Ezra Susser
Dados Biográficos
| ID | 102102 |
|---|---|
| NOME | Ezra Susser |
| PRENOMES | Ezra |
| SOBRENOME | Susser |
| ASSINATURA | SUSSER E |
| AFILIAÇÕES | Columbia University |
| ORCID | 0000-0001-7665-4826 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 72 |
| TOTAL DE CITAÇÕES | 480 |
| TOTAL COMO AUTOR | 72 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 1983 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 9 |
Barriers and facilitators to integrating mental health and psychosocial support into economic inclusion programming for displaced families in ecuador
Background Displaced populations have increased rates of mental health problems, which have been shown to have a bidirectional relationship with economic insecurity. Despite growing calls globally to integrate mental health and psychosocial support (MHPSS) with economic inclusion (EI) programming, few models exist for practical implementation. We co-developed and piloted the Building the Future Toolkit (i.e., the Toolkit), an integrated MHPSS-EI …
Youth psychotic experiences
BACKGROUND: Adolescent self-reported psychotic experiences are associated with mental illness and could help guide prevention strategies. Youth report substantially more experiences than adults. However, with large societal changes like the digital revolution and COVID-19 pandemic, existing questionnaires may no longer accurately capture youth experiences. We aimed to determine the ability of the CAPE-16 questionnaire in capturing psychotic exper…
Evaluating the efficacy of the WHO QualityRights e-training in promoting the rights of persons with mental health conditions and psychosocial disabilities
INTRODUCTION: People with mental health conditions and psychosocial disabilities frequently experience human rights violations. This study assessed the efficacy of the WHO QualityRights e-training in promoting their rights within the mental healthcare system. METHODS: In this cluster-randomised trial in three psychiatric hospitals in Ghana, we randomly selected units within each hospital and randomised them 1:1 to the intervention (WHO QualityRig…
Beyond “Ch'jurnaaq”
Psychotic conditions are major causes of disability in Latin America, where mental healthcare is mostly limited and inadequate. Indigenous People throughout this region experience additional barriers to mental health care, compounded by structural inequities and diverse health practices. This study in Guatemala described the Maya Indigenous People’s perceptions about psychosis, its symptoms, causes, responses to, and recovery. Results will inform…
From homelessness to hotel living during the Covid-19 pandemic
We explored life in a hotel where unhoused individuals were accommodated during the COVID-19 pandemic. We conducted hour-long semi-structured interviews with twenty residents of a lodging hotel in New York City to: (1) compare their current living situation with prior experiences of homelessness; (2) address how current needs were being met; and (3) assess how hotel living might facilitate residents’ transitions to more permanent housing. Althoug…
Early intervention in psychosis programs in Africa, Asia and Latin America; challenges and recommendations
Background While early intervention in psychosis (EIP) programs have been increasingly implemented across the globe, many initiatives from Africa, Asia and Latin America are not widely known. The aims of the current review are (a) to describe population-based and small-scale, single-site EIP programs in Africa, Asia and Latin America, (b) to examine the variability between programs located in low-and-middle income (LMIC) and high-income countries…
Trusting in times of the Covid-19 crisis
Previous research has highlighted the negative impact of the COVID-19 pandemic on healthcare workers’ (HCWs) mental health, yet protective factors remain underexplored. Emerging studies emphasize the importance of trust in government and interpersonal relationships in reducing infections and fostering positive vaccine attitudes. This study investigates the relationship between HCWs’ trust in the workplace and government and depressive symptoms du…
American Dreaming? Evaluating Trait Explanations for Health Inequalities by Race and Socioeconomic Status
In the context of strong cultural beliefs associated with the American Dream, a prominent body of scholarship asserts that traits such as intelligence, self-confidence, and self-control play a pivotal role in the life course emergence of health inequalities by race and socioeconomic status (SES). We use prospectively ascertained data from approximately 50-year-old Black and White study participants (N = 605) whose mothers were recruited when preg…
Researchers’ agency and the boundaries of global mental health
The decolonise global health movement has critically reassessed the field’s historical and political underpinnings, urging researchers to recognise biases and power imbalances through reflexivity and action. Genuine change is seen as the outcome of the researcher’s self-awareness, often leaving the underlying structures of global health—and global mental health (GMH)—in the background. Here, we problematise how expectations around agency and chan…
Attainment and loss of early social‐communication skills across neurodevelopmental conditions in the Norwegian Mother, Father and Child Cohort Study
