Susan M Kiene
Biographic Data
| ID | 246647 |
|---|---|
| NAME | Susan M Kiene |
| GIVEN NAMES | Susan M |
| FAMILY NAME | Kiene |
| SIGNATURE | KIENE S M |
| AFFILIATIONS | San Diego State University |
| ORCID | 0000-0001-8922-5289 |
| VERIFIED | Yes |
| TOTAL WORKS | 44 |
| TOTAL CITATIONS | 57 |
| AUTHOR COUNT | 44 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2005 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 2 |
Building the foundation
Early and ongoing stakeholder engagement is critical to the development and implementation of scalable behavioral health interventions. Our overarching goal in this implementation research study was to understand and document the process of planning and rolling out Common Elements Treatment Approach (CETA), a transdiagnostic mental health intervention, in Uganda. Guided by the Consolidated Framework for Implementation Research (CFIR) 2.0, we cond…
Looking through the cracks
BACKGROUND: Cocaine use is increasing worldwide, and Brazil, located along major transatlantic trafficking routes, has experienced widespread availability of low-cost crack, which circulates predominantly in open drug scenes (ODS). ODS are public spaces where drug use, purchase, sale, and social interaction converge. While national surveys have identified these settings as central to crack use, their social, structural, and spatial characteristic…
A qualitative study on fertility preferences and barriers to fertility autonomy in rural Uganda among women with an unmet need for family planning
Women's autonomy in fertility decision-making is essential for improved health and social outcomes. Guided by the social-ecological model, this investigation explores multilevel influences on the fertility autonomy of women with an unmet need for family planning in rural Uganda. We conducted four focus groups with men and women ( n = 26), and 15 key informant interviews with community leaders and individuals involved in the provision of family pl…
Association of race, ethnicity, and housing stability with Covid-19 testing method by investigators in underserved populations 2020–2023
Background Expanding SARS-CoV-2 testing was a critical part of community-based health efforts during the COVID-19 pandemic. In the RADx-UP consortium, a large NIH-funded network of community-engaged researchers in the United States, investigators were able to choose between PCR- and antigen-based testing strategies in community-based research settings. Data analyzing how COVID-19 diagnostics are chosen and utilized in research of vulnerable and u…
Implementation, sustainability, and impact of Common Elements Treatment Approach in Ugandan healthcare facilities
The health and social consequences of untreated mental health disorders and heavy alcohol use are substantial, particularly in settings with high HIV-prevalence. Transdiagnostic approaches may offer a more efficient public health response, particularly where behavioral health services are limited. The present study explored the implementation of Common Elements Treatment Approach (CETA), a transdiagnostic intervention, in Western Uganda, from the…
Association of fertility-related attitudes and norms among adolescent wives, husbands, and mothers-in-law with wives’ fertility desires in rural Niger
Niger has the world's highest fertility rate, with about seven children per woman, significantly impacting maternal and child health. This study examines how fertility-related attitudes and social norms affect adolescent wives' (AWs) fertility desires in rural Niger. Using data from 768 AWs (ages 15-19), their husbands, and mothers-in-law, the study employed multilevel linear regression models to analyse associations between birth spacing attitud…
Associations Between Alcohol Use, Antiretroviral Therapy Use, and Viral Load Suppression Among People Living with HIV in Rural Central Uganda
Alcohol use among people living with HIV (PWH) is common and may negatively affect engagement in HIV care. We evaluated the relationships between alcohol use, ART use, and viral suppression among PWH in Uganda. PATH/Ekkubo was a trial evaluating a linkage to HIV care intervention in four Ugandan districts, Nov 2015-Sept 2021. Our analytical sample included: (1) baseline data from individuals not enrolled in the intervention trial (previously diag…
In the era of universal test and treat in Uganda, recent intimate partner violence is not associated with subsequent ART use or viral suppression
Intimate partner violence (IPV) has been associated with delays throughout the HIV care continuum. This study explored prospective associations between experiences of past-year IPV and two HIV care outcomes in the context of current universal test and treat guidelines using two consecutive rounds of an ongoing HIV surveillance study conducted in the Rakai region of Uganda. Longitudinal logistic regression models examined associations between IPV,…
A Psychometric Evaluation and a Framework Test of the HIV Stigma Mechanisms Scale Among a Population-Based Sample of Men and Women Living with HIV in Central Uganda
Association of traditional marital practices with contraceptive decision-making, couple communication, and method use among couples in rural Maharashtra, India
