Carol E Golin
Biographic Data
| ID | 1566030 |
|---|---|
| NAME | Carol E Golin |
| GIVEN NAMES | Carol E |
| FAMILY NAME | Golin |
| SIGNATURE | GOLIN C E |
| AFFILIATIONS | University of North Carolina at Chapel Hill |
| ORCID | 0000-0002-5546-3163 |
| VERIFIED | Yes |
| TOTAL WORKS | 78 |
| TOTAL CITATIONS | 73 |
| AUTHOR COUNT | 78 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2001 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 4 |
Women’s Perceptions of Novel 3-D Printed Vaginal Rings for Multipurpose Prevention
Intravaginal rings (IVRs) can be efficacious, user-controlled devices to prevent pregnancy and HIV. Understanding potential user preferences for device characteristics can promote device uptake and use by informing design optimization. We elicited sensory perceptions from a convenience sample of women aged 18-45 years from a large statewide health system to iteratively inform design of a novel 3D-printed multipurpose (contraception and HIV preven…
Understanding the Influence of PrEP Motivations and Concerns on PrEP Use Among Pregnant Women in Lilongwe, Malawi
Survival, trust, and compassion
Background: Members of Black sexual and gender minority (BSGM) groups in the Southern US experience disparities across all pillars of the HIV prevention continuum. Social network strategy (SNS) is an intervention that trains people with reasons to test for HIV to reach out to peers to increase HIV testing and may improve uptake of pre-exposure prophylaxis (PrEP). We conducted formative research to design an enhanced SNS to implement within partne…
Understanding PrEP misconceptions and their impact on PrEP initiation and use among pregnant and lactating women in Malawi
Mother-to-child transmission (MTCT) of HIV remains a challenge in Eastern and Southern Africa. Oral pre-exposure prophylaxis (PrEP) is a powerful tool to reduce MTCT, but women face barriers to effective use including those related to inaccurate comprehension of PrEP To understand women’s misconceptions about PrEP and their potential impact on PrEP use, we conducted interviews with 33 pregnant and lactating women in Malawi using PrEP, and ten PrE…
Champion and audit and feedback strategy fidelity and their relationship to depression intervention fidelity
Background: Globally, mental health disorders rank as the greatest cause of disability. Low and middle-income countries (LMICs) hold a disproportionate share of the mental health burden, especially as it pertains to depression. Depression is highly prevalent among those with non-communicable diseases (NCDs), creating a barrier to successful treatment. While some treatments have proven efficacy in LMIC settings, wide dissemination is challenged by…
Feasibility, Acceptability and Appropriateness of MedViewer
Structural Barriers to HIV Prevention and Services
BACKGROUND: African American women are at a disproportionate HIV risk compared with other U.S. women. Studies show that complex structural and social determinants, rather than individual behaviors, place African American women at greater risk of HIV infection; however, little is known about women's views of what puts them at risk. AIMS: This study sought to comprehend the perceptions of African American women living in low-income housing regardin…
Lessons Learned in Centering Youth Voices in HIV Prevention
Our three study phases included six AHWG meetings from 2019 to 2020, youth-only meetings guided by a participatory engagement framework (Youth Generate and Organize), and interviews (n=13) and surveys with youth in the community (N=87). We also developed materials such as an AHWG mission statement, a list of themes and informational needs, and documented strategies about pivoting the project during the onset of the COVID-19 global pandemic.Lesson…
Awareness of and attitudes toward pre-exposure prophylaxis among African American women living in low-income neighborhoods in a Southeastern city
African American women in the South are disproportionately affected by HIV but have often been ignored in HIV prevention efforts, including in the rollout of pre-exposure prophylaxis (PrEP). To inform strategies to promote PrEP awareness and access in this population, we conducted a venue-based community survey with 53 African American women living in low-income neighborhoods of a Southeastern city to understand women's knowledge of and attitudes…
Refining Black men’s depression measurement using participatory approaches
Findings from this study illustrate the similar and divergent pathways in which Black men express depressed mood. Furthermore, concept mapping results also yield a novel opportunity for culturally informed scale development in future research
Using Participatory Methods to Assess PrEP Interest and Uptake Among Young People Living in the Southeastern US
The Cost-Effectiveness of Adapting and Implementing a Brief Intervention to Target Frequent Alcohol Use Among Persons with HIV in Vietnam
How Perceived Structural Racism and Discrimination and Medical Mistrust in the Health System Influences Participation in HIV Health Services for Black Women Living in the United States South
