Yvette P Cuca
Datos Biográficos
| ID | 180898 |
|---|---|
| NOMBRE | Yvette P Cuca |
| NOMBRES | Yvette P |
| APELLIDO | Cuca |
| FIRMA | CUCA Y P |
| AFILIACIONES | University of California, San Francisco |
| ORCID | 0000-0002-5674-4741 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 24 |
| TOTAL DE CITAS | 19 |
| TOTAL COMO AUTOR | 24 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2007 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 3 |
Mental Health and ART Adherence in a Multisite International Study
ART adherence, essential to preventing disease progression for people living with HIV (PLHIV), remains challenged by factors like poor mental health condition, insufficient social support, and substance use. This study investigates the roles of social support and substance use as mediators in the relationship between mental health and antiretroviral therapy (ART) adherence among PLHIV in a multisite, international context. Cross-sectional data fr…
Impact of Covid-19 Pandemic on Quality of Life, Anxiety, Connections to Friends, and Access to Resources Among People with HIV
The purpose of this study was to understand the impact of the coronavirus disease 2019 (COVID-19) pandemic and mitigation efforts on health and social outcomes for people with HIV at the individual, social, and structural levels of the Social Ecological Model. The International Nursing Network for HIV collected data for a cross-sectional survey of people with HIV in Botswana, Canada, Colombia, Hong Kong, Kenya, Nigeria, South Africa, Thailand, an…
Global Measures of HIV Care Accessibility Across Urban, Suburban, and Rural Areas
Despite advances in HIV treatment, disparities in healthcare access remain across low-income (LIC), middle-income (MIC), and high-income (HIC) countries, limiting access to clinical care, antiretroviral therapy, and viral load testing. This study developed the HIV Care Access Index (HIV-CAI) to measure and compare HIV care service access across countries and within geographic regions and examined associations with economic and health indicators. …
The Hers + Intensive Outpatient Program
As part of the Health Resources and Services Administration’s Black Women First Initiative, the University of California, San Francisco, Women’s HIV Program implemented the Health, Empowerment, and Recovery Services Plus (HERS+) intensive outpatient program (IOP)—an adapted version of the Matrix Model of IOP—to address substance use among Black women with HIV in a trauma-informed primary care setting. The intervention’s promise was reflected in d…
Differences in HIV Outcomes and Quality of Life Between Older and Younger Black Women With HIV in the United States, 2021–2023
Objectives. To characterize differences in outcomes of 733 Black women aged 50 years and older compared with younger women with HIV engaged in bundled interventions across 12 US sites from 2021 to 2023. Methods. We examined age differences in physical component score (PCS) and mental component score (MCS) for health-related quality of life, stigma, and viral suppression over 12 months. We examined outcome effects by age and intervention. We colle…
Leveraging Bundled Interventions to Address Intersectional Barriers to Care for Black Women With HIV, the Black Women First Initiative, 2020
The 2020 initiative Improving Care and Treatment Coordination: Focusing on Black Women With HIV funded by the US Department of Health and Human Services Office of the Assistant Secretary for Health’s Minority HIV/AIDS Fund and Health Resources and Services Administration’s HIV/AIDS Bureau Ryan White HIV/AIDS Program aimed to enhance health and well-being for cisgender and transgender Black women with HIV through bundled interventions at 12 US sit…
Using Bundled Interventions to Improve Health Outcomes for Black Cisgender and Transgender Women
Objectives. To examine the effects of replicating a bundled package of evidence-informed interventions on social determinants, HIV health outcomes, and health-related quality of life (HRQoL) for 697 Black cisgender and transgender women with HIV across 12 US sites from 2021 to 2023. Methods. Women participated in a minimum of 2 interventions. We collected self-reported HRQoL and social determinants via interview at baseline, 6 months, and 12 mont…
Translating Open-Ended Questions in Cross-Cultural Qualitative Research
INTRODUCTION: Globalization has increased the importance of multicultural research to address health disparities and improve healthcare outcomes for underrepresented communities. The International Nursing Network for HIV Research (The Network) serves as a platform for researchers to collaborate on cross-cultural and cross-national HIV studies. This article discusses the Network's approach to overcoming barriers in multicultural and multinational …
