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Lynn T Matthews

Biographic Data

ID1445633
NAMELynn T Matthews
GIVEN NAMESLynn T
FAMILY NAMEMatthews
SIGNATUREMATTHEWS L T
AFFILIATIONSUniversity of Alabama at Birmingham
ORCID0000-0001-6167-6328
VERIFIEDYes
TOTAL WORKS39
TOTAL CITATIONS31
WORKS AS AUTHOR39
WORKS AS EDITOR0
FIRST PUBLICATION YEAR2009
LATEST PUBLICATION YEAR2026
H-INDEX1
  • Exploring Preferences for Long-Acting Injectable PrEP Among Postpartum Women in South Africa Using the Consolidated Framework for Implementation Research

    Open Access•Oluwaseyi O Isehunwa, Shannon Bosman et al.•ARTICLE•AIDS and Behavior•2026

    South African women are disproportionately affected by HIV, with increased incidence during pregnancy and postpartum. While oral TDF/FTC pre-exposure prophylaxis (PrEP) is safe, effective, and recommended for pregnant and postpartum women, adherence to a daily pill is challenging, particularly during the postpartum period. Longer-acting injectable (LAI) PrEP products may be more desirable for postpartum women however, limited data on factors infl…

  • Intensive longitudinal follow-up of cisgender and transgender women engaged in sex work during the three months following initiation of daily oral PrEP

    Open Access•Laia J Vazquez Guillamet, Jorge Valencia et al.•ARTICLE•PLOS Global Public Health•2026

    Pre-exposure prophylaxis (PrEP) usage among cisgender and transgender women sex workers in Europe is low. This mixed-methods study examined the daily experiences of woman sex workers using PrEP, with emphasis on understanding the dynamic process of initiating and sustaining PrEP adherence. We employed an intensive longitudinal design with daily assessments of self-reported use of daily oral PrEP, side-effects, condom use, and number of clients ov…

  • It’s Not Secret—It’s Not Advertised” – Content, Format, and Platform Preferences to Promote PrEP Use in the Southern United States

    Open Access•Ronnie M Gravett, Joseph D Tucker et al.•ARTICLE•AIDS and Behavior•2026

    Gay, bisexual, and other men who have sex with men (GBM) in the Southern United States (US) experience high HIV incidence yet have relatively lower HIV pre-exposure prophylaxis (PrEP) uptake, especially among GBM of color. Despite awareness, PrEP use remains insufficient to meaningfully impact the HIV epidemic in the Southern US. PrEP promotions largely focus on PrEP messaging, especially product awareness. Theory-based health promotion research …

  • “When the self-test kit comes with the woman, it will be like she is overpowering you”

    Anvita Bhardwaj, Jp Smit et al.•ARTICLE•AIDS Care•2025

    KwaZulu-Natal (KZN) in South Africa has the highest HIV incidence among women of childbearing age globally. HIV self-testing (HIVST) distribution has the potential to spark partner communication about postpartum HIV prevention and treatment. We conducted two focus group discussions (FGDs) with men and women in Durban, South Africa, to refine an intervention promoting partner HIVST and PrEP uptake among postpartum women without HIV. Participants (…

  • Opportunities for Low-Barrier HIV Testing in the U.S. Deep South

    Open Access•Lynn T Matthews, Madeline C Pratt et al.•ARTICLE•AIDS and Behavior•2025

    The HIV epidemic remains a critical public health challenge in the Southern U.S., where barriers such as healthcare shortages, structural racism, and social determinants of health exacerbate disparities. Mobile- and self-HIV testing offer promising approaches to address these barriers. Partnering with a community-based healthcare organization in Alabama, we surveyed 181 individuals accessing facility- and community-based HIV testing from August 2…

  • A qualitative exploration of sexually transmitted infection (STI) partner notification preferences and practices among women planning for pregnancy and offered HIV pre-exposure prophylaxis in Durban, …

