Andrew Medina-Marino
Datos Biográficos
| ID | 1733336 |
|---|---|
| NOMBRE | Andrew Medina-Marino |
| NOMBRES | Andrew |
| APELLIDO | Medina-Marino |
| FIRMA | MEDINA-MARINO A |
| AFILIACIONES | Desmond Tutu HIV Foundation |
| ORCID | 0000-0002-0095-4141 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 21 |
| TOTAL DE CITAS | 3 |
| TOTAL COMO AUTOR | 21 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2013 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 1 |
Motivations and Barriers to Sustained PrEP Use Among Men in Buffalo City Metro, South Africa
Men in sub-Saharan Africa experience disproportionately poor HIV outcomes, yet their engagement with HIV prevention services remains limited. Although oral pre-exposure prophylaxis (PrEP) is an effective HIV prevention strategy, relatively little research has examined the factors that support men’s sustained use of PrEP after initiation. We conducted a qualitative sub-study among men who initiated PrEP through a community-based HIV prevention pro…
Navigating Masculinities
South African men remain disproportionately affected by tuberculosis (TB) and HIV, with social norms around masculinity often hindering care-seeking and medication adherence. This study investigates how Coach Mpilo, a peer mentoring intervention led by men who are TB survivors or living openly with HIV, engages concepts of masculinity to improve health outcomes among men in TB/HIV care. We conducted in-depth qualitative interviews with male peer …
Who is a mobile man ‘at risk’? Masculinity, work-related mobility, and HIV-related risks in Uganda and South Africa
Men who move for work (e.g., taxi drivers, fishermen, labourers) are often described as a homogeneous group at equal risk of HIV acquisition. This framing often masks important differences between men. Using data from rapid ethnographic assessments and a baseline survey in two settings in South Africa and one in Uganda, we examine how sexual risk- taking among men who travel frequently for work is shaped by mobility. We describe the different mob…
I have a child i need to live for’
Existing research highlights TB's economic and social stigma burdens and impacts behavior in households, but virtually unexplored is the dynamics of TB and parenthood. This qualitative study examines the interplay between TB diagnosis and treatment, and parenting experiences, focusing on the intersections of individual agency, societal expectations, and access to resources. From March 2021 to January 2022, we conducted in-depth interviews with 98…
Educational Attainment and HIV Prevalence by Age Among Pregnant Women in South Africa
We examined the association between educational attainment and HIV positivity among pregnant women in a high HIV-prevalence setting and assessed how this relationship varies by age to inform targeted prevention strategies. This cross-sectional study included 2003 pregnant women aged 21-44 years attending their first antenatal visit (<27 weeks' gestation) at four public health facilities in East London, South Africa, between March 2021 and May 202…
Using sputum and tongue swab specimens for in-home point-of-care targeted universal testing for tuberculosis of household contacts
INTRODUCTION: Effective strategies are essential for early tuberculosis (TB) detection. Reliance on passive case detection, symptom screening and collection of sputum results in delayed or undiagnosed TB, contributing to on-going TB transmission. This study assessed the acceptability of in-home targeted universal TB testing (TUTT) using GeneXpert MTB/RIF Ultra at point-of-care (POC) during household contact investigations (HCIs) and the feasibili…
Safe Places Like These are Rare”
Maladaptive Coping Strategies Mediate the Relationship Between Depression and Anxiety and Moderate-to-Heavy Alcohol Use in Young South Africans with HIV
Study-to-Clinic Transition and Daily Oral PrEP Access Experiences Among Agyw in Eastern Cape, South Africa
The patient-provider relationship mediates the relationship between health literacy and resilience in young South Africans newly diagnosed with HIV
South African adolescents and young adults (AYAs) with HIV experience worse HIV-related clinical and psychological outcomes compared to older South Africans. Psychological resilience is protective against poorer outcomes, but little is known about disparities in psychological resilience among AYAs with HIV nor the mechanisms by which these differences arise. This study analyzed baseline data from a cohort of 100 AYA ages 18-24 years in Cape Town …
Food insecurity and unemployment as mediators of the relationship between the Covid-19 pandemic and psychological well-being in young South Africans with HIV
Food insecurity may have decreased amongst our sample of young people during the COVID-19 pandemic. Our findings build on our understanding of how the psychological well-being of young people living with HIV was affected by the COVID-19 pandemic and may lend support to interventions targeting food insecurity to improve psychological well-being in this population
Family Social Support Mediates the Relationship Between the Covid-19 Pandemic and Psychosocial well-being in a Cohort of Young South Africans Newly Diagnosed with HIV
Developing the Speaking Out and Allying Relationships Intervention on Videoconference for HIV-Positive GBMSM in Eastern Cape, South Africa
In South Africa, HIV prevalence for gay, bisexual, and men who have sex with men (GBMSM) is as high as 49.5%, yet only 25.7% are taking treatment, resulting in transmission risk between partners and the need for dyadic interventions for men in relationships. Through our preliminary research, we identified the evidence-based intervention Healthy Relationships (HR)—an HIV risk assessment and status disclosure intervention for those in relationships…
What motivated men to start PrEP? A cross-section of men starting PrEP in Buffalo city municipality, South Africa
