Faith E Fletcher
Biographic Data
| ID | 154686 |
|---|---|
| NAME | Faith E Fletcher |
| GIVEN NAMES | Faith E |
| FAMILY NAME | Fletcher |
| SIGNATURE | FLETCHER F E |
| AFFILIATIONS | Baylor College of Medicine |
| ORCID | 0000-0001-8075-6112 |
| VERIFIED | Yes |
| TOTAL WORKS | 24 |
| TOTAL CITATIONS | 10 |
| AUTHOR COUNT | 24 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2012 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 2 |
Doing Good Well in Unethical Times: A Call to Action for HIV Prevention Research
Since the emergence of the AIDS epidemic, HIV research has been a mirror for humanity's moral choices that transformed biomedical and social science ethics. Four decades after the epidemic the field again faces an ethical reckoning. Once defined by its moral courage and community partnership, HIV research now operates amid political interference, data insecurity, funding contractions, and threats to academic freedom. Drawing on insights from the …
Integrating constructivism in the critical dialogue method of clinical ethics
Addressing or reinforcing injustice? Artificial amnion and placenta technology, loss-sensitive care and racial inequities in preterm birth
Applying a Health Equity Lens to Better Understand End-of-Life Prognostication
Racial and ethnic inequity exists throughout the lifespan, including at the end of life (EOL). Although prognostication is inherently fraught with uncertainty, many underrepresented minorities get prognoses that are overly optimistic, which can exacerbate inequity by depriving patients of details needed to make informed decisions and plan for EOL care. This article applies a health equity lens to facilitate better ethical and clinical understandi…
Renewed calls for abortion-related research in the post-Roe era
Nearly 50 years after Roe versus Wade, the United States Supreme Court’s decision in Dobbs versus Jackson Women’s Health Organization unraveled the constitutional right to abortion, allowing individual states to severely restrict or ban the procedure. In response, leading medical, public health, and community organizations have renewed calls for research to elucidate and address the burgeoning social and medical consequences of new abortion restr…
Black Bioethics in the Age of Black Lives Matter
Herstory as an Important Force in Bioethics
This tribute celebrates the life and work of Marian Gray Secundy (1938–2002), who was the first director of the National Center for Bioethics in Research and Health Care, a passionate advocate for health equity, a visionary scholar, and a skilled editor and collaborator. Within the tribute are several short remembrances in which individuals describe their association with Secundy to honor her as a leader, friend, scholar, advocate, and teacher in…
Covid Community-Engaged Testing in Alabama: Reaching Underserved Rural Populations Through Collaboration
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…
Addressing Anti‐Black Racism in Bioethics: Responding to the Call
As a field concerned with ethical issues in health and health care, particularly how structures, policies, and practices unfairly advantage some and disadvantage others, bioethics has a moral obligation to address the long-standing challenges that racism has posed to the overall health and well-being of Black, Indigenous, and Latinx people and other people of color. Arguably, the premature death and disease disproportionately affecting Black Amer…
Institutional Distrust among African Americans and Building Trustworthiness in the Covid-19 Response: Implications for Ethical Public Health Practice
African Americans are disproportionately affected by COVID-19-related disease and mortality due to long-standing social, political, economic, and environmental injustice; and COVID-19 inequities are exacerbated by institutional distrust. In the absence of trust, public health authorities have not adequately fulfilled their professional and ethical obligations to protect African American communities from the negative effects of COVID-19. As instit…
The Long Arm of Oppression: How Structural Stigma Against Marginalized Communities Perpetuates Within-Group Health Disparities
Understanding and addressing health inequities calls for enhanced theoretical and empirical attention to multiple forms of stigma and its influence on health behaviors and health outcomes within marginalized communities. While recent scholarship highlights the role of structural stigma on between-group health disparities, the extant literature has yet to elucidate the mechanisms through which structural stigma gives rise to within-group health di…
Antiracist Praxis in Public Health: A Call for Ethical Reflections
The Covid‐19 pandemic has revealed myriad social, economic, and health inequities that disproportionately burden populations that have been made medically or socially vulnerable. Inspired by state and local governments that declared racism a public health crisis or emergency, the Anti‐Racism in Public Health Act of 2020 reflects a shifting paradigm in which racism is considered a social determinant of health. Indeed, health inequities fundamental…
