Lawrence S Wissow
Biographic Data
| ID | 1743760 |
|---|---|
| NAME | Lawrence S Wissow |
| GIVEN NAMES | Lawrence S |
| FAMILY NAME | Wissow |
| SIGNATURE | WISSOW L S |
| AFFILIATIONS | Johns Hopkins University |
| ORCID | 0000-0003-2019-7472 |
| VERIFIED | Yes |
| TOTAL WORKS | 23 |
| TOTAL CITATIONS | 55 |
| AUTHOR COUNT | 23 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1988 |
| LATEST PUBLICATION YEAR | 2023 |
| H-INDEX | 4 |
Adolescents’ Social Comparisons, Subjective Social Status, and Coping to Maintain Well-Being
Income inequality has increased in the United States over the past decades and, more recently, social media has expanded adolescents' reference groups and their field of social comparison. These parallel societal changes may influence adolescents' social identity development and affect their well-being. We interviewed adolescents in contact with health services to understand their experiences with social status differences and social comparisons.…
Measuring functional disability in children with developmental disorders in low-resource settings
The lay health worker administrated version of adapted WHODAS-Child is a reliable, valid and sensitive-to-change measure of functional disability in children aged 2-12 years with DDs in rural community settings of Pakistan
Identifying pathways for large-scale implementation of a school-based mental health programme in the Eastern Mediterranean Region
Globally there is a substantial burden of mental health problems among children and adolescents. Task-shifting/task-sharing mental health services to non-specialists, e.g. teachers in school settings, provide a unique opportunity for the implementation of mental health interventions at scale in low- and middle-income countries (LMICs). There is scant information to guide the large-scale implementation of school-based mental health programme in LM…
Ensuring Comprehensive Care and Support for Transgender and Gender-Diverse Children and Adolescents
This Policy Statement was reaffirmed August 2023. As a traditionally underserved population that faces numerous health disparities, youth who identify as transgender and gender diverse (TGD) and their families are increasingly presenting to pediatric providers for education, care, and referrals. The need for more formal training, standardized treatment, and research on safety and medical outcomes often leaves providers feeling ill equipped to sup…
Validation of a cross-cultural instrument for child behavior problems
While both the DBIS-N and the ECBI had high classification accuracy for local idioms for behavior problems, the DBIS-N had a more coherent factor structure and added predictive value above the ECBI. Items from the DBIS-N were more consistent with cultural themes identified in qualitative research, whereas multiple items in the ECBI that did not fit with these themes performed poorly in factor analysis. In conjunction with practical considerations…
Factors promoting and inhibiting sustained impact of a mental health task-shifting program for HIV providers in Ethiopia
An intervention seen as feasible and effective, and promotion of relationships across professional lines, helped generalists sustain new skills. Failure to address key system context issues made use of the skills unsustainable as external supports ended
Converging on child mental health – toward shared global action for child development
We are a group of researchers and clinicians with collective experience in child survival, nutrition, cognitive and social development, and treatment of common mental conditions. We join together to welcome an expanded definition of child development to guide global approaches to child health and overall social development. We call for resolve to integrate maternal and child mental health with child health, nutrition, and development services and…
Development process of an assessment tool for disruptive behavior problems in cross-cultural settings
Systematic processes are needed to develop valid measurement instruments for disruptive behavior disorders (DBDs) in cross-cultural settings. We employed a four-step process in Nepal to identify and select items for a culturally valid assessment instrument: 1) We extracted items from validated scales and local free-list interviews. 2) Parents, teachers, and peers (n=30) rated the perceived relevance and importance of behavior problems. 3) Highly …
The ecocultural context and child behavior problems
Collaboratively reframing mental health for integration of HIV care in Ethiopia
BACKGROUND: Integrating mental health with general medical care can increase access to mental health services, but requires helping generalists acquire a range of unfamiliar knowledge and master potentially complex diagnostic and treatment processes. METHOD: We describe a model for integrating complex specialty care with generalist/primary care, using as an illustration the integration of mental health into hospital-based HIV treatment services i…
Main partner factors associated with worse adherence to Haart among women in Baltimore, Maryland
