Florence Momplaisir
Datos Biográficos
| ID | 6766595 |
|---|---|
| NOMBRE | Florence Momplaisir |
| NOMBRES | Florence |
| APELLIDO | Momplaisir |
| FIRMA | MOMPLAISIR F |
| AFILIACIONES | University of Pennsylvania |
| ORCID | 0000-0002-6287-0373 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 27 |
| TOTAL DE CITAS | 0 |
| TOTAL COMO AUTOR | 27 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2013 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 0 |
Uncovering geographic variations in HIV burden and prevention
Despite advancements in HIV prevention and treatment, disparities persist across the U.S. that are geographically and demographically unique. This study analyzed HIV burden and prevention efforts in three urban counties, Suffolk County, MA (Boston), Orange County, FL (Orlando), and Philadelphia County, PA (Philadelphia), using AIDSVu data. We assessed HIV prevalence, new diagnoses, Pre-Exposure Prophylaxis (PrEP) use, PrEP-to-Need Ratio (PnR), an…
Examining the Impact of the Syndemic on Black Birthing Individuals in the USA
Women in the HIV Care Continuum
The purpose of this study was to describe the HIV care continuum postpartum in a cohort of postpartum women with HIV (WWH) in Philadelphia, and assess the impact of the City's perinatal case management (PCM) program on engagement in the HIV care continuum. A cohort of 937 mothers who gave birth between 1/1/2012 and 12/31/2023 and who lived, gave birth, or received perinatal and pediatric care in Philadelphia, PA were enrolled. Using public health…
Integrating HIV prevention into routine health obstetric and gynecologic care
There is low uptake of PrEP for women. This study aims to understand the barriers and facilitators to improving PrEP uptake and integrating PrEP care into obstetric and gynecologic (OBGYN) care. We used the consolidated framework for implementation research (CFIR 2.0) to guide our approach. We conducted semi-structured interviews with OBGYN professionals, medical directors, and PrEP navigators. Participants were recruited via emails and purposefu…
Systemic inequities, dignity, and trust in the context of HIV care
Adherence and retention in care are key targets to achieve favorable health outcomes for people with HIV. Challenges with adherence and retention are pronounced for marginalized communities facing intersectional structural oppression. Community health worker delivery of Managed Problem Solving (MAPS+), an evidence-based behavioral intervention, has the potential to improve adherence and retention, yet understanding structural inequities affecting…
Money, Medicine, and Motherhood
Improving perinatal engagement in HIV care is critical to prevent disease progression and transmission. In Haiti and other low-resource settings, poverty contributes substantially to poor perinatal HIV outcomes. Cash transfers are a promising intervention that may alleviate poverty and improve perinatal HIV outcomes through economic and psychological pathways. To inform the design of an unconditional cash transfer intervention, we conducted semi-…
Integrating Legal Aid into HIV Care
Justice as care
People with HIV face a constellation of social and structural barriers, including unstable housing, discrimination, lack of identification documents, immigration issues, and denial of public benefits, that impede access to and retention in care. These health-harming legal needs are rarely addressed systematically in HIV service settings, despite longstanding calls for structural interventions. This study examines the role and impact of a Medical-…
Acceptability, facilitators, and barriers to a hypothetical HIV vaccine in the pre-exposure prophylaxis era
Little is known about the pre-implementation context for a preventive HIV vaccine. We conducted interviews of individuals in Philadelphia recruited at Penn clinics and community-based organizations serving LGBTQ-identifying persons of color who 1) were cisgender men who had sex with men, or were transgender-identified, 2) had a sexually transmitted infection in the last 12 months, or sex with multiple partners within the last two weeks. We assess…
The impact of the pandemic on mothers and children, with a focus on syndemic effects on black families
This prospective longitudinal mixed-methods study evaluates the simultaneous effects of the COVID-19 pandemic and racism on mothers and their developing children to characterize cross-racial differences, providing insight into risk and resilience factors in early development and the peripartum period
Mental Bandwidth is Associated with HIV and Viral Suppression Among Low-Income Women in Philadelphia