    Open Access•Pooja Chitneni, Yolandie Kriel et al.•ARTICLE•BMC Public Health•2025

    We found a lack of partner concurrency and asymptomatic infection to influence STI partner notification with partner notification affecting pregnancy planning and condom use. Since women report having high STI testing and care engagement, they bear a high burden of partner notification and potential subsequent blame and often appreciated provider assistance. Interventions are needed to engage men in STI testing and care and to mitigate the potent…

  • You’re in an Image of a Man but Not a Man”

    Open Access•Madeline C Pratt, Moran Owembabazi et al.•ARTICLE•AIDS and Behavior•2025

    Many men with HIV (MWH) want to have children and may encounter HIV- and infertility-related stigma experiences. Integration of reproductive health and HIV care for men is rare. When available, safer conception care focuses on HIV prevention but lacks fertility support. We conducted qualitative in-depth interviews in Uganda with 30 MWH who desired more children and self-reported no partner pregnancy after 12 or more months of conception attempts.…

  • Sexually transmitted infection (STI) knowledge and perceptions among people in HIV-sero-different partnerships in rural southwestern Uganda

    Open Access•Pooja Chitneni, Moran Owembabazi et al.•ARTICLE•PLOS Global Public Health•2024

    Globally, over one million people acquire curable sexually transmitted infections (STI) each day. Understanding how people think about STIs is key to building culturally appropriate STI prevention and treatment programs. We explored STI knowledge and perceptions in rural, southwestern Uganda to inform future interventions. From August 2020 to December 2020, we conducted individual in-depth interviews among adult men and women (≥18 years) with rec…

  • Implementation of a safer conception programme for HIV-affected men and women in rural Uganda

    Open Access•Lynn T Matthews, Moran Owembabazi et al.•ARTICLE•Global Public Health•2024

    We integrated safer conception care into a Ugandan HIV clinic. People with HIV (PWH), or partnered with a PWH, and desiring children were eligible for the Healthy Families Clinic Program. Clients completed quarterly safer conception counselling visits and questionnaires to provide information around method preferences and outcomes (partner pregnancy, partner seroconversion). We used clinic level data to evaluate longitudinal viral suppression amo…

  • Perceptions of Pre-exposure Prophylaxis (PrEP) for HIV prevention among men living with HIV in the context of reproductive goals in South Africa

    Open Access•Xolani Ntinga, Oluwaseyi O Isehunwa et al.•ARTICLE•BMC Public Health•2024

    Despite PrEP implementation in South Africa, awareness of PrEP among men with HIV in rural areas remains low. Engaging MWH to support their partners in accessing PrEP could be an innovative strategy to promote HIV prevention. Additionally, providing men with comprehensive reproductive health information can empower them to make more informed decisions, adopt safer sexual practices, and challenge societal norms and stigmas around HIV

  • Uptake and Persistence of Safer Conception Strategies Among South African Women Planning for Pregnancy

    Open Access•Oluwaseyi O Isehunwa, Manjeetha Jaggernath et al.•ARTICLE•AIDS and Behavior•2024

    Safer conception strategies can minimize HIV acquisition during periconception periods among women living in HIV-endemic areas. We examined uptake and predictors of persistent use of the same safer conception strategy among a cohort of HIV-uninfected South African women ages 18-35 years planning for pregnancy with a partner living with HIV or of unknown HIV-serostatus. The safer conception strategies we evaluated included oral PrEP, condomless se…

  • Opportunities to leverage reproductive goals and ideals among South African men to promote HIV testing, treatment and prevention

    Open Access•Oluwaseyi O Isehunwa, Xolani Ntinga et al.•ARTICLE•Global Public Health•2023

    Despite significant gains in HIV testing, treatment and prevention in sub-Saharan Africa, male engagement and retention in HIV care remains a challenge. We conducted in-depth interviews with 25 men with HIV (MWH) living in rural South Africa to explore how men's reproductive goals could inform approaches to engage men and their female partners in HIV care and prevention. Themes were organised into opportunities and barriers for HIV care, treatmen…

