objectives:To assess the clinical response to IXE in patients with PsA following SEC failure.Methods:A retrospective observational study was conducted in two rheumatology centers in Israel, including PsA patients with a history of treatment with SEC, further treated with IXE for a minimum of 3 months. Lack of efficacy, loss of efficacy, and side effects over time were reported as a reason for switching to another anti-IL17 agent. The mean difference between the beginning of the follow up period and the different follow up points (6 and 12 months) was tested using a one-sample t-test. Time until treatment failure was estimated using Kaplan–Meier curves, and compared using the log-rank test. Hazard ratios (HRs) and corresponding 95% confidence intervals (CIs) were calculated using the Cox proportional-hazards model to test the association between each variable and the time to treatment failure.Results:The study included 23 PsA patients (11♀/12♂), mean age 58.7 years±13.4 SD. Most patients (n=20, 86%) received 2+ TNFi and 10 patients (43%) received both TNFi and ustekinumab. Median number of biologics prior to SEC was 3 (IQR 2-4). There was a significant improvement in TJC at 6 and 12 months (-2.16 [-4.0, -0.3]; p=0.025 and-1.69 [-3.09, -0.28]; p=0.022, respectively). SJC was significantly improved at 6 months but not at 12 months (-2.68 [-5.3, -0.04]; p= 0.046 and -1.50 [-4.25,1.25]; p=0.26, respectively). CDAI score was significantly improved at 6 months (-10.19, [-16.26, -4.1], p=0.002) and at 12 months (-9.29 [-14.8, -3.71], p=0.003) as was SDAI score (-10.13 [-16.4, -3.8], p=0.003 and -12.2 [-17.1, -7.2], p=0.0002). At six months, PASI50 was achieved by 81% (13 patients), PASI75 was achieved by 63% (10 patients), PASI90 was achieved by 50% (8 patients) and PASI100 by 31% (10 patients). At 12 months, PASI50 and PASI75 was achieved by 57% (8 patients), PASI90 was achieved by 43% (6 patients) and PASI100 by 21% (3 patients).Over time, of the 23 patients treated with IXE, 15 patients (65%) had experienced treatment failure, with a median treatment period of 8 months (IQR 6.5-13.5), of which 4 (17%) had primary treatment failure and 11 patients (48%) secondary treatment failure. Reasons for treatment cessation were: worsening psoriasis (4 patients (27%)), worsening peripheral arthritis (4 patients (27%)), both (7 patients (47%)), worsening of axial disease (2 patients (13%)) and adverse events (1 patient, 6%).Conclusion:patients after failure of multiple biologic treatments experienced significant response of peripheral arthritis and dermatologic disease on IXE after they had previously failed SEC. . However, in this refractory cohort of PsA, the effect was limited on time with 65% failure after a median time of 8 months.Within class switch from SEC to IXE is a plausible therapeutic option in PsA patients following secukinumab failure.References:[1]Mease PJ, McInnes IB, Kirkham B, et al. N Engl J Med. 2015;373(14):1329-1339.[2]Nash P, Kirkham B, Okada M, et al. Lancet Lond Engl. 2017;389(10086):2317-2327.[3]Bokor-Billmann T, Schäkel K. J Dermatol Treat. 2019;30(3):216-220Disclosure of Interests:None declared.
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Ali J, Mumford L, Smith F, Stock U, Mascaro J, Curry P, Venkateswaran R, Clark S, Parameshwar J, Al-Attar N, Berman M. Impact of Donor and Recipient Age on 5-year Survival Following Heart Transplantation: A 24-year National Analysis from the United Kingdom. J Heart Lung Transplant 2021. [DOI: 10.1016/j.healun.2021.01.397] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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Cernic S, Messer S, Page A, Berman M, Kaul P, Osman M, Nachum E, Parameshwar J, Pettit S, Lewis C, Kydd A, Bhagra S, Goddard M, Quigley R, Baxter J, Jenkins D, Tsui S, Catarino P, Large S. Donation after Circulatory Death Heart Transplantation - The First 5 Years a Successful Leap in Activity. J Heart Lung Transplant 2021. [DOI: 10.1016/j.healun.2021.01.433] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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Nachum E, Laurence C, Osman M, Hogan J, Baxter J, Quigley R, Messer S, Large S, Kaul P, Forsythe J, Henwood S, Fenton M, Davies B, Berman M, Simmonds J. Pediatric Heart Transplantation Following Donation after Circulatory Death, Distant Procurement and Ex-Situ Perfusion. J Heart Lung Transplant 2021. [DOI: 10.1016/j.healun.2021.01.382] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
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Vokshi I, Ali J, Ansaripour A, Woolcock E, Cheshire C, Parameshwar J, Kydd A, Lewis C, Jenkins D, Tsui S, Kaul P, Large S, Berman M, Pettit S, Bhagra S. Surgical Palpation to Exclude Donor Transmitted Coronary Disease: A Single Centre Experience. J Heart Lung Transplant 2021. [DOI: 10.1016/j.healun.2021.01.598] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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Berman M, Eaton LA, Watson RJ, Maksut JL, Rucinski KB, Earnshaw VA. Perpetuated HIV Microaggressions: A Novel Scale to Measure Subtle Discrimination Against People Living With HIV. AIDS Educ Prev 2021; 33:1-15. [PMID: 33617319 DOI: 10.1521/aeap.2021.33.1.1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
HIV discrimination has served as a barrier to addressing the HIV epidemic and providing effective HIV treatment and care. Measuring HIV discrimination, particularly covert HIV discrimination, has proven to be complex. Adapted from a previous scale, we developed a perpetuated HIV micro-aggressions scale to assess covert forms of discriminatory beliefs among HIV-negative/unknown HIV status individuals. Factor analysis resulted in three subscales, explaining 73.58% of the scale's variance. The new scale demonstrated both convergent validity (HIV prejudice, HIV stereotypes) and discriminant validity (alcohol use, depressive symptomology). Perpetuated HIV microaggressions were significantly associated with HIV conspiracy beliefs, HIV prejudice, and HIV stereotypes. This new scale can serve as an important tool in evaluating perpetuated HIV microaggressions among HIV-negative individuals.