Behavioral economics research suggests poverty may influence behavior by reducing mental bandwidth, increasing future discounting, and increasing risk aversion. It is plausible these decision-making processes are further impaired in the context of HIV or pregnancy. In this cross-sectional study of 86 low-income women in Philadelphia, HIV was associated with lower mental bandwidth (one of two measures) and lower risk aversion. Pregnancy was not as…
Attitudes on breast feeding among persons with HIV who have given birth and their perceptions of coercion during counseling on safe infant feeding practices
Persons with HIV can receive mixed messages about the safety of breastfeeding. We sought to assess if they felt coerced to formula feed when counseled about practices to reduce HIV transmission. Persons with HIV who had given birth were eligible to complete a survey to describe their experiences with infant feeding counseling and if they felt coerced to formula feed. An Iowa Infant Feeding Attitude Scale (IIFAS) assessed attitudes towards breastf…
Acceptability and Feasibility of a Mobile Phone Application to Support HIV Pre-exposure Prophylaxis Among Women with Opioid Use Disorder
Water Access and Adherence Intention Among HIV-Positive Pregnant Women and New Mothers Receiving Antiretroviral Therapy in Zambia
Background: Mother-to-infant transmission of HIV is a major problem in Sub-Saharan Africa despite free or subsidized antiretroviral treatment (ART), but is significantly reduced when mothers adhere to ART. Because potable water access is limited in low-resource countries, we investigated water access and ART adherence intention among HIV-positive pregnant women and new mothers in Zambia. Methods: Our convenience sample consisted of 150 pregnant o…
Implementation mapping to plan for a hybrid trial testing the effectiveness and implementation of a behavioral intervention for HIV medication adherence and care retention
Background: Implementation mapping is a systematic, collaborative, and contextually-attentive method for developing implementation strategies. As an exemplar, we applied this method to strategy development for Managed Problem Solving Plus (MAPS+), an adapted evidence-based intervention for HIV medication adherence and care retention that will be delivered by community health workers and tested in an upcoming trial. Methods: In Step 1: Conduct Nee…
Impact of attitudes and beliefs on antiretroviral treatment adherence intention among HIV-positive pregnant and breastfeeding women in Zambia
Compared to behavioral beliefs, attitudes about ART were more influential for intention to adhere. This knowledge will help inform effective and appropriate ART counseling for pregnant and breastfeeding women at different points along their ART time course
Influence of toilet access on antiretroviral adherence intention among pregnant and breastfeeding women who are HIV-positive and enrolled in Option B
We investigated the influence of toilet access on intention to adhere to antiretroviral therapy (ART) among women who are HIV-positive and enrolled in Option B+. A convenience sample of 150 women residing in Lusaka (urban) and Sinazongwe (rural) Districts of Zambia were recruited. if they were seeking pre- or post-natal care and were enrolled in Option B+. Intention to adhere to ART was assessed using four questions based on the Theory of Planned…
Assessing the Acceptability of a Peer Mentor Mother Intervention to Improve Retention in Care of Postpartum Women Living with HIV
Background: Many women living with HIV (WLWH) experience poor postpartum retention in HIV care. There are limited evidence-based interventions in the United States aimed at increasing retention of WLWH postpartum; however, evidence from low-resource settings suggest that women who receive peer mentoring experience higher retention and viral suppression postpartum. Methods: We conducted 15 semistructured interviews with pregnant or postpartum wome…
Long term engagement in HIV care among postpartum women with perinatal HIV infection in the United States
Despite growing literature on pregnancy in women with perinatally-acquired HIV infection (PHIV), little is known regarding HIV and reproductive health outcomes postpartum. We describe pregnancy, reproductive, and HIV care outcomes for 2 years postpartum among pregnant women with PHIV who delivered in a large urban health system in Atlanta, Georgia, USA from 2011–2016. We reviewed medical records of women with PHIV to estimate retention in HIV car…
