Rob Stephenson
Biographic Data
| ID | 80032 |
|---|---|
| NAME | Rob Stephenson |
| GIVEN NAMES | Rob |
| FAMILY NAME | Stephenson |
| SIGNATURE | STEPHENSON R |
| AFFILIATIONS | University of Michigan |
| ORCID | 0000-0002-9239-2640 |
| VERIFIED | Yes |
| TOTAL WORKS | 211 |
| TOTAL CITATIONS | 414 |
| AUTHOR COUNT | 210 |
| EDITOR COUNT | 1 |
| FIRST PUBLICATION YEAR | 1952 |
| LATEST PUBLICATION YEAR | 2025 |
| H-INDEX | 11 |
The Associations Between Intimate Partner Violence and Mental Health Outcomes Among Sexual Minority Men
Sexual minority men (SMM) experience intimate partner violence (IPV) at a substantially high rate and also bear high burdens of adverse mental health outcomes. This systematic review and meta-analysis aimed to consolidate existing evidence on the associations between experiencing IPV and adverse mental health outcomes (depressive symptoms, anxiety, stress, etc.) among SMM. Following the Preferred Reporting Items For Systematic Reviews and Meta-An…
Medical Mistrust and Willingness to Use Long-Acting PrEP Among Black and Hispanic/Latino MSM
Drug use during the second year of the Covid-19 pandemic
Studies conducted early in the COVID-19 pandemic - before vaccines were widely available - indicated that drug use may have declined among sexual minority men (SMM). This study evaluated drug use trends in the second year of the pandemic. Cross-sectional responses from cisgender SMM living in the US and recruited online (n = 15,897) were grouped for analyses: Time 1: 3/1/2021-5/30/2021; Time 2: 6/1/2021-8/31/2021; Time 3: 9/1/2021-11/30/2021; and…
Enhancing routine HIV and STI testing among young men who have sex with men
This study is registered on ClinicalTrials.gov (NCT03132415)
Sexual Agreement Discussions Among Adolescent Sexual Minority Men in the USA
The Impact of the Covid-19 Pandemic on Sexual Behavior and HIV Prevention and Treatment Services Among U.S. Men Who Have Sex With Men in the Post-Lockdown Era
Early in the COVID-19 pandemic, disruptions to sexual health services and changes to sexual behavior due to the first COVID-19 lockdowns were common among U.S. gay, bisexual, and other men who have sex with men (GBMSM). Less is known about the persistence of these changes after this initial lockdown period. These changes have long-term implications for HIV prevention for current and future pandemic periods. This study collected information on COV…
Developing the Speaking Out and Allying Relationships Intervention on Videoconference for HIV-Positive GBMSM in Eastern Cape, South Africa
In South Africa, HIV prevalence for gay, bisexual, and men who have sex with men (GBMSM) is as high as 49.5%, yet only 25.7% are taking treatment, resulting in transmission risk between partners and the need for dyadic interventions for men in relationships. Through our preliminary research, we identified the evidence-based intervention Healthy Relationships (HR)—an HIV risk assessment and status disclosure intervention for those in relationships…
Assessing the association of stigma and HIV service and prevention uptake among men who have sex with men and transgender women in South Africa
HIV prevention for gay, bisexual, and other men who have sex with men (GBMSM) and transgender women (TGW) is critical to reducing health disparities and population HIV prevalence. To understand if different types of stigma impact engagement with HIV prevention services, we assessed associations between stigmas and use of HIV prevention services offered through an HIV prevention intervention. This analysis included 201 GBMSM and TGW enrolled in a …
Racial differences in the association of undetectable HIV viral load and transportation to an HIV provider among men who have sex with men in Atlanta, Georgia
There are inequities in HIV outcomes among Black gay, bisexual, and other sexual minority men who have sex with men (GBMSM) compared to GBMSM overall, including access to transportation to HIV care. It is unclear if the relationship between transportation and clinical outcomes extends to viral load. We assessed the relationship between transportation dependence to an HIV provider and undetectable viral load among Black and White GBMSM in Atlanta.…
Ultimately, You Realize You’re on Your Own”
An estimated one in three gay and bisexual (GB) male couples receive a prostate cancer (PCa) diagnosis over their life course with limited understanding of the impacts on their relationships. Psychological distress related to PCa diagnosis and treatment-related side effects have been shown to disrupt established GB partnership dynamics. Communication barriers often develop within GB relationships affected by PCa, further exacerbating couple tensi…
Intimate Partner Violence Perpetration Denial and Underreporting in Cisgender Male Couples
Intimate partner violence (IPV) perpetrators often deny their actions, limiting opportunities for intervention. Cisgender male couples experience similar IPV rates to mixed-gender couples, yet less is known about how men in same-sex relationships deny or report their IPV behavior. This study aimed to describe perpetration denial across emotional, monitoring/controlling, and physical/sexual IPV, and to identify correlates of perpetration denial, i…