Compared to US men, US women have worse HAART and HIV health outcomes. The study examined main partner factors associated with women's HAART adherence. The community sample comprised 85% African-Americans; 63% had a main partner and 32% relied on their partner for emotional support. Adherence was highest (92%) among those without a main partner and lowest (57%) among those with an HIV seropositive main partner. In adjusted analysis, adherence was…
Informal Care and Reciprocity of Support are Associated with Haart Adherence Among Men in Baltimore, MD, USA
Depression and social context
Social support is associated with better health outcomes among chronically ill individuals, yet support receipt can be stressful. The study examined supporter relationship factors, among n=156 main‐supporter–HIV+support‐recipient dyads, associated with recipient's depression (CES‐D≥16). Results indicated that support recipient's depression was associated with a 3.6‐times higher odds of main supporters' depression, a 2.5‐times higher odds of suppo…
Externalizing Behaviors among Children of HIV Seropositive Former and Current Drug Users
Receiving Advice About Child Mental Health From a Primary Care Provider
BACKGROUND: Primary care providers (PCPs) play a critical role in the identification and treatment of child and adolescent mental health problems but few studies have examined parents' attitudes on receiving advice about child mental health from a PCP and whether attitudes are associated with race or ethnicity. OBJECTIVE: To determine if race and ethnicity were associated with parents' attitudes on receiving advice about child mental health from …
Gifts, bribes and solicitions
Autonomy-related behaviors of patient companions and their effect on decision-making activity in geriatric primary care visits
Cluster and regional influences on suicide in a Southwestern American Indian tribe
Parenting and physical punishment
Physical punishment is a form of intrafamilial violence associated with short- and long-term adverse mental health outcomes. Despite these possible consequences, it is among the most common forms of violent interpersonal behavior. For many children it begins within the first year of life. The goal of this study was to determine the feasibility of involving public sector primary health care providers to inform parents about alternatives to physica…
Sexual Orientation and Risk of Suicide Attempts Among a Representative Sample of Youth
OBJECTIVE: To examine whether sexual orientation is an independent risk factor for reported suicide attempts. DESIGN: Data were from the Massachusetts 1995 Centers for Disease Control and Prevention Youth Risk Behavior Survey, which included a question on sexual orientation. Ten drug use, 5 sexual behavior, and 5 violence/ victimization variables chosen a priori were assessed as possible mediating variables. Hierarchical logistic regression model…
Patient-Provider Communication During the Emergency Department Care of Children With Asthma
OBJECTIVES: Poor children's reliance on emergency facilities is one factor implicated in the rise of morbidity attributed to asthma. Although studies have examined doctor-patient communication during routine pediatric visits, little data are available about communication during emergency care. This study sought to describe communication during emergency treatment of childhood asthma to learn if a "patient-centered" provider style was associated w…
Family Violence and the Evaluation of Behavioral Concerns in a Pediatric Primary Care Clinic
The goals of this study were to determine 1) the prevalence of exposure to intrafamilial violence among children attending a pediatric primary care clinic; 2) the prevalence of psychosocial distress among mothers bringing their children to the clinic; 3) the extent to which pediatricians are aware of family violence and maternal distress among their patients; and 4) whether families reporting violence are more likely to report behavioral or emoti…
Poverty, race, and hospitalization for childhood asthma
This study uses Maryland hospital discharge data for the period 1979-82 to determine whether Black children are more likely to be hospitalized for asthma and whether this difference persists after adjustment for poverty. The average annual asthma discharge rate was 1.95/1000 children aged 1-19; 3.75/1000 for Black children, and 1.25/1000 for White. Medicaid-enrolled children of both races had increased discharge rates for asthma compared to those…
Poverty, race, and hospitalization for childhood asthma
This study uses Maryland hospital discharge data for the period 1979-82 to determine whether Black children are more likely to be hospitalized for asthma and whether this difference persists after adjustment for poverty. The average annual asthma discharge rate was 1.95/1000 children aged 1-19; 3.75/1000 for Black children, and 1.25/1000 for White. Medicaid-enrolled children of both races had increased discharge rates for asthma compared to those…
