Amanda P Miller
Biographic Data
| ID | 328908 |
|---|---|
| NAME | Amanda P Miller |
| GIVEN NAMES | Amanda P |
| FAMILY NAME | Miller |
| SIGNATURE | MILLER A P |
| AFFILIATIONS | San Diego State University |
| ORCID | 0000-0002-2252-6973 |
| VERIFIED | Yes |
| TOTAL WORKS | 17 |
| TOTAL CITATIONS | 2 |
| AUTHOR COUNT | 17 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2020 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 1 |
“Even with one Man, but with many women, you can get cervical cancer”
Cervical cancer is a leading cause of cancer-related morbidity and mortality among women in low-resource settings, with Uganda being disproportionately affected. Despite the availability of screening services in Uganda, uptake remains unacceptably low, yet population-level data on women’s perceptions and experienced barriers to screening remain limited. This hinders the development of targeted community-based interventions for cervical cancer scr…
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…
As long as you are married you cannot protect yourself against syphilis”
The study provides practical suggestions for enhancing syphilis awareness, engagement in care, and women's experiences in ANC within a resource-limited, high-burden context. Future efforts should concentrate on extending syphilis education beyond clinics, utilizing Village Health Teams (VHTs) as trusted sources, and identifying barriers to improving healthcare quality for women, informing quality improvement programming
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…
Social determinants of hazardous alcohol use in a Ugandan population cohort
BACKGROUND: There is a limited population-based data on hazardous alcohol use and associated social determinants in many African countries. OBJECTIVES: To examine patterns of hazardous alcohol use across a range of social determinants of health in Uganda, with a particular focus on gender differences. METHODS: This cross-sectional study used data collected in 2021-2022 from an open population cohort spanning urban, semi-urban, and rural communiti…
Barriers to Routine Antenatal Syphilis Screening in Uganda
Congenital syphilis is preventable through early detection and treatment during pregnancy. Although global syphilis rates have declined, the prevalence of undiagnosed and untreated infections remains high in low- and middle-income countries. In Uganda, national clinical guidelines recommend syphilis screening and treatment at the first antenatal care (ANC) visit, yet coverage remains suboptimal, contributing to ongoing perinatal transmission. As …
Experiences of alcohol use during pregnancy
In South Africa, alcohol use during pregnancy is prevalent and associated with increased HIV risk. Developing locally sensitive and contextually appropriate evidence-based interventions to address alcohol use among pregnant and breastfeeding women in South Africa requires comprehensive understanding of the context of perinatal alcohol use and how relationships and lived environments may serve as barriers or supports for alcohol reduction. We cond…
Participant perspectives on incentives for TB preventative therapy adherence and reduced alcohol use
Economic incentives to promote health behavior change are highly efficacious for substance use disorders as well as increased medication adherence. Knowledge about participants’ experiences with and perceptions of incentives is needed to understand their mechanisms of action and optimize future incentive-based interventions. The Drinkers’ Intervention to Prevent Tuberculosis (DIPT) trial enrolled people with HIV (PWH) in Uganda with latent tuberc…
So that’s why I found PrEP to be safest way to protect yourself”
Intimate partner violence (IPV) occurs at alarmingly high rates towards pregnant women in South Africa. Experiences of emotional, physical, and sexual IPV in pregnancy can adversely impact the health and safety of mother and fetus. Furthermore, IPV is associated with increased risk of HIV, exacerbating the public health impact of violence among pregnant women in this HIV endemic setting. In-depth understanding of cultural and contextual drivers o…
A Qualitative Exploration of Intimate Partner Violence Among HIV/TB Coinfected Persons With Problematic Alcohol Use Participating in an Incentive-Based Alcohol/Medication Adherence Intervention in Uga…
In Uganda, four in ten women report experiencing intimate partner violence (IPV) in the past year. Salient drivers of IPV in sub-Saharan Africa include stress related to household finances, alcohol use, and partner infidelity. We conducted 42 interviews with participants ( n = 32) in the Drinkers' Intervention to Prevent Tuberculosis (DIPT) study which included economic incentives, and their partners ( n = 10) to understand how participating in D…
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,…