In India, traditional social practices around marriage, such as non-involvement of prospective brides in choice of partner and timing of marriage, child/early marriage, dowry and purdah , compromise women's agency at the time of marriage and may also affect contraceptive practices in marriage. This paper examines the associations between traditional marital practices and contraceptive behaviours, including women's control over contraceptive decis…
Endure and excuse’
Intimate partner violence and HIV remain significant health challenges among women living with HIV. Intimate partner violence has been linked to negative health outcomes and poorer HIV care engagement. This study examined intimate partner violence among Ugandan women living with HIV, their experiences disclosing such violence and how culturally normative factors affected disclosure-related outcomes. In a mixed-methods study conducted in Uganda in…
Modelling the contribution of incarceration and public health oriented drug law reform to HCV transmission and elimination among PWID in Tijuana, Mexico
Development of an At-Home Covid-19 Test Results–Reporting System for a School District Primarily Serving Underrepresented Minority Groups, San Diego, CA, 2021–2022
School-sponsored at-home COVID-19 testing benefits users, school administrators, and surveillance efforts, although reporting results remains challenging. Users require simple systems with tailored posttest guidance, and administrators need timely positive test information. We built a system to serve these needs and to collect data for our Rapid Acceleration of Diagnostics-Underserved Populations Return to School Program study in San Diego County…
Cost and cost-effectiveness of a real-world HCV treatment program among HIV-infected individuals in Myanmar
INTRODUCTION: Over half of those hepatitis C virus (HCV)/HIV coinfected live in low-income and middle-income countries, and many remain undiagnosed or untreated. In 2016, Médecins Sans Frontières (MSF) established a direct-acting antiviral (DAA) treatment programme for people HCV/HIV coinfected in Myanmar. The purpose of our study was to evaluate the real-world cost and cost-effectiveness of this programme, and potential cost-effectiveness if imp…
Relationship dynamics with male partners among girls in low‐income communities of Ibadan, Nigeria
INTRODUCTION: This study explored the motivations for and relationship dynamics that may promote girls' vulnerability for intimate partner violence and sources of support reported in unhealthy relationships among girls residing in low-income communities in Ibadan, Nigeria. METHODS: Focus group discussions (n = 14; 122 girls) were conducted among girls aged 15-19 years, who reported having been in a relationship lasting at least 3 months. Girls we…
Resumption of Sexual Intercourse Among Postnatal Women Enrolled on Lifelong Antiretroviral Therapy in Uganda
The Intersection of Inequitable Gender Norm Endorsement and HIV Stigma
Is hepatitis C virus (HCV) elimination achievable among people who inject drugs in Tijuana, Mexico? A modeling analysis
Money, Power, and Relationships
This study explored the experience of economic vulnerability and its effect on girls' future aspirations, relationships, and financial reliance on male partners, as well as risk for intimate partner violence (IPV) and related health consequences. Thirteen Focus Group Discussions (FGDs) were conducted among 122 female adolescents aged 15-19 years. Participants reported that lack of economic resources limits girls' ability to be economically indepe…
Hazardous alcohol consumption and alcohol-related problems are associated with unknown and HIV-positive status in fishing communities in Uganda
In Uganda, alcohol consumption is associated with higher HIV prevalence. However, research is needed to better understand how different patterns of alcohol consumption and alcohol-related problems may drive this association. In this cross-sectional study, we examined how hazardous alcohol use and alcohol-related problems such as psychological, physical, and social harms are associated with HIV status in fishing communities in Uganda. 300 (132 mal…
A qualitative study on alcohol consumption and HIV treatment adherence among men living with HIV in Ugandan fishing communities
Ugandan fishing communities are dually burdened with high rates of HIV and alcohol use. This qualitative study explores context and motivation of alcohol consumption, and alcohol's effect on antiretroviral treatment (ART) adherence, among male fisherfolk living with HIV in Wakiso District, Uganda. We conducted in-depth semi-structured interviews with 30 men in HIV care and on ART, and used a thematic analysis approach for analysis. Alcohol use wa…
Prevalence of and Risk Factors for Intimate Partner Violence in the First 6 Months Following HIV Diagnosis Among a Population-Based Sample in Rural Uganda
Exploring the Potential of Savings-Led Economic Strengthening HIV Interventions Among High-Risk Economically Vulnerable Fishing Communities in Uganda
Masculinity and engagement in HIV care among male fisherfolk on HIV treatment in Uganda
This study explored the intersection of masculinity and HIV care engagement among fishermen and other male fisherfolk on antiretroviral therapy (ART) in Wakiso District, Uganda. We conducted 30 in-depth interviews with men on ART recruited from HIV treatment sites and used a thematic analysis approach. Since HIV diagnosis and ART initiation, men had adopted masculine identities more conducive to HIV care engagement. The masculine roles of worker …
