Lorna Michael Butler
Biographic Data
| ID | 229156 |
|---|---|
| NAME | Lorna Michael Butler |
| GIVEN NAMES | Lorna Michael |
| FAMILY NAME | Butler |
| SIGNATURE | BUTLER L M |
| AFFILIATIONS | Queen's University |
| ORCID | 0000-0002-7772-4555 |
| VERIFIED | Yes |
| TOTAL WORKS | 29 |
| TOTAL CITATIONS | 15 |
| AUTHOR COUNT | 29 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1986 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 2 |
A livelihood intervention improved nutritional, mental health and sexual health outcomes among HIV-affected adolescents in western Kenya
INTRODUCTION: Interventions that address household-level factors, including food insecurity (FI) and poverty, may reduce HIV risk and improve sexual and reproductive health (SRH) among adolescent girls and young women (AGYW). METHODS: (SM). SM was a multisectoral agricultural livelihood intervention designed to improve HIV health. At the trial end, we used linear and logistic regressions to compare differences between the intervention and control…
Tuberculosis screening and care delivery in pregnant and postpartum persons living with HIV in Botswana
Tuberculosis (TB) disease during pregnancy, particularly in persons living with HIV (PLHIV), is associated with poor maternal and neonatal outcomes. There are barriers to TB screening and care for PLHIV in the pregnant and postpartum period given atypical clinical presentation and service delivery challenges. Our objective was to understand barriers and facilitators to TB screening and care delivery during routine antenatal and postpartum care in…
Managing the move
Men in South Africa are disproportionately underrepresented in HIV care, and men who migrate face challenges using HIV services. Positive coping skills are critical for effective healthcare decision-making, yet little is known how men’s HIV status and mobility-related stressors affect their coping strategies. Johannesburg is home to ∼5 million people who have relocated from elsewhere, mostly men. From February-April 2024, we conducted a cross-sec…
Intersectional forces of urban inequality and the global HIV pandemic
To determine how the intersection of increased urban growth and poverty has impacted HIV incidence and prevalence, given growing HIV inequalities globally. Retrospective analysis using combined data from five publicly available, population-level datasets to determine city- and within-urban countrywide estimates of 95-95-95 treatment targets, prevalence and incidence rates from 2015 to 2019. For city-level estimates, we analysed combined data from…
HIV Care for Men on the Move
Maladaptive Coping Strategies Mediate the Relationship Between Depression and Anxiety and Moderate-to-Heavy Alcohol Use in Young South Africans with HIV
Spillover Effects of an Agricultural Livelihood Intervention Among People Living with HIV on Community Empowerment in Kenya
The patient-provider relationship mediates the relationship between health literacy and resilience in young South Africans newly diagnosed with HIV
South African adolescents and young adults (AYAs) with HIV experience worse HIV-related clinical and psychological outcomes compared to older South Africans. Psychological resilience is protective against poorer outcomes, but little is known about disparities in psychological resilience among AYAs with HIV nor the mechanisms by which these differences arise. This study analyzed baseline data from a cohort of 100 AYA ages 18-24 years in Cape Town …
Food insecurity and unemployment as mediators of the relationship between the Covid-19 pandemic and psychological well-being in young South Africans with HIV
Food insecurity may have decreased amongst our sample of young people during the COVID-19 pandemic. Our findings build on our understanding of how the psychological well-being of young people living with HIV was affected by the COVID-19 pandemic and may lend support to interventions targeting food insecurity to improve psychological well-being in this population
Family Social Support Mediates the Relationship Between the Covid-19 Pandemic and Psychosocial well-being in a Cohort of Young South Africans Newly Diagnosed with HIV
Relationship Power, Antiretroviral Adherence, and Physical and Mental Health Among Women Living with HIV in Rural Kenya
Little is known about the association of gender-based power imbalances and health and health behaviors among women with HIV (WWH). We examined cross-sectional baseline data among WWH in a cluster-randomized control trial (NCT02815579) in rural Kenya. We assessed associations between the Sexual Relationship Power Scale (SRPS) and ART adherence, physical and mental health, adjusting for sociodemographic and social factors. SRPS consists of two subs…
“You are not alone”