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Affiliation(s)
- Marcie Berman
- Institute for Collaboration on Health, Intervention, and Policy at the University of Connecticut, Storrs, Connecticut
| | - Lisa A Eaton
- Institute for Collaboration on Health, Intervention, and Policy at the University of Connecticut, Storrs, Connecticut
| | - Ryan J Watson
- Institute for Collaboration on Health, Intervention, and Policy at the University of Connecticut, Storrs, Connecticut
| | - Jessica L Maksut
- Center for Public Health and Human Rights, Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland
| | - Katherine B Rucinski
- Center for Public Health and Human Rights, Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland
| | - Valerie A Earnshaw
- Department of Human Development and Family Sciences, University of Delaware, Newark, Delaware
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Berkley-Patton J, Bowe Thompson C, Bauer AG, Berman M, Bradley-Ewing A, Goggin K, Catley D, Allsworth JE. A Multilevel Diabetes and CVD Risk Reduction Intervention in African American Churches: Project Faith Influencing Transformation (FIT) Feasibility and Outcomes. J Racial Ethn Health Disparities 2020; 7:1160-1171. [PMID: 32329033 PMCID: PMC7581562 DOI: 10.1007/s40615-020-00740-8] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2019] [Revised: 02/27/2020] [Accepted: 03/02/2020] [Indexed: 12/30/2022]
Abstract
Wide-reaching health promotion interventions are needed in influential, accessible community settings to address African American (AA) diabetes and CVD disparities. Most AAs are overweight/obese, which is a primary clinical risk factor for diabetes/CVD. Using a faith-community-engaged approach, this study examined feasibility and outcomes of Project Faith Influencing Transformation (FIT), a diabetes/CVD screening, prevention, and linkage to care pilot intervention to increase weight loss in AA church-populations at 8 months. Six churches were matched and randomized to multilevel FIT intervention or standard education control arms. Key multilevel religiously tailored FIT intervention components included: (a) individual self-help materials (e.g., risk checklists, pledge cards); (b) YMCA-facilitated weekly group Diabetes Prevention Program (DPP) weight loss classes; (c) church service activities (e.g., sermons, responsive readings); and (d) church-community text/voice messages to promote healthy eating and physical activity. Health screenings (e.g., weight, blood pressure, blood glucose) were held during church services to identify participants with diabetes/CVD risks and refer them to their church's DPP class and linkage to care services. Participants (N = 352 church members and community members using churches' outreach ministries) were primarily female (67%) and overweight/obese (87%). Overall, FIT intervention participants were significantly more likely to achieve a > 5 lb weight loss (OR = 1.6; CI = 1.24, 2.01) than controls. Odds of intervention FIT-DPP participants achieving a > 5 lb weight loss were 3.6 times more than controls (p < .07). Exposure to sermons, text/email messages, brochures, commitment cards, and posters was significantly related to > 5 lb. weight loss. AA churches can feasibly assist in increasing reach and impact of diabetes/CVD risk reduction interventions with intensive weight loss components among at risk AA church-populations.
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Affiliation(s)
- Jannette Berkley-Patton
- Department of Biomedical and Health Informatics, School of Medicine, and Psychology Department, University of Missouri-Kansas City, 2411 Holmes Street, Kansas City, MO, 64108, USA.
| | - Carole Bowe Thompson
- Department of Biomedical and Health Informatics, School of Medicine, University of Missouri-Kansas City, Kansas City, MO, USA
| | - Alexandria G Bauer
- Department of Biomedical and Health Informatics, School of Medicine, and Psychology Department, University of Missouri-Kansas City, 2411 Holmes Street, Kansas City, MO, 64108, USA
| | - Marcie Berman
- The Institute for Community Research, Hartford, CT, USA
| | - Andrea Bradley-Ewing
- Health Services and Outcomes Research, Children's Mercy Kansas City, Kansas City, MO, USA
| | - Kathy Goggin
- Health Services and Outcomes Research, Children's Mercy Kansas City; Schools of Medicine and Pharmacy, University of Missouri-Kansas City, Kansas City, MO, USA
| | - Delwyn Catley
- Center for Children's Healthy Lifestyles & Nutrition, Children's Mercy Kansas City; Pediatrics, School of Medicine, University of Missouri-Kansas City, Kansas City, MO, USA
| | - Jenifer E Allsworth
- Department of Biomedical and Health Informatics, School of Medicine, University of Missouri-Kansas City, Kansas City, MO, USA
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Abstract
Casestudy Exophiala dermatitidis is a dematiaceous mold that is associated with subcutaneous, central nervous system and pulmonary infections; osteomyelitis; and disseminated disease. Isolation of E. dermatitidis from patients with mild symptoms may be difficult to interpret whether is a contaminant or asymptomatic patient with serious infection. However, it is important to diagnose asymptomatic patients early in the stage because of up to 25% mortality rate. Results 77-year-old male with history of chronic obstructive pulmonary disease presented to his pulmonologist with cough. He was started on azithromycin and steroids. His cough worsened and he was transitioned to levofloxacin with continuation of steroid treatment. In addition, he developed fatigue, weakness, poor appetite, chills and nights sweat along with some urinary complaints. His chest X-ray showed infiltrates and he was diagnosed with left lower lung pneumonia and urinary tract infection and was treated with doxycycline and ciprofloxacin. Blood cultures were drawn. Additional past medical history was not significant. Blood culture became positive on day 4 of incubation. Gram stain showed yeast-like cells, but the blood culture multiplex PCR was negative. Serum cryptococcus antigen was negative. Three days later, a dark shiny olive-colored colony with dark obverse side was isolated. It grew at 42 C. Microscopic examination revealed hyaline and pigmented hyphae with brown conidia. It was identified as Exophiala dermatitidis and confirmed by the state public health laboratory. Blood cultures drawn after hospital admission remained negative. Patient’s symptoms improved with antibiotic treatment. Therefore the clinicians believed that the E. dermatitidis was a probable contaminant and patient was discharged with follow-up. During the follow-up process he developed respiratory infection with Coronavirus (HKU1, NL63, 229E, OC43). Follow-up continues. Conclusion Blood cultures are not sensitive for mold infection especially for an uncommon contaminant like E. dermatitidis, it may be difficult to decide whether a positive culture is a real result or not. Fungal antigen tests such as beta-D-glucan test may be helpful in distinguishing between invasive infection and contaminant. Additionally, we believe that in our case, steroid use could have caused a temporary immunosuppression and led to Exophiala dermatitidis infection.
