Theresa M Exner
Datos Biográficos
| ID | 1246610 |
|---|---|
| NOMBRE | Theresa M Exner |
| NOMBRES | Theresa M |
| APELLIDO | Exner |
| FIRMA | EXNER T M |
| AFILIACIONES | New York Psychoanalytic Society and Institute |
| ORCID | 0009-0005-7311-6586 |
| VERIFICADO | No |
| TOTAL DE OBRAS | 41 |
| TOTAL DE CITAS | 142 |
| TOTAL COMO AUTOR | 41 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 1991 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2025 |
| ÍNDICE H | 6 |
Masibambane (Let Us Work Together), Ladies Chat
Shades of Contemplation
Peer-to-Peer Chain Recruitment for Enrolling Young South African Women into an HIV Pre-exposure Prophylaxis (PrEP) Intervention Study
Women’s Perceptions of HIV- and Sexuality-Related Stigma in Relation to PrEP
Limited Knowledge and Lack of Screening for Acute HIV Infection at Primary Care Clinics in High-Prevalence Communities of New York City
Linkage to Care Following an HIV Diagnosis in Three Public Sector Clinics in eThekwini (Durban), South Africa
“I did not see a need to get tested before, everything was going well with my health”
Few studies have examined HIV-testing decision-making since the South African national HIV counseling and testing campaign in 2010-2011 and subsequent expansion in antiretroviral therapy (ART) eligibility in 2012. We describe HIV-testing decision-making and pathways to testing among participants in Pathways to Care, a cohort study of newly-diagnosed HIV-positive adults in KwaZulu-Natal. Our analysis is embedded within a theoretical framework info…
Social Support and Violence-prone Relationships as Predictors of Disclosure of HIV Status Among Newly Diagnosed HIV-positive South Africans
Sexual and reproductive health risk behaviours among South African university students
Among South African university students, HIV prevalence is lower than in age-peers, but at 3.8% it is not negligible. We examined prevalence of factors potentially associated with HIV risk, focusing on partnership characteristics and consistent condom use. We hypothesised that contraceptive-related factors, for example, desire to prevent pregnancy and not using hormonal contraceptives, would be positively associated with consistent condom use. Da…
Emtonjeni—A Structural Intervention to Integrate Sexual and Reproductive Health into Public Sector HIV Care in Cape Town, South Africa
An Approach to Developing a Prediction Model of Fertility Intent Among HIV-Positive Women and Men in Cape Town, South Africa
Promoting Female Condom Use Among Female University Students in KwaZulu-Natal, South Africa
A Randomized Controlled Trial to Evaluate a Structural Intervention to Promote the Female Condom in New York State
Project Reach
High rates of unintended pregnancies and sexually transmitted infection (STI), including HIV, highlight the importance of promoting dual protection (DP) - i.e., methods that offer concurrent protection against unintended pregnancies and STI - during contraceptive counseling. Using a Phase II quasi-experimental design, this study compared an individualized, clinic-based, nurse-delivered intervention designed to increase DP against standard of care…
Off-Label Use of the Female Condom for Anal Intercourse Among Men in New York City
We surveyed 111 male clients of an HIV/AIDS service organization in New York City in 2008 and 2009. Seventeen percent had used the female condom for anal intercourse; of these, 89.3% had used the female condom with male partners, 21.4% with female partners, and 10.7% with both. Users of the female condom for vaginal intercourse were more likely to use it for anal intercourse (odds ratio = 12.7; 95% confidence interval = 2.5, 64.9; P = .002). The …
Anal use of the female condom
Despite limited safety data and the absence of efficacy data, several studies have reported that the female condom is being used for anal sex by men who have sex with men. We describe providers' awareness of female condom use during anal sex among their clients and their experiences in counseling clients. We conducted semi-structured interviews with 78 health-care providers recruited from various health-care delivery systems in New York City: a f…
Gender norms in South Africa
In post-Apartheid South Africa, women are constitutionally guaranteed protections and freedoms that were previously unknown to them. These freedoms may have positive implications for women's ability to negotiate sexual protection with partners and hence prevent unintended pregnancy and decrease their risk of HIV. Among tertiary institution students, who are a relatively 'privileged' group, there is little information on gender norms that might sh…
Women's Experiences with Anal Sex
Women who perceive condom use during anal sex as limiting their pleasure or intimacy may be at increased risk for acquiring HIV. Consequently, interventions to promote safer anal intercourse must find a way to increase the use of barrier methods without decreasing pleasure or perceived intimacy between sexual partners
It's not just what you say
In the post-HAART era, critical questions arise as to what factors affect disclosure decisions and how these decisions are associated with factors such as high-risk behaviors and partner variables. We interviewed 1,828 HIV-positive men who have sex with men (MSM), of whom 46% disclosed to all partners. Among men with casual partners, 41.8% disclosed to all of these partners and 21.5% to none. Disclosure was associated with relationship type, perc…
