Sannisha K Dale
Biographic Data
| ID | 668188 |
|---|---|
| NAME | Sannisha K Dale |
| GIVEN NAMES | Sannisha K |
| FAMILY NAME | Dale |
| SIGNATURE | DALE S K |
| AFFILIATIONS | University of Miami |
| ORCID | 0000-0002-9516-239X |
| VERIFIED | Yes |
| TOTAL WORKS | 60 |
| TOTAL CITATIONS | 88 |
| AUTHOR COUNT | 60 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2013 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 5 |
The Intersectional Discrimination Index – Revised
The Intersectional Discrimination Index (InDI) includes three measures of anticipated, day-to-day, and major discrimination for intercategorical intersectionality research. Previous studies found that the measures are unidimensional with high loadings, good test-retest reliability, predictive validity, and measurement invariance between Canadian and United States (US) samples. Gaps included the need for cognitive interviewing, reassessing stabili…
A network analysis of religious coping, mental health, and HIV outcomes among Black women living with HIV in the United States
Black women living with HIV (BWLWH) utilize religion/spirituality as a coping mechanism in the face of intersectional adversities, which may be related to various mental health and HIV-related outcomes. However, the literature is still growing, and few studies have analyzed overall measures of religiosity as well as item-level variables in relation to mental and physical outcomes among BWLWH. The current study aims to explore these relations via …
‘Community perspectives on long-acting injectable PrEP among Haitians and Haitian Americans living in Florida
Introduction: Long-acting injectable (LAI) pre-exposure prophylaxis (PrEP) options for HIV prevention are becoming increasingly available. Haitians and Haitian Americans in South Florida (FL) face a disproportionate HIV burden but have low adoption of prevention tools. Theory: This study provides insight into PrEP preferences and explores attitudes towards LAIs (specifically cabotegravir) from the perspectives of Haitian and Haitian American comm…
Associations Between Microaggressions, Discrimination, and Brain Health Among Black Women Living with HIV
INTRODUCTION: Despite advancements in the treatment of HIV, Black women living with HIV (BWLWH) experience significant disparities in brain health and related factors, which may be linked to microaggressions, systemic inequities, and discrimination. Factors such as functional activity, brain health, sleep, and diet also play a role in the overall health of an individual. This study examines how experiences of microaggressions are associated with …
A latent class analyses of economic stability, medical mistrust, and barriers to care in relation to PrEP awareness in Black communities in Miami, FL
In the U.S., Black communities are disproportionately impacted by HIV due to economic instability, racism, and structural inequities. Among Black residents who participated in a bundled implementation study from November 2019 through March 2020 in HIV high impact communities in Miami, FL this study examines (a) which latent classes are most prevalent based on indicators of economic stability (ES; income, work, housing, zip-code poverty thresholds…
Using epidemiological data to explore the impact of mental health and substance use disorder treatment facilities and family planning clinic availability on pre-exposure prophylaxis use for women in t…
Ending the HIV epidemic by 2030 is partly dependent on preexposure prophylaxis (PrEP), but usage has been markedly low among women. This study sought to determine if access to mental health and substance use disorder treatment, and family planning clinics have an impact on women's PrEP uptake. Using epidemiological data from publicly available data sources, we employed a difference-in-differences design to quantify the effect of the availability …
Linear growth modeling of religious coping and social support among Black women living with HIV in the context of the Covid-19 pandemic
Among Black women living with HIV (BWLWH) the current study aimed to quantitatively assess changes in religious coping and social support over time via linear growth modeling (LGM). BWLWH (N = 276) provided longitudinal survey data on demographics, religious coping, and social support across fourteen study visits (between 2019 and 2024) at three-month intervals in the Southeastern United States. Religious coping and social support mean scores flu…
The inner workings of the Intersectional Discrimination Index
A qualitative exploration of the factors influencing physical activity engagement among Black individuals with heart failure in South Florida
Healthcare providers should strive for adequate patient literacy about heart failure, and educate on the importance of physical activity, ensuring the appropriate level of instruction is provided so that Black individuals with heart failure are informed to best address their health
What Is the Effect of Medicaid Expansions on Preexposure Prophylaxis for HIV Prevention Use among Women
Pre-exposure prophylaxis (PrEP) is a key biomedical tool for combatting HIV spread, but women account for only 5% of users. Between 2015 and 2019, men saw a 9% decrease in new HIV diagnoses, while rates among women remained constant. Using a difference-in-differences regression model and state level HIV surveillance data (utilizing sex assigned at birth) reported by AIDSVu from 2012 to 2021, we examined the impact of Medicaid expansions under the…
Educating, demystifying, destigmatising’