How Can the Experiences of Black Women Living With HIV Inform Equitable and Respectful Reproductive Health Care Delivery
Black women living with HIV (BWLWH) contend with injuries of injustice, which manifest in restricted reproductive autonomy and decision-making power in social and medical settings. Mitigating threats to reproductive autonomy calls for innovations that consider patients' needs and offer insights on how historically situated marginalization influences today's institutional, political, and economic systems and shapes reproductive decision making. In…
Patient Health Literacy and Communication with Providers Among Women Living with HIV: A Mixed Methods Study
Covid-19's Impact on the African American Community: A Stakeholder Engagement Approach to Increase Public Awareness Through Virtual Town Halls
COVID-19 has created a rapidly evolving public health crisis disproportionately impacting African Americans due to persistent inequities. The changing COVID-19 guidelines have resulted in concerns expressed by the American public, including unique concerns expressed by African Americans. To increase COVID-19-related awareness and dialogue among the African American community, the University of Alabama at Birmingham School of Public Health and the…
Quality of care for Black and Latina women living with HIV in the U.S: A qualitative study
Quality of care represents a key changeable lever affecting engage in care among WLWH. The communities most proximally affected by HIV should be key stakeholders in HIV-related quality assurance. Findings highlight aspects of the health care experience valued by WLWH, and potential participatory, patient-driven avenues for improvement
Awareness and Intent to Use Pre-exposure Prophylaxis (PrEP) Among African American Women in a Family Planning Clinic
Where Did This [PrEP] Come From?” African American Mother/Daughter Perceptions Related to Adolescent Preexposure Prophylaxis (PrEP) Utilization and Clinical Trial Participation
Despite the demonstrated effectiveness of preexposure prophylaxis (PrEP) to reduce incident HIV infections, PrEP's potential as an HIV prevention strategy for adolescent populations is unknown. This study assessed perceptions of adolescent PrEP use and clinical trial participation among African American women and their adolescent daughters. We conducted focus group discussions with 15 African American mother/daughter pairs ( N = 30). Findings sug…
Parental attitudes about teenage pregnancy: Impact on sexual risk behaviour of African-American youth
African-American youth suffer disproportionately from sexual risk consequences including unintended pregnancy and sexually transmitted infections. Parents educating young people about sex may be one approach to reduce sexual risk behaviour among this population. The purpose of this study was to determine young people's perceptions of parents' attitudes about sex and assess whether these perceptions affect sexual risk. Data were collected from 560…
Perceptions of barriers and facilitators to cervical cancer screening among low-income, HIV-infected women from an integrated HIV clinic
Significantly elevated rates of cervical cancer and low rates of Papanicolaou (Pap) smear screening have been documented among HIV-infected women. However, little is known about women's perceptions of cervical cancer screening utilization. Hence, this study describes barriers and facilitators related to cervical cancer screening in a sample of HIV-infected women seeking care at an integrated HIV clinic in Houston, Texas. Using an inductive qualit…
The influence of HIV disease events/stages on smoking attitudes and behaviors: Project STATE (Study of Tobacco Attitudes and Teachable Events)
By evaluating events/stages of HIV disease as potential teaching moments for smoking cessation, findings from this study could be used to develop treatments tailored to an individual's stage of HIV disease. This study design will enable us to carefully track changes in smoking behavior over time, and to link these changes to both the course of HIV disease and/or to the participant's' perceived impact of HIV. By identifying optimal time points for…
HIV-Related Stigma Among African-American Youth in the Northeast and Southeast US
Cervical Cancer Screening Adherence among HIV-Positive Female Smokers from a Comprehensive HIV Clinic
A randomized controlled trial to assess the efficacy of an interactive mobile messaging intervention for underserved smokers: Project Action
This randomized controlled trial is registered with clinicaltrials.gov registration number NCT00948129
Awareness and Intent to Use Pre-exposure Prophylaxis (PrEP) Among African American Women in a Family Planning Clinic
Where Did This [PrEP] Come From?” African American Mother/Daughter Perceptions Related to Adolescent Preexposure Prophylaxis (PrEP) Utilization and Clinical Trial Participation
Despite the demonstrated effectiveness of preexposure prophylaxis (PrEP) to reduce incident HIV infections, PrEP's potential as an HIV prevention strategy for adolescent populations is unknown. This study assessed perceptions of adolescent PrEP use and clinical trial participation among African American women and their adolescent daughters. We conducted focus group discussions with 15 African American mother/daughter pairs ( N = 30). Findings sug…