  • I still desire to have a child’

    Open Access•Madeline C Pratt, Moran Owembabazi et al.•ARTICLE•Culture Health & Sexuality•2023

    This study explored the intersecting forms of stigma experienced by HIV-serodifferent couples with unmet reproductive goals in rural Uganda. The parent mixed-methods study, which included 131 HIV-exposed women with plans for pregnancy, offered comprehensive HIV prevention counselling and care over a nine-month period. In-depth interviews were conducted with 37 women and seven male partners to explore care experiences and the use of safer concepti…

  • “Let’s take that [stop sign] down.” Provider perspectives on barriers to and opportunities for PrEP prescription to African American girls and young women in Alabama

    Samantha V Hill, Madeline C Pratt et al.•ARTICLE•AIDS Care•2022

    HIV disproportionately impacts many groups, including Black adolescent girls and young women (AGYW) aged 13-24 living in the Deep South. Current prevention efforts have the potential to further exacerbate disparities within this population as HIV pre-exposure prophylaxis (PrEP) remains underutilized by Black AGYW in the South. We conducted in-depth interviews (IDIs) grounded in Andersen's Model of Healthcare Utilization exploring providers' PrEP …

  • Influences on PrEP Uptake and Adherence Among South African Women During Periconception and Pregnancy

    Open Access•Monique A Wyatt, Emily E Pisarski et al.•ARTICLE•AIDS and Behavior•2022

  • Covid Community-Engaged Testing in Alabama

    Christopher Greer McCollum, Thomas N Creger et al.•ARTICLE•American Journal of Public Health•2022•References: 9

    Rural communities are often underserved by public health testing initiatives in Alabama. As part of the National Institutes of Health’s Rapid Acceleration of Diagnostics‒Underserved Populations initiative, the University of Alabama at Birmingham, along with community partners, sought to address this inequity in COVID-19 testing. We describe the participatory assessment, selection, and implementation phases of this project, which administered more…

  • Structured and sustained family planning support facilitates effective use of postpartum contraception amongst women living with HIV in South Western Uganda

    Open Access•Esther C Atukunda, Godfrey Mugyenyi et al.•ARTICLE•Journal of Global Health•2021

    BACKGROUND: Despite low pregnancy intentions, many women accessing contraception discontinue use, increasing the risk of unwanted pregnancies among women living with HIV (WLWH). We evaluate whether a family planning support intervention, inclusive of structured immediate one-on-one postpartum counseling, and a follow-up mechanism through additional health information and SMS reminders affects continuous contraceptive use and pregnancy incidence a…

  • “I did not plan … that is what hurts”

    Jessica N Coleman, Cecilia Milford et al.•ARTICLE•African Journal of AIDS Research•2021

    Unintended pregnancy impacts many young women in South Africa, and rates of consistent contraceptive use among this population are suboptimal. Limited empirical work has investigated reasons for inconsistency between pregnancy intention and contraceptive use behaviour with data collected during pregnancy. We explored pregnancy intentions and discordance between intentions and contraceptive use prior to conception among young pregnant women in Kwa…

  • Overcoming Ethical Challenges to Engaging Men Who Have Sex with Women in HIV Research

    Open Access•Hussain Zaidi, Hussain A Zaidi et al.•ARTICLE•AIDS and Behavior•2021

  • Acceptability of an Intervention to Promote Viral Suppression and Serostatus Disclosure for Men Living with HIV in South Africa

    Open Access•Mxolisi Mathenjwa, Hazar Khidir et al.•ARTICLE•AIDS and Behavior•2021

    Men living with HIV (MLWH) often have reproductive goals that can increase HIV-transmission risks to their pregnancy partners. We developed a safer conception intervention for MLWH in South Africa employing cognitive behavioral skills to promote serostatus disclosure, ART uptake, and viral suppression. MLWH were recruited from an HIV clinic near Durban, South Africa, and encouraged to include partners in follow-up visits. Exit in-depth interviews…