Black cisgender women in the USA are disproportionately affected by HIV but remain underrepresented in HIV-related pre-exposure prophylaxis (PrEP) messaging. Despite PrEP's efficacy in preventing HIV, uptake among Black cisgender in the USA women remains low. This qualitative study explored how PrEP messaging can better resonate with Black women's interests and needs by focusing on their experiences and preferences. We conducted semi-structured i…
Testing for Measurement Invariance (MI)
Assessing measurement invariance and the interplay of discrimination, microaggressions, and resilience among Black women living with HIV (BWLWH) across time utilizing latent class and repeated measure analysis may provide novel insights. A total of 151 BWLWH in a southeastern U.S. city completed surveys focused on multiple forms of microaggressions and discrimination (race, gender, sexual orientation, or HIV-related) and resilience factors (socia…
Doing what I need to do
Our findings indicate that in the context of COVID-19 stay-at-home orders BWLWH were moderately impacted, shared concerns and mental health symptoms, and voiced the shortfalls of medical providers. Further, BWLWH exhibited resilience with regard to medication adherence and the use of adaptive coping strategies while echoing the need for additional resources and structural interventions
Exploring the experiences of Haitians/Haitian Americans in Miami-Dade County, Florida during the Covid-19 pandemic
Objective: To explore and describe the experiences of Haitians/Haitian Americans in Miami-Dade County, Florida during the COVID-19 pandemic, including their attitudes and practices towards vaccination. Design: We interviewed 15 community members and 15 stakeholders in the Haitian/Haitian American community in Miami-Dade County, Florida using a semi-structured interview guide. The qualitative interviews were conducted between February 4, 2021, and…
A network analysis of positive psychosocial factors and indication of suboptimal HIV care outcomes among Black women living with HIV
Black women living with HIV (BWLWH) face barriers that impact health outcomes. However, positive psychosocial indicators may influence HIV care outcomes. Among this cross-sectional study of 119 BWLWH, a network analysis was utilized to examine relationships between positive psychosocial factors and HIV-related health outcomes. A preliminary polychoric analysis was conducted to examine correlations between the variables, and the network analyzed c…
Taking it one day at a time’ and ‘Reaching back out to help someone’
TWLWH are navigating a hostile society and multilevel interventions (at the structural, community, interpersonal, and individual levels) centering their voices and those invested in advocating for the community are needed to address the sequelae of oppression they face
A Pilot Randomized Control Trial of the Striving Towards EmPowerment and Medication Adherence (STEP-AD) Intervention for Black Women Living with HIV
Black women living with HIV (BWLWH) face adversities associated with lower HIV medication adherence, viral non-suppression, and mental health symptoms (e.g., post-traumatic stress disorder) such as trauma/violence, racism, HIV-related discrimination/stigma, and gender-related stressors. We developed the first intervention based in cognitive behavioral therapy and culturally congruent coping for BWLWH to increase medication adherence and decrease …
A commentary on forging a path for CHANGE
Training programs focused on developing the next generation of scholars with expertise in HIV and mental health are crucial for advancing health equity and cultivating a diverse workforce by supporting individuals with lived experience and a strong commitment to serving underserved communities. However, disparities persist in the workforce, particularly in the inclusion of professionals typically underrepresented in research. The aim of this comm…
Bon Sante (Good Health)
Burnout Among Service Providers for People Living with HIV
The Impact of HIV-Related Stigma on Racial/Ethnic Disparities in Retention in HIV Care Among Adults Living with HIV in Florida
Multilevel Resilience and HIV Virologic Suppression Among African American/Black Adults in the Southeastern United States
Five point initiative
The FPI bundled implementation strategy shows promise to deliver health prevention/intervention for HIV and other health conditions to communities facing health inequities and for whom the current system for delivering care is insufficient
Gendered Racial Microaggressions, Self-silencing, Substance Use, and HIV Outcomes Among Black Women Living with HIV
Mental Health, Self-Care, and Engagement in Care among Black Women Living with HIV
Our findings highlight the need for treating mental health symptoms and enhancing self-care among Black women living with HIV to improve engagement in care and health behaviors and decrease emergency room visits and hospitalization
Medical mistrust is related to lower longitudinal medication adherence among African-American males with HIV
African-Americans living with HIV show worse health behaviors (e.g. medication adherence) and outcomes (e.g. viral suppression) than do their White counterparts. In a 6-month longitudinal study, we investigated whether medical mistrust among African-American males with HIV (214 enrolled, 140 with longitudinal data) predicted lower electronically monitored antiretroviral medication adherence. General medical mistrust (e.g. suspicion toward provide…
Resilience Among Women with HIV
Pilot intervention for discrimination-related coping among HIV-positive Black sexual minority men