Willingness to Participate in and Preferences for Studies of mHealth HIV Prevention Interventions
A Relationship-Focused HIV Prevention Intervention for Young Sexual Minority Men in the United States
Policy, relationships, and well-being
Mental health disparities are well documented among sexual minority men (SMM) and generally attributed to sexuality-based minority stress. Separate research has established that being in a main or primary partner relationship - particularly one of high quality - is associated with better mental health. The current study tested an integrated model predicting mental health from relationship status and quality, and evaluated the potential for these …
Study Evaluating Self-Collected Specimen Return for HIV, Bacterial STI, and Potential Pre-Exposure Prophylaxis Adherence Testing Among Sexual Minority Men in the United States
Web-based HIV and sexually transmitted infection (STI) prevention studies are increasingly requesting gay, bisexual, and other men who have sex with men (GBMSM) to return self-collected specimens for laboratory processing. Some studies have solicited self-collected extragenital swabs for gonorrhea and chlamydia testing, but to date, none have solicited self-collected hair samples for pre-exposure prophylaxis (PrEP) adherence testing. Project Cabo…
Dyadic effects of enacted stigma, internalized homophobia, and communal coping on depressive symptoms among cisgender sexual minority male couples
The present study investigated the dyadic direct and indirect effects of enacted stigma on depressive symptoms via internalized homophobia and whether communal coping moderated the effects of enacted stigma on internalized homophobia and depressive symptoms. Hypotheses were tested using actor–partner interdependence models with a sample of 543 cisgender sexual minority male couples. Results showed both partners’ enacted stigma experiences were as…
Covid-19-Related Disruptions to HIV Testing and Prevention Among Young Sexual Minority Men 17–24 Years Old
Partner Support and Communication for Pre-exposure Prophylaxis (PrEP) Use Among Male Couples
Perceptions and Experiences of Returning Self-collected Specimens for HIV, Bacterial STI and Potential PrEP Adherence Testing among Sexual Minority Men in the United States
Efficacy of a Telehealth Delivered Couples’ HIV Counseling and Testing (CHTC) Intervention to Improve Formation and Adherence to Safer Sexual Agreements Among Male Couples in the US
Are We Still Having Sex? Results of Round Two of the Love and Sex in the Time of Covid Survey with Gay, Bisexual and Other Men Who Have Sex with Men
Binge Drinking Moderates Unprotected Sex Among HIV Sero-Similar Same Sex Male Couples
Correlates of Substance Misuse, Transactional Sex, and Depressive Symptomatology Among Partnered Gay, Bisexual and Other Men Who Have Sex with Men in South Africa and Namibia
Intimate Partner Violence and Preferences for Pre-exposure Prophylaxis (PrEP) Modes of Delivery Among A Sample of Gay, Bisexual, and Other Men Who Have Sex with Men
Developing an enduring role for Nato’s fight against terrorism
As NATO drafts its next Strategic Concept, it faces a persistent and more diverse threat from terrorism than when the 2010 Strategic Concept was written. In addition, the Alliance faces greater threats from geopolitical competition, leading to its member states shifting resources away from the fight against terrorism. In drafting of the next Strategic Concept, NATO must continue to prioritize the development of an enduring and sustainable approac…
Individual and Contextual Determinants of Domestic Violence in North India
Objectives. We examined individual- and community-level influences on domestic violence in Uttar Pradesh, North India. Methods. Multilevel modeling was used to explore domestic violence outcomes among a sample of 4520 married men. Results. Recent physical and sexual domestic violence was associated with the individual-level variables of childlessness, economic pressure, and intergenerational transmission of violence. A community environment of vi…
Low levels of maternal education and the proximate determinants of childhood mortality
Couple-level Minority Stress
Social stress resulting from stigma, prejudice, and discrimination-'minority stress'-negatively impacts sexual minority individuals' health and relational well-being. The present study examined how being in a same-sex couple can result in exposure to unique minority stressors not accounted for at the individual level. Relationship timeline interviews were conducted with 120 same-sex couples equally distributed across two study sites (Atlanta and …
Ethnicity, environment and health
Birth spacing, sibling rivalry and child mortality in India
Contextual Influences on the Use of Health Facilities for Childbirth in Africa
Objectives. Previous studies of maternal health-seeking behavior focused on individual- and household-level factors. We examined community-level influences on the decision to deliver a child in a health facility across 6 African countries. Methods. Demographic and Health Survey data were linked with contextual data, and multilevel models were fitted to identify the determinants of childbirth in a health facility in the 6 countries. Results. We fo…