HIV care continuum outcomes of pregnant women living with HIV with and without depression
Women living with HIV (WLWH) suffer from poor viral suppression and retention postpartum. The effect of perinatal depression on care continuum outcomes during pregnancy and postpartum is unknown. We performed a retrospective cohort analysis using HIV surveillance data of pregnant WLWH enrolled in perinatal case management in Philadelphia and evaluated the association between possible or definite depression with four outcomes: viral suppression at…
Assessing the Impact of Perinatal HIV Case Management on Outcomes Along the HIV Care Continuum for Pregnant and Postpartum Women Living With HIV, Philadelphia 2005–2013
The Development of a Postpartum Weight Management Intervention for Low-Income Women
The tenets of community-engaged research state the necessity of developing community-based interventions with initial input and partnership with the potential end-users. In this study, low-income women were eager to share their thoughts about the postpartum period and potential solutions to correct unhealthy weight, thus completing a critical step in intervention development. The majority of women wanted to manage their weight in the postpartum s…
Barriers and facilitators to patient retention in HIV care
BACKGROUND: Retention in HIV care improves survival and reduces the risk of HIV transmission to others. Multiple quantitative studies have described demographic and clinical characteristics associated with retention in HIV care. However, qualitative studies are needed to better understand barriers and facilitators. METHODS: Semi-structured interviews were conducted with 51 HIV-infected individuals, 25 who were retained in care and 26 not retained…
Health Outcomes of HIV-Infected People with Mental Illness
Preventive cancer screening practices in HIV-positive patients
As patients with HIV age, they are at risk of developing non-AIDS defining malignancies. We performed a questionnaire study to evaluate colorectal and breast cancer screening among HIV-positive and HIV-negative patients seeking care from either an integrated (HIV/primary care), nonintegrated (specialized HIV), or general internal medicine clinic between August 2010 and July 2011. We performed a logistic regression to determine the odds of cancer …
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Outcomes of HIV-Infected Patients Receiving Care at Multiple Clinics
Preventive cancer screening practices in HIV-positive patients
As patients with HIV age, they are at risk of developing non-AIDS defining malignancies. We performed a questionnaire study to evaluate colorectal and breast cancer screening among HIV-positive and HIV-negative patients seeking care from either an integrated (HIV/primary care), nonintegrated (specialized HIV), or general internal medicine clinic between August 2010 and July 2011. We performed a logistic regression to determine the odds of cancer …
Colorectal cancer incidence and screening in US Medicaid patients with and without HIV infection
Non-AIDS defining malignancies, particularly colorectal cancer (CRC), may be more prevalent among persons living with HIV (PLWH). Further, PLWH may be less likely to receive CRC screening (CRCS). We studied the epidemiology of CRC and CRCS patterns in PLWH and HIV-uninfected persons in a large US Medicaid population. We performed a matched cohort study examining CRC incidence in 2006 and CRCS between 1999 and 2007. Study participants were continu…
Barriers and facilitators to patient retention in HIV care
BACKGROUND: Retention in HIV care improves survival and reduces the risk of HIV transmission to others. Multiple quantitative studies have described demographic and clinical characteristics associated with retention in HIV care. However, qualitative studies are needed to better understand barriers and facilitators. METHODS: Semi-structured interviews were conducted with 51 HIV-infected individuals, 25 who were retained in care and 26 not retained…
Health Outcomes of HIV-Infected People with Mental Illness
Assessing the Impact of Perinatal HIV Case Management on Outcomes Along the HIV Care Continuum for Pregnant and Postpartum Women Living With HIV, Philadelphia 2005–2013
The Development of a Postpartum Weight Management Intervention for Low-Income Women
The tenets of community-engaged research state the necessity of developing community-based interventions with initial input and partnership with the potential end-users. In this study, low-income women were eager to share their thoughts about the postpartum period and potential solutions to correct unhealthy weight, thus completing a critical step in intervention development. The majority of women wanted to manage their weight in the postpartum s…
