Diana L Jones
Biographic Data
| ID | 641506 |
|---|---|
| NAME | Diana L Jones |
| GIVEN NAMES | Diana L |
| FAMILY NAME | Jones |
| SIGNATURE | JONES D L |
| AFFILIATIONS | University of Miami |
| ORCID | 0000-0002-4106-8891 |
| VERIFIED | Yes |
| TOTAL WORKS | 72 |
| TOTAL CITATIONS | 95 |
| AUTHOR COUNT | 72 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1997 |
| LATEST PUBLICATION YEAR | 2025 |
| H-INDEX | 5 |
Associations Between Internalized HIV Stigma and Cognitive Function Among Older Women With HIV
Objectives Internalized HIV stigma refers to the negative beliefs, feelings, and attitudes that people with HIV (PWH) adopt about themselves due to societal HIV stigma. Internalized HIV stigma negatively affects mental health but less is known about this factor on cognitive function in PWH. This study examines associations between internalized HIV stigma and cognition among women aged 50+ with HIV. Methods Internalized HIV stigma was measured in …
Heterogeneous depressive symptom trajectories among women with type 2 diabetes
BACKGROUND: Depression affects 33% of women with type 2 diabetes (T2D) and leads to increased risks of premature mortality. Fluctuation and variation of depressive presentations can hinder clinical identification. PURPOSE: We aimed to identify and examine subgroups characterized by distinct depressive symptom trajectories among women with T2D. METHODS: This retrospective analysis leveraged the Women's Interagency HIV Study data to identify depres…
Dissemination and implementation of an evidence-based voluntary medical male circumcision program
Despite compelling evidence linking voluntary medical male circumcision (VMMC) with 60–70% HIV risk reduction in sub-Saharan Africa, Zambian men have been especially reluctant to undergo VMMC. The Government of Zambia set targets for VMMC uptake and promoted community-level interventions. Spear & Shield (S&S) is an innovative, evidence-based, service program promoting VMMC uptake while ensuring both VMMC supply and demand. This study assessed the…
Early Infant Male Circumcision Decisions in Zambia
Public health initiatives in Zambia encourage the uptake of early infant male circumcision (EIMC) as an HIV prevention strategy. This study assessed EIMC parental decision-making during perinatal care in Lusaka, Zambia, focusing on the influence of sociodemographic factors, family, and friends. A longitudinal pilot perinatal intervention, Like Father Like Son (LFLS), was implemented among 300 couples attending antenatal clinics in four urban comm…
Assessing Intravaginal Practices in HIV Prevention Research
Mixed-methods cross-sectional study of the prevention of vertical HIV transmission program users unaware of male partner’s HIV status, in six South African districts with a high antenatal HIV burden
User-informed interventions to address MPHIVs non-disclosure amongst women of child-bearing age, particularly those at risk of unstable sexual partners and unplanned pregnancies, should be strengthened
Psychological and physical intimate partner violence and sexual risk behavior among South African couples
This study aimed to examine intimate partner violence (IPV) as it relates to both partners’ perceptions of IPV and sexual behaviors, considering how their IPV might be interdependent within the relationship dynamics. The sample consisted of 713 female–male dyads in which women were pregnant and living with HIV in rural South Africa. Using an actor-partner interdependence model (APIM), we examined the interdependent influence of psychological and …
Psychometric Properties of a Vaccine Hesitancy Scale Adapted for Covid-19 Vaccination Among People with HIV
Mental Health, Coping, and Social Support Among People Living with HIV in the Americas
Male Partner Involvement and Development of HIV-exposed Infants in Rural South Africa
Male partner involvement (MPI) during the prenatal and postnatal periods has been proven to have a beneficial effect on infant development. Infants born to HIV seropositive mothers with lacking or no prenatal and postnatal male partner support may be at a higher risk for adverse developmental outcomes. This study examined the effect of MPI on cognitive, communicative, fine, and gross motor development in 160 infants born to HIV seropositive mothe…
Maternal and infant antiretroviral therapy adherence among women living with HIV in rural South Africa
‘Mother-to-child transmission of HIV’ can occur during the period of pregnancy, childbirth, or breastfeeding. ‘Prevention of mother-to-child transmission of HIV’ (PMTCT) in Mpumalanga Province, South Africa, is especially vital as the prevalence of HIV is 28.2% in women aged 15–49. PMTCT interventions resulted in a drop of MTCT rates in Mpumalanga from ∼2% in 2015 to 1.3% in 2016. This randomised controlled trial in Mpumalanga examined the potent…
HIV and carotid atherosclerosis
Cardiovascular disease (CVD) is the leading cause of death in the US and is a significant contributor to morbidity and mortality for people living with HIV (PLWH). This study examined the association between HIV infection, cocaine usage, and inflammatory markers, and their combined association with carotid atherosclerosis among young and middle-aged adults with HIV. Participants (N = 494) were enrolled based on HIV status and cocaine use. Blood p…