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Affiliation(s)
- N Yurtsever
- Pathology, Zucker School of Medicine at Hofstra, Glen Oaks, New York, UNITED STATES
| | - P Dougherty
- Pathology, Zucker School of Medicine at Hofstra, Glen Oaks, New York, UNITED STATES
| | - S Condon
- Pathology, Zucker School of Medicine at Hofstra, Glen Oaks, New York, UNITED STATES
| | - R Orsini
- Pathology, Zucker School of Medicine at Hofstra, Glen Oaks, New York, UNITED STATES
| | - M Berman
- Pathology, Zucker School of Medicine at Hofstra, Glen Oaks, New York, UNITED STATES
| | - G J Berry
- Pathology, Zucker School of Medicine at Hofstra, Glen Oaks, New York, UNITED STATES
| | - S Duong
- Pathology, Zucker School of Medicine at Hofstra, Glen Oaks, New York, UNITED STATES
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Berman M, Eaton LA, Watson RJ, Andrepont JL, Kalichman S. Social Distancing to Mitigate COVID-19 Risks Is Associated With COVID-19 Discriminatory Attitudes Among People Living with HIV. Ann Behav Med 2020; 54:728-737. [PMID: 32940326 PMCID: PMC7516104 DOI: 10.1093/abm/kaaa074] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022] Open
Abstract
BACKGROUND Severe acute respiratory syndrome coronavirus-2, the virus that causes COVID-19, is an emerging pandemic with heightened concerns for people with compromised immune systems, including people living with HIV. PURPOSE In the absence of a vaccine, public health messaging to mitigate risks for COVID-19 primarily focuses on social distancing. Because people living with HIV commonly experience mistreatment associated with HIV, their response to social distancing may be complicated by psychosocial attitudes associated with COVID-19. METHODS To evaluate these relationships, we conducted a rapid-response, cross-sectional survey with people living with HIV (N = 149) to assess social distancing practices, COVID-19 discriminatory attitudes, COVID-19 xenophobic attitudes, HIV microaggressions, and concern over contracting COVID-19. Data were collected from participants enrolled in a larger ongoing study between March 30, 2020 and April 17, 2020. RESULTS Results indicated that choosing to socially distance to reduce COVID-19 exposure was associated with COVID-19 discriminatory attitudes, concerns of contracting COVID-19, and identifying as transgender. Likewise, social distancing imposed by others (e.g., cancelations and restrictions) was associated with concerns of contracting COVID-19. CONCLUSIONS Findings demonstrate that social distancing measures are related to concerns of contracting the virus and discriminatory attitudes toward those who are presumed to be living with COVID-19. These potentially negative psychosocial attitudes toward people perceived to have COVID-19 echo the discriminatory actions and attitudes that we continue to observe in HIV social sciences research.
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Affiliation(s)
- Marcie Berman
- Institute for Collaboration on Health, Intervention, and Policy, University of Connecticut, Storrs, CT, USA
| | - Lisa A Eaton
- Institute for Collaboration on Health, Intervention, and Policy, University of Connecticut, Storrs, CT, USA
| | - Ryan J Watson
- Institute for Collaboration on Health, Intervention, and Policy, University of Connecticut, Storrs, CT, USA
| | - J L Andrepont
- School of Public Policy, Oregon State University, Corvallis, OR, USA
| | - Seth Kalichman
- Institute for Collaboration on Health, Intervention, and Policy, University of Connecticut, Storrs, CT, USA
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19
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Page A, Messer S, Berman M, Kaul P, Pavlushkov E, Parameshwar J, Abu-Omar Y, Goddard M, Dunning J, Pettit S, Lewis C, Kydd A, Bhagra S, Ali A, Sudarshan C, Jenkins D, Tsui S, Catarino P, Large S. Heart Transplantation from Donation after Circulatory Determined Death: The Royal Papworth Experience. J Heart Lung Transplant 2020. [DOI: 10.1016/j.healun.2020.01.1040] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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20
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Messer S, Page A, Kaul P, Berman M, Patterson C, Cheshire C, Thomas D, Quigley R, Abu-Omar Y, Jasvir P, Large S, Catarino P. Successful Combined Heart-Lung Transplant from a Donation after Circulatory Determined Death (DCD) Donor. J Heart Lung Transplant 2020. [DOI: 10.1016/j.healun.2020.01.1149] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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21
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Ali J, Mann S, Smith F, Rushton S, Parameshwar J, Catarino P, Berman M. Recipient Age, Not Donor Age, Impacts on Long Term Outcomes Following Heart Transplantation: A 23-year National Analysis from the United Kingdom. J Heart Lung Transplant 2020. [DOI: 10.1016/j.healun.2020.01.631] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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22
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Berkley-Patton J, Bowe Thompson C, Goggin K, Catley D, Berman M, Bradley-Ewing A, Derose KP, Resnicow K, Allsworth J, Simon S. A religiously-tailored, multilevel intervention in African American churches to increase HIV testing: Rationale and design of the Taking It to the Pews cluster randomized trial. Contemp Clin Trials 2019; 86:105848. [PMID: 31536809 PMCID: PMC7313239 DOI: 10.1016/j.cct.2019.105848] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2019] [Revised: 08/26/2019] [Accepted: 09/10/2019] [Indexed: 11/20/2022]
Abstract
HIV continues to disproportionately impact African American (AA) communities. Due to delayed HIV diagnosis, AAs tend to enter HIV treatment at advanced stages. There is great need for increased access to regular HIV testing and linkage to care services for AAs. AA faith institutions are highly influential and have potential to increase the reach of HIV testing in AA communities. However, well-controlled full-scale trials have not been conducted in the AA church context. We describe the rationale and design of a 2-arm cluster randomized trial to test a religiously-tailored HIV testing intervention (Taking It to the Pews [TIPS]) against a standard information arm on HIV testing rates among AA church members and community members they serve. Using a community-engaged approach, TIPS intervention components are delivered by trained church leaders via existing multilevel church outlets using religiously-tailored HIV Tool Kit materials and activities (e.g., sermons, responsive readings, video/print testimonials, HIV educational games, text messages) to encourage testing. Church-based HIV testing events and linkage to care services are conducted by health agency partners. Control churches receive standard, non-tailored HIV information via multilevel church outlets. Secondarily, HIV risk/protective behaviors and process measures on feasibility, fidelity, and dose/exposure are assessed. This novel study is the first to fully test an HIV testing intervention in AA churches - a setting with great reach and influence in AA communities. It could provide a faith-community engagement model for delivering scalable, wide-reaching HIV prevention interventions by supporting AA faith leaders with religiously-appropriate HIV toolkits and health agency partners.