There are racial and geographic disparities for HIV in the United States; Black women have nearly 20 times the risk of White women in being infected with HIV, and lifetime HIV risk is greatest for people living in the southern United States. These disparities, layered with the structural racism and discrimination that is more prominent in the south, is a public health issue. The purpose of this article is to share Black women's perspectives of ho…
Implementation of two alcohol reduction interventions among persons with hazardous alcohol use who are living with HIV in Thai Nguyen, Vietnam
BACKGROUND: Hazardous alcohol use is detrimental to persons with HIV (PWH), impacting medication adherence and liver function, yet globally resources to target alcohol use behavior in this population are limited. Few studies have identified the costs of integrating alcohol reduction interventions into HIV care. OBJECTIVE: To estimate the costs of implementing and delivering two evidence-based behavioral counseling interventions targeting hazardou…
Challenges for accessing and maintaining good quality of HIV care among men who have sex with men living with HIV in China
HIV care in China is shifting toward a community-based model involving a wide range of stakeholders. We aimed to understand key stakeholders’ perceived challenges of providing high-quality care for men who have sex with men (MSM) living with HIV. In-depth interviews were conducted with a diverse sample of stakeholders (N = 17) in two Chinese cities, including providers, policymakers, and community workers. Interviews focused on stakeholders’ chal…
Female adherence self-efficacy before and after couple HIV testing and counseling within Malawi’s Option B+ program
Adherence self-efficacy, belief in one’s ability to adhere to daily medication, is strongly associated with antiretroviral therapy (ART) adherence and preventing mother-to-child HIV transmission. Couple-based interventions could enhance self-efficacy and adherence. We assessed the relationship between couple HIV testing and counseling (cHTC) and adherence self-efficacy using a 100-point culturally-adapted adherence self-efficacy scale (ASES). Sec…
HIV-related stigma, depression, and social support are associated with health-related quality of life among patients newly entering HIV care
Entering HIV care is a vulnerable time for newly diagnosed individuals often exacerbating psychosocial difficulties, which may contribute to poor health-related quality of life (HRQOL) ultimately influencing health behaviors including ART adherence, the driver of viral load suppression. Understanding HRQOL in people newly entering HIV care is critical and has the potential to guide practice and research. This exploratory cross-sectional study exa…
Predictors of HIV Testing among Orphaned Youths in Three East African Countries
Interventions to Enhance Patient and Family Engagement Among Adults With Multiple Chronic Conditions
PURPOSE: In the United States, 42% of adults, and 81% of adults over 65 years of age live with multiple chronic condition (MCC). Current interventions to facilitate engagement in care focus primarily on the patient; however, many individuals with MCC manage and live with their conditions within the context of their family. This review sought to identify interventions used to facilitate patient and/or family engagement among adults with MCC. METHO…
The impact of HIV couple testing and counseling on social support among pregnant women and their partners in Lilongwe, Malawi
Couples HIV testing and counseling (couple counseling) promotes safer sexual behaviors, increases communication between couples, and decreases HIV transmission. However, the impact of couple counseling on social support, critical for persons living with HIV, has not been examined. Ninety couples with a recently tested HIV-positive pregnant woman (female-positive couples) and 47 couples with a recently tested HIV-negative pregnant woman (female-ne…
The Relationship Between Economic Deprivation, Housing Instability and Transactional Sex Among Women in North Carolina (HPTN 064)
Underutilization of HIV Testing Among Men with Incarceration Histories
Antiretroviral Adherence Following Prison Release in a Randomized Trial of the imPact Intervention to Maintain Suppression of HIV Viremia
Feasibility, Acceptability, and Preliminary Efficacy of a Brief Online Sexual Health Program for Adolescents
This study evaluated the feasibility, acceptability, and preliminary efficacy of a 45-minute interactive, online sexual health program for adolescents, called Health Education and Relationship Training (HEART). The program was originally developed and evaluated among adolescent girls (HEART for Girls); the current project describes and evaluates a new version of the program that was adapted for boys and girls. Participants were 226 high school st…
Drug Use Mediates the Relationship Between Depressive Symptoms and Adherence to ART Among Recently Incarcerated People Living with HIV
Sexual Communication Between Early Adolescents and Their Dating Partners, Parents, and Best Friends
