Nathan B Hansen
Biographic Data
| ID | 112349 |
|---|---|
| NAME | Nathan B Hansen |
| GIVEN NAMES | Nathan B |
| FAMILY NAME | Hansen |
| SIGNATURE | HANSEN N B |
| AFFILIATIONS | University of Georgia |
| ORCID | 0000-0001-6098-8039 |
| VERIFIED | Yes |
| TOTAL WORKS | 77 |
| TOTAL CITATIONS | 100 |
| AUTHOR COUNT | 77 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2004 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 6 |
“Now it’s more of an effort”
The purpose of this study was to (1) explore how COVID-19 affected different experiences of HIV/STI testing, such as venue-based (in-person), telemedicine and at-home HIV/STI testing provided by the #MVMNT study, and (2) how HIV/STI testing utilization themes and experiences reflected different contextual factors of the Andersen behavioral model. We conducted semi-structured interviews with 48 queer men and non-binary individuals from the Northea…
‘Anything You Need, You Can Find it’
AIMS: This study explored the perspectives of adults in substance use recovery about obtaining and strategically building recovery capital on social media. METHODS: substance use treatment centers in the northeast and southeast US. Most identified as female (59.2%) and White (57.1%), with an average age of 39.09 years (SD = 10.06). Most (77.6%) reported receiving treatment for alcohol use, and almost half had received treatment for cannabis (49.0…
Impact of a Trauma-Informed Intervention on Psychosocial and HIV Treatment Outcomes Among Older Adults Living with HIV
A childhood sexual abuse (CSA) history is more prevalent among people living with HIV and may have lingering effects among older adults living with HIV (OALH). However, studies examining the impact of trauma-informed interventions among OALH are scant. The aim of the study was to determine the preliminary effect of the Coping with Childhood Sexual Abuse, HIV, and Aging (CoSHA) intervention on depressive symptoms, coping and ART adherence among OA…
Spatializing Substance Use and Sexual Behaviors of Queer Men and Non-binary Individuals During Covid-19
Psychosocial correlates of awareness of HIV pre-exposure prophylaxis (PrEP) among persons who inject drugs in Northeast Georgia
Despite Georgia having one of the highest rates of new HIV diagnoses in the United States, uptake of HIV pre-exposure prophylaxis (PrEP) remains critically low. We assessed the psychosocial correlates associated with PrEP awareness among persons who inject drugs (PWID) living in Northeast Georgia. Data were collected from 173 adult (≥18 years) HIV-negative PWID. PrEP awareness was elicited by the question, "Have you ever heard of PrEP?" (Yes/No).…
Gender Differences in Adverse Childhood Experiences, Psychological Distress, and Substance Use Disorder Among Persons who Inject Drugs in Northeast Georgia, USA
Persons who inject drugs (PWID) commonly have adverse childhood experiences (ACEs) as well as substance use disorder (SUD). ACEs have been linked to psychological distress, which might affect the adoption of harmful behaviors like drug addiction. This study aims to determine the potential mediational role of psychological distress between ACEs and SUD moderated by gender among PWID living in Northeast Georgia. Data were collected from adult (≥ 18…
Predictors of Awareness of Fentanyl Test Strips Among People Who Inject Drugs in Northeast Georgia
BACKGROUND: Fentanyl test strips may help People who inject drugs in detecting fentanyl in street drugs and thereby reduce the risk of overdose deaths. This study aims to determine the predictors of FTS awareness among PWID living in Northeast Georgia. METHODS: = 179). FTS awareness was elicited by the question, "Have you ever heard of fentanyl test strips?". Covariates include age, gender, race, education, syringe services program (SSP) attendan…
A Viral Afterlife
Background: The ongoing mpox, HIV, and COVID-19 continue to impact sexual and gender-marginalized men (SGMM) disproportionately. In the wake of ongoing skewed life chances and differential health outcomes among SGMM, we use the “afterlife of the HIV/AIDS crisis” as an analytical framework of SGMM experiences related to mpox, HIV, and COVID-19. Methods: Between September 2022 and February 2023, we conducted 33 semi-structured interviews among SGMM…
Digital HIV information seeking and willingness to use a smartphone application for PrEP care among persons who inject drugs in Northeast Georgia, United States
Georgia has one of the highest rates of new HIV diagnoses in the United States, while rates of PrEP uptake are among the lowest. This study examines the association between seeking digital HIV information and willingness to use smartphone applications (app) for PrEP resources and services among people who inject drugs (PWID) living in northeast Georgia. Data were collected from adult HIV-negative PWID who reported using the internet (N = 130). Mo…
The development of the Agricultural Producer Barriers to Care Scale (APBCS)
