Amy Nunn
Biographic Data
| ID | 181339 |
|---|---|
| NAME | Amy Nunn |
| GIVEN NAMES | Amy |
| FAMILY NAME | Nunn |
| SIGNATURE | NUNN A |
| AFFILIATIONS | Brown University |
| ORCID | 0000-0002-1362-2170 |
| VERIFIED | Yes |
| TOTAL WORKS | 74 |
| TOTAL CITATIONS | 89 |
| AUTHOR COUNT | 74 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2004 |
| LATEST PUBLICATION YEAR | 2025 |
| H-INDEX | 6 |
Racial and ethnic differences in HIV pre-exposure prophylaxis reversal and abandonment in the United States
Daily oral pre-exposure prophylaxis (PrEP) effectively reduces HIV infection risks. However, adherence has been suboptimal across the United States (US), particularly among African Americans and Hispanic populations. We assessed racial and ethnic differences in PrEP primary non-adherence using two pharmacy-based measures: PrEP reversal (failure to pick up the first insurance-approved prescription) and PrEP abandonment (a reversed prescription not…
Association Between HIV Risk and Health Care Access Among U.S. Adults in the South
In the United States (U.S.), the highest burden of new HIV diagnosis continues to occur in Southern states. Healthcare access among at-risk populations is crucial to mitigate HIV transmission, yet data on the association between HIV risk and healthcare access is limited. This study examined the association between HIV risk, (i.e., injecting any drug other than those prescribed, engaging in transactional sex, receiving treatment for a sexually tra…
Access and Utilization of HIV/STI Testing Services among Men Who have Sex with Men During the Covid-19 Pandemic
Trends in HIV Testing Among Adults in the Deep South
HIV testing is an entry point for both HIV prevention and treatment, and the CDC recommends that all adults of reproductive age undergo HIV testing at least once in their lifetime. However, HIV testing rates remain suboptimal. This study analyzed trends in HIV testing using Behavioral Risk Factor Surveillance System data from 2017 to 2023 across nine Deep South states-Alabama, Florida, Georgia, Louisiana, Mississippi, North Carolina, South Caroli…
A mixed methods evaluation of family-driven care implementation in juvenile justice agencies in Georgia
“Make it more than a pill, make it an experience of health
Uptake and retention in clinical care for pre-exposure prophylaxis (PrEP) is suboptimal, particularly among young African American men who have sex with men (MSM) in the Deep South. We conducted a two-phase study to develop and implement an intervention to increase PrEP persistence. In Phase I, we conducted focus groups with 27 young African American MSM taking PrEP at a community health center in Jackson, Mississippi to elicit recommendations fo…
County-Level Factors Associated with Reversal of Insurer-Approved HIV Pre-Exposure Prophylaxis Prescriptions in the United States, 2018
Social policy support for families in South Korea during and after the pandemic of Covid-19, from a comparative perspective
The pandemic of Covid-19 exposed critical gaps in social policy and underscored the foundational role of families and households in both societal and economic stability. This introductory chapter to a Special Issue explores the interdependence between formal economic participation and unpaid domestic labour – collectively referred to as ‘social reproduction’. Drawing on feminist political economy, the chapter addresses how gendered and undervalue…
Factors associated with suboptimal retention in HIV pre-exposure prophylaxis care among men who have sex with men
Despite the efficacy of HIV pre-exposure prophylaxis (PrEP), retention in care in the United States remains suboptimal. The goal of this study was to explore factors that lead to suboptimal retention in PrEP care for men who have sex with men (MSM) in real-world clinical settings in the United States. Trained interviewers conducted semi-structured interviews with MSM (N = 49) from three clinics who had been engaged in PrEP care in the Midwest (n …
Barriers and facilitators to HIV care engagement
PURPOSE: Little is known about factors affecting HIV care engagement and retention among rural people with HIV (PWH) in the South. About half of PWH in Arkansas reside in rural areas. The purpose of this study was to explore factors affecting engagement and retention in HIV care among PWH in rural areas of Arkansas. METHODS: We conducted an exploratory qualitative study in 2020 and completed individual interviews (N = 11) with PWH in rural counti…
Perspectives on long-acting formulations of pre-exposure prophylaxis (PrEP) among men who have sex with men who are non-adherent to daily oral PrEP in the United States
Long-acting formulations of PrEP are acceptable to MSM with suboptimal PrEP persistence and have the potential to improve PrEP persistence. However, many felt they needed more information on safety, efficacy, and use to consider these options. As these long-acting formulations are implemented, public health campaigns and clinical interventions to encourage may maximize uptake particularly among those who are not currently adherent to daily oral P…