This study assessed early adolescents' sexual communication with dating partners, parents, and best friends about six sexual health topics: condoms, birth control, sexually transmitted diseases (STDs), human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS), pregnancy, and abstinence/waiting. Using a school-based sample of 603 youth (ages 12 to 15; 57% female; 46% Caucasian), we examined communication differences across demogra…
It's all the time in my mind
Feasibility, Acceptability, and Preliminary Efficacy of a Brief Online Sexual Health Program for Adolescents
This study evaluated the feasibility, acceptability, and preliminary efficacy of a 45-minute interactive, online sexual health program for adolescents, called Health Education and Relationship Training (HEART). The program was originally developed and evaluated among adolescent girls (HEART for Girls); the current project describes and evaluates a new version of the program that was adapted for boys and girls. Participants were 226 high school st…
Perceived Everyday Racism, Residential Segregation, and HIV Testing Among Patients at a Sexually Transmitted Disease Clinic
Objectives. More than one quarter of HIV-infected people are undiagnosed and therefore unaware of their HIV-positive status. Blacks are disproportionately infected. Although perceived racism influences their attitudes toward HIV prevention, how racism influences their behaviors is unknown. We sought to determine whether perceiving everyday racism and racial segregation influence Black HIV testing behavior. Methods. This was a clinic-based, multil…
Medicaid Enrollment among Prison Inmates in a Non-expansion State
Implementing a Prison Medicaid Enrollment Program for Inmates with a Community Inpatient Hospitalization
When do condom use intentions lead to actions? Examining the role of sexual communication on safer sexual behavior among people living with HIV
This study investigated the moderating role of sexual communication in the association between intentions to use condoms and unprotected sex in a sample of 358 individuals living with HIV (233 men, 125 women, M age = 43). Longitudinal analyses revealed a significant interaction between condom intentions and sexual communication: individuals who were high in both condom intentions and safer sex communication engaged in less unprotected sex with al…
Dissolution of Committed Partnerships during Incarceration and STI/HIV-Related Sexual Risk Behavior after Prison Release among African American Men
Characteristics and Behaviors Associated With HIV Infection Among Inmates in the North Carolina Prison System
Objectives. We identified factors associated with testing HIV positive in a prison system performing voluntary HIV testing on inmates and estimated the number of undetected HIV cases to evaluate the efficacy of risk-factor–based HIV testing. Methods. We used logistic regression to estimate associations between HIV serostatus and HIV risk behaviors, mental health, coinfection status, and sociodemographic characteristics for prisoners entering the …
Sexual Assertiveness Skills and Sexual Decision-Making in Adolescent Girls
Objectives. To evaluate the efficacy of an interactive, Web-based sexual health program (Health Education and Relationship Training [HEART]) for developing sexual assertiveness skills and enhancing sexual decision-making in adolescent girls. Methods. Participants were 222 tenth-grade girls (mean age = 15.2; 38% White, 29% Hispanic, 25% Black) in the Southeastern United States who were randomized in fall 2015 to the HEART intervention or an attent…
Violence Against Women in Selected Areas of the United States
Objectives. We determined the prevalence of recent emotional, physical, and sexual violence against women and their associations with HIV-related risk factors in women living in the United States. Methods. We performed an assessment of women ages 18 to 44 years with a history of unprotected sex and 1 or more personal or partner HIV risk factors in the past 6 months from 2009 to 2010. We used multivariable logistic regression to examine the associ…
A Comparison Study of Multiple Measures of Adherence to HIV Protease Inhibitors
BACKGROUND: Poor adherence to HIV protease inhibitors may compromise the effectiveness of treatment. Few studies have compared methods for measuring adherence or have related adherence measures to a clinical outcome. OBJECTIVE: To examine the relationship among a composite score of adherence, the three primary measures of adherence, and HIV virologic response. DESIGN: Longitudinal cohort study. SETTING: Public HIV clinic. PATIENTS: 108 HIV-infect…
A prospective study of predictors of adherence to combination antiretroviral medication
Physician Facilitation of Patient Involvement in Care
The authors surveyed 128 patients with type 2 diabetes mellitus (1) to evaluate the congruence between patients' and observers' perceptions of physicians' facilitation of patients' involvement in care and (2) to identify which physician behaviors were most closely related to patients' perceptions that their doctors encouraged them to be involved in their care. The patients reported the degree to which they perceived that their physicians encourag…
Effect of Release from Prison and Re-Incarceration on the Viral Loads of HIV-Infected Individuals
