Lisa R Metsch
Dados Biográficos
| ID | 210100 |
|---|---|
| NOME | Lisa R Metsch |
| PRENOMES | Lisa R |
| SOBRENOME | Metsch |
| ASSINATURA | METSCH L R |
| AFILIAÇÕES | Columbia University |
| ORCID | 0000-0001-5966-3982 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 96 |
| TOTAL DE CITAÇÕES | 50 |
| TOTAL COMO AUTOR | 96 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 1994 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 5 |
Predictors of worsening food security among women living with and without HIV and seronegative women during Covid-19
This study aimed to assess the prevalence, severity, predictors, and lived experiences of food insecurity among women enrolled in the Women’s Interagency HIV Study in the USA in 2020, at the height of the COVID-19 pandemic. We hypothesized that pre-existing socioeconomic and health-related disparities would heighten the risk of worsening food insecurity during the pandemic. The 10-item US Household Food Security Survey was administered to partici…
Understanding How Information Sources Shape Perceptions of HIV Among Adolescents and Young Adults (AYA) in Tajikistan
Adolescents and young adults (AYA) aged 15-24 in Tajikistan have the lowest comprehensive knowledge of HIV compared to other AYA in Eastern Europe and Central Asia; however, little research has explored what sources of HIV information they utilize. We conducted a qualitative study with 36 AYA in Dushanbe, grouped by gender and age. Participants engaged in participatory activities and discussions over two sessions. We conducted thematic analysis a…
Ashamed of being seen in an HIV clinic”
ClinicalTrials.gov, NCT03858998. Registered on 01 March 2019
Self-Efficacy and One-Year HIV Outcomes for Hospitalized People with HIV in Tanzania
Examining the causal pathways through which the Daraja intervention led to sustained improvement in HIV outcomes, including retention in HIV care, ART adherence, and viral load suppression, could highlight critical mechanisms for improving post-hospital outcomes in people with HIV. This pre-specified analysis of the Daraja trial assessed five mediators identified from the Gelberg-Andersen model (self-efficacy, social support, perceived need for H…
Association of experienced stigma in healthcare settings with health outcomes among Black women living with HIV
Psychosocial Factors Linked to Uncontrolled Infection and Mortality among People Living with HIV Who Use Substances
To determine whether endorsement patterns of psychosocial symptoms revealed distinct subgroups, or latent classes, of people living with HIV who use substances (PLWH-SU), and to assess whether these classes demonstrated differential health outcomes over time. This study uses data from 801 PLWH-SU initially enrolled across 11 US hospitals during 2012-2014 and followed up in 2017. Latent class analysis included 28 psychosocial items. Regression ana…
Patient acceptance of HIV rapid testing in the dental care setting
Dental settings are untapped venues to identify patients with undiagnosed HIV who may otherwise lack testing opportunities. Perceived lack of patient acceptance has been a significant barrier limiting dentists’ willingness to offer HIV testing. This study implemented rapid HIV testing in dental settings located in an HIV prevalent region to evaluate patient acceptance. Two South Florida community health centers implemented routine oral rapid HIV …
Strategies of Managing Repeated Measures
Longitudinal Relationship Between Food Insecurity, Engagement in Care, and ART Adherence Among US Women Living with HIV
Ending the HIV Epidemic for Persons Left Behind in the Advances of HIV
The advent of antiretroviral therapy and biomedical prevention has transformed HIV from a fatal disease to a chronic condition where people with HIV (PWH) can live long, healthy lives. Yet, there remains a subset of PWH left behind from receiving timely HIV diagnosis and care. Striking inequalities in access to resources, socioeconomic disparities, and social forces have prevented certain PWH from achieving significant health and quality of life …
Dental Care Utilization of Hospitalized Persons Living with HIV and Substance Use
The Disaggregated Repeated Measures Design
Correlates of psychological intimate partner violence with HIV care outcomes on patients in HIV care
Psychological IPV, even in the absence of physical or sexual IPV, appears to be associated with HIV care outcomes and should be included in IPV measures integrated into routine HIV care
Long-Acting Injectable ART and PrEP Among Women in Six Cities Across the United States
Patient Health Literacy and Communication with Providers Among Women Living with HIV
Dyadic analysis of criminal justice involvement and hiv risks among couples who inject drugs and their intimate partners in almaty, kazakhstan
Neighborhood Poverty and Control of HIV, Hypertension, and Diabetes in the Women’s Interagency HIV Study
Interest in Long-Acting Injectable Pre-exposure Prophylaxis (LAI PrEP) Among Women in the Women’s Interagency HIV Study (Wihs)
Syringe services program (SSP) operational changes during the Covid-19 global outbreak
The Relationship Between Housing Status and Substance Use and Sexual Risk Behaviors Among People Currently Seeking or Receiving Services in Substance Use Disorder Treatment Programs