Autonomy-related behaviors of patient companions and their effect on decision-making activity in geriatric primary care visits
Cluster and regional influences on suicide in a Southwestern American Indian tribe
Gifts, bribes and solicitions
The ecocultural context and child behavior problems
Depression and social context
Social support is associated with better health outcomes among chronically ill individuals, yet support receipt can be stressful. The study examined supporter relationship factors, among n=156 main‐supporter–HIV+support‐recipient dyads, associated with recipient's depression (CES‐D≥16). Results indicated that support recipient's depression was associated with a 3.6‐times higher odds of main supporters' depression, a 2.5‐times higher odds of suppo…
Poverty, race, and hospitalization for childhood asthma
This study uses Maryland hospital discharge data for the period 1979-82 to determine whether Black children are more likely to be hospitalized for asthma and whether this difference persists after adjustment for poverty. The average annual asthma discharge rate was 1.95/1000 children aged 1-19; 3.75/1000 for Black children, and 1.25/1000 for White. Medicaid-enrolled children of both races had increased discharge rates for asthma compared to those…
Family Violence and the Evaluation of Behavioral Concerns in a Pediatric Primary Care Clinic
The goals of this study were to determine 1) the prevalence of exposure to intrafamilial violence among children attending a pediatric primary care clinic; 2) the prevalence of psychosocial distress among mothers bringing their children to the clinic; 3) the extent to which pediatricians are aware of family violence and maternal distress among their patients; and 4) whether families reporting violence are more likely to report behavioral or emoti…
Patient-Provider Communication During the Emergency Department Care of Children With Asthma
OBJECTIVES: Poor children's reliance on emergency facilities is one factor implicated in the rise of morbidity attributed to asthma. Although studies have examined doctor-patient communication during routine pediatric visits, little data are available about communication during emergency care. This study sought to describe communication during emergency treatment of childhood asthma to learn if a "patient-centered" provider style was associated w…
Sexual Orientation and Risk of Suicide Attempts Among a Representative Sample of Youth
OBJECTIVE: To examine whether sexual orientation is an independent risk factor for reported suicide attempts. DESIGN: Data were from the Massachusetts 1995 Centers for Disease Control and Prevention Youth Risk Behavior Survey, which included a question on sexual orientation. Ten drug use, 5 sexual behavior, and 5 violence/ victimization variables chosen a priori were assessed as possible mediating variables. Hierarchical logistic regression model…
Parenting and physical punishment
Physical punishment is a form of intrafamilial violence associated with short- and long-term adverse mental health outcomes. Despite these possible consequences, it is among the most common forms of violent interpersonal behavior. For many children it begins within the first year of life. The goal of this study was to determine the feasibility of involving public sector primary health care providers to inform parents about alternatives to physica…
Cluster and regional influences on suicide in a Southwestern American Indian tribe
Autonomy-related behaviors of patient companions and their effect on decision-making activity in geriatric primary care visits
Externalizing Behaviors among Children of HIV Seropositive Former and Current Drug Users
Receiving Advice About Child Mental Health From a Primary Care Provider
BACKGROUND: Primary care providers (PCPs) play a critical role in the identification and treatment of child and adolescent mental health problems but few studies have examined parents' attitudes on receiving advice about child mental health from a PCP and whether attitudes are associated with race or ethnicity. OBJECTIVE: To determine if race and ethnicity were associated with parents' attitudes on receiving advice about child mental health from …
Gifts, bribes and solicitions
Depression and social context
Social support is associated with better health outcomes among chronically ill individuals, yet support receipt can be stressful. The study examined supporter relationship factors, among n=156 main‐supporter–HIV+support‐recipient dyads, associated with recipient's depression (CES‐D≥16). Results indicated that support recipient's depression was associated with a 3.6‐times higher odds of main supporters' depression, a 2.5‐times higher odds of suppo…
Informal Care and Reciprocity of Support are Associated with Haart Adherence Among Men in Baltimore, MD, USA
Main partner factors associated with worse adherence to Haart among women in Baltimore, Maryland