PURPOSE: The purpose of this study was to identify and test the factor structure of the Agricultural Producer Barriers to Care Scale (APBCS), which assesses barriers to engaging with health care in rural US farmers. METHODS: Respondents (n = 1045) completed an online survey that was distributed digitally and in-person by researchers and community partners at farming events and via farm-related social media. Exploratory and Confirmatory Factor Ana…
Can an Evidence-Based Mental Health Intervention Indirectly Benefit Caregivers and Peers of Intervention Participants in Rural Sierra Leone
This study explored potential indirect mental health benefits of the Youth Readiness Intervention (YRI) among peers and caregivers of YRI participants and control participants via a networks psychometrics approach. We recruited and enrolled index participants who participated in an implementation trial in Sierra Leone (N = 165 control index participants; N = 165 YRI index participants). Index participants nominated three of their closest peers (N…
Gay Community Connectedness, Internalized Homonegativity, and HIV Pre-Exposure Prophylaxis (PrEP) Attitudes and Use Among Men Who Have Sex with Men in Georgia
Georgia has one of the highest HIV diagnosis rates in the U.S., yet only 33% of Pre-Exposure Prophylaxis (PrEP) users in the Deep South live there. This study aims to determine the potential mediational role of internalized homonegativity and attitudes towards PrEP between gay community connectedness and PrEP use among men who have sex with men (MSM) living in Georgia. Participants (N = 121) completed an online survey in June 2020. PrEP use (yes/…
Activity Space Mapping and Pre-Exposure Prophylaxis Uptake Among Gay, Bisexual, and Other Sexual Minority Men in Small Cities and Towns in the United States
This is fine
Creative and humorous activism, both online and offline, has historically been important for queer communities during public health crises like the AIDS epidemic. Online activism and affinity became critical during the COVID‐19 pandemic due to reduced in‐person healthcare, social support, and resources. General functions of online meme humor expanded during COVID‐19, including using dark humor and defining in‐group political values and positions.…
Childhood sexual abuse and antiretroviral therapy adherence among older adults living with HIV
Findings on the association between childhood sexual abuse (CSA) and antiretroviral therapy (ART) adherence have been varied, with some studies showing a relationship, or a lack thereof. However, to our knowledge, no study has examined this association among older adults living with HIV (OALH). Therefore, the purpose of this study was to examine the association between CSA and ART adherence among OALH using a mixed methods approach. This study, w…
It’s another gay disease”
GBSMM have mpox experiences that are distinct and multifaceted. Effectively addressing mpox and mitigating public health emergencies for GBSMM requires prioritizing destigmatizing communication channels and vaccine distribution strategies by centering their stories and lived experiences to advance health equity
Childhood Sexual Abuse and Compulsive Sexual Behavior Among Men Who Have Sex with Men Newly Diagnosed with HIV
Childhood sexual abuse (CSA) continues to be a public health challenge. The prevalence of experiencing CSA is higher among men who have sex with men (MSM) than the general population. CSA has been linked to compulsive sexual behavior (CSB) among varying populations but has not been examined among MSM who were newly diagnosed with HIV. Therefore, the aims of this study were to assess the direct association between CSA and CSB among newly diagnosed…
Understanding the Effects of Trauma Exposure, Life Stress, Intimate Partner Violence, and Depression on Sexually Transmitted Infection Risk in Post-Conflict Liberia
The Helping Networks of Transgender Women Living with HIV
Transgender women living with HIV face significant barriers to healthcare that may be best addressed through community-centered interventions holistically focused on their HIV-related, gender-related, and other important needs. Community health ambassador (CHA) interventions (education and training programs designed to engage communities and community leaders in health promotion) may be an effective option, though information about the natural he…
A qualitative assessment of barriers to healthcare and HIV prevention services among men who have sex with men in non-metropolitan areas of the south
HIV cases are increasing in the rural Southern United States, especially among men who have sex with men (MSM). To facilitate healthcare access and encourage HIV prevention for non-metropolitan MSM, it is essential to examine their barriers to care. This qualitative study conducted semi-structured interviews with 20 MSM living in non-metropolitan areas of the South. Analysis revealed that MSM experience multiple barriers accessing healthcare in n…
The mediating role of social support between HIV stigma and sexual orientation-based medical mistrust among newly HIV-diagnosed gay, bisexual, and other men who have sex with men