Long term engagement in HIV care among postpartum women with perinatal HIV infection in the United States
Despite growing literature on pregnancy in women with perinatally-acquired HIV infection (PHIV), little is known regarding HIV and reproductive health outcomes postpartum. We describe pregnancy, reproductive, and HIV care outcomes for 2 years postpartum among pregnant women with PHIV who delivered in a large urban health system in Atlanta, Georgia, USA from 2011–2016. We reviewed medical records of women with PHIV to estimate retention in HIV car…
HIV care continuum outcomes of pregnant women living with HIV with and without depression
Women living with HIV (WLWH) suffer from poor viral suppression and retention postpartum. The effect of perinatal depression on care continuum outcomes during pregnancy and postpartum is unknown. We performed a retrospective cohort analysis using HIV surveillance data of pregnant WLWH enrolled in perinatal case management in Philadelphia and evaluated the association between possible or definite depression with four outcomes: viral suppression at…
Assessing the Acceptability of a Peer Mentor Mother Intervention to Improve Retention in Care of Postpartum Women Living with HIV
Background: Many women living with HIV (WLWH) experience poor postpartum retention in HIV care. There are limited evidence-based interventions in the United States aimed at increasing retention of WLWH postpartum; however, evidence from low-resource settings suggest that women who receive peer mentoring experience higher retention and viral suppression postpartum. Methods: We conducted 15 semistructured interviews with pregnant or postpartum wome…
Impact of attitudes and beliefs on antiretroviral treatment adherence intention among HIV-positive pregnant and breastfeeding women in Zambia
Compared to behavioral beliefs, attitudes about ART were more influential for intention to adhere. This knowledge will help inform effective and appropriate ART counseling for pregnant and breastfeeding women at different points along their ART time course
Influence of toilet access on antiretroviral adherence intention among pregnant and breastfeeding women who are HIV-positive and enrolled in Option B
We investigated the influence of toilet access on intention to adhere to antiretroviral therapy (ART) among women who are HIV-positive and enrolled in Option B+. A convenience sample of 150 women residing in Lusaka (urban) and Sinazongwe (rural) Districts of Zambia were recruited. if they were seeking pre- or post-natal care and were enrolled in Option B+. Intention to adhere to ART was assessed using four questions based on the Theory of Planned…
Water Access and Adherence Intention Among HIV-Positive Pregnant Women and New Mothers Receiving Antiretroviral Therapy in Zambia
Background: Mother-to-infant transmission of HIV is a major problem in Sub-Saharan Africa despite free or subsidized antiretroviral treatment (ART), but is significantly reduced when mothers adhere to ART. Because potable water access is limited in low-resource countries, we investigated water access and ART adherence intention among HIV-positive pregnant women and new mothers in Zambia. Methods: Our convenience sample consisted of 150 pregnant o…
Implementation mapping to plan for a hybrid trial testing the effectiveness and implementation of a behavioral intervention for HIV medication adherence and care retention
Background: Implementation mapping is a systematic, collaborative, and contextually-attentive method for developing implementation strategies. As an exemplar, we applied this method to strategy development for Managed Problem Solving Plus (MAPS+), an adapted evidence-based intervention for HIV medication adherence and care retention that will be delivered by community health workers and tested in an upcoming trial. Methods: In Step 1: Conduct Nee…
Attitudes on breast feeding among persons with HIV who have given birth and their perceptions of coercion during counseling on safe infant feeding practices
Persons with HIV can receive mixed messages about the safety of breastfeeding. We sought to assess if they felt coerced to formula feed when counseled about practices to reduce HIV transmission. Persons with HIV who had given birth were eligible to complete a survey to describe their experiences with infant feeding counseling and if they felt coerced to formula feed. An Iowa Infant Feeding Attitude Scale (IIFAS) assessed attitudes towards breastf…