Development, implementation and dissemination
Over a million people are living with HIV in Zambia, representing ∼13% of the country’s population. To increase HIV prevention communication, a community-based communication training program, the Parent–Child and Couples Communication Workshop, was developed from pilot data and culturally tailored for dissemination in Zambia. Workshop trainees (N = 195) were 18 years of age or more and community educators and counselors in the Copperbelt and Sout…
The association of HIV and cocaine use to cigarette smoking in the context of depression and perceived stress
Mental well-being can contribute to cigarette smoking and negatively impact disease progression among people living with HIV (PLWH). This study examined potential associations between cocaine use (COC), depression, and HIV status in predicting cigarette smoking; hypothesizing that depression would be highest in cocaine users and predict cigarette smoking. An exploratory analysis including stress was also examined as a potential predictor of cigar…
Sexual risk behavior among HIV-infected women in South Africa at 12-months postpartum
The postnatal period is a time of increased susceptibility to HIV infection and superinfection for postpartum women, sexual partners, and infants. This study examined the effect of a prevention to mother-to-child transmission of HIV intervention compared to standard care, and factors associated with unprotected last sex and inconsistent condom use at 12-months postpartum. Participants were N = 1399 HIV-infected women 6–30 weeks pregnant (M = 18 w…
Pilot Randomized Controlled Trial of a Syndemics Intervention with HIV-Positive, Cocaine-Using Women
Suicidal Ideation Among Adults Re-engaging in HIV Care in Argentina
Self-Reported Long-Term Antiretroviral Adherence
We evaluate the impact of a multi-session cognitive behavioral prevention of mother to child transmission (PMTCT) intervention on antiretroviral therapy (ART) adherence. A total of 683 women were enrolled into a randomized control trial conducted at twelve community health centres (CHCs) in Mpumalanga Province. Participants were randomized to Standard Care or Enhanced PMTCT Intervention (EI). EI received three group and three individual intervent…
Determinants of disclosure and non-disclosure of HIV-positive status, by pregnant women in rural South Africa
Disclosure of HIV status remains one of the major challenges to the effectiveness of the prevention of mother to child transmission of HIV in rural areas in South Africa. This study aimed at assessing the determinants of HIV status disclosure among HIV infected pregnant women who have disclosed their HIV status to someone, as well as among those who have disclosed to their partners. Cross-sectional data was collected from 673 HIV sero-positive pr…
HIV knowledge and risk among Zambian adolescent and younger adolescent girls
In sub-Saharan Africa, young women are at the highest risk of HIV infection. Comprehensive sexuality education (CSE) and open parent-child communication about sex have been shown mitigate risky sexual practices associated with HIV. This study aimed to identify sources of HIV prevention knowledge among young women aged 10-14 years and community-based strategies to enhance HIV prevention in Zambia. Focus group discussions were conducted with 114 yo…
Prevalence of prenatal and postpartum depression and associated factors among HIV-infected women in public primary care in rural South Africa
This study aimed to assess the longitudinal prevalence of prenatal and postnatal depression and associated factors among HIV-infected women in rural South Africa. In a longitudinal, cluster-randomized, prevention of mother to child transmission (PMTCT) intervention trial, 681 HIV-infected prenatal women in 12 community health centres in Mpumalanga province, South Africa, were recruited in 2015 by consecutive sampling at 8-24 weeks pregnancy and f…
Suicidality among nonadherent patients living with HIV in Buenos Aires, Argentina
Of those in the general population hospitalized for suicidal ideation and suicide attempts in Argentina, many reattempt suicide and are readmitted. However, few studies in Argentina have examined suicidal ideation and suicide-related behaviors among people living with HIV (PLHIV) and none have examined these factors among nonadherent PLHIV, though the prevalence of suicidal ideation in this group may be higher than in the general population and a…
Correlates of Suicidal Ideation During Pregnancy and Postpartum Among Women Living with HIV in Rural South Africa
A Bayesian Analysis of Prenatal Maternal Factors Predicting Nonadherence to Infant HIV Medication in South Africa
Influences on Exclusive Breastfeeding Among Rural HIV-Infected South African Women
Children's Independent Spatial Mobility in the Urban Public Realm
This article examines children's spatial mobility in urban settings. Through data from a study of children living in contrasting urban environments, London and a lower-density new town, the article focuses on how children move around in the public realm. The data show that there are significant variations in how contemporary children use their public spaces. Children's freedom to move around their neighbourhood was greatest in the new town. Girls…
Community organizational learning