HIV-related stigma and medical mistrust are significant challenges to addressing HIV inequities among gay, bisexual, and other men who have sex with men (MSM). HIV-related stigma is associated with high levels of medical mistrust, but there is limited knowledge regarding the mechanisms that link these variables. We examined the potential mediating roles of social support and coping in the relationship between perceived HIV stigma and sexual orien…
Acceptability and Effectiveness of a One-Hour Healthcare Provider Intervention Integrating HIV Pre-Exposure Prophylaxis and Cultural Competence Training
The Relationship Between Drinking Behavior and Conversational Processes During a Brief Alcohol Reduction Intervention for People with HIV
Let’s Be a Person to Person and Have a Genuine Conversation”
An Experimental Study of the Effects of Patient Race, Sexual Orientation, and Injection Drug Use on Providers’ PrEP-Related Clinical Judgments
Exploring Discrimination and Mental Health Disparities Faced By Black Sexual Minority Women Using a Minority Stress Framework
Black sexual minority women are triply marginalized due to their race, gender, and sexual orientation. We compared three dimensions of discrimination-frequency (regularity of occurrences), scope (number of types of discriminatory acts experienced), and number of bases (number of social statuses to which discrimination was attributed)-and self-reported mental health (depressive symptoms, psychological well-being, and social well-being) between 64 …
The Discrimination Experiences and Coping Responses of Non-binary and Trans People
Trans and non-binary (TNB) people face mental health disparities, likely due to discrimination. This study aims to explore the types of discrimination that TNB people report and the corresponding coping strategies. A sample of 85 TNB adults between the ages of 18 and 46 years old completed two surveys a day for 30 days reporting discrimination, coping, and emotional state. The types of discriminatory events were grouped into four categories: reje…
Sexual Stereotypes Ascribed to Black Men Who Have Sex with Men
In Their Own Voices
This study qualitatively examines the intersections of risk for intimate partner violence (IPV) and HIV infection in South Africa. Eighteen women seeking services for relationship violence were asked semistructured questions regarding their abusive experiences and HIV risk. Participants had experienced myriad forms of abuse, which reinforced each other to create a climate that sustained abuse and multiplied HIV risk. Male partners having multiple…
An Empirical Test of Racial/Ethnic Differences in Perceived Racism and Affiliation with the Gay Community
Studies of sexual stigma management techniques expected to decrease HIV risk among Black men who have sex with men (MSM) have yielded some counterintuitive findings. For example, some research suggests that identification with and participation in the gay community may be related to higher levels of sexual risk behavior among Black MSM. Moreover, some of this research tends to assume that Black and White MSM experience the gay community in identi…
The structure of coping among older adults living with HIV/Aids and depressive symptoms
One-third of adults living with HIV/AIDS are over the age of 50. This study evaluated the structure of coping among 307 older adults living with HIV/AIDS. Participants completed 61 coping items and measures of anxiety, depression, loneliness, and coping self-efficacy. Exploratory factor analyses retained 40 coping items loading on five specific first order factors (Distancing Avoidance, Social Support Seeking, Self-Destructive Avoidance, Spiritua…
Outcomes From a Randomized Controlled Trial of a Group Intervention for Hiv Positive Men and Women Coping With Aids-Related Loss and Bereavement
The purpose of this study was to examine the impact of a group coping intervention for HIV-positive men and women who have lost a loved one(s) to AIDS in the past 2 years. Two hundred thirty-five participants, diverse with respect to race/ethnicity and sexual orientation, were randomly assigned to a 12-week cognitive-behavioral group intervention or to an individual therapy on request comparison condition. Measures assessing grief and psychiatric…
Psychosocial Predictors of Sexual HIV Transmission Risk Behavior among HIV-Positive Adults with a Sexual Abuse History in Childhood
Risk Factors for and Consequences of Substance Use in Post-Conflict Liberia
The development and feasibility of a brief risk reduction intervention for newly HIV‐diagnosed men who have sex with men
Men who have sex with men (MSM) represent more than half of all new HIV infections in the United States. Utilizing a collaborative, community‐based approach, a brief risk reduction intervention was developed and pilot tested among newly HIV‐diagnosed MSM receiving HIV care in a primary care setting. Sixty‐five men, within 3 months of diagnosis, were randomly assigned to the experimental condition or control condition and assessed at baseline, 3‐m…