BACKGROUND: Delays and loss of early-emerging social-communication skills are often discussed as unique to autism. However, most studies of regression have relied on retrospective recall and clinical samples. Here, we examine attainment and loss of social-communication skills in the population-based Norwegian Mother, Father and Child Cohort Study (MoBa). METHODS: Mothers rated their child's attainment of 10 early-emerging social-communication ski…
Inequality on the frontline
Healthcare workers (HCWs) were at increased risk for mental health problems during the COVID-19 pandemic, with prior data suggesting women may be particularly vulnerable. Our global mental health study aimed to examine factors associated with gender differences in psychological distress and depressive symptoms among HCWs during COVID-19. Across 22 countries in South America, Europe, Asia and Africa, 32,410 HCWs participated in the COVID-19 HEalth…
Integrating mental health and psychosocial support into economic inclusion programming for displaced families in Ecuador
This study provides preliminary evidence of the acceptability and feasibility of integrating MHPSS into economic inclusion programs for displaced people. We found evidence supporting evaluation methods that can be employed in a future study to definitively test the added value of integrated approaches to mental health and economic wellbeing for displaced persons
Evaluating the psychometric properties of three WHO instruments to assess knowledge about human rights, attitudes toward persons with mental health conditions and psychosocial disabilities, and practi…
This finding lends support to the use of these instruments both within mental health services and in the general population for a better understanding of current knowledge, attitudes, and practices related to a human rights-based approach to mental health in mental health services and the community
Association of long Covid with housing insecurity in the United States, 2022–2023
Compared with COVID-19 survivors who do not experience long-term symptoms, people with Long COVID are more likely to report indicators of housing insecurity, particularly those of lower socio-economic status, and those with functional limitations or long-term COVID-19 related symptoms impacting day-to-day life. Policies are needed to support people living with chronic illnesses following SARS-CoV-2 infection
The Association Between Exposure to Covid-19 and Mental Health Outcomes Among Healthcare Workers
Due to the unprecedented impact of the COVID-19 pandemic on health care systems, there has been great interest in the mental wellbeing of healthcare workers. While most studies investigated mental health outcomes among frontline vs. non-frontline healthcare workers, little is known about the impact of various work-related variables. The present study aimed to examine the association between work-related [i.e., having contact with COVID-19 patient…
The Impact of the Covid-19 Pandemic on the Mental Health of Healthcare Workers in Italy
Our study emphasizes the need to address discrimination and violence against healthcare professionals and improve healthcare work environments to strengthen the national health system's capacity to manage future emergencies
Course of psychotic experiences and disorders among apprentice traditional health practitioners in rural South Africa
In rural KwaZulu-Natal, psychotic experiences, symptoms and disorders have a benign course in most individuals who are undergoing the process of becoming a THP. Ukuthwasa may be an effective, culturally sanctioned, healing intervention for some selected individuals, potentially because it reframes distressing experiences into positive and highly valued experiences, reduces stigma, and enhances social empowerment and identity construction. This im…
La salud mental de los trabajadores de salud en Guatemala durante la pandemia de Covid-19
Objetivos. Evaluar la prevalencia de base de los trastornos de salud mental y exposiciones conexas en una cohorte de trabajadores de salud de Guatemala. Métodos Se analizó la información de base del estudio HÉROES (por COVID-19 HEalth caRe wOrkeRs Study, sobre los trabajadores de salud durante la pandemia) en Guatemala, realizado en línea en el 2020. Las variables de resultado fueron malestar psicológico y síntomas depresivos. Las exposiciones in…
Covid-19 Pandemic Factors and Depressive Symptoms Among Primary Care Workers in São Paulo, Brazil, October and November 2020
Objectives. To investigate associations between COVID-19-related factors and depressive symptoms among primary care workers (PCWs) in São Paulo, Brazil, and to compare the prevalence of probable depression among PCWs before and during the pandemic. Methods. In a random sample of primary care clinics, we examined 6 pandemic-related factors among 828 PCWs. We used multivariate Poisson regression with robust variance to estimate prevalence ratios fo…
Mental Health of Guatemalan Health Care Workers During the Covid-19 Pandemic
Objectives. To assess the baseline prevalence of mental health conditions and associated exposures in a cohort of health care workers (HCWs) in Guatemala. Methods. We analyzed baseline information from the 2020 Web-based COVID-19 Health Care Workers Study (HEROES)–Guatemala. Outcomes included mental distress and depressive symptoms. Exposures included COVID-19 experiences, sociodemographic characteristics, and job characteristics. We used crude a…