We present a three‐dimensional cube framework to help community organizational researchers and administrators think about an organization's learning and empowerment‐related structures and processes in terms of firstorder (incremental or ameliorative) and second‐order (transformative) change at the individual, organizational, and community levels. To illustrate application of the framework, case studies of three different types of exemplary nonpro…
Power and Action in Critical Theory Across Disciplines
Although critical scholarship and community psychology share similar aspirations, the links between them remain unexplored and under-theorized. In this article we explore the implications of critical scholarship in various specialties for the field of community psychology. To understand the contributions of critical scholarship to a theory of power and action for social change, we conducted a systematic analysis of a ten-year period of publicatio…
A Heuristic Framework for Understanding the Role of Participatory Decision Making in Community‐Based Non‐Profits
This paper explores the role of member participation in decision-making (PDM) from an organizational learning (OL) perspective. Community-based organizations (CBOs) serve as mediators between the individual and the local community, often providing the means for community member participation and benefiting organizationally from members' input. Community psychologists have recognized these benefits; however, the field has paid less attention to th…
The Ecology of Adolescent Substance Abuse Service Utilization
This paper presents an ecological‐community model toward the explanation of variation in patterns of substance abuse (SA) service utilization among adolescents who are enrolled in Tennesssee's Medicaid program (TennCare). Guided by a theoretical framework that draws from the social ecology work of Bronfenbrenner and health services utilization models promoted by Aday and Andersen, we apply a social indicators approach toward explaining the impact…
The Organizational Context of Faith-Based Community Organizing
This article explores the congregation as a conduit for civic engagement. Specifically examined are the effects of participation in congregations engaged in faith-based community organizing (FBCO). Civic engagement is examined by comparing FBCO-affiliated congregation members to non-FBCO-affiliated congregation members, local school participants, neighborhood association members, and those without such affiliations. Findings reveal that those eng…
Decreased Depression Up to One Year Following CBSM+ Intervention in Depressed Women with Aids
This prospective multisite Phase III clinical trial (Miami, New York, New Jersey) investigated the long-term (one year) effects of a 10-week group cognitive-behavioral stress management/expressive supportive therapy (CBSM+) intervention on disadvantaged minority women living with AIDS. The CBSM+ intervention consisted of 10-weekly group session of stress management, cognitive-behavioral skill training, relaxation techniques and expressive-support…
Effect of a multicomponent behavioural PMTCT cluster randomised controlled trial on HIV stigma reduction among perinatal HIV positive women in Mpumalanga province, South Africa
BACKGROUND: We evaluate the impact a multicomponent, behavioural, prevention of mother to child transmission (PMTCT), cluster randomised controlled trial on HIV stigma reduction among perinatal HIV infected women in rural South Africa. METHODS: In a cluster randomised controlled trial, twelve community health centres (CHCs) in Mpumalanga Province, South Africa, were randomised; pregnant women living with HIV enrolled received either: A Standard C…
The Achilles' heel of prevention to mother-to-child transmission of HIV
The Joint United Nations Programme on HIV and AIDS proposed to reduce the vertical transmission of HIV from ∼72,200 to ∼8300 newly infected children by 2015 in South Africa (SA). However, cultural, infrastructural, and socio-economic barriers hinder the implementation of the prevention of mother-to-child transmission (PMTCT) protocol, and research on potential solutions to address these barriers in rural areas is particularly limited. This study …
Influence of Partner Participation on Sexual Risk Behavior Reduction Among HIV-Positive Zambian Women
Psychological and Physical Intimate Partner Violence and Maternal Depressive Symptoms during the Pre- and Post-Partum Period among Women Living with HIV in Rural South Africa
HIV knowledge, disclosure and sexual risk among pregnant women and their partners in rural South Africa
Partner involvement has been deemed fundamental for the prevention of mother-to-child transmission (PMTCT) of HIV, although it remains difficult to achieve. This study aimed to explore the attitudes and behaviours of pregnant women and their partners who participated in a behavioural risk reduction intervention in six community health centres in the Mpumalanga province of South Africa. Qualitative methods only were used in this study. Women and t…
Efficacy of a lay health worker led group antiretroviral medication adherence training among non-adherent HIV-positive patients in KwaZulu-Natal, South Africa