Trauma-Informed Home Visiting Models in Public Health Nursing
Traumatic experiences can have significant health effects, particularly when they are experienced during childhood. Structural determinants of health including environmental disasters and limited access to mental health services and affordable housing can contribute additional stress for parents with a personal history of childhood adversity. These factors can directly affect their children, contributing to intergenerational trauma. Pregnant peop…
The Association of Trauma with the Physical, Behavioral, and Social Health of Women Living with HIV
Providing Primary Care for HIV in the Context of Trauma
From Treatment to Healing
In 2015, a national working group developed and published a conceptual framework for trauma-informed primary care (Machtinger et al., 2015Machtinger E.L. Cuca Y.P. Khanna N. Rose C.D. Kimberg L.S. From treatment to healing: the promise of trauma-informed primary care.Womens Health Issues. 2015; 25: 193-197Abstract Full Text Full Text PDF PubMed Scopus (158) Google Scholar). Since that publication, there has been increasing recognition that childh…
Seeking Safety Group Therapy for Co-Occurring Substance Use Disorder and PTSD among Transgender Women Living with HIV
Transgender women living with HIV experience high rates of substance use, violence, and post-traumatic stress disorder (PTSD). Seeking Safety is a manualized, present-focused, cognitive-behavioral therapy program designed to address co-occurring substance use and PTSD. Seeking Safety has evidence of efficacy in a variety of populations but had not been evaluated specifically with people living with HIV or transgender women. We pilot-tested a 12-s…
Social Stigma and Childbearing for Women Living With HIV/Aids
As more women become infected with HIV, the issue of childbearing becomes increasingly salient. A more nuanced understanding of women's situations is needed to provide high-quality and relevant services and support. We examined reproductive decision making among 20 women living with HIV through in-depth interviews. These women made decisions within situations of chaos, instability, and trauma, which often limited their ability to make truly infor…
Using Interactive Web-Based Screening, Brief Intervention and Referral to Treatment in an Urban, Safety-Net HIV Clinic
From Treatment to Healing
Appreciating Reasons for Nonadherence in Women
Women aged 15-24 years have an HIV infection rate twice that of men the same age. In this study we examined reasons why HIV-infected women taking antiretroviral therapy (ART) report missing HIV medications. Women (N = 206) on ART were 2.2 times more likely to endorse reasons pertaining to forgetfulness versus reasons pertaining to problems taking pills (OR = 2.2, 95% CI = 1.63, 2.94, p <.001). There was a difference between the adherent and nonad…
Associations between the legal context of HIV, perceived social capital, and HIV antiretroviral adherence in North America
Treatment approaches offer clear advantages in controlling HIV and reducing HIV transmission at the population level. These advantages, however, will have limited benefit for adherence to treatments without also addressing the social and structural challenges that allow HIV to continue to spread among society's most vulnerable populations
The impact of social context on self-management in women living with HIV
Factors associated with pregnant women's anticipations and experiences of HIV-related stigma in rural Kenya
Pregnant women who fear or experience HIV-related stigma may not get care for their own health or medications to reduce perinatal transmission of HIV. This study examined factors associated with anticipating and experiencing HIV-related stigma among 1777 pregnant women attending antenatal care clinics in rural Kenya. Women were interviewed at baseline, offered HIV testing and care, and a sub-set was re-interviewed at 4-8 weeks postpartum. Women w…
The development and validation of the HIV/Aids Stigma Instrument – Nurse (Hasi-N)
Illness-related stigma remains a serious problem in the management of HIV disease in Africa. This article describes a series of study phases conducted to develop and validate an instrument to measure HIV/AIDS-related stigma as perpetrated and experienced by nurses. Data were collected in Lesotho, Malawi, South Africa, Swaziland and Tanzania, from 2004-2006. The first phase was a qualitative study with focus group participants (n=251) to gather em…