Longitudinal Effects of Coping on Outcome in a Randomized Controlled Trial of a Group Intervention for HIV-Positive Adults with Aids-Related Bereavement
This study examined the longitudinal effects of coping on outcome one year following completion of a randomized, controlled trial of a group coping intervention for AIDS-related bereavement. Bereaved HIV-positive participants (N = 267) were administered measures of grief, psychiatric distress, quality of life, and coping at baseline, post-intervention, and at 4-, 8-, and 12-month follow-ups. Coping strategies directly impacted all outcome variabl…
Let’s Be a Person to Person and Have a Genuine Conversation”
Assessing the Acceptability of a Mindfulness-Based Cognitive Therapy Intervention for African-American Women Living with HIV/Aids
Healthcare utilisation and empowerment among women in Liberia
BACKGROUND: Many efforts have been undertaken to improve access to healthcare services in low-income settings; nevertheless, underutilisation persists. Women's lack of empowerment may be a central reason for underutilisation, but empirical literature establishing this relationship is sparse. METHODS: We conducted a cross-sectional study using data from the 2007 Liberia Demographic and Health Survey. Our sample included all non-pregnant women who …
Correlates of HIV Testing Among Abused Women in South Africa
Gender-based violence increases a woman's risk for HIV but little is known about her decision to get tested. We interviewed 97 women seeking abuse-related services from a nongovernmental organization (NGO) in Johannesburg, South Africa. Forty-six women (47%) had been tested for HIV. Caring for children (odds ratio [OR] = 0.27, 95% confidence interval [CI] = [0.07, 1.00]) and conversing with partner about HIV (OR = 0.13, 95% CI = [0.02, 0.85]) dec…
Scale development of a measure to assess community‐based and clinical intervention group environments
Though group interventions are widely used in community‐based and clinical settings, there are few brief instruments for assessing the group environment. Two studies on the development of a brief measure to assess intervention group environments are described, and psychometric properties of the new scale are presented. The new measure is based on Moos' (1994) Group Environment Scale (GES). Participants in the studies were from two independent ran…
The Clinical Significance of Change in Trauma-Related Symptoms Following a Pilot Group Intervention for Coping with HIV–Aids and Childhood Sexual Trauma
Outcomes From a Randomized Controlled Trial of a Group Intervention for Hiv Positive Men and Women Coping With Aids-Related Loss and Bereavement
The purpose of this study was to examine the impact of a group coping intervention for HIV-positive men and women who have lost a loved one(s) to AIDS in the past 2 years. Two hundred thirty-five participants, diverse with respect to race/ethnicity and sexual orientation, were randomly assigned to a 12-week cognitive-behavioral group intervention or to an individual therapy on request comparison condition. Measures assessing grief and psychiatric…
Gender, ethnicity and spiritual coping among bereaved HIV-positive individuals
We examined the influence of gender and ethnicity on coping strategies of 252 bereaved, HIV-positive individuals (65.1% male; 71% ethnic minorities [African-American and Hispanic]). Factor analyses of the Ways of Coping Questionnaire and Coping with Illness Scale yielded five coping subscales: Active, Avoidant, Social Support, Self-destructive, and Spiritual. Multivariate analyses of covariance revealed significant gender and ethnic group effects…
Improvements in health-related quality of life following a group intervention for coping with Aids-bereavement among HIV-infected men and women
Outcomes from a Group Intervention for Coping with HIV/Aids and Childhood Sexual Abuse
Race, social support, and coping strategies among HIV‐positive gay and bisexual men
Few studies have examined the relation between race, social support, and coping, particularly among HIV-infected individuals. We examined the relation of race and social support to coping with HIV infection in a sample of 121 gay and bisexual men (64 African American, 57 White). Compared to White participants, African Americans reported higher use of multiple coping strategies. High levels of perceived social support were related to greater use o…
Longitudinal Effects of Coping on Outcome in a Randomized Controlled Trial of a Group Intervention for HIV-Positive Adults with Aids-Related Bereavement
This study examined the longitudinal effects of coping on outcome one year following completion of a randomized, controlled trial of a group coping intervention for AIDS-related bereavement. Bereaved HIV-positive participants (N = 267) were administered measures of grief, psychiatric distress, quality of life, and coping at baseline, post-intervention, and at 4-, 8-, and 12-month follow-ups. Coping strategies directly impacted all outcome variabl…
The Influence of Personality Disorder Indication, Social Support, and Grief on Alcohol and Cocaine Use among HIV-Positive Adults Coping with Aids-Related Bereavement