  • Client and Provider Experiences in Uganda Suggest Demand for and Highlight the Importance of Addressing HIV Stigma and Gender Norms Within Safer Conception Care

    Open Access•Cynthia R Young, Elizabeth Gill et al.•ARTICLE•AIDS and Behavior•2021

  • Sexual and Relationship Benefits of a Safer Conception Intervention Among Men with HIV Who Seek to Have Children with Serodifferent Partners in Uganda

    Open Access•Amelia M Stanton, Mwebesa Bwana et al.•ARTICLE•AIDS and Behavior•2021

  • Understanding the Effect of a Healthcare Provider-Led Family Planning Support Intervention on Contraception use and Pregnancy Desires among Postpartum Women Living with HIV in Southwestern Uganda

    Open Access•Esther C Atukunda, Lynn T Matthews et al.•ARTICLE•AIDS and Behavior•2021

  • Sexual Relationship Power and Periconception HIV-Risk Behavior Among HIV-Infected Men in Serodifferent Relationships

    Open Access•Hazar Khidir, Nzwakie Mosery et al.•ARTICLE•AIDS and Behavior•2019

  • “I beg you…breastfeed the baby, things changed”

    Open Access•Emma Dunkley, Scholastic Ashaba et al.•ARTICLE•BMC Public Health•2018

    WLWH face layered challenges navigating evolving infant feeding recommendations. Further research is needed to examine guidance and decision-making on infant feeding choices to improve postpartum experiences and outcomes. Improved communication about changes to recommendations is needed for WLWH, their partners, community members, and healthcare providers

Next
  • Promises and pitfalls of data sharing in qualitative research

    Open Access•Alexander C Tsai, B A Kohrt et al.•ARTICLE•Social Science & Medicine•2016•Cited by: 31•References: 64

  • Strategies for Harm Reduction Among HIV-Affected Couples Who Want to Conceive

    Open Access•Lynn T Matthews, Joia S Mukherjee•ARTICLE•AIDS and Behavior•2009

  • Reproductive Decision-Making and Periconception Practices Among HIV-Positive Men and Women Attending HIV Services in Durban, South Africa

    Open Access•Lynn T Matthews, Tamaryn L Crankshaw et al.•ARTICLE•AIDS and Behavior•2011

    Understanding reproductive decisions and periconception behavior among HIV-discordant couples is important for designing risk reduction interventions for couples who choose to conceive. In-depth interviews were conducted to explore reproductive decision-making and periconception practices among HIV-positive women with recent pregnancy (n = 30), and HIV-positive men (n = 20), all reporting partners of negative or unknown HIV-status, and attending …

  • A conceptual framework for understanding HIV risk behavior in the context of supporting fertility goals among HIV-serodiscordant couples

    Tamaryn L Crankshaw, Lynn T Matthews et al.•ARTICLE•Reproductive Health Matters•2012•References: 82

    Integrated reproductive health services for people living with HIV must address their fertility intentions. For HIV-serodiscordant couples who want to conceive, attempted conception confers a substantial risk of HIV transmission to the uninfected partner. Behavioral and pharmacologic strategies may reduce HIV transmission risk among HIV-serodiscordant couples who seek to conceive. In order to develop effective pharmaco-behavioral programs, it is …

  • Whoonga

    Open Access•David J Grelotti, Elizabeth F Closson et al.•ARTICLE•AIDS and Behavior•2013

  • South Africans with recent pregnancy rarely know partner’s HIV serostatus

    Open Access•Lynn T Matthews, Lizzie Moore et al.•ARTICLE•BMC Public Health•2014

    In an HIV-endemic setting, awareness of partner HIV serostatus is rare. Innovative strategies to increase HIV testing and disclosure are required to facilitate HIV prevention interventions for serodiscordant couples

  • “If I don’t use a condom … I would be stressed in my heart that I’ve done something wrong”