Does “asymptomatic” mean without symptoms for those living with HIV infection
Throughout the history of the HIV epidemic, HIV-positive patients with relatively high CD4 counts and no clinical features of opportunistic infections have been classified as "asymptomatic" by definition and treatment guidelines. This classification, however, does not take into consideration the array of symptoms that an HIV-positive person can experience long before progressing to AIDS. This short report describes two international multi-site st…
Measuring HIV stigma for PLHAs and nurses over time in five African countries
The aim of this article is to document the levels of HIV stigma reported by persons living with HIV infections and nurses in Lesotho, Malawi, South Africa, Swaziland and Tanzania over a 1-year period. HIV stigma has been shown to negatively affect the quality of life for people living with HIV infection, their adherence to medication, and their access to care. Few studies have documented HIV stigma by association as experienced by nurses or other…
A conceptual model of HIV/Aids stigma from five African countries
Title. A conceptual model of HIV/AIDS stigma from five African countries Aim. This paper is a report on the development of a conceptual model delineating contexts and processes of HIV/AIDS stigma as reported by persons living with HIV/AIDS and nurses from African countries. It is part of a larger study to increase understanding of HIV/AIDS stigma. Background. Researchers have defined stigma, explored determinants and outcomes of stigma and attemp…
Social Stigma and Childbearing for Women Living With HIV/Aids
As more women become infected with HIV, the issue of childbearing becomes increasingly salient. A more nuanced understanding of women's situations is needed to provide high-quality and relevant services and support. We examined reproductive decision making among 20 women living with HIV through in-depth interviews. These women made decisions within situations of chaos, instability, and trauma, which often limited their ability to make truly infor…
The impact of social context on self-management in women living with HIV
Measuring HIV stigma for PLHAs and nurses over time in five African countries
The aim of this article is to document the levels of HIV stigma reported by persons living with HIV infections and nurses in Lesotho, Malawi, South Africa, Swaziland and Tanzania over a 1-year period. HIV stigma has been shown to negatively affect the quality of life for people living with HIV infection, their adherence to medication, and their access to care. Few studies have documented HIV stigma by association as experienced by nurses or other…
Using Bundled Interventions to Improve Health Outcomes for Black Cisgender and Transgender Women
Objectives. To examine the effects of replicating a bundled package of evidence-informed interventions on social determinants, HIV health outcomes, and health-related quality of life (HRQoL) for 697 Black cisgender and transgender women with HIV across 12 US sites from 2021 to 2023. Methods. Women participated in a minimum of 2 interventions. We collected self-reported HRQoL and social determinants via interview at baseline, 6 months, and 12 mont…
A conceptual model of HIV/Aids stigma from five African countries
Title. A conceptual model of HIV/AIDS stigma from five African countries Aim. This paper is a report on the development of a conceptual model delineating contexts and processes of HIV/AIDS stigma as reported by persons living with HIV/AIDS and nurses from African countries. It is part of a larger study to increase understanding of HIV/AIDS stigma. Background. Researchers have defined stigma, explored determinants and outcomes of stigma and attemp…
The development and validation of the HIV/Aids Stigma Instrument – Nurse (Hasi-N)
Illness-related stigma remains a serious problem in the management of HIV disease in Africa. This article describes a series of study phases conducted to develop and validate an instrument to measure HIV/AIDS-related stigma as perpetrated and experienced by nurses. Data were collected in Lesotho, Malawi, South Africa, Swaziland and Tanzania, from 2004-2006. The first phase was a qualitative study with focus group participants (n=251) to gather em…
Does “asymptomatic” mean without symptoms for those living with HIV infection
Throughout the history of the HIV epidemic, HIV-positive patients with relatively high CD4 counts and no clinical features of opportunistic infections have been classified as "asymptomatic" by definition and treatment guidelines. This classification, however, does not take into consideration the array of symptoms that an HIV-positive person can experience long before progressing to AIDS. This short report describes two international multi-site st…