Medication Adherence and Sexual Risk Behavior among HIV-Infected Adults
Revisiting “Success”
Depressive Symptomatology among HIV‐Positive Women in the Era of Haart
Objective: An enhanced stress and coping model was used to explain depression among HIV‐positive women in healthcare and community settings where highly active anti‐retroviral treatment (HAART) was commonplace. Method: HIV‐infected women in four cities ( N =978) were assessed, cross‐sectionally, for mental and physical health, stress, social support, and other background factors. Results: Self‐reported level of depressive symptomatology was high.…
TheMpondombiliProject
Unintended pregnancy, HIV and other sexually transmitted infections are major threats to the health of South African youth. Gendered social norms make it difficult for young women to negotiate safer sex, and sexual coercion and violence are prevalent. Sexual activity among adolescents is influenced strongly by conservative social norms, which favour abstinence. In reality, most young people are sexually active by the end of the teen years. Girls’…
The promises and limitations of female-initiated methods of HIV/STI protection
The Future of the Female Condom
More than 10 years have elapsed since the female condom became widely available, and it remains the only femaleinitiated means of preventing both pregnancy and sexually transmitted infections (STIs), including HIV. The female condom was developed as an alternative to the male condom, and it was hailed as a method that would enable women to have greater control over their own protection from disease. With the support of the Joint United Nations Pr…
The psychosexual development of urban lesbian, gay, and bisexual youths
An examination of cognitive sexual orientation, sexual partner activity, and sexual identity was conducted among 76 lesbian/bisexual female youths and 80 gay/bisexual male youths (age range of 14–21 years) recruited from community‐based or college organizations for lesbian / gay youths in New York City. Self‐identification as lesbian / gay or bisexual changed over time; more than half the youths who identified as lesbian / gay at the interview ha…
Beyond the Male Condom
As the number of HIV infections in women has increased, there has been a concomitant recognition that prevention efforts to reduce sexual transmission must address the gendered context in which risk behavior occurs. This paper provides a longitudinal perspective on the emergence of the HIV epidemic in U.S. women and the parallel development of interventions to reduce risk. In the first portion of this paper, we briefly discuss the growth of the e…
The promises and limitations of female-initiated methods of HIV/STI protection
Lifetime sexual behaviors among runaway males and females
Lifetime sexual behaviors were examined among 206 male and female runaway adolescents aged 11–18 in New York City who were predominantly Black or Hispanic. Most youths experienced oral, anal or vaginal sex with opposite‐sex partners (84%), began to engage in these heterosexual activities at a relatively young age (M = 12.9 years), and used condoms inconsistently or not at all (56%). Among sexually active youths, males initiated heterosexual activ…
Sexual risk behavior, sexual functioning, and HIV‐disease progression in gay men
In a sample of 121 HIV‐positive (HIV+) and 84 HIV‐negative (HIV‐) gay and bisexual men in the New York City area, sexual behavior and functioning were assessed by interview and correlated with symptoms and signs of HIV‐disease progression. There was considerable variability in sexual partner numbers and behaviors, and a substantial proportion of men in both groups engaged in sexual practices that put themselves or their partners at risk for HIV i…
Sexual self control as a mediator of high risk sexual behavior in a New York city cohort of HIV+ and HIV‐ gay men
This paper describes the development of the Perceived Sexual Control inventory (PSC) and a study investigating the relationship between an individual's perception of control over sexual behavior and actual sexual risk behavior in a New York City cohort of 108 HIV+ and 48 HIV‐ gay men. Correlational analysis indicated that reported difficulty controlling sexual behavior was associated with having more male sex partners and sex occasions over lifet…
Women's Experiences with Anal Sex
Women who perceive condom use during anal sex as limiting their pleasure or intimacy may be at increased risk for acquiring HIV. Consequently, interventions to promote safer anal intercourse must find a way to increase the use of barrier methods without decreasing pleasure or perceived intimacy between sexual partners
Family Planning Providers' Perspectives On Dual Protection
Training is needed to reduce providers' negative perceptions of the female condom and to reinforce the importance of individualized counseling tailored to women's specific circumstances. Studies are needed on how to encourage family planning providers to promote male and female condoms as effective contraceptive methods
Depressive Symptomatology among HIV‐Positive Women in the Era of Haart
Objective: An enhanced stress and coping model was used to explain depression among HIV‐positive women in healthcare and community settings where highly active anti‐retroviral treatment (HAART) was commonplace. Method: HIV‐infected women in four cities ( N =978) were assessed, cross‐sectionally, for mental and physical health, stress, social support, and other background factors. Results: Self‐reported level of depressive symptomatology was high.…