    Open Access•Lynn T Matthews, Lizzie Moore et al.•ARTICLE•AIDS and Behavior•2015

  • Periconception HIV Risk Behavior Among Men and Women Reporting HIV-Serodiscordant Partners in KwaZulu-Natal, South Africa

    Open Access•Lynn T Matthews, Jennifer Smit et al.•ARTICLE•AIDS and Behavior•2015

  • Inkwari

    Open Access•Matthew J Mimiaga, Elizabeth F Closson et al.•ARTICLE•Archives of Sexual Behavior•2015•References: 36

  • Promises and pitfalls of data sharing in qualitative research

    Open Access•Alexander C Tsai, B A Kohrt et al.•ARTICLE•Social Science & Medicine•2016•Cited by: 31•References: 64

  • Developing a Safer Conception Intervention for Men Living with HIV in South Africa

    Open Access•Hazar Khidir, Christina Psaros et al.•ARTICLE•AIDS and Behavior•2017

    Within sexual partnerships, men make many decisions about sexual behavior, reproductive goals, and HIV prevention. There are increasing calls to involve men in reproductive health and HIV prevention. This paper describes the process of creating and evaluating the acceptability of a safer conception intervention for men living with HIV who want to have children with partners at risk for acquiring HIV in KwaZulu-Natal, South Africa. Based on format…

  • Consensus statement

    Open Access•Lynn T Matthews, Jolly Beyeza‐Kashesya et al.•ARTICLE•AIDS and Behavior•2017

    Safer conception interventions reduce HIV incidence while supporting the reproductive goals of people living with or affected by HIV. We developed a consensus statement to address demand, summarize science, identify information gaps, outline research and policy priorities, and advocate for safer conception services. This statement emerged from a process incorporating consultation from meetings, literature, and key stakeholders. Three co-authors d…

  • “I beg you…breastfeed the baby, things changed”

    Open Access•Emma Dunkley, Scholastic Ashaba et al.•ARTICLE•BMC Public Health•2018

    WLWH face layered challenges navigating evolving infant feeding recommendations. Further research is needed to examine guidance and decision-making on infant feeding choices to improve postpartum experiences and outcomes. Improved communication about changes to recommendations is needed for WLWH, their partners, community members, and healthcare providers

  • Healthcare providers’ understanding of HIV serodiscordance in South Africa and Uganda

    Ross Greener, Cecilia Milford et al.•ARTICLE•African Journal of AIDS Research•2018

    HIV transmission within stable heterosexual HIV serodiscordant couples accounts for almost half the new incident infections in South Africa and Uganda. Advances in HIV prevention provide opportunities to reduce transmission risk within serodiscordant partnerships (e.g., antiretroviral treatment (ART), pre-exposure prophylaxis (PrEP), medical male circumcision, and couples-based HIV counselling and testing). These interventions require a clinical …

  • Factors Associated with Pregnancy Intentions Amongst Postpartum Women Living with HIV in Rural Southwestern Uganda

    Open Access•Esther C Atukunda, Godfrey Mugyenyi et al.•ARTICLE•AIDS and Behavior•2018

    Comprehensive HIV treatment and care makes it safer for women living with HIV (WLWH) to have the children they desire, partly through provision and appropriate use of effective contraception. However, nearly one third of WLWH in-care in a large Ugandan cohort became pregnant within 3 years of initiating ART and half of these incident pregnancies (45%) were unplanned. We therefore describe future pregnancy plans and associated factors among postpa…

  • HIV Prevention Among Young Women in South Africa

    Open Access•Christina Psaros, Cecilia Milford et al.•ARTICLE•Archives of Sexual Behavior•2018•References: 31

  • Sexual Relationship Power and Periconception HIV-Risk Behavior Among HIV-Infected Men in Serodifferent Relationships

    Open Access•Hazar Khidir, Nzwakie Mosery et al.•ARTICLE•AIDS and Behavior•2019

  • Structured and sustained family planning support facilitates effective use of postpartum contraception amongst women living with HIV in South Western Uganda