Measuring HIV stigma for PLHAs and nurses over time in five African countries
The aim of this article is to document the levels of HIV stigma reported by persons living with HIV infections and nurses in Lesotho, Malawi, South Africa, Swaziland and Tanzania over a 1-year period. HIV stigma has been shown to negatively affect the quality of life for people living with HIV infection, their adherence to medication, and their access to care. Few studies have documented HIV stigma by association as experienced by nurses or other…
Factors associated with pregnant women's anticipations and experiences of HIV-related stigma in rural Kenya
Pregnant women who fear or experience HIV-related stigma may not get care for their own health or medications to reduce perinatal transmission of HIV. This study examined factors associated with anticipating and experiencing HIV-related stigma among 1777 pregnant women attending antenatal care clinics in rural Kenya. Women were interviewed at baseline, offered HIV testing and care, and a sub-set was re-interviewed at 4-8 weeks postpartum. Women w…
Associations between the legal context of HIV, perceived social capital, and HIV antiretroviral adherence in North America
Treatment approaches offer clear advantages in controlling HIV and reducing HIV transmission at the population level. These advantages, however, will have limited benefit for adherence to treatments without also addressing the social and structural challenges that allow HIV to continue to spread among society's most vulnerable populations
The impact of social context on self-management in women living with HIV
Appreciating Reasons for Nonadherence in Women
Women aged 15-24 years have an HIV infection rate twice that of men the same age. In this study we examined reasons why HIV-infected women taking antiretroviral therapy (ART) report missing HIV medications. Women (N = 206) on ART were 2.2 times more likely to endorse reasons pertaining to forgetfulness versus reasons pertaining to problems taking pills (OR = 2.2, 95% CI = 1.63, 2.94, p <.001). There was a difference between the adherent and nonad…
Using Interactive Web-Based Screening, Brief Intervention and Referral to Treatment in an Urban, Safety-Net HIV Clinic
From Treatment to Healing
Social Stigma and Childbearing for Women Living With HIV/Aids
As more women become infected with HIV, the issue of childbearing becomes increasingly salient. A more nuanced understanding of women's situations is needed to provide high-quality and relevant services and support. We examined reproductive decision making among 20 women living with HIV through in-depth interviews. These women made decisions within situations of chaos, instability, and trauma, which often limited their ability to make truly infor…
Seeking Safety Group Therapy for Co-Occurring Substance Use Disorder and PTSD among Transgender Women Living with HIV
Transgender women living with HIV experience high rates of substance use, violence, and post-traumatic stress disorder (PTSD). Seeking Safety is a manualized, present-focused, cognitive-behavioral therapy program designed to address co-occurring substance use and PTSD. Seeking Safety has evidence of efficacy in a variety of populations but had not been evaluated specifically with people living with HIV or transgender women. We pilot-tested a 12-s…
From Treatment to Healing
In 2015, a national working group developed and published a conceptual framework for trauma-informed primary care (Machtinger et al., 2015Machtinger E.L. Cuca Y.P. Khanna N. Rose C.D. Kimberg L.S. From treatment to healing: the promise of trauma-informed primary care.Womens Health Issues. 2015; 25: 193-197Abstract Full Text Full Text PDF PubMed Scopus (158) Google Scholar). Since that publication, there has been increasing recognition that childh…
The Association of Trauma with the Physical, Behavioral, and Social Health of Women Living with HIV
Providing Primary Care for HIV in the Context of Trauma
Trauma-Informed Home Visiting Models in Public Health Nursing
Traumatic experiences can have significant health effects, particularly when they are experienced during childhood. Structural determinants of health including environmental disasters and limited access to mental health services and affordable housing can contribute additional stress for parents with a personal history of childhood adversity. These factors can directly affect their children, contributing to intergenerational trauma. Pregnant peop…