Self-perceived risk for HIV acquisition was a major facilitator for men's PrEP initiation. Although men expressed positive perceptions of PrEP users, they noted that HIV testing may be a barrier to PrEP initiation. Finally, men recommended convenient access points to facilitate PrEP initiation and sustained use. Gender-responsive interventions tailored to men's needs, wants, and voices will facilitate their uptake of HIV prevention services, and …
Qualitative Identification of Intervention Preferences to Support Men’s Engagement and Retention in TB Care in South Africa
Globally and in South African specifically, men account for 56% and 62% of all tuberculosis (TB) cases, respectively. Men are at increased risk of not accessing TB testing or treatment, and having poor treatment outcomes. Unfortunately, no interventions exist to address these issues. Toward the development of targeted, patient-centered TB care and support interventions, we used semistructured interviews to explored men’s social network compositio…
Factors influencing adolescent girls and young women’s uptake of community-based PrEP services following home-based HIV testing in Eastern Cape, South Africa
Does It Matter What Screener We Use? A Comparison of Ultra-brief PHQ-4 and E-mwTool-3 Screeners for Anxiety and Depression Among People With and Without HIV
Masculinity, resources, and retention in care
The effects of the integration of an economic strengthening and HIV prevention education programme on the prevalence of sexually transmitted infections and savings behaviours among adolescents
Background: Multisectoral approaches are thought necessary to prevent HIV among adolescents. We examined whether an economic strengthening (ES) and an HIV-prevention education intervention improved outcomes when combined versus separately. Methods: We conducted a full-factorial randomised controlled study to randomise participants into all possible intervention groups based on the two interventions: economic strengthening only (ES-only), HIV-prev…
The role of trust and health literacy in nurse-delivered point-of-care STI testing for pregnant women living with HIV, Tshwane District, South Africa
We recommend implementing patient health literacy programmes as part of POC services to support women in remembering and disclosing their specific STI diagnosis to sexual partners, which may facilitate partner treatment uptake and thus decrease the risk of re-infection
Communication and Mass Vaccination Strategies After Pertussis Outbreak in Rural Amish Communities—Illinois, 2009–2010
PURPOSE: During January 2010, 2 infants from an Amish community in east-central Illinois were hospitalized with pertussis. The local health department (LDH) intervened to control disease transmission, identify contributing factors, and determine best communications methods to improve vaccination coverage. METHODS: A retrospective cohort study was conducted using public health surveillance data to determine the extent of the outbreak; the standard…
Communication and Mass Vaccination Strategies After Pertussis Outbreak in Rural Amish Communities—Illinois, 2009–2010
PURPOSE: During January 2010, 2 infants from an Amish community in east-central Illinois were hospitalized with pertussis. The local health department (LDH) intervened to control disease transmission, identify contributing factors, and determine best communications methods to improve vaccination coverage. METHODS: A retrospective cohort study was conducted using public health surveillance data to determine the extent of the outbreak; the standard…
The effects of the integration of an economic strengthening and HIV prevention education programme on the prevalence of sexually transmitted infections and savings behaviours among adolescents
Background: Multisectoral approaches are thought necessary to prevent HIV among adolescents. We examined whether an economic strengthening (ES) and an HIV-prevention education intervention improved outcomes when combined versus separately. Methods: We conducted a full-factorial randomised controlled study to randomise participants into all possible intervention groups based on the two interventions: economic strengthening only (ES-only), HIV-prev…
The role of trust and health literacy in nurse-delivered point-of-care STI testing for pregnant women living with HIV, Tshwane District, South Africa
We recommend implementing patient health literacy programmes as part of POC services to support women in remembering and disclosing their specific STI diagnosis to sexual partners, which may facilitate partner treatment uptake and thus decrease the risk of re-infection
Masculinity, resources, and retention in care
Qualitative Identification of Intervention Preferences to Support Men’s Engagement and Retention in TB Care in South Africa
Globally and in South African specifically, men account for 56% and 62% of all tuberculosis (TB) cases, respectively. Men are at increased risk of not accessing TB testing or treatment, and having poor treatment outcomes. Unfortunately, no interventions exist to address these issues. Toward the development of targeted, patient-centered TB care and support interventions, we used semistructured interviews to explored men’s social network compositio…
Factors influencing adolescent girls and young women’s uptake of community-based PrEP services following home-based HIV testing in Eastern Cape, South Africa
Does It Matter What Screener We Use? A Comparison of Ultra-brief PHQ-4 and E-mwTool-3 Screeners for Anxiety and Depression Among People With and Without HIV
Developing the Speaking Out and Allying Relationships Intervention on Videoconference for HIV-Positive GBMSM in Eastern Cape, South Africa