The intersection of intimate partner violence and HIV risk among women engaging in transactional sex in Ugandan fishing villages
Intimate partner violence (IPV) may increase risk for HIV/AIDS among women engaging in transactional sex in Ugandan fishing communities. In this cross-sectional study, 115 women reporting engaging in transactional sex in Lake Victoria fishing communities completed a computerized interview. We tested associations between IPV and other HIV risk factors, with unprotected sex and HIV status, and tested moderators of the IPV-HIV risk relationship. Wom…
Motivations for infidelity in heterosexual dating couples
A motivational/individual differences model of infidelity is proposed in the course of empirically evaluating the traditional dichotomy between emotional and sexual motives. A scale assessing motivations for infidelity was developed and administered to 432 college students, 120 of whom reported past dating infidelity. Four motivations were identified and were associated as predicted with Big Five and other trait constructs; Sex was predicted by m…
Barriers to and acceptability of provider-initiated HIV testing and counselling and adopting HIV-prevention behaviours in rural Uganda
In Uganda, a nationwide scale-up of provider-initiated HIV testing and counselling presents an opportunity to deliver HIV-prevention services to large numbers of people. In a rural Ugandan hospital, focus group discussions and key informant interviews were conducted with outpatients receiving provider-initiated HIV testing and counselling and staff to explore the HIV-prevention information, motivation and behavioural skills strengths and weakness…
An empirical test of the Theory of Planned Behaviour applied to contraceptive use in rural Uganda
There is a high unmet need for contraceptives in developing countries such as Uganda, with high population growth, where efforts are needed to promote family planning and contraceptive use. Despite this high need, little research has investigated applications of health-behaviour-change theories to contraceptive use among this population. This study tested the Theory of Planned Behaviour's ability to predict contraceptive-use-related behaviours am…
HIV/Aids, tuberculose e tabagismo no Brasil
HIV/AIDS, tuberculosis (TB), and tobacco use are three important global health challenges. These epidemics act independently but also collectively, amplifying the health impacts of each. This synergism of diseases is termed "syndemic" 1 . These three epidemics are usually approached through separate programs led by infectologists, pulmonologists, and behavioralists, respectively. The social determinants of disease, including poverty, low-educatio…
Motivations for infidelity in heterosexual dating couples
A motivational/individual differences model of infidelity is proposed in the course of empirically evaluating the traditional dichotomy between emotional and sexual motives. A scale assessing motivations for infidelity was developed and administered to 432 college students, 120 of whom reported past dating infidelity. Four motivations were identified and were associated as predicted with Big Five and other trait constructs; Sex was predicted by m…
The idiographic study of inconsistent condom use behavior of persons living with HIV
A pilot study was conducted to assess the feasibility of using, in a multiply disadvantaged population, an electronic daily diary to test hypotheses linking affective states to variability in psychosocial determinants of condom use. Twenty-one mostly non-Caucasian individuals reporting profound economic disadvantage, heavy alcohol use and HIV infection completed a 5-7 minute interactive voice response (IVR) telephone-based survey daily for three …
A Daily Process Investigation of Alcohol-involved Sexual Risk Behavior Among Economically Disadvantaged Problem Drinkers Living with HIV/Aids
Alcohol, Helping Young Adults to Have Unprotected Sex with Casual Partners
Provider-initiated HIV testing in health care settings
To increase access to HIV testing, the WHO and CDC have recommended implementing provider-initiated HIV testing (PITC). To address the resource limitations of the PITC setting, WHO and CDC suggest that patient-provider interactions during PITC may need to focus on providing information and referrals, instead of engaging patients in client-centered counselling, as is recommended during client-initiated HIV testing. Providing HIV prevention informa…
Event-level association between alcohol use and unprotected sex during last sex
These data indicate a need to implement HIV prevention efforts that consider the role of alcohol use in precipitating unprotected sex and how it varies based upon partner type
HIV Transmission Risk Behavior Among HIV-Positive Patients Receiving Antiretroviral Therapy in KwaZulu-Natal, South Africa
An empirical test of the Theory of Planned Behaviour applied to contraceptive use in rural Uganda
There is a high unmet need for contraceptives in developing countries such as Uganda, with high population growth, where efforts are needed to promote family planning and contraceptive use. Despite this high need, little research has investigated applications of health-behaviour-change theories to contraceptive use among this population. This study tested the Theory of Planned Behaviour's ability to predict contraceptive-use-related behaviours am…