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Affiliation(s)
- J Berkley-Patton
- Department of Biomedical and Health Informatics, School of Medicine, University of Missouri-Kansas City, Kansas City, MO, United States of America.
| | - C Bowe Thompson
- Department of Biomedical and Health Informatics, School of Medicine, University of Missouri-Kansas City, Kansas City, MO, United States of America
| | - K Goggin
- Health Services and Outcomes Research, Children's Mercy Kansas City & Schools of Medicine and Pharmacy, University of Missouri-Kansas City, Kansas City, MO, United States of America
| | - D Catley
- Center for Children's Healthy Lifestyles & Nutrition, Children's Mercy Kansas City & Department of Pediatrics, University of Missouri, Kansas City, MO, United States of America
| | - M Berman
- The Institute for Community Research, Hartford, CT, United States of America
| | - A Bradley-Ewing
- Health Services and Outcomes Research, Children's Mercy Kansas City, Kansas City, MO, United States of America
| | - K P Derose
- Pardee RAND Graduate School, RAND Corporation, Santa Monica, CA, United States of America
| | - K Resnicow
- Center for Health Communication Research, School of Public Health, University of Michigan, Ann Arbor, MI, United States of America
| | - J Allsworth
- Department of Biomedical and Health Informatics, School of Medicine, University of Missouri-Kansas City, Kansas City, MO, United States of America
| | - S Simon
- Department of Biomedical and Health Informatics, School of Medicine, University of Missouri-Kansas City, Kansas City, MO, United States of America
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23
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Berman M, Gruszynski A. Evaluation of the sample interference indices (HIL) on the Alinity c system. Clin Chim Acta 2019. [DOI: 10.1016/j.cca.2019.03.1525] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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24
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Berman M, Ruvuna L. Extended range of the enzyme panel assays on the alinity C system using flex technology. Clin Chim Acta 2019. [DOI: 10.1016/j.cca.2019.03.793] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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25
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Ellis C, Baxter J, Quigley R, Messer S, Page A, Pavlushkov E, Large S, Tsui S, Catarino P, Berman M, Morley. K. The Organ Care System Training Manual for Hearts Donated after Circulatory Death: The Experience of One UK Centre after 50 Successful DCD Heart Transplants. J Heart Lung Transplant 2019. [DOI: 10.1016/j.healun.2019.01.754] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
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26
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Messer S, Page A, Berman M, Colah S, Dunning J, Pavlushkov E, Kaul P, Parameshwar J, Abu-Omar Y, Pettit S, Lewis C, Kydd A, Bhagra S, Cockell A, Quigley R, Baxter J, Ellis C, Jenkins D, Sudarshan C, Ali A, Tsui S, Catarino P, Large S. First to 50: Early Outcomes Following Heart Transplantation at Royal Papworth Hospital from Donation after Circulatory Determined Death (DCD) Donors. J Heart Lung Transplant 2019. [DOI: 10.1016/j.healun.2019.01.090] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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27
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Ali J, Patel S, Catarino P, Abu-Omar Y, Messer S, Page A, Pettit S, Bhagra S, Parameshwar J, Lewis C, Kydd A, Large S, Sudarshan C, Jenkins D, Tsui S, Berman M. Vasoplegia in Patients Undergoing Heart Transplantation Bridged with an LVAD is Not Associated with Inferior Long-Term Outcomes. J Heart Lung Transplant 2019. [DOI: 10.1016/j.healun.2019.01.1022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
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28
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Bozsik F, Berman M, Shook R, Summar S, DeWit E, Carlson J. Implementation contextual factors related to youth advocacy for healthy eating and active living. Transl Behav Med 2019; 8:696-705. [PMID: 29385557 DOI: 10.1093/tbm/ibx006] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Healthy eating and active living are critical to youth health and development. Youth advocacy can improve health-related behaviors and environments by empowering youth to act as change agents in their community. This mixed-method study examined implementation contextual factors in relation to implementation success in high school youth advocacy projects targeting healthy eating and active living. Semi-structured interviews were conducted with key informants from each of the 21 participating youth groups. Interviews gathered information on implementation processes, barriers and facilitators, and Implementation Outcomes (Progress, Penetration, Health Impact, Sustainability, and an overall Implementation Success Composite). Interview responses were coded using the Consolidated Framework for Implementation Research (CFIR). Each identified construct was rated for its impact on implementation and ratings were tested for their association with the Implementation Outcomes. Cosmopolitanism (leveraging connections within the community; rated in 20 groups) and Internal Intervention Source (rated in 9 groups) showed consistent moderate/large associations with the Implementation Outcomes and Implementation Success Composite. Other moderate/large associations were outcome specific, with Student Group Leader Engagement, External Change Agents, and Student and Community Needs and Resources also being associated with the Implementation Success Composite. Implementation contextual factors, particularly community-connectedness, group functioning, and internal project idea development are important factors for implementing youth advocacy projects that will reach large numbers of people and be likely to lead to sustained health improvements. Implementation strategies that target these factors need to be developed and tested in partnership with community organizations to maximize success of youth advocacy efforts.