TheMpondombiliProject
Unintended pregnancy, HIV and other sexually transmitted infections are major threats to the health of South African youth. Gendered social norms make it difficult for young women to negotiate safer sex, and sexual coercion and violence are prevalent. Sexual activity among adolescents is influenced strongly by conservative social norms, which favour abstinence. In reality, most young people are sexually active by the end of the teen years. Girls’…
Female-Condom Use in a Gender-Specific Family Planning Clinic Trial
Objectives. We evaluated female-condom use among women participating in an HIV/STD intervention designed to reduce unprotected sex and expand prevention strategies. Methods. Women (n = 360) were recruited from a family-planning clinic and were randomized into an 8- or 4-session intervention group or a control group. We conducted follow-up interviews at 1, 6, and 12 months. Results. At 1 month, the odds ratios of first-time female-condom use were …
Intimate Partner Violence and Safer Sex Negotiation
HIV Counseling and Testing
HIV test counseling must emphasize that testing is not a prevention strategy in and of itself. Mutual testing, although not without risks, offers the safest possible alternative for monogamous couples who choose to forgo condoms
Family Planning Providers' Perspectives On Dual Protection
CONTEXT: Family planning providers can play an important role in helping women to identify their risk of HIV and other sexually transmitted diseases (STDs) and to adopt preventive measures. In-depth investigation of providers' attitudes about approaches to STD risk assessment, contraceptive counseling and dual protection–concurrent protection from STDs and unintended pregnancy–has been limited. METHODS: In semistructured interviews conducted in 1…
Sexual risk behavior, sexual functioning, and HIV‐disease progression in gay men
In a sample of 121 HIV‐positive (HIV+) and 84 HIV‐negative (HIV‐) gay and bisexual men in the New York City area, sexual behavior and functioning were assessed by interview and correlated with symptoms and signs of HIV‐disease progression. There was considerable variability in sexual partner numbers and behaviors, and a substantial proportion of men in both groups engaged in sexual practices that put themselves or their partners at risk for HIV i…
Sexual self control as a mediator of high risk sexual behavior in a New York city cohort of HIV+ and HIV‐ gay men
This paper describes the development of the Perceived Sexual Control inventory (PSC) and a study investigating the relationship between an individual's perception of control over sexual behavior and actual sexual risk behavior in a New York City cohort of 108 HIV+ and 48 HIV‐ gay men. Correlational analysis indicated that reported difficulty controlling sexual behavior was associated with having more male sex partners and sex occasions over lifet…
Lifetime sexual behaviors among runaway males and females
Lifetime sexual behaviors were examined among 206 male and female runaway adolescents aged 11–18 in New York City who were predominantly Black or Hispanic. Most youths experienced oral, anal or vaginal sex with opposite‐sex partners (84%), began to engage in these heterosexual activities at a relatively young age (M = 12.9 years), and used condoms inconsistently or not at all (56%). Among sexually active youths, males initiated heterosexual activ…
The psychosexual development of urban lesbian, gay, and bisexual youths
An examination of cognitive sexual orientation, sexual partner activity, and sexual identity was conducted among 76 lesbian/bisexual female youths and 80 gay/bisexual male youths (age range of 14–21 years) recruited from community‐based or college organizations for lesbian / gay youths in New York City. Self‐identification as lesbian / gay or bisexual changed over time; more than half the youths who identified as lesbian / gay at the interview ha…
HIV Sexual Risk Reduction Interventions With Heterosexual Men
A gender-specific intervention for at-risk women in the USA
Women are the fastest growing group in the USA to become infected with HIV. Also, the mode of transmission is changing with heterosexual behaviour being the predominant source. As these changes occur, HIV infection becomes more common in women who have not typically been considered at high risk. This paper describes an intervention designed to decrease unsafe sexual encounters and to focus on a highly meaningful concern in the lives of these wome…
At Risk or Not? Susceptibility Perceptions of Women Using Family Planning Services in an Aids Epicenter
A gender-specific HIV/STD risk reduction intervention for women in a health care setting
This study assessed the short- and long-term effect of a gender-specific group intervention for women on unsafe sexual encounters and strategies for protection against HIV/STD infection. Family planning clients (N = 360) from a high HIV seroprevalence area in New York City were randomized to an eight-session, a four-session or a control condition and followed at one, six and 12 months post-intervention. Using an intention-to-treat analysis, women…
HIV/STD Risk and Sexual Strategies Among Women Family Planning Clients in New York
HIV Counseling and Testing
HIV test counseling must emphasize that testing is not a prevention strategy in and of itself. Mutual testing, although not without risks, offers the safest possible alternative for monogamous couples who choose to forgo condoms