Depletion through Social Reproduction and Contingent Coping in the Lived Experience of Parents on Universal Credit in England
We report data from longitudinal qualitative interviews with thirteen people claiming Universal Credit (UC) immediately before and during the COVID-19 pandemic in England. The article utilizes concepts from feminist theory: “Social Reproduction” and “Depletion.” We make several novel contributions, including bringing depletion into conversation with the related concept of “contingent coping.” We argue that the lived experience of UC involves mate…
Where’s the “Everyday Black Woman”? An intersectional qualitative analysis of Black Women’s decision-making regarding HIV pre-exposure prophylaxis (PrEP) in Mississippi
An effective response to PrEP implementation among Black women in the South requires developing programs to center the needs of Black women and carry out active strategies that prioritize peer advocacy while reinforcing positive and mitigating negative influences from broader social and historical contexts
The intellectual and institutional challenges for International Political Economy in the UK
This article asks whether there is a discrepancy between the field of International Political Economy (IPE) as we know it from recent debates about its role, distinctiveness, and contribution compared to the experience of its practitioners on the ground? Intellectually IPE is needed more than ever to engage real world events but faces constraining institutional imperatives. We have two interrelated objectives related to this: (1) to assess the ex…
Bringing juvenile justice and public health systems together to meet the sexual and reproductive health needs of justice-involved youth
18) with juvenile justice (JJ) and public health (PH) system stakeholders between December 2015 and January 2017. Results suggest both PH and JJ stakeholders perceive CINI youth as having substantial, largely unmet SRH care needs due to a lack of services, policies, or procedures to address these needs. Barriers to implementing programs and policies to improve SRH services for this population include limited resources (e.g., staffing, time); perc…
Disciplinary Neo-Liberalisation and the New Politics of Inequality
Overlaps exist between critical Criminology and critical International Political Economy (IPE). However, while criminologists are keen to engage with political economy, there has been less interest in criminology from scholars in IPE. Recently, though, a literature started to emerge within IPE that focusses on discipline, including research which focusses on ‘authoritarian neoliberalism’ yet without explicitly engaging with the criminological lit…
African American Clergy Recommendations to Enhance the Federal Plan to End the HIV Epidemic
Global pressures, household social reproduction strategies and compound inequality
There is increasing interest in social reproduction and the international political economy of the everyday and the ways that the global economy rests on domestic foundations not just including state institutions but micro-social structures such as households and families. This paper uses data derived from the UK Millennium Cohort Study to explore the way that different types of household (using proxies for social class) one aspect of their socia…
The Case for a National SNAP Fruit and Vegetable Incentive Program
The Case for a National SNAP Fruit and Vegetable Incentive Program Sara John MS, Reece Lyerly MS, MPH, Parke Wilde PhD, Eliza Dexter Cohen BA, Eliza Lawson MPH, and Amy Nunn ScD Affiliation Sara John and Parke Wilde are with the Friedman School of Nutrition Science and Policy, Tufts University, Boston, MA. Reece Lyerly is with the Friedman School of Nutrition Science and Policy and the Rhode Island Public Health Institute, Providence. Eliza Dexte…
Locating the Risk
HIV incidence among African American (AA) young men who have sex with men (YMSM) has remained stable even though they made up the largest number of new HIV diagnoses among men who have sex with men (MSM) in 2017. HIV spreads at increased rates in dense sexual networks. Identifying the location of risk behaviors "activity spaces" could inform geographically circumscribed HIV prevention interventions. Utilizing the modified social ecological model …
Open pilot trial of a brief motivational interviewing-based HIV pre-exposure prophylaxis intervention for men who have sex with men
Gay, bisexual and other men who have sex with men (MSM) are at high-risk of HIV infection in the United States. Daily oral pre-exposure prophylaxis (PrEP) has demonstrated efficacy in reducing HIV acquisition among MSM. However, PrEP uptake in real-world clinical settings has been slow and uneven. Guided by Self-Regulation Theory, we developed and evaluated a brief (15-25 min) motivational interviewing (MI)-based intervention to promote PrEP upta…