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Affiliation(s)
- Frances Bozsik
- Center for Children's Healthy Lifestyles and Nutrition, Children's Mercy Kansas City, Kansas City, MO, USA
| | - Marcie Berman
- Center for Children's Healthy Lifestyles and Nutrition, Children's Mercy Kansas City, Kansas City, MO, USA
| | - Robin Shook
- Center for Children's Healthy Lifestyles and Nutrition, Children's Mercy Kansas City, Kansas City, MO, USA
| | - Shelly Summar
- Center for Children's Healthy Lifestyles and Nutrition, Children's Mercy Kansas City, Kansas City, MO, USA
| | - Emily DeWit
- Center for Children's Healthy Lifestyles and Nutrition, Children's Mercy Kansas City, Kansas City, MO, USA
| | - Jordan Carlson
- Center for Children's Healthy Lifestyles and Nutrition, Children's Mercy Kansas City, Kansas City, MO, USA
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29
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Berkley-Patton JY, Thompson CB, Moore E, Hawes S, Berman M, Allsworth J, Williams E, Wainright C, Bradley-Ewing A, Bauer AG, Catley D, Goggin K. Feasibility and Outcomes of an HIV Testing Intervention in African American Churches. AIDS Behav 2019; 23:76-90. [PMID: 30121728 DOI: 10.1007/s10461-018-2240-0] [Citation(s) in RCA: 25] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Abstract
The updated National HIV/AIDS Strategy recommends widespread HIV education and testing and calls the faith community to assist in these efforts. Yet, limited information exist on church-based HIV testing interventions. This study examined feasibility and assessed HIV testing outcomes of Taking It to the Pews (TIPS), a multilevel HIV education and testing intervention. Four African American churches were matched and randomized to TIPS or a standard-information control arm. Intervention churches delivered the religiously-tailored TIPS Tool Kit, which included educational materials to individuals and ministry groups; pastoral activities (e.g., sermons preached, receipt of HIV testing role-modeled), responsive readings, and church bulletin inserts in church services; and HIV testing during church services and church outreach events. All churches delivered 2-3 tools/month and coordinated 3 HIV testing events. At 12 months, significant increases in receipt of HIV testing (59% vs. 42%, p = 0.008), and particularly church-based testing (54% vs. 15%, p < 0.001), relative to controls were found. TIPS has great potential to increase reach, feasibility, and impact of HIV testing in African American churches.
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30
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Teixeira E, Papanagnou D, Lau L, Smith E, Berman M, Zhang X. 234 Feasibly Mitigating Provider Terror: Introducing a High-Fidelity, Tissue-Based Task Trainer for the Deliberate Practice of Emergent Hysterotomies. Ann Emerg Med 2018. [DOI: 10.1016/j.annemergmed.2018.08.239] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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31
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Green HD, Weeks MR, Berman M, Mosher HI, Abbott M, Garcia N. Managing the risk of intimacy: accounts of disclosure and responsiveness among people with HIV and intimate partners of people with HIV. Cult Health Sex 2018; 20:1117-1129. [PMID: 29944072 PMCID: PMC6399062 DOI: 10.1080/13691058.2018.1479535] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
It is well known that concerns about sexual risk tend to decline among people in intimate relationships where there is established commitment and trust. In the context of relationships at increased risk for HIV transmission, interactions involving disclosure and partner responsiveness are key to maintaining intimacy and physical safety. This paper explores concepts of risk and sexual intimacy articulated by a community sample of 30 people living with HIV and their intimate relationship partners. Data revealed the shifts in intimate relationship dynamics upon the disclosure of an HIV diagnosis, the importance of intimacy in the context of managing one or both partners' HIV care and responses to new advances in HIV prophylaxis. Findings suggest that participants' experiences of self-disclosure and partner responsiveness most often resulted in an increased sense of protectiveness from and for partners. This suggests that health-promoting messaging should be adapted to be more relevant to intimate couple communication and mutual support.