Contextual Influences on Reproductive Health Service Use in Uttar Pradesh, India
This study examines the determinants of the use of four types of reproductive health‐care services in Uttar Pradesh, India: contraceptive services, antenatal care, delivery in a medical institution, and services dealing with reproductive tract and sexually transmitted infections. The analysis uses a multilevel modeling strategy to assess the presence of household‐ and community‐level variation in service use. The influence of community‐level char…
Contextual Influences on Modern Contraceptive Use in Sub-Saharan Africa
Objectives. We examined the role of community-level factors in explaining geographic variations in modern contraceptive use in 6 African countries. Methods. We analyzed Demographic and Health Survey and contextual data sources with multilevel modeling techniques to identify factors contributing to geographic variations in women’s use of modern contraceptives. Results. We found significant associations between several community-level factors and r…
Toward a New Definition of Unmet Need for Contraception
The current definition of unmet need for contraception assumes that all women who are using a method have a met need. We argue that without taking into account the level of satisfaction with a method, many women are classified as having a met need, when in fact they have an unmet need. They are using a method that does not meet their preferences, either because it causes side effects they find untenable or has other characteristics they do not li…
Making sense of condoms
The influence of perceptions of community norms on current contraceptive use among men and women in Ethiopia and Kenya
Domestic Violence and Contraceptive Use in a Rural Indian Village
This study uses qualitative methods to examine how domestic violence affects the use of contraceptives by women in a rural village in India. The study highlights how multilevel factors are linked to a woman's ability to contracept and make fertility decisions in a context where being a wife implies obedience, limited mobility, sexual availability, and high fertility. The authors find that violence is normalized, or considered acceptable, if women…
Domestic Violence and Contraceptive Adoption in Uttar Pradesh, India
This study examines the association between domestic violence and the subsequent adoption of modern contraception in North India. Matched data on married couples who were not practicing contraception are analyzed from companion surveys of married husbands and wives in five districts of Uttar Pradesh. By means of hazard modeling, a significant negative association was found between a husband's reporting of using physical domestic violence against …
Relation of Childhood Sexual Abuse, Intimate Partner Violence, and Depression to Risk Factors for HIV Among Black Men Who Have Sex With Men in 6 US Cities
Objectives. We assessed the relation of childhood sexual abuse (CSA), intimate partner violence (IPV), and depression to HIV sexual risk behaviors among Black men who have sex with men (MSM). Methods. Participants were 1522 Black MSM recruited from 6 US cities between July 2009 and December 2011. Univariate and multivariable logistic regression models were used. Results. Participants reported sex before age 12 years with someone at least 5 years …
Minority Stress in the Lives of Men Who Have Sex With Men in Cape Town, South Africa
The mental health outcomes of men who have sex with men (MSM) living in sub-Saharan Africa are understudied, despite evidence that discrimination and stigma are widespread. This article examines the occurrence and mental health effects of minority stress in a sample of diverse South African MSM. Twenty-two MSM living in Cape Town took part in exploratory qualitative in-depth interviews and completed mental health questionnaires. Results indicate …
Region of Birth and Disability Among Recent U.S. Immigrants
Help Seeking Behavior among Women Who Report Intimate Partner Violence in Afghanistan
Community Influences on Young People's Sexual Behavior in 3 African Countries
Objectives. I examined the role of community-level factors in the reporting of risky sexual behaviors among young people aged 15 to 24 years in 3 African countries with varying HIV prevalence rates. Methods. I analyzed demographic and health survey data from Burkina Faso, Ghana, and Zambia during the period 2001 through 2003 to identify individual, household, and community factors associated with reports of risky sexual behaviors. Results. The me…
Sexual Agreements and Perception of HIV Prevalence Among an Online Sample of Partnered Men Who Have Sex with Men
Effects of Domestic Violence on Perinatal and Early-Childhood Mortality
Objective. We examined the effect of physical violence during pregnancy on perinatal and early-childhood mortality. Methods. We estimated the prevalence of domestic violence during pregnancy among a population-based sample of 2199 women in Uttar Pradesh, India. We used a survival regression model to examine the risks for perinatal, neonatal, postneonatal, and early-childhood (aged 1–3 years) mortality by mother’s exposure to domestic violence, af…