Family Planning Providers' Perspectives On Dual Protection
Training is needed to reduce providers' negative perceptions of the female condom and to reinforce the importance of individualized counseling tailored to women's specific circumstances. Studies are needed on how to encourage family planning providers to promote male and female condoms as effective contraceptive methods
Family Planning Providers' Perspectives On Dual Protection
CONTEXT: Family planning providers can play an important role in helping women to identify their risk of HIV and other sexually transmitted diseases (STDs) and to adopt preventive measures. In-depth investigation of providers' attitudes about approaches to STD risk assessment, contraceptive counseling and dual protection–concurrent protection from STDs and unintended pregnancy–has been limited. METHODS: In semistructured interviews conducted in 1…
Beyond the Male Condom
As the number of HIV infections in women has increased, there has been a concomitant recognition that prevention efforts to reduce sexual transmission must address the gendered context in which risk behavior occurs. This paper provides a longitudinal perspective on the emergence of the HIV epidemic in U.S. women and the parallel development of interventions to reduce risk. In the first portion of this paper, we briefly discuss the growth of the e…
Female-Condom Use in a Gender-Specific Family Planning Clinic Trial
Objectives. We evaluated female-condom use among women participating in an HIV/STD intervention designed to reduce unprotected sex and expand prevention strategies. Methods. Women (n = 360) were recruited from a family-planning clinic and were randomized into an 8- or 4-session intervention group or a control group. We conducted follow-up interviews at 1, 6, and 12 months. Results. At 1 month, the odds ratios of first-time female-condom use were …
Intimate Partner Violence and Safer Sex Negotiation
The Future of the Female Condom
More than 10 years have elapsed since the female condom became widely available, and it remains the only femaleinitiated means of preventing both pregnancy and sexually transmitted infections (STIs), including HIV. The female condom was developed as an alternative to the male condom, and it was hailed as a method that would enable women to have greater control over their own protection from disease. With the support of the Joint United Nations Pr…
The Future of the Female Condom
Revisiting “Success”
Depressive Symptomatology among HIV‐Positive Women in the Era of Haart
Objective: An enhanced stress and coping model was used to explain depression among HIV‐positive women in healthcare and community settings where highly active anti‐retroviral treatment (HAART) was commonplace. Method: HIV‐infected women in four cities ( N =978) were assessed, cross‐sectionally, for mental and physical health, stress, social support, and other background factors. Results: Self‐reported level of depressive symptomatology was high.…
TheMpondombiliProject
Unintended pregnancy, HIV and other sexually transmitted infections are major threats to the health of South African youth. Gendered social norms make it difficult for young women to negotiate safer sex, and sexual coercion and violence are prevalent. Sexual activity among adolescents is influenced strongly by conservative social norms, which favour abstinence. In reality, most young people are sexually active by the end of the teen years. Girls’…
The promises and limitations of female-initiated methods of HIV/STI protection
It's not just what you say
In the post-HAART era, critical questions arise as to what factors affect disclosure decisions and how these decisions are associated with factors such as high-risk behaviors and partner variables. We interviewed 1,828 HIV-positive men who have sex with men (MSM), of whom 46% disclosed to all partners. Among men with casual partners, 41.8% disclosed to all of these partners and 21.5% to none. Disclosure was associated with relationship type, perc…
Medication Adherence and Sexual Risk Behavior among HIV-Infected Adults
Anal use of the female condom
Despite limited safety data and the absence of efficacy data, several studies have reported that the female condom is being used for anal sex by men who have sex with men. We describe providers' awareness of female condom use during anal sex among their clients and their experiences in counseling clients. We conducted semi-structured interviews with 78 health-care providers recruited from various health-care delivery systems in New York City: a f…
Gender norms in South Africa
In post-Apartheid South Africa, women are constitutionally guaranteed protections and freedoms that were previously unknown to them. These freedoms may have positive implications for women's ability to negotiate sexual protection with partners and hence prevent unintended pregnancy and decrease their risk of HIV. Among tertiary institution students, who are a relatively 'privileged' group, there is little information on gender norms that might sh…
Medicine (39 obras) · Adolescent Sexual and Reproductive Health (37 obras) · HIV/AIDS Research and Interventions (33 obras) · Family medicine (32 obras) · Psychology (26 obras) · Human immunodeficiency virus (HIV (21 obras) · Condom (19 obras) · Public health (18 obras) · Environmental health (17 obras) · Health psychology (17 obras)