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Affiliation(s)
| | | | - Marcie Berman
- The Institute for Community Research, Hartford, CT, USA
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32
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Messer S, Page A, Berman M, Tsui S, Large S, Hoole S. Ex-situ Intra-vascular Ultrasound (IVUS) May Allow Safe Access to Extended Criteria DCD Heart Donors. J Heart Lung Transplant 2018. [DOI: 10.1016/j.healun.2018.01.1112] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022] Open
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33
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Page A, Wong E, Rushton S, Mehew J, Berman M, Tsui S. Changing Trends in Acceptance Criteria for Cardiac Donors: 15 Year UK Experience. J Heart Lung Transplant 2018. [DOI: 10.1016/j.healun.2018.01.444] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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34
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Hudson V, Messer S, Page A, Berman M, Dunning J, Pavlushkov E, Tweed K, Parameshwar J, Abu Omar Y, Goddard M, Pettit S, Lewis C, Kydd A, Jenkins D, Sudarshan C, Catarino P, Ali A, Tsui S, Large S, Bhagra S. One Year- Outcomes Following Heart Transplantation from Donation After Circulatory Determined Death (DCD) Donors. J Heart Lung Transplant 2018. [DOI: 10.1016/j.healun.2018.01.480] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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35
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Berkley-Patton J, Thompson CB, Bradley-Ewing A, Berman M, Bauer A, Catley D, Goggin K, Williams E, Wainright C, Petty T, Aduloju-Ajijola N. Identifying health conditions, priorities, and relevant multilevel health promotion intervention strategies in African American churches: A faith community health needs assessment. Eval Program Plann 2018; 67:19-28. [PMID: 29156312 PMCID: PMC6195353 DOI: 10.1016/j.evalprogplan.2017.10.012] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/09/2017] [Revised: 09/09/2017] [Accepted: 10/28/2017] [Indexed: 06/07/2023]
Affiliation(s)
| | - Carole Bowe Thompson
- University of Missouri-Kansas City, 2411 Holmes Street, Kansas City, MO 64108, USA
| | - Andrea Bradley-Ewing
- Children's Mercy Hospitals and Clinics, 2405 Grand Blvd, Kansas City, MO 64108, USA
| | - Marcie Berman
- Institute of Community Research, 2 Hartford Square W, Hartford, CT 06106, USA
| | - Alexandria Bauer
- University of Missouri-Kansas City, 2411 Holmes Street, Kansas City, MO 64108, USA
| | - Delwyn Catley
- Children's Mercy Hospitals and Clinics, 2405 Grand Blvd, Kansas City, MO 64108, USA
| | - Kathy Goggin
- Children's Mercy Hospitals and Clinics, 2405 Grand Blvd, Kansas City, MO 64108, USA
| | - Eric Williams
- Calvary Community Outreach Network, 2940 Holmes, Kansas City MO 64109, USA
| | | | - Therese Petty
- University of Missouri-Kansas City, 2411 Holmes Street, Kansas City, MO 64108, USA
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Schibilsky D, Rafiq M, Kenny L, Lewis C, Burt C, Dunning J, Sudarshan C, Hasan A, Crossland D, Coats L, Tsui S, Parameshwar J, Berman M. Thoracic Organ Transplantation in Patients With Congenitally Corrected Transposition of the Great Arteries. J Heart Lung Transplant 2018. [DOI: 10.1016/j.healun.2018.01.1124] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022] Open
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37
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Berman M, Bozsik F, Shook RP, Meissen-Sebelius E, Markenson D, Summar S, DeWit E, Carlson JA. Evaluation of the Healthy Lifestyles Initiative for Improving Community Capacity for Childhood Obesity Prevention. Prev Chronic Dis 2018; 15:E24. [PMID: 29470168 PMCID: PMC5833312 DOI: 10.5888/pcd15.170306] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
PURPOSE AND OBJECTIVES Policy, systems, and environmental approaches are recommended for preventing childhood obesity. The objective of our study was to evaluate the Healthy Lifestyles Initiative, which aimed to strengthen community capacity for policy, systems, and environmental approaches to healthy eating and active living among children and families. INTERVENTION APPROACH The Healthy Lifestyles Initiative was developed through a collaborative process and facilitated by community organizers at a local children's hospital. The initiative supported 218 partners from 170 community organizations through training, action planning, coalition support, one-on-one support, and the dissemination of materials and sharing of resources. EVALUATION METHODS Eighty initiative partners completed a brief online survey on implementation strategies engaged in, materials used, and policy, systems, and environmental activities implemented. In accordance with frameworks for implementation science, we assessed associations among the constructs by using linear regression to identify whether and which of the implementation strategies were associated with materials used and implementation of policy, systems, and environmental activities targeted by the initiative. RESULTS Each implementation strategy was engaged in by 30% to 35% of the 80 survey respondents. The most frequently used materials were educational handouts (76.3%) and posters (66.3%). The most frequently implemented activities were developing or continuing partnerships (57.5%) and reviewing organizational wellness policies (46.3%). Completing an action plan and the number of implementation strategies engaged in were positively associated with implementation of targeted activities (action plan, effect size = 0.82; number of strategies, effect size = 0.51) and materials use (action plan, effect size = 0.59; number of strategies, effect size = 0.52). Materials use was positively associated with implementation of targeted activities (effect size = 0.35). IMPLICATIONS FOR PUBLIC HEALTH Community-capacity-building efforts can be effective in supporting community organizations to engage in policy, systems, and environmental activities for healthy eating and active living. Multiple implementation strategies are likely needed, particularly strategies that involve a high level of engagement, such as training community organizations and working with them on structured action plans.
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Affiliation(s)
- Marcie Berman
- Center for Children's Healthy Lifestyles and Nutrition, Children's Mercy Kansas City, Missouri
| | - Frances Bozsik
- Center for Children's Healthy Lifestyles and Nutrition, Children's Mercy Kansas City, Missouri
| | - Robin P Shook
- Center for Children's Healthy Lifestyles and Nutrition, Children's Mercy Kansas City, Missouri
| | - Emily Meissen-Sebelius
- Center for Children's Healthy Lifestyles and Nutrition, Children's Mercy Kansas City, Missouri
| | - Deborah Markenson
- Center for Children's Healthy Lifestyles and Nutrition, Children's Mercy Kansas City, Missouri
| | - Shelly Summar
- Center for Children's Healthy Lifestyles and Nutrition, Children's Mercy Kansas City, Missouri
| | - Emily DeWit
- Center for Children's Healthy Lifestyles and Nutrition, Children's Mercy Kansas City, Missouri
| | - Jordan A Carlson
- Center for Children's Healthy Lifestyles and Nutrition, Children's Mercy Kansas City, 610 E 22nd St, Kansas City, MO 64108.
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38
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Weeks MR, Li J, Lounsbury D, Green HD, Abbott M, Berman M, Rohena L, Gonzalez R, Lang S, Mosher H. Using Participatory System Dynamics Modeling to Examine the Local HIV Test and Treatment Care Continuum in Order to Reduce Community Viral Load. Am J Community Psychol 2017; 60:584-598. [PMID: 29154393 PMCID: PMC5729085 DOI: 10.1002/ajcp.12204] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/04/2023]
Abstract
Achieving community-level goals to eliminate the HIV epidemic requires coordinated efforts through community consortia with a common purpose to examine and critique their own HIV testing and treatment (T&T) care system and build effective tools to guide their efforts to improve it. Participatory system dynamics (SD) modeling offers conceptual, methodological, and analytical tools to engage diverse stakeholders in systems conceptualization and visual mapping of dynamics that undermine community-level health outcomes and identify those that can be leveraged for systems improvement. We recruited and engaged a 25-member multi-stakeholder Task Force, whose members provide or utilize HIV-related services, to participate in SD modeling to examine and address problems of their local HIV T&T service system. Findings from the iterative model building sessions indicated Task Force members' increasingly complex understanding of the local HIV care system and demonstrated their improved capacity to visualize and critique multiple models of the HIV T&T service system and identify areas of potential leverage. Findings also showed members' enhanced communication and consensus in seeking deeper systems understanding and options for solutions. We discuss implications of using these visual SD models for subsequent simulation modeling of the T&T system and for other community applications to improve system effectiveness.
