Mary Jo Trepka
Biographic Data
| ID | 133031 |
|---|---|
| NAME | Mary Jo Trepka |
| GIVEN NAMES | Mary Jo |
| FAMILY NAME | Trepka |
| SIGNATURE | TREPKA M J |
| AFFILIATIONS | Florida International University |
| ORCID | 0000-0002-6585-1194 |
| VERIFIED | Yes |
| TOTAL WORKS | 65 |
| TOTAL CITATIONS | 33 |
| AUTHOR COUNT | 65 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2003 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 3 |
Unmet Sex Education Needs among Young Adult Black Women in the United States
Using Dynamic Causal Bayesian Networks to Assess the Role of Patient-Centered Care and Individual-Level Barriers on Viral Suppression Changes Among a Cohort of People with HIV
To assess the impact of changes in barriers to HIV viral suppression and the moderating role of patient-provider relationships, we conducted a retrospective cohort study using dynamic causal Bayesian network analyses on the first two available needs assessments between May 2020 and December 2022 for clients of the Miami-Dade County Ryan White Program (RWP) Part A Program. A cohort of 1539 individuals was formed using data from the RWP medical cas…
Awareness of State-Level Abortion Policy Climates among Young Adult Black Women
Race- and ethnicity-specific patient-provider relationship characteristics associated with antiretroviral therapy adherence and viral suppression among minority women with HIV, Miami-Dade County, Flor…
We conducted a cross-sectional study to examine the associations between items of the patient-provider relationship measures and antiretroviral therapy (ART) adherence and viral suppression within each of three ethnic groups of women with HIV (WHIV) - Hispanic, Haitian, and African American - using data from 542 WHIV enrolled in the Miami-Dade County Ryan White Program. Univariate and multivariable logistic regression models were applied for each…
Barriers to Covid-19 vaccination and strategies to increase trust and uptake among racial and ethnic minorities with HIV in South Florida
Vaccination efforts for PWH should prioritize addressing specific barriers and concerns related to their HIV status and tailoring strategies to meet their needs
Modeling the Mediating Effects of HIV-Related Stigma on the Associations Between Race/Ethnicity and Antiretroviral Therapy Adherence and Viral Suppression Among Diverse Racial and Ethnic Minority Wome…
Excess Mortality Among People with HIV in Florida During the Initial Onset of the Covid-19 Pandemic
Daily Factors Associated with Antiretroviral Therapy Adherence Among Young Latino Sexual Minority Men with HIV
Exploring State- and Individual-Level Characteristics Associated with Perceived Barriers to Accessing Sexual and Reproductive Health Care Among Young Adult Black Women
Young adult Black women (YABW) report inadequate access to and experiences receiving sexual and reproductive health care. The purpose of this research was to examine perceived barriers to care among YABW. A nationwide sample of 500 YABW ages 18-22 years participated in an online survey. Participants reported on perceived logistical (knowledge, access, and cost) and stigma-based barriers (disclosure, discomfort, and judgment) to accessing prescrip…
Using Causal Bayesian Networks to Assess the Role of Patient-Centered Care and Psychosocial Factors on Durable HIV Viral Suppression
Culture and Patient-Provider Trust Among People with HIV
Sociodemographic patterns of preterm birth and low birth weight among pregnant women in rural Mysore district, India
Few studies have utilized person-centered approaches to examine co-occurrence of risk factors among pregnant women in low-and middle-income settings. The objective of this study was to utilize latent class analysis (LCA) to identify sociodemographic patterns and assess the association of these patterns on preterm birth (PTB) and/or low birth weight (LBW) in rural Mysore District, India. Secondary data analysis of a prospective cohort study among …
Sex differences in psychosocial and demographic factors associated with sustained HIV viral suppression in the Miami-Dade County Ryan White Program, 2017
This exploratory study examined sex differences in psychosocial and demographic factors associated with sustained HIV viral suppression (SVS). The study population included 6,489 Miami-Dade Ryan White Program (RWP) clients receiving services during 2017; administrative data was analyzed. SVS was defined as having all viral load tests during 2017 below 200 copies/ml. Multilevel logistic regression models accounted for clustering by medical case ma…
Factors Associated with Geographic Patterns of Poor Sustained Viral Suppression in Miami-Dade County Florida, 2017
Increased alcohol use during the Covid-19 pandemic among people with HIV from racial/ethnic minority groups in South Florida