Utility of a multidimensional recovery framework in understanding lived experiences of Chilean and Brazilian mental health service users
La comprensión y aplicación del concepto de recuperación, a pesar de sus posibles beneficios para los servicios de salud mental, aún se encuentra en incipiente desarrollo en América Latina. Si bien la reforma psiquiátrica en la región ha tenido algunos avances, el marco de la recuperación no ha sido suficientemente explorado. Whitley y Drake (2010) sugirieron un marco conceptual integral para la recuperación que incluye cinco dimensiones: clínica…
Age of walking and intellectual ability in autism spectrum disorder and other neurodevelopmental disorders
BACKGROUND: Delayed walking is common in intellectual disability (ID) but may be less common when ID occurs with autism spectrum disorder (ASD). Previous studies examining this were limited by reliance on clinical samples and exclusion of children with severe motor deficits. OBJECTIVE: To examine in a population-based sample if age of walking is differentially related to intellectual ability in children with ASD versus other neurodevelopmental di…
Implementation of a pilot community-based psychosocial intervention for patients with psychoses in Chile and Brazil
CTI-TS' major adaptations were informed by the distinct mental health systems and social context of Santiago and Rio. Evaluation of user experiences with these adaptations provides insights into implementing and scaling-up task-shifting and community-oriented interventions in the region through the creation of specialized roles for the worker pair, targeting sustained intervention effects, and addressing socio-cultural barriers
Response to
Understanding Users’ Perspectives of Psychosocial Mechanisms Underpinning Peer Support Work in Chile
Choosing a future for epidemiology
Part I of this paper traced the evolution of modern epidemiology in terms of three eras, each with its dominant paradigm, culminating in the present era of chronic disease epidemiology with its paradigm, the black box. This paper sees the close of the present era and foresees a new era of eco-epidemiology in which the deployment of a different paradigm will be crucial. Here a paradigm is advocated for the emergent era. Encompassing many levels of…
Choosing a future for epidemiology
To inform choices about the future of epidemiology, the present condition of epidemiology is examined, in terms of its evolution through three eras, each demarcated by its own paradigm: (1) the era of sanitary statistics with its paradigm, miasma; (2) the era of infectious disease epidemiology with its paradigm, the germ theory; and (3) the era of chronic disease epidemiology with its paradigm, the black box. The historical context in which these…
Lifetime and five-year prevalence of homelessness in the United States
OBJECTIVE. Intense debate exists concerning the number of homeless people in the United States. Previous studies, counting currently homeless people, have provided point-prevalence estimates of homelessness but have been criticized on methodological grounds. This study reports lifetime and 5-year prevalence estimates of homelessness using a different methodological approach. METHODS. Random-digit dialing was used to interview 1507 adults living i…
Adverse childhood experiences
OBJECTIVES: We tested the hypothesis that adverse childhood experiences are risk factors for adult homelessness. METHODS: We interviewed a nationally representative sample of 92 US household members who had previously been homeless and a comparison group of 395 individuals with no prior homelessness. We assessed childhood adversity with a structured protocol that included a previously validated scale indicating lack of care from parents and singl…
Preventing recurrent homelessness among mentally ill men
OBJECTIVES: This study examined a strategy to prevent homelessness among individuals with severe mental illness by providing a bridge between institutional and community care. METHODS: Ninety-six men with severe mental illness who were entering community housing from a shelter institution were randomized to receive 9 months of a "critical time" intervention plus usual services or usual services only. The primary analysis compared the mean number …
Prevalence of HIV infection among psychiatric patients in a New York City men's shelter
We report on the prevalence of human immunodeficiency virus (HIV) infection among psychiatric patients in a New York City shelter for homeless men. We reviewed the records of all 90 men discharged from the shelter psychiatry program to community housing over a 2-year period. HIV serostatus was recorded for 62 of the 90 men. Of these 62, 12 (19.4%) were positive. There were 28 men whose serostatus was not recorded. Data on the HIV risk behaviors o…
Some clinical approaches to the homeless mentally ill
Disparities in self-rated health across generations and through the life course
Prenatal famine and adult mental illness
Reporting sexual risk behavior for HIV
OBJECTIVES: As a means of enhancing public health efforts to control sexual transmission of human immunodeficiency virus (HIV), methods were developed to report on risk behavior in a manner that is comparable and widely interpretable. METHODS: An elementary sexual behavior risk index (the vaginal episode equivalent index) that is in accord with some of the essential knowledge about sexual transmission of HIV is described, and a multivariate ordin…