Development of Telemedicine Infrastructure at an LGBTQ+ Clinic to Support HIV Prevention and Care in Response to Covid-19, Providence, RI
Gay and Bisexual Men’s Recommendations for Effective Digital Social Marketing Campaigns to Enhance HIV Prevention and Care Continuity
Effectiveness of mobile produce markets in increasing access and affordability of fruits and vegetables among low-income seniors
Objective: Mobile produce markets (MPM) offering Supplemental Nutrition Assistance Program (SNAP) incentive programmes have the potential to provide accessible and affordable fruits and vegetables (FV) to populations at risk of food insecurity. The objective of this study is to characterise the customer base of an MPM and describe their participation at twelve market sites serving low-income seniors. Design: In 2018, customers from an MPM in Rhod…
Reconciling care and justice in contesting social harm through performance and arts practice with looked after children and care leavers
The proportion of young people taken into the care of the state has increased recently and there is evidence that this social group suffer negative long‐term outcomes that might be conceptualised by the emergent criminological category of ‘social harm’. Debates in social work around an ethics of care and justice offer different ways of thinking about responding to social harm. This paper reports findings from an innovative arts‐based intervention…
Managing Development
The relationship between the European Union 1 and Africa has been formalised since the beginning of the European integration project in the evolving Yaoundé, Lomé and now Cotonou Agreements. The relationship has shifted in line with the emerging global framework for neoliberal accumulation. This shift has involved the re-designing’ of developmental strategies and their ‘locking-in’ in the long term. Theoretically, this global shift in the organis…
Neoliberalization, fast policy transfer and the management of labor market services
Neoliberalism has been a core concern for international political economy (IPE) for several decades, but is often ill-defined. Research offering greater definitional clarity stresses the role of contingent and local level factors in diverse processes of neoliberalization. This paper contributes to that literature, addressing a surprising gap in critical IPE knowledge; the management practices by which pressures to activate the unemployed and to m…
Geography Should Not Be Destiny
African Americans and Hispanics are disproportionately affected by the HIV/AIDS epidemic. Within the most heavily affected cities, a few neighborhoods account for a large share of new HIV infections. Addressing racial and economic disparities in HIV infection requires an implementation program and research agenda that assess the impact of HIV prevention interventions focused on increasing HIV testing, treatment, and retention in care in the most …
Descentralização, Aids e redução de danos
O artigo avalia como a descentralização dos recursos e ações do Programa Nacional de DST e AIDS influenciou as transferências de recursos para os programas de prevenção ao HIV/AIDS entre usuários de drogas injetáveis no Rio de Janeiro, Brasil (1999-2006). Foram avaliados os efeitos da política de descentralização sobre as transferências de recursos para os Programas de Redução de Danos (PRD) no Rio de Janeiro. A descentralização das transferência…
Disciplinary Social Policy and the Failing Promise of the New Middle Classes
This article looks at the promise of the ‘New Middle Class’ (NMC) inherent in the neoliberal ideological ideal of individualising societal responsibility for well-being and success. The article points to how this promise enables a discourse and practice of welfare reform and a disciplining of life styles particularly targeting the very poor in society. Women and some ethnic minorities are particularly prone to poverty and then therefore also disc…
Linking HIV-positive Jail Inmates to Treatment, Care, and Social Services After Release
The production and reproduction of inequality in the UK in times of austerity
Depletion through Social Reproduction and Contingent Coping in the Lived Experience of Parents on Universal Credit in England
We report data from longitudinal qualitative interviews with thirteen people claiming Universal Credit (UC) immediately before and during the COVID-19 pandemic in England. The article utilizes concepts from feminist theory: “Social Reproduction” and “Depletion.” We make several novel contributions, including bringing depletion into conversation with the related concept of “contingent coping.” We argue that the lived experience of UC involves mate…
The Case for a National SNAP Fruit and Vegetable Incentive Program
The Case for a National SNAP Fruit and Vegetable Incentive Program Sara John MS, Reece Lyerly MS, MPH, Parke Wilde PhD, Eliza Dexter Cohen BA, Eliza Lawson MPH, and Amy Nunn ScD Affiliation Sara John and Parke Wilde are with the Friedman School of Nutrition Science and Policy, Tufts University, Boston, MA. Reece Lyerly is with the Friedman School of Nutrition Science and Policy and the Rhode Island Public Health Institute, Providence. Eliza Dexte…