People with HIV (PWH) from racial/ethnic minority groups may be particularly vulnerable to the effects of the COVID-19 Pandemic. Exacerbated COVID-19-related stressors may lead to maladaptive coping mechanisms such as increased alcohol use. This study examined socioeconomic and psychosocial predictors of increased alcohol use during the first year of the COVID-19 Pandemic among PWH from racial/ethnic minority groups in South Florida. Data were co…
Predictors of chlamydia or gonorrhea among people with HIV in Miami-Dade County Ryan White Program in 2017
The purpose of this study was to assess the prevalence of chlamydia or gonorrhea and factors associated with the diagnoses among people with HIV (PHIV) in the Ryan White Program Part A (RWP) in Miami-Dade County, Florida. We used 2017 calendar year data to identify factors associated with a chlamydia or gonorrhea diagnoses using logistic regression. About 50% of the 7110 PHIV who were ≥18 years old in active Ryan White care in 2017 reported being…
Social disorganization and new HIV diagnoses, 2013‐2017, Florida
PURPOSE: To compare the role of neighborhood social disorganization factors on human immunodeficiency virus (HIV) diagnosis rates in urban and rural areas in Florida, we conducted an ecologic study of HIV diagnosis rates during 2013-2017 and social disorganization components, including concentrated disadvantage, ethnic heterogeneity, and residential instability. METHODS: Indices of social disorganization components were obtained from principal co…
Clients’ Perspectives on Patient-Centeredness
Effectiveness of a 6-Month Nutrition Intervention in People Living with HIV and Prediabetes Progressing through Stages of Change towards Positive Health Behavior
A nutrition intervention was effective in promoting positive health behavior by progressing participants through the stages of behavioral change in low-income people living with HIV and prediabetes
Examining Barriers to Medication Adherence and Retention in Care among Women Living with HIV in the Face of Homelessness and Unstable Housing
Despite advances in biomedical treatments, women living with HIV (WLH) who experience homelessness and housing instability suffer suboptimal HIV outcomes, even when linked to treatment. The purpose of this study was to explore experiences of housing instability among WLH and to understand its role in their ability to adhere to antiretroviral medication and remain retained in care. Sixteen women who were linked to Ryan White Program HIV care in So…
A Comparative Analysis of Different HIV Viral Load Suppression Definitions Among Clients Receiving Care in the Miami-Dade Ryan White HIV/Aids Program
Post-immigration factors affecting retention in HIV care and viral suppression in Latin American and Caribbean immigrant populations in the United States
Relationship between Housing Characteristics and Care Outcomes among Women Living with HIV
Housing plays a critical role in the care outcomes of individuals living with a HIV, yet few studies have examined the unique housing profiles of women living with HIV (WLH), especially among those belonging to low-income racial/ethnic minority groups. In this study, authors conducted a latent class analysis to generate latent profiles of women ( N = 1,501) according to their housing status and household characteristics and assessed associations …
Gay Neighborhoods
Perceptual Facilitators for and Barriers to Career Progression
PURPOSE: Despite efforts to increase the representation of women in the national scientific workforce, results still lag. While women's representation in health-related sciences has increased substantially, women remain underrepresented in senior leadership roles. This study was conducted to elucidate influences at the individual, interpersonal, organizational, and societal levels that present as barriers to and facilitators for advancement in re…
Perceived neighborhood social cohesion moderates the relationship between neighborhood structural disadvantage and adolescent depressive symptoms
Racial residential segregation and risky sexual behavior among non-Hispanic blacks, 2006-2010
Parental‐perceived neighborhood characteristics and adolescent depressive symptoms
AIMS: This study examines the moderating role of parental neighborhood perceptions on the relationship between neighborhood structural disadvantage and adolescent depressive symptoms. METHODS: Data from the National Longitudinal Study of Adolescent to Adult Health (Add Health) consisting of 12,105 adolescents and their parents were used. RESULTS: Mixed effects multilevel modeling revealed that parental-perceived neighborhood disorder was associat…
The Health Status of Newly Arrived Refugee Children in Miami–Dade County, Florida
Compared with children born in the United States, refugee children from all countries have an increased risk of certain conditions that may involve significant morbidity and use of substantial health care resources, as well as of serious communicable diseases of public health concern.1–9 Studies of refugee children have found increased risks of hepatitis B,1,2,8,10 tuberculosis, 11–13 and intestinal parasitic infection.14–19 Refugee children may …