Long-Term Correlates of Childhood Abuse among Adults with Severe Mental Illness
In Their Own Voices
This study qualitatively examines the intersections of risk for intimate partner violence (IPV) and HIV infection in South Africa. Eighteen women seeking services for relationship violence were asked semistructured questions regarding their abusive experiences and HIV risk. Participants had experienced myriad forms of abuse, which reinforced each other to create a climate that sustained abuse and multiplied HIV risk. Male partners having multiple…
Patterns and Correlates of Sexual Activity and Condom Use Behavior in Persons 50-Plus Years of Age Living with HIV/Aids
Scale development of a measure to assess community‐based and clinical intervention group environments
Though group interventions are widely used in community‐based and clinical settings, there are few brief instruments for assessing the group environment. Two studies on the development of a brief measure to assess intervention group environments are described, and psychometric properties of the new scale are presented. The new measure is based on Moos' (1994) Group Environment Scale (GES). Participants in the studies were from two independent ran…
Adherence to antiretroviral medication in older adults living with HIV/Aids
The CDC estimates that by 2015, half of all persons living with HIV/AIDS in the USA will be over the age of 50. Despite increasing HIV seroprevalence rates in older adults, most research examining adherence to antiretroviral therapy (ART) has focused on young HIV-infected persons and, in general, has been atheoretical in nature. This study examined two ART adherence conceptual frameworks to determine whether these models generalize to HIV-seropos…
Integrating HIV Prevention into Services for Abused Women in South Africa
Mental Health Treatment to Reduce HIV Transmission Risk Behavior
HIV Sexual Risk Behavior Among Low-Income Women Experiencing Intimate Partner Violence
Psychosocial Predictors of Sexual HIV Transmission Risk Behavior among HIV-Positive Adults with a Sexual Abuse History in Childhood
The Development and Psychometric Properties of the HIV and Abuse Related Shame Inventory (Harsi)
The Effects of Traumatic Stressors and HIV-Related Trauma Symptoms on Health and Health Related Quality of Life
Correlates of HIV Testing Among Abused Women in South Africa
Gender-based violence increases a woman's risk for HIV but little is known about her decision to get tested. We interviewed 97 women seeking abuse-related services from a nongovernmental organization (NGO) in Johannesburg, South Africa. Forty-six women (47%) had been tested for HIV. Caring for children (odds ratio [OR] = 0.27, 95% confidence interval [CI] = [0.07, 1.00]) and conversing with partner about HIV (OR = 0.13, 95% CI = [0.02, 0.85]) dec…
The development and feasibility of a brief risk reduction intervention for newly HIV‐diagnosed men who have sex with men
Men who have sex with men (MSM) represent more than half of all new HIV infections in the United States. Utilizing a collaborative, community‐based approach, a brief risk reduction intervention was developed and pilot tested among newly HIV‐diagnosed MSM receiving HIV care in a primary care setting. Sixty‐five men, within 3 months of diagnosis, were randomly assigned to the experimental condition or control condition and assessed at baseline, 3‐m…
Non-conventional practices and immune functioning among individuals receiving conventional care for HIV
Objective: to examine the relationships among non-conventional practices, adherence and immune functioning in individuals with HIV. Methods: 92 participants completed an interview on non-conventional practices (complementary and alternative medicines (CAM), psychosocial therapies, and religious practice). They also completed the Psychiatric Symptom Index and the AIDS Clinical Trials Group Adherence Follow-up Questionnaire. Medical chart reviews d…
Age at First Alcoholic Drink as Predictor of Current HIV Sexual Risk Behaviors Among a Sample of Injection Drug Users (IDUs) and Non-IDUs who are Sexual Partners of IDUs, in St. Petersburg, Russia
Annual Research Review
Background: To date, research on mental health in HIV‐ affected children (children who have an HIV‐positive caregiver or live with the virus themselves) has focused on risk factors associated with the disease. However, simultaneous identification of factors that contribute to resilience in the face of risks is also needed. A greater understanding of modifiable protective processes that contribute to resilience in the mental health of children aff…
The Impact of Patient Race on Clinical Decisions Related to Prescribing HIV Pre-Exposure Prophylaxis (PrEP)
Medicine (67 works) · Psychology (52 works) · HIV/AIDS Research and Interventions (47 works) · Psychiatry (47 works) · Clinical Psychology (40 works) · Public health (36 works) · Clinical Psychology (33 works) · Psychological intervention (30 works) · Health psychology (29 works) · HIV, Drug Use, Sexual Risk (28 works)