In South Africa, HIV prevalence for gay, bisexual, and men who have sex with men (GBMSM) is as high as 49.5%, yet only 25.7% are taking treatment, resulting in transmission risk between partners and the need for dyadic interventions for men in relationships. Through our preliminary research, we identified the evidence-based intervention Healthy Relationships (HR)—an HIV risk assessment and status disclosure intervention for those in relationships…
What motivated men to start PrEP? A cross-section of men starting PrEP in Buffalo city municipality, South Africa
Self-perceived risk for HIV acquisition was a major facilitator for men's PrEP initiation. Although men expressed positive perceptions of PrEP users, they noted that HIV testing may be a barrier to PrEP initiation. Finally, men recommended convenient access points to facilitate PrEP initiation and sustained use. Gender-responsive interventions tailored to men's needs, wants, and voices will facilitate their uptake of HIV prevention services, and …
Food insecurity and unemployment as mediators of the relationship between the Covid-19 pandemic and psychological well-being in young South Africans with HIV
Food insecurity may have decreased amongst our sample of young people during the COVID-19 pandemic. Our findings build on our understanding of how the psychological well-being of young people living with HIV was affected by the COVID-19 pandemic and may lend support to interventions targeting food insecurity to improve psychological well-being in this population
Family Social Support Mediates the Relationship Between the Covid-19 Pandemic and Psychosocial well-being in a Cohort of Young South Africans Newly Diagnosed with HIV
Using sputum and tongue swab specimens for in-home point-of-care targeted universal testing for tuberculosis of household contacts
INTRODUCTION: Effective strategies are essential for early tuberculosis (TB) detection. Reliance on passive case detection, symptom screening and collection of sputum results in delayed or undiagnosed TB, contributing to on-going TB transmission. This study assessed the acceptability of in-home targeted universal TB testing (TUTT) using GeneXpert MTB/RIF Ultra at point-of-care (POC) during household contact investigations (HCIs) and the feasibili…
Safe Places Like These are Rare”
Maladaptive Coping Strategies Mediate the Relationship Between Depression and Anxiety and Moderate-to-Heavy Alcohol Use in Young South Africans with HIV
Study-to-Clinic Transition and Daily Oral PrEP Access Experiences Among Agyw in Eastern Cape, South Africa
The patient-provider relationship mediates the relationship between health literacy and resilience in young South Africans newly diagnosed with HIV
South African adolescents and young adults (AYAs) with HIV experience worse HIV-related clinical and psychological outcomes compared to older South Africans. Psychological resilience is protective against poorer outcomes, but little is known about disparities in psychological resilience among AYAs with HIV nor the mechanisms by which these differences arise. This study analyzed baseline data from a cohort of 100 AYA ages 18-24 years in Cape Town …
Motivations and Barriers to Sustained PrEP Use Among Men in Buffalo City Metro, South Africa
Men in sub-Saharan Africa experience disproportionately poor HIV outcomes, yet their engagement with HIV prevention services remains limited. Although oral pre-exposure prophylaxis (PrEP) is an effective HIV prevention strategy, relatively little research has examined the factors that support men’s sustained use of PrEP after initiation. We conducted a qualitative sub-study among men who initiated PrEP through a community-based HIV prevention pro…
Navigating Masculinities
South African men remain disproportionately affected by tuberculosis (TB) and HIV, with social norms around masculinity often hindering care-seeking and medication adherence. This study investigates how Coach Mpilo, a peer mentoring intervention led by men who are TB survivors or living openly with HIV, engages concepts of masculinity to improve health outcomes among men in TB/HIV care. We conducted in-depth qualitative interviews with male peer …
Who is a mobile man ‘at risk’? Masculinity, work-related mobility, and HIV-related risks in Uganda and South Africa
Men who move for work (e.g., taxi drivers, fishermen, labourers) are often described as a homogeneous group at equal risk of HIV acquisition. This framing often masks important differences between men. Using data from rapid ethnographic assessments and a baseline survey in two settings in South Africa and one in Uganda, we examine how sexual risk- taking among men who travel frequently for work is shaped by mobility. We describe the different mob…
I have a child i need to live for’
Existing research highlights TB's economic and social stigma burdens and impacts behavior in households, but virtually unexplored is the dynamics of TB and parenthood. This qualitative study examines the interplay between TB diagnosis and treatment, and parenting experiences, focusing on the intersections of individual agency, societal expectations, and access to resources. From March 2021 to January 2022, we conducted in-depth interviews with 98…
Educational Attainment and HIV Prevalence by Age Among Pregnant Women in South Africa
We examined the association between educational attainment and HIV positivity among pregnant women in a high HIV-prevalence setting and assessed how this relationship varies by age to inform targeted prevention strategies. This cross-sectional study included 2003 pregnant women aged 21-44 years attending their first antenatal visit (<27 weeks' gestation) at four public health facilities in East London, South Africa, between March 2021 and May 202…
HIV/AIDS Research and Interventions (15 obras) · Medicine (14 obras) · Adolescent Sexual and Reproductive Health (12 obras) · Public health (10 obras) · Human immunodeficiency virus (HIV (8 obras) · Nursing (8 obras) · Qualitative research (8 obras) · Family medicine (7 obras) · Health psychology (7 obras) · Psychology (6 obras)