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Affiliation(s)
| | - Jianghong Li
- Institute for Community Research, Hartford, CT, USA
| | - David Lounsbury
- Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, NY, USA
| | | | | | | | - Lucy Rohena
- Institute for Community Research, Hartford, CT, USA
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Bauer AG, Berkley-Patton J, Bowe-Thompson C, Ruhland-Petty T, Berman M, Lister S, Christensen K. Do Black Women's Religious Beliefs About Body Image Influence Their Confidence in Their Ability to Lose Weight? Prev Chronic Dis 2017; 14:E98. [PMID: 29049021 PMCID: PMC5652238 DOI: 10.5888/pcd14.170153] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
INTRODUCTION Black women are disproportionately burdened by obesity but maintain body satisfaction and strong religious commitment. Although faith-based weight-loss interventions have been effective at promoting weight loss among blacks, little is known about how body image and religious views contribute to weight-related beliefs among religious black women. The purpose of this study was to examine whether demographic and health history factors, religious involvement, and beliefs about body image could explain motivation and confidence to lose weight among a church-affiliated sample of black women. METHODS We recruited 240 church-affiliated black women aged 18 to 80 years (average age, 55 y; SD, 12.3) in 2014 from 6 black churches that participated in a larger study, Project FIT (Faith Influencing Transformation), a clustered, diabetes/heart disease/stroke intervention among black women and men. We used baseline data from Project FIT to conduct a cross-sectional study consisting of a survey. Variables approaching significance in preliminary correlation and χ2 analyses were included in 2 multiple linear regression models examining motivation and confidence in ability to lose weight. RESULTS In final regression models, body mass index was associated with motivation to lose weight (β = 0.283, P < .001), and beliefs about body image in relation to God predicted confidence to lose weight (β = 0.180, P = .01). CONCLUSION Faith-based, weight-loss interventions targeting black women should emphasize physical well-being and highlight the health benefits of weight management rather than the benefits of altering physical appearance and should promote positive beliefs about body image, particularly relating to God.
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Affiliation(s)
- Alexandria G Bauer
- University of Missouri-Kansas City, School of Medicine, 5030 Cherry St, Kansas City, MO 64110. .,University of Missouri-Kansas City, Department of Psychology, Kansas City, Missouri
| | - Jannette Berkley-Patton
- University of Missouri-Kansas City, School of Medicine, Kansas City, Missouri.,University of Missouri-Kansas City, Department of Psychology, Kansas City, Missouri
| | | | | | - Marcie Berman
- University of Missouri-Kansas City, Department of Psychology, Kansas City, Missouri
| | - Sheila Lister
- University of Missouri-Kansas City, School of Medicine, Kansas City, Missouri
| | - Kelsey Christensen
- University of Missouri-Kansas City, School of Medicine, Kansas City, Missouri.,University of Missouri-Kansas City, Department of Psychology, Kansas City, Missouri
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Affiliation(s)
- M. F. Young
- Sandia National Laboratories, Albuquerque, New Mexico 87185
| | - M. Berman
- Sandia National Laboratories, Albuquerque, New Mexico 87185
| | - L. T. Pong
- Technadyne Corporation, Albuquerque, New Mexico 87192
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Berman M, Pavlushkov E, Doshi H, Balasubramanian S, White D, Claydon S, Ballantyne H, Ellis C, Tsui S. Transition of DCD Heart Transplantation from Research to a Clinical Programme - Challenges and Lessons Learned. J Heart Lung Transplant 2017. [DOI: 10.1016/j.healun.2017.01.108] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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Messer S, Page A, Axell R, Colah S, Hernandez-Sanchez J, Parizkova B, Valchanov K, Dunning J, Parameshwar J, Lewis C, Omar Y, Pettit S, Kydd A, Jenkins D, Sudarshan C, Catarino P, Berman M, Findlay M, Ali A, Tsui S, Large S. Excellent Early Outcomes Following Heart Transplantation from Circulatory Dead Donors. J Heart Lung Transplant 2017. [DOI: 10.1016/j.healun.2017.01.027] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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Page A, Goddard M, Messer S, Dunning J, Parameshwar J, Lewis C, Kydd A, Pettit S, Abu-Omar Y, Berman M, Ali A, Tsui S, Large S. Ischaemic Reperfusion Injury and Allograft Rejection Following DCD Heart Transplantation: Early Results. J Heart Lung Transplant 2017. [DOI: 10.1016/j.healun.2017.01.315] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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Berman M, Berkley-Patton J, Booker A, Bowe-Thompson C, Bradley-Ewing A. Exploring HIV Risk and Ex-Offender Status Among African American Church Populations: Considerations for Faith-Based Settings. J Correct Health Care 2017; 23:230-242. [PMID: 28358230 DOI: 10.1177/1078345817700615] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Studies with the general population indicate that involvement in the correctional system is strongly associated with the risk of contracting HIV and other sexually transmitted infections. However, limited studies have examined ex-offender status and HIV risk among African Americans-a population disproportionately impacted by incarceration and HIV-and even fewer have examined these risks among African American church-affiliated populations. This study examined ex-offender status, HIV risks, and perceptions of church involvement in HIV prevention strategies among 484 participants affiliated with African American churches. Findings indicate ex-offender participants were more likely to have been tested for HIV and believed the church should be involved in HIV prevention strategies. Future research, practice, and recommendations on the design of culturally and religiously tailored interventions for ex-offender HIV prevention, screening, and linkage to care in African American church settings are discussed.