Social reproduction strategies
This article focuses on the way that households respond to 'global pressures' by adapting their social reproduction strategies (SRS). We understand social reproduction strategies to encapsulate the more or less consciously developed day-to-day and inter-generational responses to the social conditions that households confront and their own motivations and aspirations for the future. Yet, due to a range of extant inequalities of accumulated and dyn…
The political economy of competitiveness and social mobility
Contingent coping? Renegotiating ‘fast’ disciplinary social policy at street level
This article reports on a study of local implementation in the UK Troubled Families Programme (TFP). Exploring the experiences of 12 families, the policies of local bureaucrats, and a critical reading of the literature, we argue that the local case represented an attempt to partially renegotiate disciplinary elements of the national programme and to recognise that the families were affected by structural poverty and inequality. Locating the TFP i…
The capacity building programme for english local government
The Capacity Building Programme for local government in England has employed a variety of different mechanisms to support local authority improvement. Like other central government initiatives to improve local government performance, the CBP has been the subject of evaluation of its progress. This article draws on the findings from the evaluation, to compare Direct Support and a series of National Programmes. It concludes by suggesting that the C…
Late presentation to HIV/Aids care in Brazil among men who self-identify as heterosexual
OBJECTIVE: To analyze the factors associated with late presentation to HIV/AIDS services among heterosexual men. METHODS: Men infected by HIV who self-identified as heterosexual (n = 543) were included in the study. Descriptive, biivariate and logistic regression analyses were performed to evaluate the factors associated with late presentation (defined as individuals whose first CD4 count was <350 cells/mm3) in the study population. RESULTS: The …
Managing neo-liberalisation through the Sustainable Development Agenda
The EU suggests that it is committed to ‘sustainable development’ including through its institutionalised relationship with the states of the African, Caribbean and Pacific group in the Cotonou Partnership Agreement. This paper reviews this relationship with a view to outlining the way in which concepts like ‘sustainable development’ and ‘poverty reduction’ act as legitimation for processes of world market expansion. The paper reviews a range of …
The contested and contingent outcomes of Thatcherism in the UK
The death of Margaret Thatcher in April 2013 sparked a range of discussions and debates about the significance of her period in office and the political project to which she gave her name: Thatcherism. This article argues that Thatcherism is best understood as a symbolically important part of the emergence of first-phase neoliberalism. It engages with contemporary debates about Thatcherism among Marxist commentators and suggests that several appa…
Rapid HIV Testing in Large Urban Jails
HIV prevalence is higher in jails than in the community, yet many jails do not conduct HIV testing. Jails in Baltimore, Maryland; Philadelphia, Pennsylvania; and the District of Columbia have implemented innovative rapid HIV testing programs. We have summarized the results of these programs, including the numbers of persons tested, rapid and confirmatory HIV test results, and numbers of persons newly diagnosed with HIV. We have described facilita…
Disciplinary Neo-Liberalisation and the New Politics of Inequality
Overlaps exist between critical Criminology and critical International Political Economy (IPE). However, while criminologists are keen to engage with political economy, there has been less interest in criminology from scholars in IPE. Recently, though, a literature started to emerge within IPE that focusses on discipline, including research which focusses on ‘authoritarian neoliberalism’ yet without explicitly engaging with the criminological lit…
Training the Next Generation of Researchers Dedicated to Improving Health Outcomes for Justice-Involved Populations
Mind the gap
Sampling strategies such as respondent-driven sampling (RDS) and time-location sampling (TLS) offer unique opportunities to access key populations such as men who have sex with men (MSM) and transgender women. Limited work has assessed implementation challenges of these methods. Overcoming implementation challenges can improve research quality and increase uptake of HIV services among key populations. Drawing from studies using RDS in Brazil and …
Public Health Behind Bars
Managing Development