Explaining the Black-white depression paradox
Work-Related Depression in Primary Care Teams in Brazil
Objectives. To identify work-related factors associated with depressive symptoms and probable major depression in primary care teams. Methods. Cross-sectional study among primary care teams (community health workers, nursing assistants, nurses, and physicians) in the city of São Paulo, Brazil (2011–2012; n = 2940), to assess depressive symptoms and probable major depression and their associations with job strain and other work-related conditions.…
The protective effect of condoms and nonoxynol-9 against HIV infection
OBJECTIVES: Whether or not spermicides can reduce the risk of human immunodeficiency virus (HIV) transmission remains an important question for the control of heterosexual HIV transmission. The authors provide estimates from a reanalysis of one of the few observational studies on the efficacy of condoms and spermicides, used separately and together, per vaginal contact. METHODS: In this reanalysis, three different models were used to assess the e…
Injection drug use among homeless adults with severe mental illness
OBJECTIVES: This study examined injection drug use among homeless men and women with severe mental illness in two sites. METHODS: The data were drawn from related clinical trials conducted in Baltimore (101 men, 49 women) and Boston (85 men, 33 women). RESULTS: The percentages of homeless men with a history of injection drug use were 26% in Baltimore and 16% in Boston; the corresponding rates among homeless women were 8% and 6%. CONCLUSIONS: Take…
Ancestral calling, traditional health practitioner training and mental illness
This qualitative ethnographic study complements an epidemiological study on first episode psychosis in Vulindlela, a rural area in KwaZulu-Natal, South Africa. It focuses on two themes that emerged from our data: (1) the calling of the ancestors to become a traditional health practitioner and (2) ukuthwasa, the training to become a traditional health practitioner. The purpose of this study is to describe the ancestral calling, and to explore whet…
Including culture in programs to reduce stigma toward people with mental disorders in low- and middle-income countries
Stigma is one of the main barriers for the full implementation of mental health services in low- and middle-income countries (LMICs). Recently, many initiatives to reduce stigma have been launched in these settings. Nevertheless, the extent to which these interventions are effective and culturally sensitive remains largely unknown. The present review addresses these two issues by conducting a comprehensive evaluation of interventions to reduce st…
Reasons given for disclosure of maternal HIV status to children
Childhood out-of-home care and current depressive symptoms among homeless adults
Previous research indicates that adverse childhood experiences are associated with depression during adulthood under conditions of social stress. This relationship was examined in a large sample of homeless adults (n = 1849). Subjects with evidence of severe mental disorders such as schizophrenia were excluded. Those with out-of-home care (e.g., foster, group, or institutional care) during childhood were significantly more likely than those witho…
Mental illness in the homeless
Psychopathology among apprentice traditional health practitioners
Sociocultural context seems to influence the epidemiology, phenotype, treatment, and course of psychosis. However, data from low- and middle-income countries is sparse. This research is part of a multidisciplinary and multimethod study on possible mental disturbances, including hallucinations, among (apprentice) traditional health practitioners (THPs) who have experienced the 'ancestral calling to become a THP' in rural KwaZulu-Natal, South Afric…
Covid-19 Pandemic Factors and Depressive Symptoms Among Primary Care Workers in São Paulo, Brazil, October and November 2020
Objectives. To investigate associations between COVID-19-related factors and depressive symptoms among primary care workers (PCWs) in São Paulo, Brazil, and to compare the prevalence of probable depression among PCWs before and during the pandemic. Methods. In a random sample of primary care clinics, we examined 6 pandemic-related factors among 828 PCWs. We used multivariate Poisson regression with robust variance to estimate prevalence ratios fo…
Implementing the protocol of a pilot randomized controlled trial for the recovery-oriented intervention to people with psychoses in two Latin American cities
Several Latin American countries have made remarkable strides towards offering community mental health care for people with psychoses. Nonetheless, mental health clinics generally have a very limited outreach in the community, tending to have weaker links to primary health care; rarely engaging patients in providing care; and usually not providing recovery-oriented services. This paper describes a pilot randomized controlled trial (RCT) of Critic…
Do socio-economic gradients in smoking emerge differently across time by gender? Implications for the tobacco epidemic from a pregnancy cohort in California, USA
Approaches to psychiatric assessment in epidemiological studies of children