Alcohol use and intimate partner violence in HIV-uninfected pregnant women in Cape Town, South Africa
In settings with a high burden of HIV, pregnant women often experience a cluster of risk factors, including alcohol use and intimate partner violence (IPV). These interrelated risks are poorly understood among pregnant women at risk of HIV in sub-Saharan Africa. We aim to determine cross-sectional associations between pregnant women's alcohol use and victimization due to IPV in the HIV-Unexposed-Uninfected Mother-Infant Cohort Study in Cape Town,…
Unhealthy alcohol use and intimate partner violence among men and women living with HIV in Uganda
Prevalence of IPV victimization was comparable to estimates from a recent national survey, while perpetration among men was lower than expected. Alcohol use level was not associated with IPV victimization. It is possible that alcohol use in this sample was too high to detect differences in IPV. Our results suggest that women and younger PWH are priority populations for IPV prevention
Sexual Risk among Pregnant Women at Risk of HIV Infection in Cape Town, South Africa
Perspectives of Women Living With HIV on Addressing Violence and Use of Alcohol During HIV Services
The syndemic relationship between harmful alcohol use, intimate partner violence (IPV), and HIV is well established across international settings. Less is known about how these health issues are perceived by women living with HIV (WLWH), who are disproportionately affected by these intertwined epidemics. A qualitative study was undertaken with 20 WLWH in Rakai, Uganda, to assess their perceptions of how these issues have affected their lives and …
Not Enough Money and Too Many Thoughts
Mental health disorders account for a heavy disease burden in Uganda. In order to provide culturally appropriate mental health prevention and treatment approaches, it is necessary to understand how mental health is conceptualized in the population. Three focus group discussions (FGDs) and 31 in-depth interviews (IDIs) were conducted with men and women aged 14 to 62 years residing in rural, urban, and semi-urban low-income communities in central a…
Transactional Sex, Alcohol Use and Intimate Partner Violence Against Women in the Rakai Region of Uganda
Not Enough Money and Too Many Thoughts
Mental health disorders account for a heavy disease burden in Uganda. In order to provide culturally appropriate mental health prevention and treatment approaches, it is necessary to understand how mental health is conceptualized in the population. Three focus group discussions (FGDs) and 31 in-depth interviews (IDIs) were conducted with men and women aged 14 to 62 years residing in rural, urban, and semi-urban low-income communities in central a…
Transactional Sex, Alcohol Use and Intimate Partner Violence Against Women in the Rakai Region of Uganda
Perspectives of Women Living With HIV on Addressing Violence and Use of Alcohol During HIV Services
The syndemic relationship between harmful alcohol use, intimate partner violence (IPV), and HIV is well established across international settings. Less is known about how these health issues are perceived by women living with HIV (WLWH), who are disproportionately affected by these intertwined epidemics. A qualitative study was undertaken with 20 WLWH in Rakai, Uganda, to assess their perceptions of how these issues have affected their lives and …
Not Enough Money and Too Many Thoughts
Mental health disorders account for a heavy disease burden in Uganda. In order to provide culturally appropriate mental health prevention and treatment approaches, it is necessary to understand how mental health is conceptualized in the population. Three focus group discussions (FGDs) and 31 in-depth interviews (IDIs) were conducted with men and women aged 14 to 62 years residing in rural, urban, and semi-urban low-income communities in central a…
Alcohol use and intimate partner violence in HIV-uninfected pregnant women in Cape Town, South Africa
In settings with a high burden of HIV, pregnant women often experience a cluster of risk factors, including alcohol use and intimate partner violence (IPV). These interrelated risks are poorly understood among pregnant women at risk of HIV in sub-Saharan Africa. We aim to determine cross-sectional associations between pregnant women's alcohol use and victimization due to IPV in the HIV-Unexposed-Uninfected Mother-Infant Cohort Study in Cape Town,…
Unhealthy alcohol use and intimate partner violence among men and women living with HIV in Uganda
Prevalence of IPV victimization was comparable to estimates from a recent national survey, while perpetration among men was lower than expected. Alcohol use level was not associated with IPV victimization. It is possible that alcohol use in this sample was too high to detect differences in IPV. Our results suggest that women and younger PWH are priority populations for IPV prevention