The relationship between the European Union 1 and Africa has been formalised since the beginning of the European integration project in the evolving Yaoundé, Lomé and now Cotonou Agreements. The relationship has shifted in line with the emerging global framework for neoliberal accumulation. This shift has involved the re-designing’ of developmental strategies and their ‘locking-in’ in the long term. Theoretically, this global shift in the organis…
The capacity building programme for english local government
The Capacity Building Programme for local government in England has employed a variety of different mechanisms to support local authority improvement. Like other central government initiatives to improve local government performance, the CBP has been the subject of evaluation of its progress. This article draws on the findings from the evaluation, to compare Direct Support and a series of National Programmes. It concludes by suggesting that the C…
Descentralização, Aids e redução de danos
O artigo avalia como a descentralização dos recursos e ações do Programa Nacional de DST e AIDS influenciou as transferências de recursos para os programas de prevenção ao HIV/AIDS entre usuários de drogas injetáveis no Rio de Janeiro, Brasil (1999-2006). Foram avaliados os efeitos da política de descentralização sobre as transferências de recursos para os Programas de Redução de Danos (PRD) no Rio de Janeiro. A descentralização das transferência…
Public Health Behind Bars
Financing the Welfare Needs of Children Affected by HIV/Aids
Changing global essential medicines norms to improve access to Aids treatment
Brazil's large-scale, successful HIV/AIDS treatment programme is considered by many to be a model for other developing countries aiming to improve access to AIDS treatment. Far less is known about Brazil's important role in changing global norms related to international pharmaceutical policy, particularly international human rights, health and trade policies governing access to essential medicines. Prompted by Brazil's interest in preserving its …
Linking HIV-positive Jail Inmates to Treatment, Care, and Social Services After Release
Social, structural and behavioral drivers of concurrent partnerships among African American men in Philadelphia
African Americans face disproportionately higher risks of HIV infection. Concurrent sexual relationships, or sexual partnerships that overlap in time, are more common among African Americans than individuals of other races and may contribute to racial disparities in HIV infection. However, little is known about attitudes, norms and practices among individuals engaged in concurrent partnerships. Little is also known about the processes through whi…
The impacts of Aids movements on the policy responses to HIV/Aids in Brazil and South Africa
Brazil and South Africa were among the first countries profoundly impacted by the HIV/AIDS epidemic and had similar rates of HIV infection in the early 1990s. Today, Brazil has less than 1% adult HIV prevalence, implemented treatment and prevention programmes early in the epidemic, and now has exemplary HIV/AIDS programmes. South Africa, by contrast, has HIV prevalence of 18% and was, until recently, infamous for its delayed and inappropriate res…
The political economy of competitiveness and social mobility
Rapid HIV Testing in Large Urban Jails
HIV prevalence is higher in jails than in the community, yet many jails do not conduct HIV testing. Jails in Baltimore, Maryland; Philadelphia, Pennsylvania; and the District of Columbia have implemented innovative rapid HIV testing programs. We have summarized the results of these programs, including the numbers of persons tested, rapid and confirmatory HIV test results, and numbers of persons newly diagnosed with HIV. We have described facilita…
“I did not feel like a mother”
Exclusive and safe formula feeding can eliminate the risk of vertical HIV transmission due to breastfeeding. Therefore, many countries advise all HIV-positive women to avoid breastfeeding their infants. However, little research explores the experiences of women attempting to exclusively formula feed in countries with free and universal access to highly active antiretroviral therapy (HAART). This article examines the success of Brazil in supportin…
What's God got to do with it? Engaging African-American faith-based institutions in HIV prevention
African-Americans are disproportionately infected and affected by HIV/AIDS. Although faith-based institutions play critical leadership roles in the African-American community, the faith-based response to HIV/AIDS has historically been lacking. We explore recent successful strategies of a citywide HIV/AIDS awareness and testing campaign developed in partnership with 40 African-American faith-based institutions in Philadelphia, Pennsylvania, a city…
Love, lust and the emotional context of multiple and concurrent sexual partnerships among young Swazi adults