Contextual Influences on Reproductive Wellness in Northern India
Objectives. There has been a growing recognition of the importance of contextual influences on health outcomes. This article examines community-level influences on 5 reproductive wellness outcomes in Uttar Pradesh, India. Methods. Multilevel modeling is used to estimate household and community-level effects on wellness, with hierarchically organized data from a statewide survey of villages, urban blocks, households, women, health providers, and s…
Similar Others in Same-Sex Couples' Social Networks
Same-sex couples experience unique minority stressors. It is known that strong social networks facilitate access to psychosocial resources that help people reduce and manage stress. However, little is known about the social networks of same-sex couples, in particular their connections to other same-sex couples, which is important to understand given that the presence of similar others in social networks can ameliorate social stress for stigmatize…
Domestic Violence, Contraceptive Use, and Unwanted Pregnancy in Rural India
This study examines the relationship between male‐to‐female physical domestic violence and unwanted pregnancy among women in three economically and culturally diverse areas of India. A central methodological focus of the study is the examination of retrospective and prospective measures of pregnancy unwantedness, contrasting their usefulness for specifying levels of unwanted pregnancy and its relationship with domestic violence. Data from India's…
Do Male Couples Agree on Their Sexual Agreements? An Analysis of Dyadic Data
Perceived Challenges and Rewards of Forming a Sexual Agreement Among HIV-Negative Male Couples
Status Achievement and the Occupational Pyramid
Journal Article Status Achievement and the Occupational Pyramid Get access Richard Stephenson Richard Stephenson New Jersey College for Women Search for other works by this author on: Oxford Academic Google Scholar Social Forces, Volume 31, Issue 1, October 1952, Pages 75–77, https://doi.org/10.2307/2572577 Published: 01 October 1952
Construction methods
Small scale water provision
Checklist for camp assessment
Understanding Users’ Perspectives of Barriers to Maternal Health Care Use in Maharashtra, India
This paper uses data collected using in-depth, semi-structured interviews to examine utilization of maternal health care services among two rural and urban populations of Pune and Mumbai in Maharashtra, India. The study aims to identify key social, economic and cultural factors influencing women’s decisions to use maternal health care and the places used for child delivery, whilst considering the accessibility of facilities available in the local…
Household Environment and Infant Mortality in India
An empirical study on the Kondhs of Phulbani district of Orissa, India was made by selecting three typical Kondh villages-Rajikakhola, Nediguda and Badruguda - during 1994-96. Population of these villages varied between 79 to 95. Socio-economic structure of these villages revealed a poor status of the tribals. Ecological parameters including resource base of these villages were described. Difficulties encountered in improving the financial condit…
Spatial Variation in Contraceptive Use in Bangladesh
This article promotes a more complete understanding of social change by analyzing spatial patterns of contraceptive use in Bangladesh and the contiguous state of West Bengal in India. Multilevel analyses that control for variations in individual- and household-level correlates show an important role for cross-border influences only in those districts that share a common language across the border. The districts that are positive outliers in contr…
Contextual Influences on Reproductive Health Service Use in Uttar Pradesh, India
This study examines the determinants of the use of four types of reproductive health‐care services in Uttar Pradesh, India: contraceptive services, antenatal care, delivery in a medical institution, and services dealing with reproductive tract and sexually transmitted infections. The analysis uses a multilevel modeling strategy to assess the presence of household‐ and community‐level variation in service use. The influence of community‐level char…
Birth spacing, sibling rivalry and child mortality in India
Ethnicity, environment and health
The Impact of Rural–urban Migration on Under-Two Mortality in India
This paper examines the impact of rural–urban migration on under-two mortality in India, using data from the 1992/93 Indian National Family Health Survey. Multilevel logistic models are fitted for mortality in three age groups: neonatal, early post-neonatal, and late post-neonatal and toddler. Migration status was not a significant determinant of mortality in any of the three age groups. Further analysis shows that a relationship between migratio…
Contextual Influences on Reproductive Wellness in Northern India
Objectives. There has been a growing recognition of the importance of contextual influences on health outcomes. This article examines community-level influences on 5 reproductive wellness outcomes in Uttar Pradesh, India. Methods. Multilevel modeling is used to estimate household and community-level effects on wellness, with hierarchically organized data from a statewide survey of villages, urban blocks, households, women, health providers, and s…