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Affiliation(s)
- Marcie Berman
- 1 Psychology Department, University of Missouri, Kansas City, MO, USA
| | | | - Alexandria Booker
- 1 Psychology Department, University of Missouri, Kansas City, MO, USA
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Moore EW, Berkley-Patton JY, Berman M, Burleson C, Judah A. Physical Health Screenings Among African-American Church and Community Members. J Relig Health 2016; 55:1786-1799. [PMID: 27272330 DOI: 10.1007/s10943-016-0264-1] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
This study sought to identify characteristics, including religiosity, related to having received health screenings among persons who attend African-American churches or receive church-based community outreach services. A sample of 602 was recruited during two phases as part of a larger project. Blood pressure, cholesterol, and blood glucose screenings were the most frequently reported screenings ever and in the last 12 months. Although religiosity was significantly related to several of the health screenings in bivariate analysis, it is not a predictor of health screenings in multivariate analyses. Innovative strategies are needed to promote screenings such as church-based health fairs.
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Affiliation(s)
- Erin W Moore
- Department of Psychology, Stetson University, 421 N. Woodland Blvd Unit 8281, DeLand, FL, 32723, USA.
| | | | - Marcie Berman
- Department of Psychology, University of Missouri-Kansas City, Kansas City, MO, USA
| | - Christine Burleson
- Department of Psychology, University of Missouri-Kansas City, Kansas City, MO, USA
| | - Abigail Judah
- Department of Psychology, University of Missouri-Kansas City, Kansas City, MO, USA
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Abstract
Silverman and Brown (1978) have derived Poisson limit theorems for certain sequences of symmetric statistics, based on a sample of independent identically distributed random variables. In this paper an incomplete version of these statistics is considered and a Poisson limit result shown to hold. The powers of some tests based on the incomplete statistic are investigated and the main results of the paper are used to simplify the derivations of the asymptotic distributions of some statistics previously published in the literature.
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Berman M, Paran D, Wollman J, Elkayam O. AB0740 The Effect of Pregnancy on Disease Activity Outcomes in Psoriatic Arthritis Patients: Table 1. Ann Rheum Dis 2016. [DOI: 10.1136/annrheumdis-2016-eular.5229] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Berkley-Patton J, Thompson CB, Moore E, Hawes S, Simon S, Goggin K, Martinez D, Berman M, Booker A. An HIV Testing Intervention in African American Churches: Pilot Study Findings. Ann Behav Med 2016; 50:480-5. [PMID: 26821712 PMCID: PMC5026504 DOI: 10.1007/s12160-015-9758-4] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022] Open
Abstract
Background African Americans are disproportionately burdened by HIV. The African American church is an influential institution with potential to increase reach of HIV prevention interventions in Black communities. Purpose This study examined HIV testing rates in African American churches in the Taking It to the Pews pilot project. Using a community-engaged approach, church leaders delivered religiously-tailored HIV education and testing materials/activities (e.g., sermons, brochures/bulletins, testimonials) to church and community members. Methods Four African American churches (N=543 participants) located in the Kansas City metropolitan area were randomized to intervention and comparison groups. Receipt of an HIV test was assessed at baseline and 6 months. Results Findings indicated intervention participants were 2.2 times more likely to receive an HIV test than comparisons at 6 months. Church leaders delivered about 2 tools per month. Conclusions Church-based HIV testing interventions are feasible and have potential to increase HIV testing rates in African American communities.
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Affiliation(s)
- Jannette Berkley-Patton
- School of Medicine, Department of Biomedical and Health Informatics, University of Missouri-Kansas City, 2411 Holmes Street, Kansas City, MO, 64108, USA.
| | - Carole Bowe Thompson
- School of Medicine, Department of Biomedical and Health Informatics, University of Missouri-Kansas City, 2411 Holmes Street, Kansas City, MO, 64108, USA
| | - Erin Moore
- Psychology Department, Stetson University, DeLand, FL, USA
| | - Starlyn Hawes
- Department of Psychiatry and Behavioral Sciences; Center for Healthcare Improvement for Addictions, Mental Illness, and Medically Vulnerable Populations, University of Washington Medical Center, Seattle, WA, USA
| | - Stephen Simon
- School of Medicine, Department of Biomedical and Health Informatics, University of Missouri-Kansas City, 2411 Holmes Street, Kansas City, MO, 64108, USA
| | - Kathy Goggin
- Health Services and Outcomes Research, Children's Mercy Hospitals and Clinics and Schools of Medicine and Pharmacy, University of Missouri, Kansas City, MO, USA
| | - David Martinez
- School of Nursing and Health Professions, University of San Francisco, San Francisco, CA, USA
| | - Marcie Berman
- School of Medicine, Department of Biomedical and Health Informatics, University of Missouri-Kansas City, 2411 Holmes Street, Kansas City, MO, 64108, USA
| | - Alexandria Booker
- School of Medicine, Department of Biomedical and Health Informatics, University of Missouri-Kansas City, 2411 Holmes Street, Kansas City, MO, 64108, USA
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Barbero C, Ravaglioli A, Page A, Parizkova B, Berman M, Sudarshan C, Large S, Tsui S. Retrieval Team Initiated Early Donor Management (Scouting) Increases Donor Heart Acceptance Rate for Transplantation. J Heart Lung Transplant 2016. [DOI: 10.1016/j.healun.2016.01.620] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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Balasubramanian S, Pavlushkov E, Pettit S, Lewis C, Abu-Omar Y, Berman M, Parameshwar J, Tsui S. Heparin-Free Off-Pump LVAD Implantation Reduces Early Adverse Events Compared with On-Pump Implantation. J Heart Lung Transplant 2016. [DOI: 10.1016/j.healun.2016.01.147] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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