Still Climbin' was feasible and acceptable to participants, and showed promise for improving coping with discrimination, which ultimately can lead to better health outcomes and reduced disparities. (PsycINFO Database Record (c) 2018 APA, all rights reserved
Complexity of Childhood Sexual Abuse
Gender Roles and Mental Health in Women With and at Risk for HIV
Predominantly low-income and African American women from the same community, HIV-infected ( n = 100; HIV+) and uninfected ( n = 42; HIV-), were assessed on reported gender roles in sexual and other close relationships-including levels of self-silencing, unmitigated communion, and sexual relationship power-at a single recent study visit during 2008-2012. Recent gender roles were investigated in relation to depressive symptoms and health-related qu…
Still I rise
Culturally adapted interventions are needed to improve the health of BWLWH by enhancing coping strategies for the multiple adversities they face and promoting self-validation, self-primacy, and self-care in spite of adversities. (PsycINFO Database Record
Neighborhood Characteristics, Intersectional Discrimination, Mental Health, and HIV Outcomes Among Black Women Living With HIV, Southeastern United States, 2019‒2020
Objectives. To examine the effects of within-neighborhood and neighboring characteristics on discrimination, stigma, mental health, and HIV outcomes among Black women living with HIV (BWLWH). Methods. A total of 151 BWLWH in a southeastern US city provided baseline data (October 2019‒January 2020) on experienced microaggressions and discrimination (race-, gender-, sexual orientation-, or HIV-related), mental health (e.g., depression, posttraumati…
In our stories
A qualitative study among women living with HIV assessed the aspects of an evidence-based intervention targeting HIV transmission risk reduction (Women Involved in Life Learning from Other Women [WiLLOW]) that women valued and how their lives were impacted. Thirty-one women (80.6% African American) completed interviews. Women valued the personal stories and positive group dynamics (i.e. safety, trust, openness, getting feedback, bonding, and soci…
Addressing HIV-Related Intersectional Stigma and Discrimination to Improve Public Health Outcomes
Factors associated with resilience among Black women living with HIV and histories of trauma
In the United States, Black women living with HIV face various individual (e.g. trauma) and structural (e.g. racism) adversities. However, resilience is understudied among Black women living with HIV. A total of 100 Black women living with HIV in the United States completed measures of resilience, general self-efficacy, self-esteem, post-traumatic growth, trauma symptoms, trauma-related cognitions, and depressive symptoms. Regressions controlling…
Gendered Racial Microaggressions Associated with Depression Diagnosis among Black Women Living with HIV
Monitoring Intersectional Stigma
Using Motivational Interviewing to Increase PrEP Uptake Among Black Women at Risk for HIV
Critical Consciousness, Racial and Gender Discrimination, and HIV Disease Markers in African American Women with HIV
Talking about the Trayvon Martin Case in Psychology and Conseling Training and Psychotheraphy
The Trayvon Martin tragedy (the shooting of a Black male adolescent in a Florida gated community) was covered frequently by media outlets for a few months before the level of coverage gradually became only periodic updates on the status of the case and court proceedings. In response to the coverage, the listserv of the American Psychological Association (APA) Division 45 (Society for the Psychological Study of Ethnic Minority Issues) became a sit…
Abuse and Resilience in Relation to Haart Medication Adherence and HIV Viral Load Among Women with HIV in the United States
Abuse is highly prevalent among HIV+ women, leading to behaviors, including lower adherence to highly active antiretroviral therapy (HAART) that result in poor health outcomes. Resilience (functioning competently despite adversity) may buffer the negative effects of abuse. This study investigated how resilience interacted with abuse history in relation to HAART adherence, HIV viral load (VL), and CD4+ cell count among a convenience sample of 138 …
Resilience Moderates the Association Between Childhood Sexual Abuse and Depressive Symptoms Among Women with and At-Risk for HIV
Gender Roles and Mental Health in Women With and at Risk for HIV
Predominantly low-income and African American women from the same community, HIV-infected ( n = 100; HIV+) and uninfected ( n = 42; HIV-), were assessed on reported gender roles in sexual and other close relationships-including levels of self-silencing, unmitigated communion, and sexual relationship power-at a single recent study visit during 2008-2012. Recent gender roles were investigated in relation to depressive symptoms and health-related qu…
Resilience Among Women with HIV
Complexity of Childhood Sexual Abuse
Medical mistrust is related to lower longitudinal medication adherence among African-American males with HIV
African-Americans living with HIV show worse health behaviors (e.g. medication adherence) and outcomes (e.g. viral suppression) than do their White counterparts. In a 6-month longitudinal study, we investigated whether medical mistrust among African-American males with HIV (214 enrolled, 140 with longitudinal data) predicted lower electronically monitored antiretroviral medication adherence. General medical mistrust (e.g. suspicion toward provide…
Abuse, nocturnal stress hormones, and coronary heart disease risk among women with HIV