Translating Open-Ended Questions in Cross-Cultural Qualitative Research
INTRODUCTION: Globalization has increased the importance of multicultural research to address health disparities and improve healthcare outcomes for underrepresented communities. The International Nursing Network for HIV Research (The Network) serves as a platform for researchers to collaborate on cross-cultural and cross-national HIV studies. This article discusses the Network's approach to overcoming barriers in multicultural and multinational …
Impact of Covid-19 Pandemic on Quality of Life, Anxiety, Connections to Friends, and Access to Resources Among People with HIV
The purpose of this study was to understand the impact of the coronavirus disease 2019 (COVID-19) pandemic and mitigation efforts on health and social outcomes for people with HIV at the individual, social, and structural levels of the Social Ecological Model. The International Nursing Network for HIV collected data for a cross-sectional survey of people with HIV in Botswana, Canada, Colombia, Hong Kong, Kenya, Nigeria, South Africa, Thailand, an…
Global Measures of HIV Care Accessibility Across Urban, Suburban, and Rural Areas
Despite advances in HIV treatment, disparities in healthcare access remain across low-income (LIC), middle-income (MIC), and high-income (HIC) countries, limiting access to clinical care, antiretroviral therapy, and viral load testing. This study developed the HIV Care Access Index (HIV-CAI) to measure and compare HIV care service access across countries and within geographic regions and examined associations with economic and health indicators. …
The Hers + Intensive Outpatient Program
As part of the Health Resources and Services Administration’s Black Women First Initiative, the University of California, San Francisco, Women’s HIV Program implemented the Health, Empowerment, and Recovery Services Plus (HERS+) intensive outpatient program (IOP)—an adapted version of the Matrix Model of IOP—to address substance use among Black women with HIV in a trauma-informed primary care setting. The intervention’s promise was reflected in d…
Differences in HIV Outcomes and Quality of Life Between Older and Younger Black Women With HIV in the United States, 2021–2023
Objectives. To characterize differences in outcomes of 733 Black women aged 50 years and older compared with younger women with HIV engaged in bundled interventions across 12 US sites from 2021 to 2023. Methods. We examined age differences in physical component score (PCS) and mental component score (MCS) for health-related quality of life, stigma, and viral suppression over 12 months. We examined outcome effects by age and intervention. We colle…
Leveraging Bundled Interventions to Address Intersectional Barriers to Care for Black Women With HIV, the Black Women First Initiative, 2020
The 2020 initiative Improving Care and Treatment Coordination: Focusing on Black Women With HIV funded by the US Department of Health and Human Services Office of the Assistant Secretary for Health’s Minority HIV/AIDS Fund and Health Resources and Services Administration’s HIV/AIDS Bureau Ryan White HIV/AIDS Program aimed to enhance health and well-being for cisgender and transgender Black women with HIV through bundled interventions at 12 US sit…
Using Bundled Interventions to Improve Health Outcomes for Black Cisgender and Transgender Women
Objectives. To examine the effects of replicating a bundled package of evidence-informed interventions on social determinants, HIV health outcomes, and health-related quality of life (HRQoL) for 697 Black cisgender and transgender women with HIV across 12 US sites from 2021 to 2023. Methods. Women participated in a minimum of 2 interventions. We collected self-reported HRQoL and social determinants via interview at baseline, 6 months, and 12 mont…
Mental Health and ART Adherence in a Multisite International Study
ART adherence, essential to preventing disease progression for people living with HIV (PLHIV), remains challenged by factors like poor mental health condition, insufficient social support, and substance use. This study investigates the roles of social support and substance use as mediators in the relationship between mental health and antiretroviral therapy (ART) adherence among PLHIV in a multisite, international context. Cross-sectional data fr…
Medicine (21 obras) · HIV/AIDS Research and Interventions (19 obras) · Family medicine (16 obras) · Nursing (14 obras) · Psychiatry (14 obras) · Psychology (11 obras) · Psychological intervention (10 obras) · Public health (10 obras) · Gerontology (9 obras) · HIV, Drug Use, Sexual Risk (9 obras)