Acceptability and Feasibility of a Mobile Phone Application to Support HIV Pre-exposure Prophylaxis Among Women with Opioid Use Disorder
Acceptability, facilitators, and barriers to a hypothetical HIV vaccine in the pre-exposure prophylaxis era
Little is known about the pre-implementation context for a preventive HIV vaccine. We conducted interviews of individuals in Philadelphia recruited at Penn clinics and community-based organizations serving LGBTQ-identifying persons of color who 1) were cisgender men who had sex with men, or were transgender-identified, 2) had a sexually transmitted infection in the last 12 months, or sex with multiple partners within the last two weeks. We assess…
The impact of the pandemic on mothers and children, with a focus on syndemic effects on black families
This prospective longitudinal mixed-methods study evaluates the simultaneous effects of the COVID-19 pandemic and racism on mothers and their developing children to characterize cross-racial differences, providing insight into risk and resilience factors in early development and the peripartum period
Mental Bandwidth is Associated with HIV and Viral Suppression Among Low-Income Women in Philadelphia
Behavioral economics research suggests poverty may influence behavior by reducing mental bandwidth, increasing future discounting, and increasing risk aversion. It is plausible these decision-making processes are further impaired in the context of HIV or pregnancy. In this cross-sectional study of 86 low-income women in Philadelphia, HIV was associated with lower mental bandwidth (one of two measures) and lower risk aversion. Pregnancy was not as…
Integrating HIV prevention into routine health obstetric and gynecologic care
There is low uptake of PrEP for women. This study aims to understand the barriers and facilitators to improving PrEP uptake and integrating PrEP care into obstetric and gynecologic (OBGYN) care. We used the consolidated framework for implementation research (CFIR 2.0) to guide our approach. We conducted semi-structured interviews with OBGYN professionals, medical directors, and PrEP navigators. Participants were recruited via emails and purposefu…
Systemic inequities, dignity, and trust in the context of HIV care
Adherence and retention in care are key targets to achieve favorable health outcomes for people with HIV. Challenges with adherence and retention are pronounced for marginalized communities facing intersectional structural oppression. Community health worker delivery of Managed Problem Solving (MAPS+), an evidence-based behavioral intervention, has the potential to improve adherence and retention, yet understanding structural inequities affecting…
Money, Medicine, and Motherhood
Improving perinatal engagement in HIV care is critical to prevent disease progression and transmission. In Haiti and other low-resource settings, poverty contributes substantially to poor perinatal HIV outcomes. Cash transfers are a promising intervention that may alleviate poverty and improve perinatal HIV outcomes through economic and psychological pathways. To inform the design of an unconditional cash transfer intervention, we conducted semi-…
Integrating Legal Aid into HIV Care
Justice as care
People with HIV face a constellation of social and structural barriers, including unstable housing, discrimination, lack of identification documents, immigration issues, and denial of public benefits, that impede access to and retention in care. These health-harming legal needs are rarely addressed systematically in HIV service settings, despite longstanding calls for structural interventions. This study examines the role and impact of a Medical-…
Uncovering geographic variations in HIV burden and prevention
Despite advancements in HIV prevention and treatment, disparities persist across the U.S. that are geographically and demographically unique. This study analyzed HIV burden and prevention efforts in three urban counties, Suffolk County, MA (Boston), Orange County, FL (Orlando), and Philadelphia County, PA (Philadelphia), using AIDSVu data. We assessed HIV prevalence, new diagnoses, Pre-Exposure Prophylaxis (PrEP) use, PrEP-to-Need Ratio (PnR), an…
Medicine (21 obras) · HIV/AIDS Research and Interventions (19 obras) · Family medicine (15 obras) · Public health (12 obras) · Adolescent Sexual and Reproductive Health (10 obras) · Nursing (10 obras) · HIV, Drug Use, Sexual Risk (9 obras) · Health psychology (8 obras) · Human immunodeficiency virus (HIV (7 obras) · Internal Medicine (7 obras)