An assessment protocol for the longitudinal measurement of developmental psychopathology in a population-based study of children and adolescents is proposed. The protocol is designed for use in a large cohort of up to 100 000 individuals followed from early gestation to 21 years of age. Although the protocol was constrained by specified methodological parameters, the recommendations may apply to other psychiatric epidemiological research designs.…
New York besieged
Epidemiologists all over the world have been good enough to express their concerns and worries about how we, and other friends and colleagues in New York, fared in the terror provoked on 11 September. This annotation responds to the editors' invitation that we convey something from our vantage point. We welcomed their interest. The experience is, so far, unique in history. Our account is personal, that of four individuals, all related (Sally marr…
Abortion Statistics
EDITORbecause of the individuality of the in- structors involved.As the methods section of our brief report stated, all students studied were taught the same techniques; both courses certified trainees in Basic Life Support.Other retention research has com- pared results within a given program against certification standards.It was the intent of this study to evaluate the impact of course differences on retention and to stimulate further research…
Mental illness in the homeless
Some clinical approaches to the homeless mentally ill
Prevalence of HIV infection among psychiatric patients in a New York City men's shelter
We report on the prevalence of human immunodeficiency virus (HIV) infection among psychiatric patients in a New York City shelter for homeless men. We reviewed the records of all 90 men discharged from the shelter psychiatry program to community housing over a 2-year period. HIV serostatus was recorded for 62 of the 90 men. Of these 62, 12 (19.4%) were positive. There were 28 men whose serostatus was not recorded. Data on the HIV risk behaviors o…
Lifetime and five-year prevalence of homelessness in the United States
OBJECTIVE. Intense debate exists concerning the number of homeless people in the United States. Previous studies, counting currently homeless people, have provided point-prevalence estimates of homelessness but have been criticized on methodological grounds. This study reports lifetime and 5-year prevalence estimates of homelessness using a different methodological approach. METHODS. Random-digit dialing was used to interview 1507 adults living i…
Childhood out-of-home care and current depressive symptoms among homeless adults
Previous research indicates that adverse childhood experiences are associated with depression during adulthood under conditions of social stress. This relationship was examined in a large sample of homeless adults (n = 1849). Subjects with evidence of severe mental disorders such as schizophrenia were excluded. Those with out-of-home care (e.g., foster, group, or institutional care) during childhood were significantly more likely than those witho…
Lifetime and five-year prevalence of homelessness in the United States
A 1990 household-based telephone survey of 1,507 people was followed up by surveying a subsample of those interviewed for the initial report. Results showed very high prevalence figures for homelessness, quite close to those found in the earlier survey. Moreover, using explicit and stringent definitions of literal homelessness and doubling up, most periods of homelessness were found to last for more than one month and, particularly with regard to…
Topics for our times
Topics for our times: can we learn from the care of persons with mental illness in developing countries? E Susser, P Collins, B Schanzer, V K Varma, and M GittelmanCopyRight https://doi.org/10.2105/AJPH.86.7.926 Published Online: October 07, 2011
Tuberculosis and HIV among mentally ill men in a New York City shelter
Tuberculosis and HIV among mentally ill men in a New York City shelter. H Saez, E Valencia, S Conover, and E SusserCopyRight https://doi.org/10.2105/AJPH.86.9.1318 Published Online: October 07, 2011
Choosing a future for epidemiology
To inform choices about the future of epidemiology, the present condition of epidemiology is examined, in terms of its evolution through three eras, each demarcated by its own paradigm: (1) the era of sanitary statistics with its paradigm, miasma; (2) the era of infectious disease epidemiology with its paradigm, the germ theory; and (3) the era of chronic disease epidemiology with its paradigm, the black box. The historical context in which these…
Choosing a future for epidemiology
Part I of this paper traced the evolution of modern epidemiology in terms of three eras, each with its dominant paradigm, culminating in the present era of chronic disease epidemiology with its paradigm, the black box. This paper sees the close of the present era and foresees a new era of eco-epidemiology in which the deployment of a different paradigm will be crucial. Here a paradigm is advocated for the emergent era. Encompassing many levels of…
Injection drug use among homeless adults with severe mental illness
OBJECTIVES: This study examined injection drug use among homeless men and women with severe mental illness in two sites. METHODS: The data were drawn from related clinical trials conducted in Baltimore (101 men, 49 women) and Boston (85 men, 33 women). RESULTS: The percentages of homeless men with a history of injection drug use were 26% in Baltimore and 16% in Boston; the corresponding rates among homeless women were 8% and 6%. CONCLUSIONS: Take…