Relationship between Housing Characteristics and Care Outcomes among Women Living with HIV
Housing plays a critical role in the care outcomes of individuals living with a HIV, yet few studies have examined the unique housing profiles of women living with HIV (WLH), especially among those belonging to low-income racial/ethnic minority groups. In this study, authors conducted a latent class analysis to generate latent profiles of women ( N = 1,501) according to their housing status and household characteristics and assessed associations …
Racial and ethnic differences in the relationship between antenatal stressful life events and postpartum depression among women in the United States
The protective effect of provider communication on PPD suggests the benefit of a simple conversation about perinatal depression during antenatal care. Furthermore, risk factors for PPD varied by race/ethnicity suggesting that these vulnerabilities should be taken into consideration in identifying women at-risk for PPD
HIV/Aids Patients Who Move to Urban Florida Counties Following a Diagnosis of HIV
The Health Status of Newly Arrived Refugee Children in Miami–Dade County, Florida
Compared with children born in the United States, refugee children from all countries have an increased risk of certain conditions that may involve significant morbidity and use of substantial health care resources, as well as of serious communicable diseases of public health concern.1–9 Studies of refugee children have found increased risks of hepatitis B,1,2,8,10 tuberculosis, 11–13 and intestinal parasitic infection.14–19 Refugee children may …
Using Surveillance Data to Develop and Disseminate Local Childhood Lead Poisoning Screening Recommendations
Before 1999, few children in Florida’s Miami–Dade County were being screened for lead poisoning. To improve screening rates, the county’s department of health developed screening recommendations and a screening tool using surveillance and census data and disseminated these materials to primary care providers. Each year, recommendations have been reviewed to assess their sensitivity, and revised recommendations have been disseminated to health car…
HIV/Aids Patients Who Move to Urban Florida Counties Following a Diagnosis of HIV
Measuring Socioeconomic Inequality in the Incidence of Aids
Rural Aids Diagnoses in Florida
PURPOSE: To compare demographic characteristics and predictors of survival of rural residents diagnosed with acquired immunodeficiency syndrome (AIDS) with those of urban residents. METHODS: Florida surveillance data for people diagnosed with AIDS during 1993-2007 were merged with 2000 Census data using ZIP code tabulation areas (ZCTAs). Rural status was classified based on the ZCTA's rural-urban commuting area classification. Survival rates were…
Community Poverty and Trends in Racial/Ethnic Survival Disparities Among People Diagnosed With Aids in Florida, 1993–2004
Objectives. We described the racial/ethnic disparities in survival among people diagnosed with AIDS in Florida from 1993 to 2004, as the availability of highly active antiretroviral therapy (HAART) became widespread. We determined whether these disparities decreased after controlling for measures of community-level socioeconomic status. Methods. We compared survival from all causes between non-Hispanic Blacks and non-Hispanic Whites vis-a-vis sur…
Rate of new HIV diagnoses among Latinos living in Florida
HIV incidence in the USA is three times higher for Latinos than for non-Latino whites. Latinos differ in educational attainment, poverty, insurance coverage, and health-care access, factors that affect HIV knowledge, risk behaviors, and testing. The purpose of this study was to identify differences in demographics, risk factors, and rate of new HIV diagnoses by birth country/region among Latinos in Florida to guide the targeting of primary and se…
Black–White Latino Racial Disparities in HIV Survival, Florida, 2000–2011
This research aimed to estimate Black/White racial disparities in all-cause mortality risk among HIV-positive Latinos. Florida surveillance data for Latinos diagnosed with HIV (2000-2008) were merged with 2007-2011 American Community Survey data. Crude and adjusted hazard ratios (aHR) were calculated using multi-level Cox regression. Of 10,903 HIV-positive Latinos, 8.2% were Black and 91.9% White. Black Latinos were at increased mortality risk co…
Latino Mother/Daughter Dyadic Attachment as a Mediator for Substance Use Disorder and Emotional Abuse
Post-immigration Changes in Social Capital and Substance Use Among Recent Latino Immigrants in South Florida
HIV Risk Behaviors Among Latina Women Tested for HIV in Florida by Country of Birth, 2012
Neighborhood Latino ethnic density and mortality among HIV-positive Latinos by birth country/region, Florida, 2005–2008