This study investigated the relationships among abuse, nocturnal levels of cortisol and norepinephrine (NE), and coronary heart disease (CHD) risk as measured by the Framingham risk score among women with human immunodeficiency virus (HIV). Participants (n = 53) from the Chicago Women's Interagency HIV Study (WIHS), a longitudinal prospective cohort study initiated in 1994, were enrolled in this study during 2012. At WIHS baseline and annual foll…
Coping with discrimination among HIV-positive Black men who have sex with men
In the USA, HIV-positive Black men who have sex with men show large disparities in disease outcomes compared to other racial/ethnic and risk groups. This study examined the strategies that HIV-positive Black men who have sex with men use to cope with different types of discrimination. A total of 27 HIV-positive Black men who have sex with men participated in semi-structured interviews, which were transcribed verbatim and coded using thematic anal…
Still I rise
Culturally adapted interventions are needed to improve the health of BWLWH by enhancing coping strategies for the multiple adversities they face and promoting self-validation, self-primacy, and self-care in spite of adversities. (PsycINFO Database Record
In our stories
A qualitative study among women living with HIV assessed the aspects of an evidence-based intervention targeting HIV transmission risk reduction (Women Involved in Life Learning from Other Women [WiLLOW]) that women valued and how their lives were impacted. Thirty-one women (80.6% African American) completed interviews. Women valued the personal stories and positive group dynamics (i.e. safety, trust, openness, getting feedback, bonding, and soci…
Resilience takes a village
Black women living with HIV (BWLWH) represent the highest percentage of women with HIV in the U.S. and experience worse health outcomes than other women living with HIV, in part due to experiences of trauma, racism, HIV-stigma, and stressors they face as women. However, their own stories of resilience in the face of multiple adversities and insights of community stakeholders may inform our field on how to best empower this population to strive de…
Resilience and HIV
We use a socioecological model of health to define resilience, review the definition and study of resilience among persons living with human immunodeficiency virus (PLWH) in the existing peer-reviewed literature, and discuss the strengths and limitations of how resilience is defined and studied in HIV research. We conducted a review of resilience research for HIV-related behaviors/outcomes of antiretroviral therapy (ART) adherence, clinic attenda…
Facilitators and Barriers to Pre-Exposure Prophylaxis (PrEP) Use Among Black Individuals in the United States
Pilot intervention for discrimination-related coping among HIV-positive Black sexual minority men
Still Climbin' was feasible and acceptable to participants, and showed promise for improving coping with discrimination, which ultimately can lead to better health outcomes and reduced disparities. (PsycINFO Database Record (c) 2018 APA, all rights reserved
High Levels of Syndemics and Their Association with Adherence, Viral Non-suppression, and Biobehavioral Transmission Risk in Miami, a U.S. City with an HIV/Aids Epidemic
Gendered racial microaggressions predict posttraumatic stress disorder symptoms and cognitions among Black women living with HIV
Our findings highlight the importance of addressing intersectional adversities such as GRM for BWLWH, as well as recognizing the role that GRM may play in mental health symptoms for Black women. Future research and intervention efforts aimed at improving the well-being of BWLWH should address GRM. (PsycINFO Database Record (c) 2019 APA, all rights reserved)
A Concept Mapping Study to Understand Multilevel Resilience Resources Among African American/Black Adults Living with HIV in the Southern United States
Gendered Racial Microaggressions Associated with Depression Diagnosis among Black Women Living with HIV
Using Motivational Interviewing to Increase PrEP Uptake Among Black Women at Risk for HIV
Pills, PrEP, and Pals
Background: Ending HIV/AIDS in the United States requires tailored interventions. This study is part of a larger investigation to design mCARES, a mobile technology-based, adherence intervention for ethnic minority women with HIV (MWH). Objective: To understand barriers and facilitators of care adherence (treatment and appointment) for ethnic MWH; examine the relationship between these factors across three ethnic groups; and, explore the role of …
Daily Microaggressions and Related Distress among Black Women Living with HIV during the Onset of the Covid-19 Pandemic and Black Lives Matter Protests
Feasibility and Acceptability of a Program to Promote Positive Affect, Well-Being and Gender Empowerment in Black Women Living with HIV
Factors associated with resilience among Black women living with HIV and histories of trauma
In the United States, Black women living with HIV face various individual (e.g. trauma) and structural (e.g. racism) adversities. However, resilience is understudied among Black women living with HIV. A total of 100 Black women living with HIV in the United States completed measures of resilience, general self-efficacy, self-esteem, post-traumatic growth, trauma symptoms, trauma-related cognitions, and depressive symptoms. Regressions controlling…
Medicine (49 works) · HIV/AIDS Research and Interventions (43 works) · Psychiatry (41 works) · Psychology (41 works) · Clinical Psychology (27 works) · Public health (23 works) · Clinical Psychology (21 works) · Psychological intervention (21 works) · Sociology (20 works) · Family medicine (19 works)