Sexual Risk among Pregnant Women at Risk of HIV Infection in Cape Town, South Africa
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,…
Experiences of alcohol use during pregnancy
In South Africa, alcohol use during pregnancy is prevalent and associated with increased HIV risk. Developing locally sensitive and contextually appropriate evidence-based interventions to address alcohol use among pregnant and breastfeeding women in South Africa requires comprehensive understanding of the context of perinatal alcohol use and how relationships and lived environments may serve as barriers or supports for alcohol reduction. We cond…
Participant perspectives on incentives for TB preventative therapy adherence and reduced alcohol use
Economic incentives to promote health behavior change are highly efficacious for substance use disorders as well as increased medication adherence. Knowledge about participants’ experiences with and perceptions of incentives is needed to understand their mechanisms of action and optimize future incentive-based interventions. The Drinkers’ Intervention to Prevent Tuberculosis (DIPT) trial enrolled people with HIV (PWH) in Uganda with latent tuberc…
So that’s why I found PrEP to be safest way to protect yourself”
Intimate partner violence (IPV) occurs at alarmingly high rates towards pregnant women in South Africa. Experiences of emotional, physical, and sexual IPV in pregnancy can adversely impact the health and safety of mother and fetus. Furthermore, IPV is associated with increased risk of HIV, exacerbating the public health impact of violence among pregnant women in this HIV endemic setting. In-depth understanding of cultural and contextual drivers o…
A Qualitative Exploration of Intimate Partner Violence Among HIV/TB Coinfected Persons With Problematic Alcohol Use Participating in an Incentive-Based Alcohol/Medication Adherence Intervention in Uga…
In Uganda, four in ten women report experiencing intimate partner violence (IPV) in the past year. Salient drivers of IPV in sub-Saharan Africa include stress related to household finances, alcohol use, and partner infidelity. We conducted 42 interviews with participants ( n = 32) in the Drinkers' Intervention to Prevent Tuberculosis (DIPT) study which included economic incentives, and their partners ( n = 10) to understand how participating in D…
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…
Social determinants of hazardous alcohol use in a Ugandan population cohort
BACKGROUND: There is a limited population-based data on hazardous alcohol use and associated social determinants in many African countries. OBJECTIVES: To examine patterns of hazardous alcohol use across a range of social determinants of health in Uganda, with a particular focus on gender differences. METHODS: This cross-sectional study used data collected in 2021-2022 from an open population cohort spanning urban, semi-urban, and rural communiti…
Barriers to Routine Antenatal Syphilis Screening in Uganda
Congenital syphilis is preventable through early detection and treatment during pregnancy. Although global syphilis rates have declined, the prevalence of undiagnosed and untreated infections remains high in low- and middle-income countries. In Uganda, national clinical guidelines recommend syphilis screening and treatment at the first antenatal care (ANC) visit, yet coverage remains suboptimal, contributing to ongoing perinatal transmission. As …
“Even with one Man, but with many women, you can get cervical cancer”
Cervical cancer is a leading cause of cancer-related morbidity and mortality among women in low-resource settings, with Uganda being disproportionately affected. Despite the availability of screening services in Uganda, uptake remains unacceptably low, yet population-level data on women’s perceptions and experienced barriers to screening remain limited. This hinders the development of targeted community-based interventions for cervical cancer scr…
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…
As long as you are married you cannot protect yourself against syphilis”
The study provides practical suggestions for enhancing syphilis awareness, engagement in care, and women's experiences in ANC within a resource-limited, high-burden context. Future efforts should concentrate on extending syphilis education beyond clinics, utilizing Village Health Teams (VHTs) as trusted sources, and identifying barriers to improving healthcare quality for women, informing quality improvement programming
Medicine (12 works) · Environmental health (11 works) · Psychiatry (10 works) · Psychological intervention (10 works) · Poison control (9 works) · Qualitative research (9 works) · Domestic violence (8 works) · Public health (8 works) · Intimate Partner and Family Violence (7 works) · Population (6 works)