The survival advantage seen among the Latino population in high Latino density areas was not seen among HIV-positive Latinos. Research is needed to determine if this may be related to stigma or another mechanism
Racial residential segregation and risky sexual behavior among non-Hispanic blacks, 2006-2010
Completeness of HIV reporting on death certificates for Floridians reported with HIV infection, 2000–2011
Human immunodeficiency virus (HIV) mortality is used as a key measure to monitor the impact of HIV throughout the world. It is important that HIV be correctly recorded on death certificates so that the burden of HIV mortality can be tracked accurately. The objective of this study was to determine the extent of failure to correctly report HIV on death certificates and examine patterns of incompleteness by demographic factors. Causes of death on de…
A Brief Report
Throughout the past decade, HIV rates in Florida-particularly South Florida, where many Latina seasonal farmworkers reside and work-have ranked among the highest in the nation. In this brief report, we delineate important lessons learned and preliminary findings from the implementation of the HIV prevention intervention Progreso en Salud (Progress in Health). Among the 114 Latina seasonal farmworker participants, there were significant increases …
Individual and Neighborhood Determinants of Late HIV Diagnosis Among Latinos, Florida, 2007–2011
Comparison of Individual and Area Level Factors Between HIV-Infected Cisgender and Transgender Individuals in Florida (2006–2014)
Stressful Life Event Experiences of Pregnant Women in the United States
Racial/ethnic disparities in delayed HIV diagnosis among men who have sex with men, Florida, 2000–2014
Only about 85% of men who have sex with men (MSM) with human immunodeficiency virus (HIV) have been tested for and diagnosed with HIV. Racial/ethnic disparities in HIV risk and HIV care outcomes exist within MSM. We examined racial/ethnic disparities in delayed HIV diagnosis among MSM. Males aged ≥13 reported to the Florida Enhanced HIV/AIDS Reporting System 2000-2014 with a reported HIV transmission mode of MSM were analyzed. We defined delayed …
Disparity in Retention in Care and Viral Suppression for Black Caribbean-Born Immigrants Living with HIV in Florida
(1) The study aim was to assess disparities in non-retention in HIV care and non-viral suppression among non-Hispanic Black Caribbean immigrants living with HIV in Florida. (2) We analyzed cases involving individuals, aged ≥13, who met CDC HIV case definition during 2000-2014. Chi square test was used to evaluate differences in non-retention and non-viral suppression by country of origin/race/ethnicity. Multilevel logistic regressions with three …
Black–White and Country of Birth Disparities in Retention in HIV Care and Viral Suppression among Latinos with HIV in Florida, 2015
The study's purpose was to identify HIV, Black-White race, and birth country disparities in retention in HIV care and HIV viral load (VL) suppression among Latinos, in 2015. Florida's surveillance data for Latinos diagnosed with HIV (2000-2014) were merged with American Community Survey data. Multi-level (random effects) models were used to estimate adjusted odds ratios (aOR) for non-retention in care and non-viral load suppression. Blacks and Wh…
Racial Residential Segregation and STI Diagnosis Among Non-Hispanic Blacks, 2006–2010
Racial and ethnic differences in the relationship between antenatal stressful life events and postpartum depression among women in the United States
The protective effect of provider communication on PPD suggests the benefit of a simple conversation about perinatal depression during antenatal care. Furthermore, risk factors for PPD varied by race/ethnicity suggesting that these vulnerabilities should be taken into consideration in identifying women at-risk for PPD
Association Between Hiv Awareness Factors, Health Facility Characteristics and Risky Sexual Behaviour Among Young Women in Zomba District, Malawi
The objective of this study was to examine the association between multilevel factors related to HIV awareness and risky sexual behaviour among young women in Zomba district, Malawi. Secondary analyses of the Schooling, Income, and Health Risk (SIHR) study were undertaken. Four outcomes related to risky sexual behaviour were examined among young women: if participants had ever had sex, consistent condom use and two scores measuring risk related t…
Role of Gay Neighborhood Status and Other Neighborhood Factors in Racial/Ethnic Disparities in Retention in Care and Viral Load Suppression Among Men Who Have Sex with Men, Florida, 2015
Medicine (57 works) · HIV/AIDS Research and Interventions (41 works) · Gerontology (37 works) · Demography (36 works) · Environmental health (29 works) · HIV, Drug Use, Sexual Risk (29 works) · Sociology (29 works) · Population (26 works) · Public health (26 works) · Human immunodeficiency virus (HIV (23 works)