Addressing Anti‐Black Racism in Bioethics: Responding to the Call
As a field concerned with ethical issues in health and health care, particularly how structures, policies, and practices unfairly advantage some and disadvantage others, bioethics has a moral obligation to address the long-standing challenges that racism has posed to the overall health and well-being of Black, Indigenous, and Latinx people and other people of color. Arguably, the premature death and disease disproportionately affecting Black Amer…
A randomized controlled trial to assess the efficacy of an interactive mobile messaging intervention for underserved smokers: Project Action
This randomized controlled trial is registered with clinicaltrials.gov registration number NCT00948129
Cervical Cancer Screening Adherence among HIV-Positive Female Smokers from a Comprehensive HIV Clinic
Parental attitudes about teenage pregnancy: Impact on sexual risk behaviour of African-American youth
African-American youth suffer disproportionately from sexual risk consequences including unintended pregnancy and sexually transmitted infections. Parents educating young people about sex may be one approach to reduce sexual risk behaviour among this population. The purpose of this study was to determine young people's perceptions of parents' attitudes about sex and assess whether these perceptions affect sexual risk. Data were collected from 560…
Perceptions of barriers and facilitators to cervical cancer screening among low-income, HIV-infected women from an integrated HIV clinic
Significantly elevated rates of cervical cancer and low rates of Papanicolaou (Pap) smear screening have been documented among HIV-infected women. However, little is known about women's perceptions of cervical cancer screening utilization. Hence, this study describes barriers and facilitators related to cervical cancer screening in a sample of HIV-infected women seeking care at an integrated HIV clinic in Houston, Texas. Using an inductive qualit…
The influence of HIV disease events/stages on smoking attitudes and behaviors: Project STATE (Study of Tobacco Attitudes and Teachable Events)
By evaluating events/stages of HIV disease as potential teaching moments for smoking cessation, findings from this study could be used to develop treatments tailored to an individual's stage of HIV disease. This study design will enable us to carefully track changes in smoking behavior over time, and to link these changes to both the course of HIV disease and/or to the participant's' perceived impact of HIV. By identifying optimal time points for…
HIV-Related Stigma Among African-American Youth in the Northeast and Southeast US
Where Did This [PrEP] Come From?” African American Mother/Daughter Perceptions Related to Adolescent Preexposure Prophylaxis (PrEP) Utilization and Clinical Trial Participation
Despite the demonstrated effectiveness of preexposure prophylaxis (PrEP) to reduce incident HIV infections, PrEP's potential as an HIV prevention strategy for adolescent populations is unknown. This study assessed perceptions of adolescent PrEP use and clinical trial participation among African American women and their adolescent daughters. We conducted focus group discussions with 15 African American mother/daughter pairs ( N = 30). Findings sug…
Covid-19's Impact on the African American Community: A Stakeholder Engagement Approach to Increase Public Awareness Through Virtual Town Halls
COVID-19 has created a rapidly evolving public health crisis disproportionately impacting African Americans due to persistent inequities. The changing COVID-19 guidelines have resulted in concerns expressed by the American public, including unique concerns expressed by African Americans. To increase COVID-19-related awareness and dialogue among the African American community, the University of Alabama at Birmingham School of Public Health and the…
Quality of care for Black and Latina women living with HIV in the U.S: A qualitative study
Quality of care represents a key changeable lever affecting engage in care among WLWH. The communities most proximally affected by HIV should be key stakeholders in HIV-related quality assurance. Findings highlight aspects of the health care experience valued by WLWH, and potential participatory, patient-driven avenues for improvement
Awareness and Intent to Use Pre-exposure Prophylaxis (PrEP) Among African American Women in a Family Planning Clinic
Institutional Distrust among African Americans and Building Trustworthiness in the Covid-19 Response: Implications for Ethical Public Health Practice
African Americans are disproportionately affected by COVID-19-related disease and mortality due to long-standing social, political, economic, and environmental injustice; and COVID-19 inequities are exacerbated by institutional distrust. In the absence of trust, public health authorities have not adequately fulfilled their professional and ethical obligations to protect African American communities from the negative effects of COVID-19. As instit…