Women's HIV disclosure to the dentist
Study findings highlight that dentists who see their patients infrequently should consider methods for overcoming barriers to HIV nondisclosure and the possibility that their patient's HIV serostatus is undisclosed. Educating women living with HIV about how disclosure to dentists is a critical component of their dental assessment and treatment, and how preventive dental treatment can improve overall health outcomes, is important
Training the Next Generation of Researchers Dedicated to Improving Health Outcomes for Justice-Involved Populations
Bundling Rapid Human Immunodeficiency Virus and Hepatitis C Virus Testing to Increase Receipt of Test Results
BACKGROUND: The overlapping human immunodeficiency virus (HIV) and hepatitis C virus (HCV) epidemics disproportionately affect people with substance use disorders. However, many people who use substances remain unaware of their infection(s). OBJECTIVE: The objective of this study was to examine the efficacy of an on-site bundled rapid HIV and HCV testing strategy in increasing receipt of both HIV and HCV test results. RESEARCH DESIGN: Two-armed r…
Physician Mistrust, Medical System Mistrust, and Perceived Discrimination
Pilot Randomized Controlled Trial of a Syndemics Intervention with HIV-Positive, Cocaine-Using Women
Injection drug users' practices and attitudes toward intervention and potential for reducing the transmission of HIV
Miami is one of the major centers of illegal drug activity and has a significant proportion of AIDS cases among injection drug users (IDUs). Since Needle Exchange Programs (NEP) are illegal and therefore do not exist in the state of Florida, other strategies must play a large role in reducing the transmission of HIV among IDUs. In order to effectively communicate with IDUs about needle safety, it is necessary to understand the practices and cultu…
Implementing Rapid HIV Testing With or Without Risk-Reduction Counseling in Drug Treatment Centers
Objectives. We examined the effectiveness of risk reduction counseling and the role of on-site HIV testing in drug treatment. Methods. Between January and May 2009, we randomized 1281 HIV-negative (or status unknown) adults who reported no past-year HIV testing to (1) referral for off-site HIV testing, (2) HIV risk-reduction counseling with on-site rapid HIV testing, or (3) verbal information about testing only with on-site rapid HIV testing. Res…
Dental Examinations as an Untapped Opportunity to Provide HIV Testing for High-Risk Individuals
We used data from the 2005 National Health Interview Survey to examine the potential role of dental care in reaching untested individuals at self-reported risk for HIV. An estimated 3.6 million Americans report that they are at significant HIV risk yet have never been HIV tested. Three quarters of these people have seen a dentist within the past 2 years. Dental care offers opportunities to serve at-risk individuals who are otherwise unlikely to b…
Unprotected Sexual Behavior Among Heterosexual HIV-Positive Injection Drug Using Men
Welfare and Work Outcomes after Substance Abuse Treatment
Employment and welfare outcomes are investigated for women who received both welfare and substance abuse treatment in Florida from 1994 to 1999. By linking information from three statewide administrative databases, we identify 4,236 women who meet both criteria. Over the study period, there was a significant increase in the proportion of women moving from welfare to work. Predictors of posttreatment employment include demographic characteristics,…
A Comparison of the Need for Health Care and Use of Health Care by Injection-Drug Users, Other Chronic Drug Users, and Nondrug Users
This article compares the health care need and health care use of injection drug users, other chronic drug users, and nondrug users. Data from 1,330 non-Hispanic White, African American, and Hispanic/Latino men and women were analyzed to determine independent risk factors for two outcome variables: (a) need for health care treatment and (b) use of health care treatment. Ten independent demographic, health, and drug use variables were assessed in …
Sex, Drugs, and the Spread of HIV/Aids in Belle Glade, Florida
Belle Glade, Florida, an agricultural community in the heart of the state's vegetable and sugar cane production areas, has the highest cumulative per capita incidence of AIDS in the United States. A risk reduction intervention program was introduced to lessen unsafe AIDS-related behaviors and to generate data on the epidemiology of HIV infection. Initial attention focused on individuals who were believed to be at the core of the transmission patt…
Women, crack, and crime
Rapid HIV Testing in Dental Practices
Despite increasing discussion about the dental care setting as a logical, potentially fruitful venue for rapid HIV testing, dentists’ willingness to take on this task is unclear. Semistructured interviews with 40 private practice dentists revealed their principal concerns regarding offering patients HIV testing were false results, offending patients, viewing HIV testing as outside the scope of licensure, anticipating low patient acceptance of HIV…
Crystal Methamphetamine Use and Sexual Risk Behaviors among HIV-Positive and HIV-Negative Men Who Have Sex with Men in South Florida