Compared to US men, US women have worse HAART and HIV health outcomes. The study examined main partner factors associated with women's HAART adherence. The community sample comprised 85% African-Americans; 63% had a main partner and 32% relied on their partner for emotional support. Adherence was highest (92%) among those without a main partner and lowest (57%) among those with an HIV seropositive main partner. In adjusted analysis, adherence was…
Collaboratively reframing mental health for integration of HIV care in Ethiopia
BACKGROUND: Integrating mental health with general medical care can increase access to mental health services, but requires helping generalists acquire a range of unfamiliar knowledge and master potentially complex diagnostic and treatment processes. METHOD: We describe a model for integrating complex specialty care with generalist/primary care, using as an illustration the integration of mental health into hospital-based HIV treatment services i…
Development process of an assessment tool for disruptive behavior problems in cross-cultural settings
Systematic processes are needed to develop valid measurement instruments for disruptive behavior disorders (DBDs) in cross-cultural settings. We employed a four-step process in Nepal to identify and select items for a culturally valid assessment instrument: 1) We extracted items from validated scales and local free-list interviews. 2) Parents, teachers, and peers (n=30) rated the perceived relevance and importance of behavior problems. 3) Highly …
The ecocultural context and child behavior problems
Factors promoting and inhibiting sustained impact of a mental health task-shifting program for HIV providers in Ethiopia
An intervention seen as feasible and effective, and promotion of relationships across professional lines, helped generalists sustain new skills. Failure to address key system context issues made use of the skills unsustainable as external supports ended
Converging on child mental health – toward shared global action for child development
We are a group of researchers and clinicians with collective experience in child survival, nutrition, cognitive and social development, and treatment of common mental conditions. We join together to welcome an expanded definition of child development to guide global approaches to child health and overall social development. We call for resolve to integrate maternal and child mental health with child health, nutrition, and development services and…
Ensuring Comprehensive Care and Support for Transgender and Gender-Diverse Children and Adolescents
This Policy Statement was reaffirmed August 2023. As a traditionally underserved population that faces numerous health disparities, youth who identify as transgender and gender diverse (TGD) and their families are increasingly presenting to pediatric providers for education, care, and referrals. The need for more formal training, standardized treatment, and research on safety and medical outcomes often leaves providers feeling ill equipped to sup…
Validation of a cross-cultural instrument for child behavior problems
While both the DBIS-N and the ECBI had high classification accuracy for local idioms for behavior problems, the DBIS-N had a more coherent factor structure and added predictive value above the ECBI. Items from the DBIS-N were more consistent with cultural themes identified in qualitative research, whereas multiple items in the ECBI that did not fit with these themes performed poorly in factor analysis. In conjunction with practical considerations…
Measuring functional disability in children with developmental disorders in low-resource settings
The lay health worker administrated version of adapted WHODAS-Child is a reliable, valid and sensitive-to-change measure of functional disability in children aged 2-12 years with DDs in rural community settings of Pakistan
Identifying pathways for large-scale implementation of a school-based mental health programme in the Eastern Mediterranean Region
Globally there is a substantial burden of mental health problems among children and adolescents. Task-shifting/task-sharing mental health services to non-specialists, e.g. teachers in school settings, provide a unique opportunity for the implementation of mental health interventions at scale in low- and middle-income countries (LMICs). There is scant information to guide the large-scale implementation of school-based mental health programme in LM…
Adolescents’ Social Comparisons, Subjective Social Status, and Coping to Maintain Well-Being
Income inequality has increased in the United States over the past decades and, more recently, social media has expanded adolescents' reference groups and their field of social comparison. These parallel societal changes may influence adolescents' social identity development and affect their well-being. We interviewed adolescents in contact with health services to understand their experiences with social status differences and social comparisons.…
Medicine (17 works) · Psychology (17 works) · Psychiatry (12 works) · Social Psychology (10 works) · Clinical Psychology (8 works) · Family medicine (7 works) · Social Psychology (7 works) · Environmental health (6 works) · HIV/AIDS Research and Interventions (6 works) · Mental health (6 works)