Alcohol Expectancies and Inhibition Conflict as Moderators of the Alcohol–Unprotected Sex Relationship
Such Behaviors Are Not in My Home Village, I Got Them Here”
Barriers to and acceptability of provider-initiated HIV testing and counselling and adopting HIV-prevention behaviours in rural Uganda
In Uganda, a nationwide scale-up of provider-initiated HIV testing and counselling presents an opportunity to deliver HIV-prevention services to large numbers of people. In a rural Ugandan hospital, focus group discussions and key informant interviews were conducted with outpatients receiving provider-initiated HIV testing and counselling and staff to explore the HIV-prevention information, motivation and behavioural skills strengths and weakness…
Concordance Between Laboratory Diagnosed Sexually Transmitted Infections and Self-Reported Measures of Risky Sex by Partner Type Among Rural Ugandan Outpatients
Maternal Influences on Access to and Use of Infant ARVs and HIV Health Services in Uganda
The Effect of Motivational Interviewing-Based Counseling During Outpatient Provider Initiated HIV Testing on High-Risk Sexual Behavior in Rural Uganda
Depressive Symptoms, Disclosure, HIV-Related Stigma, and Coping Following HIV Testing Among Outpatients in Uganda
How Do We Get Partners to Test for HIV
HIV/Aids, tuberculose e tabagismo no Brasil
HIV/AIDS, tuberculosis (TB), and tobacco use are three important global health challenges. These epidemics act independently but also collectively, amplifying the health impacts of each. This synergism of diseases is termed "syndemic" 1 . These three epidemics are usually approached through separate programs led by infectologists, pulmonologists, and behavioralists, respectively. The social determinants of disease, including poverty, low-educatio…
That would be good but most men are afraid of coming to the clinic
In Uganda, increasing male involvement in reproductive health services may improve women's access to care. The purpose of this study was to explore factors influencing male support for women's reproductive health services and to elicit suggestions for strategies to increase male involvement. In 2008-2009, focus groups ( N = 76) were conducted with men and women in a rural hospital in Uganda. A content analysis approach was used for data analysis.…
The intersection of intimate partner violence and HIV risk among women engaging in transactional sex in Ugandan fishing villages
Intimate partner violence (IPV) may increase risk for HIV/AIDS among women engaging in transactional sex in Ugandan fishing communities. In this cross-sectional study, 115 women reporting engaging in transactional sex in Lake Victoria fishing communities completed a computerized interview. We tested associations between IPV and other HIV risk factors, with unprotected sex and HIV status, and tested moderators of the IPV-HIV risk relationship. Wom…
Multi-level Determinants of Clinic Attendance and Antiretroviral Treatment Adherence Among Fishermen Living with HIV/Aids in Communities on Lake Victoria, Uganda
Hazardous alcohol consumption and alcohol-related problems are associated with unknown and HIV-positive status in fishing communities in Uganda
In Uganda, alcohol consumption is associated with higher HIV prevalence. However, research is needed to better understand how different patterns of alcohol consumption and alcohol-related problems may drive this association. In this cross-sectional study, we examined how hazardous alcohol use and alcohol-related problems such as psychological, physical, and social harms are associated with HIV status in fishing communities in Uganda. 300 (132 mal…
A qualitative study on alcohol consumption and HIV treatment adherence among men living with HIV in Ugandan fishing communities
Ugandan fishing communities are dually burdened with high rates of HIV and alcohol use. This qualitative study explores context and motivation of alcohol consumption, and alcohol's effect on antiretroviral treatment (ART) adherence, among male fisherfolk living with HIV in Wakiso District, Uganda. We conducted in-depth semi-structured interviews with 30 men in HIV care and on ART, and used a thematic analysis approach for analysis. Alcohol use wa…
Prevalence of and Risk Factors for Intimate Partner Violence in the First 6 Months Following HIV Diagnosis Among a Population-Based Sample in Rural Uganda
Exploring the Potential of Savings-Led Economic Strengthening HIV Interventions Among High-Risk Economically Vulnerable Fishing Communities in Uganda
Masculinity and engagement in HIV care among male fisherfolk on HIV treatment in Uganda
This study explored the intersection of masculinity and HIV care engagement among fishermen and other male fisherfolk on antiretroviral therapy (ART) in Wakiso District, Uganda. We conducted 30 in-depth interviews with men on ART recruited from HIV treatment sites and used a thematic analysis approach. Since HIV diagnosis and ART initiation, men had adopted masculine identities more conducive to HIV care engagement. The masculine roles of worker …
Medicine (36 works) · HIV/AIDS Research and Interventions (25 works) · Environmental health (24 works) · Adolescent Sexual and Reproductive Health (23 works) · Public health (21 works) · Family medicine (19 works) · Population (19 works) · Psychiatry (19 works) · Psychology (19 works) · Demography (16 works)