Delivery of HIV Prevention Counseling by Physicians at HIV Medical Care Settings in 4 US Cities
Objectives. We investigated physicians’ delivery of HIV prevention counseling to newly diagnosed and established HIV-positive patients. Methods. A questionnaire was developed and mailed to 417 HIV physicians in 4 US cities. Results. Overall, rates of counseling on the part of physicians were low. Physicians reported counseling newly diagnosed patients more than established patients. Factors associated with increased counseling included having suf…
Association of experienced stigma in healthcare settings with health outcomes among Black women living with HIV
Training the Next Generation of Researchers Dedicated to Improving Health Outcomes for Justice-Involved Populations
The effect of unstable housing on HIV treatment biomarkers
Hospitalized HIV-Infected Patients in the Era of Highly Active Antiretroviral Therapy
We interviewed 1038 HIV-positive inpatients in public hospitals in Miami, Florida, and Atlanta, Georgia, to examine patient factors associated with use of HIV care, use of antiretroviral therapy, and unprotected sexual intercourse. Multivariate analyses and multiple logistic regression models showed that use of crack cocaine and heavy drinking were associated with never having had an HIV-care provider, high-risk sexual behavior, and not receiving…
Beliefs that Condoms Reduce Sexual Pleasure—Gender Differences in Correlates Among Heterosexual HIV-Positive Injection Drug Users (IDUs)
Gender comparisons of injection drug use practices in shooting galleries
Possible Role of Marijuana Smoking as a Carcinogen in the Development of Lung Cancer at a Young Age
(1994). Possible Role of Marijuana Smoking as a Carcinogen in the Development of Lung Cancer at a Young Age. Journal of Psychoactive Drugs: Vol. 26, No. 3, pp. 285-288
HIV-Related Risk Behaviors and Seropositivity among Homeless Drug-Abusing Women in Miami, Florida
This article examines the multifaceted interactions among homelessness, HIV, substance abuse, and gender. Data were collected on 1,366 chronic drug users using a nationally standardized validated instrument within the Miami CARES project of a multisite federally funded program. HIV testing accompanied by pretest and posttest counseling was conducted on-site by certified phlebotomists and counselors. In addition to descriptive analyses and corresp…
Implementation of a Family-Centered Treatment Program for Substance-Abusing Women and Their Children
Recent federal health financing and health care delivery programs have increased access to alcohol and other drug abuse treatment programs for low-income women, and have provided intervention and prevention services for their children and families. The Village South Families in Transition (FIT) in Miami, Florida, implemented a residential treatment program for women and their children that aims to decrease alcohol and other drug use, reduce relia…
Women, crack, and crime
Sex, Drugs, and the Spread of HIV/Aids in Belle Glade, Florida
Belle Glade, Florida, an agricultural community in the heart of the state's vegetable and sugar cane production areas, has the highest cumulative per capita incidence of AIDS in the United States. A risk reduction intervention program was introduced to lessen unsafe AIDS-related behaviors and to generate data on the epidemiology of HIV infection. Initial attention focused on individuals who were believed to be at the core of the transmission patt…
Injection drug users' practices and attitudes toward intervention and potential for reducing the transmission of HIV
Miami is one of the major centers of illegal drug activity and has a significant proportion of AIDS cases among injection drug users (IDUs). Since Needle Exchange Programs (NEP) are illegal and therefore do not exist in the state of Florida, other strategies must play a large role in reducing the transmission of HIV among IDUs. In order to effectively communicate with IDUs about needle safety, it is necessary to understand the practices and cultu…
Continuing Risk Behaviors Among HIV-Seropositive Chronic Drug Users in Miami, Florida
A Comparison of the Need for Health Care and Use of Health Care by Injection-Drug Users, Other Chronic Drug Users, and Nondrug Users
This article compares the health care need and health care use of injection drug users, other chronic drug users, and nondrug users. Data from 1,330 non-Hispanic White, African American, and Hispanic/Latino men and women were analyzed to determine independent risk factors for two outcome variables: (a) need for health care treatment and (b) use of health care treatment. Ten independent demographic, health, and drug use variables were assessed in …
A gender comparison of HIV and drug use across the rural-urban continuum
Gender comparisons of injection drug use practices in shooting galleries
Alternative Strategies for Sexual Risk Reduction Used by Active Drug Users
The Rock Always Comes First”
Illicit drug use remains a significant public health threat. The issues surrounding drug use are recognized by public health professionals as important for several reasons. The incidence and prevalence of drug use persists in spite of the extensive societal, interpersonal, and individual consequences. In addition, the chronic health issues and health care costs associated with drug use continue to spiral. A wide variety of quantitative studies ha…