Men and women in Swaziland who are engaged in multiple or concurrent sexual partnerships, or who have sexual partners with concurrent partners, face a very high risk of HIV infection. Ninety-four in-depth interviews were conducted with 28 Swazi men and women (14 of each sex) between the ages of 20 and 39 to explore participants' sexual partnership histories, including motivations for sexual relationships which carried high HIV risk. Concurrency w…
Making the invisible, visible
The prevalence of LP in this population was higher than noted in the global literature on LP among MSM. Heterosexual men and older age individuals experienced substantial barriers to HIV care. The stigma around same-sex behaviors and the current focus of HIV prevention and treatment campaigns on younger age individuals may limit patients' and providers' awareness of the risk for HIV and access to available services. In addition to addressing HIV-…
Prevalence and Predictors of Concurrent Sexual Partnerships in a Predominantly African American Population in Jackson, Mississippi
Geography Should Not Be Destiny
African Americans and Hispanics are disproportionately affected by the HIV/AIDS epidemic. Within the most heavily affected cities, a few neighborhoods account for a large share of new HIV infections. Addressing racial and economic disparities in HIV infection requires an implementation program and research agenda that assess the impact of HIV prevention interventions focused on increasing HIV testing, treatment, and retention in care in the most …
The contested and contingent outcomes of Thatcherism in the UK
The death of Margaret Thatcher in April 2013 sparked a range of discussions and debates about the significance of her period in office and the political project to which she gave her name: Thatcherism. This article argues that Thatcherism is best understood as a symbolically important part of the emergence of first-phase neoliberalism. It engages with contemporary debates about Thatcherism among Marxist commentators and suggests that several appa…
Individual and Partner-Level Factors Associated with Condom Non-Use Among African American STI Clinic Attendees in the Deep South
Barriers along the care cascade of HIV-infected men in a large urban center of Brazil
Global and national HIV/AIDS policies utilize the care cascade to emphasize the importance of continued engagement in HIV services from diagnosis to viral suppression. Several studies have documented barriers that men experience in accessing services at specific stages of care, but few have analyzed how these barriers operate along the care cascade. Brazil offers a unique setting for analyzing barriers to HIV care because it is a middle-income co…
Condom use and incarceration among STI clinic attendees in the Deep South
This study found a strong, independent relationship between condom use and multiple, long-term incarceration events among patients in an urban STI clinic in the Deep South. The results suggest that duration of incarceration and multiple incarcerations have significant effects on sexual risk behaviors, underscoring the deleterious impact of long prison or jail sentences on population health. Our findings also suggest that correctional health care …
From first love to marriage and maturity
This paper uses a life-course approach to explore the sexual partnerships and HIV-related risk of men and women in Swaziland throughout their adolescence, 20s and 30s. Twenty-eight Swazi men and women between the ages of 20 and 39 discussed their life histories in 117 in-depth interviews, with an average follow-up of nine months. Many participants described painful childhood experiences, including a lack of positive role models for couple relatio…
The production and reproduction of inequality in the UK in times of austerity
Disciplinary Social Policy and the Failing Promise of the New Middle Classes
This article looks at the promise of the ‘New Middle Class’ (NMC) inherent in the neoliberal ideological ideal of individualising societal responsibility for well-being and success. The article points to how this promise enables a discourse and practice of welfare reform and a disciplining of life styles particularly targeting the very poor in society. Women and some ethnic minorities are particularly prone to poverty and then therefore also disc…
Late presentation to HIV/Aids care in Brazil among men who self-identify as heterosexual
OBJECTIVE: To analyze the factors associated with late presentation to HIV/AIDS services among heterosexual men. METHODS: Men infected by HIV who self-identified as heterosexual (n = 543) were included in the study. Descriptive, biivariate and logistic regression analyses were performed to evaluate the factors associated with late presentation (defined as individuals whose first CD4 count was <350 cells/mm3) in the study population. RESULTS: The …
Medicine (53 works) · HIV/AIDS Research and Interventions (47 works) · Family medicine (39 works) · Political science (39 works) · Sociology (38 works) · HIV, Drug Use, Sexual Risk (30 works) · Psychology (28 works) · Human immunodeficiency virus (HIV (25 works) · Nursing (25 works) · Adolescent Sexual and Reproductive Health (24 works)