In South Africa, despite universal antiretroviral therapy (ART) availability, 60% of persons living with HIV (PLWH) ages 15-24 are not on treatment. This qualitative study aimed to identify barriers to ART initiation and the implications for a proposed community-based Youth Treatment Club to improve ART initiation for young PLWH in limited-resource, high HIV-prevalence communities in Cape Town, South Africa. Recruiting participants at community t…
Water Insecurity is Associated with Lack of Viral Suppression and Greater Odds of Aids-Defining Illnesses Among Adults with HIV in Western Kenya
Reliable access to safe and acceptable water in sufficient quantities (i.e., water security) is important for medication adherence and limiting pathogen exposure, yet prior studies have only considered the role of food security as a social determinant of HIV-related health. Therefore, the objective of this analysis was to assess the relationships between household water insecurity and HIV-related outcomes among adults living with HIV in western K…
Courage and confidence to stop lying
The World Health Organization (WHO) recommends that HIV-positive children are told their diagnosis by age 12 years. However, most perinatally-infected children reach adolescence without being told their HIV status. Effective strategies are needed to promote disclosure, and optimise children's health outcomes as they transition to adolescence and adulthood. This qualitative study explored how caregivers of HIV-positive children aged 7-12 years per…
Exclusive breast-feeding promotion among HIV-infected women in South Africa
Objective Exclusive breast-feeding (EBF) provides optimal nutrition for infants and mothers. The practice of EBF while adhering to antiretroviral medication decreases the risk of mother-to-child transmission of HIV from approximately 25 % to less than 5 %. Thus the WHO recommends EBF for the first 6 months among HIV-infected women living in resource-limited settings; however, EBF rates remain low. In the present study our aim was to design and im…
Perinatal Depression Among HIV-Infected Women in KwaZulu-Natal South Africa
Changes in Health and Antiretroviral Adherence Among HIV-Infected Adults in Kenya
Expanding the relationship context for couple-based HIV prevention
Challenges faced by health-care providers offering infant-feeding counseling to HIV-positive women in sub-Saharan Africa
Exclusive breastfeeding (EBF) has been identified as the optimal nutrition and critical behavior in attaining human immunodeficiency virus (HIV)-free infant survival in resource-limited settings. Health-care providers (HCPs) in clinic- and community-settings throughout sub-Saharan Africa (sSA) provide infant-feeding counseling. However, rates of EBF at 6 months of age are suboptimal. HCPs are uniquely positioned to educate HIV-positive mothers an…
Double Disclosure Bind
Food Insufficiency Is Associated with High-Risk Sexual Behavior among Women in Botswana and Swaziland
BACKGROUND: Both food insufficiency and HIV infection are major public health problems in sub-Saharan Africa, yet the impact of food insufficiency on HIV risk behavior has not been systematically investigated. We tested the hypothesis that food insufficiency is associated with HIV transmission behavior. METHODS AND FINDINGS: We studied the association between food insufficiency (not having enough food to eat over the previous 12 months) and incon…
Principles and processes for enhancing sustainable rural livelihoods
Livelihood diversification is essential to food security and improved incomes for human development in African rural communities. Uganda's agrarian economy suffers from limited diversification, environmental degradation, low incomes, and multifaceted negative impacts of AIDS. Efforts to stimulate and support innovation in agricultural production technology, forms of social organization, and poor markets are essential elements in promotion of sust…
Differentiating Livelihood Strategies among the Luo and Kipsigis People in Western Kenya
Rural communities of sub-Saharan Africa are under increasing adaptive pressure resulting from decline in the quality of land resources. To increase food, generate income, and safeguard against risks and shocks, families are engaging in multiple livelihood strategies. This study was conducted to: 1) evaluate livelihood strategies; 2) examine the dynamic diversification process in the agrarian and non-agrarian continuum; and 3) investigate how type…
Challenging Nature
Challenging Nature: Local Knowledge, Agroscience, and Food Security in Tanga Region, Tanzania. Philip W. Porter. Chicago: University of Chicago Press, 2006. 318 pp
Constraints on the Use of Animal Source Foods for Young Children in Ghana