The Long Arm of Oppression: How Structural Stigma Against Marginalized Communities Perpetuates Within-Group Health Disparities
Understanding and addressing health inequities calls for enhanced theoretical and empirical attention to multiple forms of stigma and its influence on health behaviors and health outcomes within marginalized communities. While recent scholarship highlights the role of structural stigma on between-group health disparities, the extant literature has yet to elucidate the mechanisms through which structural stigma gives rise to within-group health di…
Antiracist Praxis in Public Health: A Call for Ethical Reflections
The Covid‐19 pandemic has revealed myriad social, economic, and health inequities that disproportionately burden populations that have been made medically or socially vulnerable. Inspired by state and local governments that declared racism a public health crisis or emergency, the Anti‐Racism in Public Health Act of 2020 reflects a shifting paradigm in which racism is considered a social determinant of health. Indeed, health inequities fundamental…
How Can the Experiences of Black Women Living With HIV Inform Equitable and Respectful Reproductive Health Care Delivery
Black women living with HIV (BWLWH) contend with injuries of injustice, which manifest in restricted reproductive autonomy and decision-making power in social and medical settings. Mitigating threats to reproductive autonomy calls for innovations that consider patients' needs and offer insights on how historically situated marginalization influences today's institutional, political, and economic systems and shapes reproductive decision making. In…
Patient Health Literacy and Communication with Providers Among Women Living with HIV: A Mixed Methods Study
Herstory as an Important Force in Bioethics
This tribute celebrates the life and work of Marian Gray Secundy (1938–2002), who was the first director of the National Center for Bioethics in Research and Health Care, a passionate advocate for health equity, a visionary scholar, and a skilled editor and collaborator. Within the tribute are several short remembrances in which individuals describe their association with Secundy to honor her as a leader, friend, scholar, advocate, and teacher in…
Covid Community-Engaged Testing in Alabama: Reaching Underserved Rural Populations Through Collaboration
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…
Addressing Anti‐Black Racism in Bioethics: Responding to the Call
As a field concerned with ethical issues in health and health care, particularly how structures, policies, and practices unfairly advantage some and disadvantage others, bioethics has a moral obligation to address the long-standing challenges that racism has posed to the overall health and well-being of Black, Indigenous, and Latinx people and other people of color. Arguably, the premature death and disease disproportionately affecting Black Amer…
Renewed calls for abortion-related research in the post-Roe era
Nearly 50 years after Roe versus Wade, the United States Supreme Court’s decision in Dobbs versus Jackson Women’s Health Organization unraveled the constitutional right to abortion, allowing individual states to severely restrict or ban the procedure. In response, leading medical, public health, and community organizations have renewed calls for research to elucidate and address the burgeoning social and medical consequences of new abortion restr…
Black Bioethics in the Age of Black Lives Matter
Addressing or reinforcing injustice? Artificial amnion and placenta technology, loss-sensitive care and racial inequities in preterm birth
Applying a Health Equity Lens to Better Understand End-of-Life Prognostication
Racial and ethnic inequity exists throughout the lifespan, including at the end of life (EOL). Although prognostication is inherently fraught with uncertainty, many underrepresented minorities get prognoses that are overly optimistic, which can exacerbate inequity by depriving patients of details needed to make informed decisions and plan for EOL care. This article applies a health equity lens to facilitate better ethical and clinical understandi…
Integrating constructivism in the critical dialogue method of clinical ethics
Doing Good Well in Unethical Times: A Call to Action for HIV Prevention Research
Since the emergence of the AIDS epidemic, HIV research has been a mirror for humanity's moral choices that transformed biomedical and social science ethics. Four decades after the epidemic the field again faces an ethical reckoning. Once defined by its moral courage and community partnership, HIV research now operates amid political interference, data insecurity, funding contractions, and threats to academic freedom. Drawing on insights from the …
Medicine (20 works) · Political science (14 works) · Sociology (14 works) · Public health (11 works) · HIV/AIDS Research and Interventions (9 works) · Nursing (9 works) · Family medicine (8 works) · Psychology (8 works) · Gerontology (7 works) · Adolescent Sexual and Reproductive Health (6 works)