OBJECTIVES: The purpose of this study was to determine the effect of release from prison and subsequent re-incarceration on the viral loads of HIV-infected individuals receiving highly active antiretroviral therapy (HAART). METHODS: Fifteen re-incarcerated HIV-infected prisoners on HAART were identified from a retrospective cohort of HIV-infected prison inmates released from January 1, 1997, to August 31, 1999. The re-incarcerated prisoners were …
Barriers to accessing HIV/Aids care in North Carolina
Many HIV-positive individuals face multiple barriers to care and therefore frequently experience unmet medical and support services needs. Rural areas often lack the infrastructure to support the delivery of comprehensive HIV services; however, few studies have examined service barriers faced by rural residents with HIV/AIDS, particularly in the South where two-thirds of people living with HIV/AIDS in rural areas reside. We surveyed North Carolin…
Start Talking About Risks
Translating Concern into Action
HIV-Infected Prison Inmates
Psychosocial Characteristics and Sexual Behaviors of People in Care for HIV Infection
Identifying People with Acute HIV Infection
An Evaluation of HIV Testing Among Inmates in the North Carolina Prison System
Objectives. We examined the use of voluntary HIV testing among state prisoners in the North Carolina prison system. Methods. We calculated system-wide and facility-specific proportions and rates of adult inmates tested for HIV and estimated associations between testing status and inmate characteristics for prisoners in North Carolina. Results. Of the 54 016 inmates who entered prison between January 2004 and May 2006, 20 820 (38%) were tested for…
Perceived Everyday Racism, Residential Segregation, and HIV Testing Among Patients at a Sexually Transmitted Disease Clinic
Objectives. More than one quarter of HIV-infected people are undiagnosed and therefore unaware of their HIV-positive status. Blacks are disproportionately infected. Although perceived racism influences their attitudes toward HIV prevention, how racism influences their behaviors is unknown. We sought to determine whether perceiving everyday racism and racial segregation influence Black HIV testing behavior. Methods. This was a clinic-based, multil…
Characteristics and Behaviors Associated With HIV Infection Among Inmates in the North Carolina Prison System
Objectives. We identified factors associated with testing HIV positive in a prison system performing voluntary HIV testing on inmates and estimated the number of undetected HIV cases to evaluate the efficacy of risk-factor–based HIV testing. Methods. We used logistic regression to estimate associations between HIV serostatus and HIV risk behaviors, mental health, coinfection status, and sociodemographic characteristics for prisoners entering the …
It's all the time in my mind
Factors associated with self-reported adherence to antiretroviral therapy in a Tanzanian setting
This study aimed to determine the level of antiretroviral adherence and factors associated with adherence among patients receiving free antiretroviral therapy (ART) at one clinic in Tanzania. Adult patients were recruited into the cross-sectional study and completed a survey that included self-reported adherence over four days and over one month. Less than 95% adherence on either measure was considered "poor." Factors associated with adherence in…
Intensive Case Management Before and After Prison Release is No More Effective Than Comprehensive Pre-Release Discharge Planning in Linking HIV-Infected Prisoners to Care
Longitudinal Effects of SafeTalk, a Motivational Interviewing-Based Program to Improve Safer Sex Practices Among People Living with HIV/Aids
The Role of Self-Efficacy and Motivation to Explain the Effect of Motivational Interviewing Time on Changes in Risky Sexual Behavior among People Living with HIV
Do Safer Sex Self-Efficacy, Attitudes toward Condoms, and HIV Transmission Risk Beliefs Differ among Men who Have Sex with Men, Heterosexual Men, and Women Living with HIV
Association Between Use of Specific Drugs and Antiretroviral Adherence
Serostatus disclosure to sexual partners among people living with HIV
HIV serostatus disclosure among people living with HIV/AIDS (PLWHA) is an important component of preventing HIV transmission to sexual partners. Due to barriers like stigma, however, many PLWHA do not disclose their serostatus to all sexual partners. This study explored differences in HIV serostatus disclosure based on sexual behavior subgroup (men who have sex with men [MSM]; heterosexual men; and women), characteristics of the sexual relationsh…
The Association Between Poor Antiretroviral Adherence and Unsafe Sex
Coping Strategies for HIV-Related Stigma in Liuzhou, China
HIV and Stigma in Liuzhou, China
Sexuality, Sexual Practices, and HIV Risk Among Incarcerated African-American Women in North Carolina
Medicine (73 works) · HIV/AIDS Research and Interventions (60 works) · Psychology (54 works) · Family medicine (49 works) · Adolescent Sexual and Reproductive Health (44 works) · Public health (41 works) · HIV, Drug Use, Sexual Risk (36 works) · Psychiatry (35 works) · Health psychology (33 works) · Human immunodeficiency virus (HIV (32 works)