Welfare and Work Outcomes after Substance Abuse Treatment
Employment and welfare outcomes are investigated for women who received both welfare and substance abuse treatment in Florida from 1994 to 1999. By linking information from three statewide administrative databases, we identify 4,236 women who meet both criteria. Over the study period, there was a significant increase in the proportion of women moving from welfare to work. Predictors of posttreatment employment include demographic characteristics,…
Test-retest Reliability of a Complex Human Immunodeficiency Virus Research Questionnaire Administered by an Audio Computer-assisted Self-interviewing System
OBJECTIVES: To evaluate the test-retest reliability of a complex questionnaire administered by Audio Computer-assisted Self-interviewing to recently diagnosed human immunodeficiency virus-positive patients. METHODS: Thirty-seven English-speaking and 32 Spanish-speaking participants completed both test and retest interviews. Pearson correlation coefficients (r) and kappa (kappa) and weighted kappa (kappa) statistics were obtained for individual qu…
Characteristics of Ryan White and non-Ryan White funded HIV medical care facilities across four metropolitan areas
The Ryan White Comprehensive AIDS Resources Emergency Act 1990 (CARE Act) is one of the largest federal programmes funding medical and support services for individuals with HIV disease. Data that report services and gaps in service coverage from the organizational perspective are very limited. The Antiretroviral Treatment and Access Studies included a mail survey of 176 HIV medical care facilities in four US inner cities on clinic characteristics…
Provider barriers to prescribing Haart to medically-eligible HIV-infected drug users
We aimed to identify factors associated with a medical provider's resistance to prescribing HAART to medically-eligible HIV-infected illicit drug users. In four US cities, a mailed, self-administered survey queried 420 HIV care providers about patients' characteristics and barriers to care. Adjusted odds ratios (AOR) and 95% confidence intervals (CI) were estimated using logistic regression. Providers identified as resistant to prescribing HAART …
A community-based breast cancer screening program for medically underserved women
Participation in the EDP increases the likelihood of early detection of breast cancer and reduces the hazard of death for medically underserved women in the Miami-Dade County area of Florida. Interestingly, white Hispanics showed a better survival than did both African-Americans and white non-Hispanics. Our research also demonstrates the value of utilizing existing cancer registry data to evaluate a community-based program such as the EDP
Delivery of HIV Prevention Counseling by Physicians at HIV Medical Care Settings in 4 US Cities
Objectives. We investigated physicians’ delivery of HIV prevention counseling to newly diagnosed and established HIV-positive patients. Methods. A questionnaire was developed and mailed to 417 HIV physicians in 4 US cities. Results. Overall, rates of counseling on the part of physicians were low. Physicians reported counseling newly diagnosed patients more than established patients. Factors associated with increased counseling included having suf…
Efficacy of a brief case management intervention to link recently diagnosed HIV-infected persons to care
OBJECTIVE: The Antiretroviral Treatment Access Study (ARTAS) assessed a case management intervention to improve linkage to care for persons recently receiving an HIV diagnosis. METHODS: Participants were recently diagnosed HIV-infected persons in Atlanta, Baltimore, Los Angeles and Miami. They were randomized to either standard of care (SOC) passive referral or case management (CM) for linkage to nearby HIV clinics. The SOC arm received informati…
Trends of HIV Risk Behaviors in a Cohort of Injecting Drug Users and Their Sex Partners in Miami, Florida, 1988–1998
Neurocognitive Aspects of Medication Adherence in HIV-Positive Injecting Drug Users
Safe Syringe Disposal is Related to Safe Syringe Access among HIV-positive Injection Drug Users
Providers’ HIV Prevention Discussions with HIV-Seropositive Injection Drug Users
Unprotected Sexual Behavior Among Heterosexual HIV-Positive Injection Drug Using Men
Factors associated with use of HIV primary care among persons recently diagnosed with HIV
The delay between testing positive for human immunodeficiency virus (HIV) and entering medical care can be better understood by identifying variables associated with use of HIV primary care among persons recently diagnosed with the virus. We report findings from 270 HIV-positive persons enrolled in the Antiretroviral Treatment Access Study (ARTAS). 74% had not seen an HIV care provider before enrollment; 26% had one prior visit only. Based on And…
Medicine (91 obras) · HIV/AIDS Research and Interventions (72 obras) · HIV, Drug Use, Sexual Risk (62 obras) · Family medicine (56 obras) · Psychiatry (49 obras) · Environmental health (44 obras) · Public health (42 obras) · Human immunodeficiency virus (HIV (40 obras) · Psychology (34 obras) · Health psychology (30 obras)