Micronutrient deficiencies limit child health and development. Although animal source foods (ASF) provide highly bioavailable micronutrients, Ghanaian preschoolers consume little. Participatory rapid appraisal methods identified constraints to the availability, accessibility, and utilization of ASF. Stakeholders working with or living in six communities in three agro-ecological zones reported constraints including low income, lack of access to te…
Expanding the relationship context for couple-based HIV prevention
The Effects of Music and Movement Opportunity on the Analogical Reasoning Performance of African American and White School Children
This study sought tofurther establish that contextualfactors informed by cultural experiences could influence performance on a learning task. Low-income African American and middle-income White children listened to stories read under two contexts thatdiffered in the degree to which movement and music were integrated with the presentation of the stories. The high-movement expressive (HME) context allowedfor children to coordinate movement with a m…
Challenging Nature
Challenging Nature: Local Knowledge, Agroscience, and Food Security in Tanga Region, Tanzania. Philip W. Porter. Chicago: University of Chicago Press, 2006. 318 pp
Public service budget constraints
Public service budget constraints
The Effects of Music and Movement Opportunity on the Analogical Reasoning Performance of African American and White School Children
This study sought tofurther establish that contextualfactors informed by cultural experiences could influence performance on a learning task. Low-income African American and middle-income White children listened to stories read under two contexts thatdiffered in the degree to which movement and music were integrated with the presentation of the stories. The high-movement expressive (HME) context allowedfor children to coordinate movement with a m…
Culture and Agriculture Section
Traditional Healers for HIV/Aids Prevention and Family Planning, Kiboga District, Uganda
Constraints on the Use of Animal Source Foods for Young Children in Ghana
Micronutrient deficiencies limit child health and development. Although animal source foods (ASF) provide highly bioavailable micronutrients, Ghanaian preschoolers consume little. Participatory rapid appraisal methods identified constraints to the availability, accessibility, and utilization of ASF. Stakeholders working with or living in six communities in three agro-ecological zones reported constraints including low income, lack of access to te…
Food Insufficiency Is Associated with High-Risk Sexual Behavior among Women in Botswana and Swaziland
BACKGROUND: Both food insufficiency and HIV infection are major public health problems in sub-Saharan Africa, yet the impact of food insufficiency on HIV risk behavior has not been systematically investigated. We tested the hypothesis that food insufficiency is associated with HIV transmission behavior. METHODS AND FINDINGS: We studied the association between food insufficiency (not having enough food to eat over the previous 12 months) and incon…
Principles and processes for enhancing sustainable rural livelihoods
Livelihood diversification is essential to food security and improved incomes for human development in African rural communities. Uganda's agrarian economy suffers from limited diversification, environmental degradation, low incomes, and multifaceted negative impacts of AIDS. Efforts to stimulate and support innovation in agricultural production technology, forms of social organization, and poor markets are essential elements in promotion of sust…
Differentiating Livelihood Strategies among the Luo and Kipsigis People in Western Kenya
Rural communities of sub-Saharan Africa are under increasing adaptive pressure resulting from decline in the quality of land resources. To increase food, generate income, and safeguard against risks and shocks, families are engaging in multiple livelihood strategies. This study was conducted to: 1) evaluate livelihood strategies; 2) examine the dynamic diversification process in the agrarian and non-agrarian continuum; and 3) investigate how type…
Challenging Nature
Challenging Nature: Local Knowledge, Agroscience, and Food Security in Tanga Region, Tanzania. Philip W. Porter. Chicago: University of Chicago Press, 2006. 318 pp
Double Disclosure Bind
Challenges faced by health-care providers offering infant-feeding counseling to HIV-positive women in sub-Saharan Africa
Exclusive breastfeeding (EBF) has been identified as the optimal nutrition and critical behavior in attaining human immunodeficiency virus (HIV)-free infant survival in resource-limited settings. Health-care providers (HCPs) in clinic- and community-settings throughout sub-Saharan Africa (sSA) provide infant-feeding counseling. However, rates of EBF at 6 months of age are suboptimal. HCPs are uniquely positioned to educate HIV-positive mothers an…