Measuring family planning sustainability at the outcome and programme levels
The paper examines the validity of two indices of sustainability: family planning programme sustainability (PSI) and outcome sustainability (OSI) developed by Tsui and Knight (1997) by applying their original method to recent data. The indices succeed in identifying the directional path of programme and outcome sustainability. Close correlations are found between PSI and OSI predicted values and actual programme and outcome values. The indices pr…
Low levels of maternal education and the proximate determinants of childhood mortality
Contextual Influences on the Use of Health Facilities for Childbirth in Africa
Objectives. Previous studies of maternal health-seeking behavior focused on individual- and household-level factors. We examined community-level influences on the decision to deliver a child in a health facility across 6 African countries. Methods. Demographic and Health Survey data were linked with contextual data, and multilevel models were fitted to identify the determinants of childbirth in a health facility in the 6 countries. Results. We fo…
Effects of Domestic Violence on Perinatal and Early-Childhood Mortality
Objective. We examined the effect of physical violence during pregnancy on perinatal and early-childhood mortality. Methods. We estimated the prevalence of domestic violence during pregnancy among a population-based sample of 2199 women in Uttar Pradesh, India. We used a survival regression model to examine the risks for perinatal, neonatal, postneonatal, and early-childhood (aged 1–3 years) mortality by mother’s exposure to domestic violence, af…
Individual and Contextual Determinants of Domestic Violence in North India
Objectives. We examined individual- and community-level influences on domestic violence in Uttar Pradesh, North India. Methods. Multilevel modeling was used to explore domestic violence outcomes among a sample of 4520 married men. Results. Recent physical and sexual domestic violence was associated with the individual-level variables of childlessness, economic pressure, and intergenerational transmission of violence. A community environment of vi…
Domestic Violence and Contraceptive Adoption in Uttar Pradesh, India
This study examines the association between domestic violence and the subsequent adoption of modern contraception in North India. Matched data on married couples who were not practicing contraception are analyzed from companion surveys of married husbands and wives in five districts of Uttar Pradesh. By means of hazard modeling, a significant negative association was found between a husband's reporting of using physical domestic violence against …
Promotion of couples' voluntary counselling and testing for HIV through influential networks in two African capital cities
Predictors of successful CVCT promotion included strategies that can be easily implemented in Africa. As new resources become available for Africans with HIV, CVCT should be broadly implemented as a point of entry for prevention, care and support
The Relationship Between Alcohol Consumption and Unprotected Sex Among Known HIV-discordant Couples in Rwanda and Zambia
Contextual Influences on Modern Contraceptive Use in Sub-Saharan Africa
Objectives. We examined the role of community-level factors in explaining geographic variations in modern contraceptive use in 6 African countries. Methods. We analyzed Demographic and Health Survey and contextual data sources with multilevel modeling techniques to identify factors contributing to geographic variations in women’s use of modern contraceptives. Results. We found significant associations between several community-level factors and r…
New heterosexually transmitted HIV infections in married or cohabiting couples in urban Zambia and Rwanda
The demographic profile of sero-discordant couples enrolled in clinical research in Rwanda and Zambia
This paper examines the demographic profile of two cohorts of sero-discordant couples enrolled in research activities at two clinical research sites in Kigali, Rwanda and Lusaka, Zambia and compares their background characteristics by country, gender and sero-status. Differences between the two cohorts represent economic and cultural differences between the two countries. Recruitment procedures appear to be successful in reaching the intended aud…
The Relationship Between Alcohol Consumption and Unprotected Sex Among Known HIV-discordant Couples in Rwanda and Zambia
Utilization of maternal health care services in the department of Matagalpa, Nicaragua
Evidence suggests that in order to improve maternal health outcomes in this region, interventions must be targeted at a hierarchy of levels: individual, household, and community
Medicine (175 works) · Psychology (155 works) · Demography (109 works) · Sociology (109 works) · Adolescent Sexual and Reproductive Health (98 works) · HIV/AIDS Research and Interventions (94 works) · Environmental health (77 works) · Clinical Psychology (73 works) · Public health (71 works) · Social Psychology (70 works)