There is a lack of theory-based randomized controlled trials to examine the effect of antiretroviral adherence in sub-Saharan Africa. We assessed the effectiveness of a lay health worker lead structured group intervention to improve adherence to antiretroviral therapy (ART) in a cohort of HIV-infected adults. This two-arm randomized controlled trial was undertaken at an HIV clinic in a district hospital in South Africa. A total of 152 adult patie…
Sexual risk reduction among Zambian couples
Zambia has over 1 million HIV infections nationwide and an urban prevalence rate of 23%. This study compared the impact of male involvement in multiple and single session risk reduction interventions among inconsistent condom users in Zambia and the role of serostatus among HIV-seropositive and serodiscordant couples. Couples (N=392) were randomised into intervention arms. Among inconsistent condom users at baseline (N=83), condom use increased i…
The spiritual dimensions of psychopolitical validity
In this article, the authors explore the spiritual dimensions of psychopolitical validity and use it as a lens to analyze clergy sexual abuse. The psychopolitical approach suggests a comprehensive human science methodology that invites exploration of phenomena such as spirituality and religious experience and the use of methods from a wide variety of disciplines, including philosophy and theology. They report an analysis showing the clergy sexual…
The Patient Self-Determination Act and Advance Directives
Enhancing adherence to combination antiretroviral therapy in non-adherent HIV-positive men
This paper describes a preliminary study aimed at testing the efficacy of a brief medication counselling and behavioural intervention in improving adherence to combination antiretroviral medication therapy and prophylactic treatment among non-adherent men living with HIV. Twenty-one non-adherent HIV-positive men obtaining primary care clinical services at a Veterans Affairs Medical Center were recruited by health care providers. Intervention part…
Use of female controlled microbicidal products for HIV risk reduction
Many over-the-counter microbicidal contraceptive methods reduce the risk of acquiring sexually transmitted diseases. This pilot project compared the use of female controlled barrier methods in an extremely high-risk population of low-income drug abusing women following an intervention designed to promote HIV risk reduction and barrier use. An HIV transmission risk reduction interactive intervention emphasizing self-esteem, assertiveness and sexua…
Children's Independent Spatial Mobility in the Urban Public Realm
This article examines children's spatial mobility in urban settings. Through data from a study of children living in contrasting urban environments, London and a lower-density new town, the article focuses on how children move around in the public realm. The data show that there are significant variations in how contemporary children use their public spaces. Children's freedom to move around their neighbourhood was greatest in the new town. Girls…
A Brief Sexual Barrier Intervention for Women Living with Aids
Influencing medication adherence among women with Aids
This study examined the effects of a ten-session cognitive-behavioural stress management/expressive supportive therapy (CBSM+) intervention on adherence to antiretroviral medication. Although the intervention was not designed to influence adherence, it was theorized that improved coping and social support could enhance adherence. Women with AIDS (N = 174) in Miami, New York and New Jersey, USA, were randomized to a group CBSM+ intervention or ind…
The impact of improved self-efficacy on HIV viral load and distress in culturally diverse women living with Aids
The purpose of the present study was to determine whether changes in self-efficacy over time would be related to changes in disease progression markers (CD4, viral load) in a sample of women with AIDS. A self-efficacy measure was developed and two sub-scales emerged via factor analysis of 391 HIV-positive women: AIDS Self-efficacy and Cognitive Behavioral Skills Self-efficacy. Subsequently, the sub-scales and an additional adherence self-efficacy…
Influence of Partner Participation on Sexual Risk Behavior Reduction Among HIV-Positive Zambian Women
Decreased Depression Up to One Year Following CBSM+ Intervention in Depressed Women with Aids
This prospective multisite Phase III clinical trial (Miami, New York, New Jersey) investigated the long-term (one year) effects of a 10-week group cognitive-behavioral stress management/expressive supportive therapy (CBSM+) intervention on disadvantaged minority women living with AIDS. The CBSM+ intervention consisted of 10-weekly group session of stress management, cognitive-behavioral skill training, relaxation techniques and expressive-support…
Influencing sexual practices among HIV-positive Zambian women
This study assessed and compared the efficacy of culturally tailored behavioral interventions to increase use and acceptability of sexual barrier products among HIV-positive women in Zambia. It also sought to evaluate cultural preferences as facilitators or impediments to potential use of vaginal chemical barriers for sexual risk reduction within the Zambian context. Women (N=240), recruited from the University Teaching Hospital HIV Voluntary Cou…
Efficacy of a Group Medication Adherence Intervention Among HIV Positive Women