Perinatal Depression Among HIV-Infected Women in KwaZulu-Natal South Africa
Changes in Health and Antiretroviral Adherence Among HIV-Infected Adults in Kenya
Expanding the relationship context for couple-based HIV prevention
Exclusive breast-feeding promotion among HIV-infected women in South Africa
Objective Exclusive breast-feeding (EBF) provides optimal nutrition for infants and mothers. The practice of EBF while adhering to antiretroviral medication decreases the risk of mother-to-child transmission of HIV from approximately 25 % to less than 5 %. Thus the WHO recommends EBF for the first 6 months among HIV-infected women living in resource-limited settings; however, EBF rates remain low. In the present study our aim was to design and im…
Courage and confidence to stop lying
The World Health Organization (WHO) recommends that HIV-positive children are told their diagnosis by age 12 years. However, most perinatally-infected children reach adolescence without being told their HIV status. Effective strategies are needed to promote disclosure, and optimise children's health outcomes as they transition to adolescence and adulthood. This qualitative study explored how caregivers of HIV-positive children aged 7-12 years per…
“You are not alone”
In South Africa, despite universal antiretroviral therapy (ART) availability, 60% of persons living with HIV (PLWH) ages 15-24 are not on treatment. This qualitative study aimed to identify barriers to ART initiation and the implications for a proposed community-based Youth Treatment Club to improve ART initiation for young PLWH in limited-resource, high HIV-prevalence communities in Cape Town, South Africa. Recruiting participants at community t…
Water Insecurity is Associated with Lack of Viral Suppression and Greater Odds of Aids-Defining Illnesses Among Adults with HIV in Western Kenya
Reliable access to safe and acceptable water in sufficient quantities (i.e., water security) is important for medication adherence and limiting pathogen exposure, yet prior studies have only considered the role of food security as a social determinant of HIV-related health. Therefore, the objective of this analysis was to assess the relationships between household water insecurity and HIV-related outcomes among adults living with HIV in western K…
Relationship Power, Antiretroviral Adherence, and Physical and Mental Health Among Women Living with HIV in Rural Kenya
Little is known about the association of gender-based power imbalances and health and health behaviors among women with HIV (WWH). We examined cross-sectional baseline data among WWH in a cluster-randomized control trial (NCT02815579) in rural Kenya. We assessed associations between the Sexual Relationship Power Scale (SRPS) and ART adherence, physical and mental health, adjusting for sociodemographic and social factors. SRPS consists of two subs…
Food insecurity and unemployment as mediators of the relationship between the Covid-19 pandemic and psychological well-being in young South Africans with HIV
Food insecurity may have decreased amongst our sample of young people during the COVID-19 pandemic. Our findings build on our understanding of how the psychological well-being of young people living with HIV was affected by the COVID-19 pandemic and may lend support to interventions targeting food insecurity to improve psychological well-being in this population
Family Social Support Mediates the Relationship Between the Covid-19 Pandemic and Psychosocial well-being in a Cohort of Young South Africans Newly Diagnosed with HIV
Intersectional forces of urban inequality and the global HIV pandemic
To determine how the intersection of increased urban growth and poverty has impacted HIV incidence and prevalence, given growing HIV inequalities globally. Retrospective analysis using combined data from five publicly available, population-level datasets to determine city- and within-urban countrywide estimates of 95-95-95 treatment targets, prevalence and incidence rates from 2015 to 2019. For city-level estimates, we analysed combined data from…
HIV Care for Men on the Move
Maladaptive Coping Strategies Mediate the Relationship Between Depression and Anxiety and Moderate-to-Heavy Alcohol Use in Young South Africans with HIV
Spillover Effects of an Agricultural Livelihood Intervention Among People Living with HIV on Community Empowerment in Kenya
Medicine (18 works) · HIV/AIDS Research and Interventions (16 works) · Public health (13 works) · Adolescent Sexual and Reproductive Health (12 works) · Environmental health (11 works) · Nursing (10 works) · Psychology (10 works) · Family medicine (9 works) · Geography (9 works) · Human immunodeficiency virus (HIV (9 works)