    Open Access•Esther C Atukunda, Godfrey Mugyenyi et al.•ARTICLE•Journal of Global Health•2021

    BACKGROUND: Despite low pregnancy intentions, many women accessing contraception discontinue use, increasing the risk of unwanted pregnancies among women living with HIV (WLWH). We evaluate whether a family planning support intervention, inclusive of structured immediate one-on-one postpartum counseling, and a follow-up mechanism through additional health information and SMS reminders affects continuous contraceptive use and pregnancy incidence a…

  • “I did not plan … that is what hurts”

    Jessica N Coleman, Cecilia Milford et al.•ARTICLE•African Journal of AIDS Research•2021

    Unintended pregnancy impacts many young women in South Africa, and rates of consistent contraceptive use among this population are suboptimal. Limited empirical work has investigated reasons for inconsistency between pregnancy intention and contraceptive use behaviour with data collected during pregnancy. We explored pregnancy intentions and discordance between intentions and contraceptive use prior to conception among young pregnant women in Kwa…

  • Overcoming Ethical Challenges to Engaging Men Who Have Sex with Women in HIV Research

    Open Access•Hussain Zaidi, Hussain A Zaidi et al.•ARTICLE•AIDS and Behavior•2021

  • Acceptability of an Intervention to Promote Viral Suppression and Serostatus Disclosure for Men Living with HIV in South Africa

    Open Access•Mxolisi Mathenjwa, Hazar Khidir et al.•ARTICLE•AIDS and Behavior•2021

    Men living with HIV (MLWH) often have reproductive goals that can increase HIV-transmission risks to their pregnancy partners. We developed a safer conception intervention for MLWH in South Africa employing cognitive behavioral skills to promote serostatus disclosure, ART uptake, and viral suppression. MLWH were recruited from an HIV clinic near Durban, South Africa, and encouraged to include partners in follow-up visits. Exit in-depth interviews…

  • Client and Provider Experiences in Uganda Suggest Demand for and Highlight the Importance of Addressing HIV Stigma and Gender Norms Within Safer Conception Care

    Open Access•Cynthia R Young, Elizabeth Gill et al.•ARTICLE•AIDS and Behavior•2021

  • Sexual and Relationship Benefits of a Safer Conception Intervention Among Men with HIV Who Seek to Have Children with Serodifferent Partners in Uganda

    Open Access•Amelia M Stanton, Mwebesa Bwana et al.•ARTICLE•AIDS and Behavior•2021

  • Understanding the Effect of a Healthcare Provider-Led Family Planning Support Intervention on Contraception use and Pregnancy Desires among Postpartum Women Living with HIV in Southwestern Uganda

    Open Access•Esther C Atukunda, Lynn T Matthews et al.•ARTICLE•AIDS and Behavior•2021

  • “Let’s take that [stop sign] down.” Provider perspectives on barriers to and opportunities for PrEP prescription to African American girls and young women in Alabama

    Samantha V Hill, Madeline C Pratt et al.•ARTICLE•AIDS Care•2022

    HIV disproportionately impacts many groups, including Black adolescent girls and young women (AGYW) aged 13-24 living in the Deep South. Current prevention efforts have the potential to further exacerbate disparities within this population as HIV pre-exposure prophylaxis (PrEP) remains underutilized by Black AGYW in the South. We conducted in-depth interviews (IDIs) grounded in Andersen's Model of Healthcare Utilization exploring providers' PrEP …

  • Influences on PrEP Uptake and Adherence Among South African Women During Periconception and Pregnancy

    Open Access•Monique A Wyatt, Emily E Pisarski et al.•ARTICLE•AIDS and Behavior•2022

HIV/AIDS Research and Interventions (35 works) · Medicine (34 works) · Adolescent Sexual and Reproductive Health (29 works) · Family medicine (29 works) · Nursing (27 works) · Environmental health (26 works) · Public health (26 works) · Human immunodeficiency virus (HIV (20 works) · Population (17 works) · Qualitative research (17 works)

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