Power and Action in Critical Theory Across Disciplines
Although critical scholarship and community psychology share similar aspirations, the links between them remain unexplored and under-theorized. In this article we explore the implications of critical scholarship in various specialties for the field of community psychology. To understand the contributions of critical scholarship to a theory of power and action for social change, we conducted a systematic analysis of a ten-year period of publicatio…
The Ecology of Adolescent Substance Abuse Service Utilization
This paper presents an ecological‐community model toward the explanation of variation in patterns of substance abuse (SA) service utilization among adolescents who are enrolled in Tennesssee's Medicaid program (TennCare). Guided by a theoretical framework that draws from the social ecology work of Bronfenbrenner and health services utilization models promoted by Aday and Andersen, we apply a social indicators approach toward explaining the impact…
Community organizational learning
We present a three‐dimensional cube framework to help community organizational researchers and administrators think about an organization's learning and empowerment‐related structures and processes in terms of firstorder (incremental or ameliorative) and second‐order (transformative) change at the individual, organizational, and community levels. To illustrate application of the framework, case studies of three different types of exemplary nonpro…
The effects of low literacy and cognitive impairment on medication adherence in HIV-positive injecting drug users
Low literacy and cognitive impairment have each been separately identified as risks for non-adherence in HIV infection. However, no studies to date have evaluated these skill deficits in combination. We therefore characterized the nature of literacy and cognitive skills in a sample of HIV-positive injecting drug users and assessed their combined effects on adherence. A community-recruited sample of 57 HIV-positive injecting drug users completed t…
Gender Differences in Medication Management Capacity in HIV Infection
The spiritual dimensions of psychopolitical validity
In this article, the authors explore the spiritual dimensions of psychopolitical validity and use it as a lens to analyze clergy sexual abuse. The psychopolitical approach suggests a comprehensive human science methodology that invites exploration of phenomena such as spirituality and religious experience and the use of methods from a wide variety of disciplines, including philosophy and theology. They report an analysis showing the clergy sexual…
Experiences in a Trans-Disciplinary Social Science Doctoral Program
Numeracy Skills Explain Racial Differences in HIV Medication Management
Sexual risk reduction among Zambian couples
Zambia has over 1 million HIV infections nationwide and an urban prevalence rate of 23%. This study compared the impact of male involvement in multiple and single session risk reduction interventions among inconsistent condom users in Zambia and the role of serostatus among HIV-seropositive and serodiscordant couples. Couples (N=392) were randomised into intervention arms. Among inconsistent condom users at baseline (N=83), condom use increased i…
Self-efficacy and distress in women with Aids
Though African American and Hispanic women accounted for 14% of the female population in the USA, they represented 66% of the total HIV/AIDS diagnoses among women in 2007. Among men living with HIV, increased coping self-efficacy (SE) following a cognitive behavioral intervention has been related to decreased distress, anxiety, anger, and confusion, but comparable studies had not been carried out with HIV+ women. The purpose of this study was to …
Mental health in HIV seronegative and seropositive IDUs in South Florida
About one-third of HIV-infected people in the USA have a history of injection-drug use. Injecting drugs are a primary vector for HIV transmission. Drug and alcohol use are significant contributors to sexual transmission of the virus. In South Florida, urban injection-drug users (IDUs) represent a substantial population at risk for infection. Substance use management in this group is critical. As part of a larger study of at-risk populations in So…
Vaginal Cleansing Practices in HIV Infected Zambian Women
A Heuristic Framework for Understanding the Role of Participatory Decision Making in Community‐Based Non‐Profits
This paper explores the role of member participation in decision-making (PDM) from an organizational learning (OL) perspective. Community-based organizations (CBOs) serve as mediators between the individual and the local community, often providing the means for community member participation and benefiting organizationally from members' input. Community psychologists have recognized these benefits; however, the field has paid less attention to th…
Personal HIV Knowledge, Appointment Adherence and HIV Outcomes
Medicine (68 works) · HIV/AIDS Research and Interventions (49 works) · Family medicine (46 works) · Adolescent Sexual and Reproductive Health (39 works) · Psychiatry (39 works) · Psychology (39 works) · Psychological intervention (32 works) · Nursing (31 works) · Public health (30 works) · Environmental health (28 works)