Preventing recurrent homelessness among mentally ill men
OBJECTIVES: This study examined a strategy to prevent homelessness among individuals with severe mental illness by providing a bridge between institutional and community care. METHODS: Ninety-six men with severe mental illness who were entering community housing from a shelter institution were randomized to receive 9 months of a "critical time" intervention plus usual services or usual services only. The primary analysis compared the mean number …
Adverse childhood experiences
OBJECTIVES: We tested the hypothesis that adverse childhood experiences are risk factors for adult homelessness. METHODS: We interviewed a nationally representative sample of 92 US household members who had previously been homeless and a comparison group of 395 individuals with no prior homelessness. We assessed childhood adversity with a structured protocol that included a previously validated scale indicating lack of care from parents and singl…
Controlling tuberculosis in an urban emergency department
OBJECTIVES: This study examined whether data routinely available in emergency departments could be used to improve isolation decisions for tuberculosis patients. METHODS: In a large emergency department in New York City, we compared the exposure histories of tuberculosis culture-positive and culture-negative patients and used these data to develop a rapid decision instrument to predict culture-positive tuberculosis. The screen used only data that…
Early antecedents of adult health
Reporting sexual risk behavior for HIV
OBJECTIVES: As a means of enhancing public health efforts to control sexual transmission of human immunodeficiency virus (HIV), methods were developed to report on risk behavior in a manner that is comparable and widely interpretable. METHODS: An elementary sexual behavior risk index (the vaginal episode equivalent index) that is in accord with some of the essential knowledge about sexual transmission of HIV is described, and a multivariate ordin…
The protective effect of condoms and nonoxynol-9 against HIV infection
OBJECTIVES: Whether or not spermicides can reduce the risk of human immunodeficiency virus (HIV) transmission remains an important question for the control of heterosexual HIV transmission. The authors provide estimates from a reanalysis of one of the few observational studies on the efficacy of condoms and spermicides, used separately and together, per vaginal contact. METHODS: In this reanalysis, three different models were used to assess the e…
The parent disclosure interview
As the number of HIV-infected women and children in the USA has increased, clinicians and researchers have debated the benefits and risks of disclosure of parental HIV status to children. Disclosure is usually ascertained through interviews of unknown reliability. Given the need to advance knowledge regarding the benefits and risks of disclosure of parental HIV status to children, a reliable and comprehensive disclosure interview is needed. The P…
Wittkowski and Colleagues Respond
Wittkowski and Colleagues Respond Knut Wittkowski, Ezra Susser, and Klaus Dietz CopyRight https://doi.org/10.2105/AJPH.89.1.109 Published Online: October 07, 2011
Using Local Resources in Patagonia
(1999). Using Local Resources in Patagonia. International Journal of Mental Health: Vol. 28, Mental Health Services in the Developing World: Perspectives on Evolution, Assessment, and Adaptation—2, pp. 3-16
Reasons given for disclosure of maternal HIV status to children
New York besieged
Epidemiologists all over the world have been good enough to express their concerns and worries about how we, and other friends and colleagues in New York, fared in the terror provoked on 11 September. This annotation responds to the editors' invitation that we convey something from our vantage point. We welcomed their interest. The experience is, so far, unique in history. Our account is personal, that of four individuals, all related (Sally marr…
The impact of substance dependence on HIV sexual risk-reduction among men with severe mental illness
We explored the impact of substance dependence on the efficacy of an HIV sexual risk reduction intervention previously shown to be effective among men with severe mental illness by comparing rates of high-risk sexual behaviors among men with (n = 26) and without (n = 31) a lifetime history of substance dependence. We sub-divided subjects by alcohol and drug dependence status, comparing each intervention sub-group to the corresponding control sub-…
HIV prevention with severely mentally ill men
We conducted a randomised clinical trial to test the efficacy of an enhanced version of an intervention previously shown to reduce HIV sexual risk behaviours among men with severe mental illness. One-hundred-and-forty-nine subjects aged 18-59 years were randomly assigned to the experimental or control conditions. Sexual risk behaviours were assessed every three months for 12-months. The primary analysis compared experimental and control groups wi…
Medicine (61 obras) · Psychiatry (41 obras) · Psychology (38 obras) · Mental health (35 obras) · Environmental health (24 obras) · Mental Health Treatment and Access (19 obras) · Gerontology (18 obras) · Family medicine (16 obras) · Clinical Psychology (15 obras) · Gerontology (15 obras)