John Santelli
Dados Biográficos
| ID | 2395362 |
|---|---|
| NOME | John Santelli |
| PRENOMES | John |
| SOBRENOME | Santelli |
| ASSINATURA | SANTELLI J |
| AFILIAÇÕES | Columbia University |
| ORCID | 0000-0003-2768-1910 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 71 |
| TOTAL DE CITAÇÕES | 356 |
| TOTAL COMO AUTOR | 71 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 1994 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2025 |
| ÍNDICE H | 10 |
Pre-exposure prophylaxis (PrEP) awareness, use, and discontinuation among Lake Victoria fisherfolk in Uganda
There is limited population-level data on the pre-exposure prophylaxis (PrEP) care continuum in eastern Africa. Here, we assessed the PrEP care continuum following PrEP rollout in a Ugandan community with ~40% HIV seroprevalence. We used cross-sectional population-based data collected between September 3 and December 19, 2018 from a Lake Victoria fishing community in southern Uganda to measure levels of self-reported PrEP awareness, ever-use, and…
Age Bias, Missing Data, and Declining Response Rates in the National Youth Risk Behavior Survey and Their Influence on Estimates of Trends in Adolescent Sexual Experience, 2011–2023
Introduction The national Youth Risk Behavior Survey (YRBS) has experienced considerable declines in response rates, increases in missing data on sexual experience, and shifts in data collection – all of which raise questions about bias in estimates for sexual experience among US high school students. Methods We used weighted data from the YRBS for 2011–2023 (n = 110,409). We explored the impact of declining school and student response rates, mis…
Fake Health Care, Real Crisis
HIV epidemiologic trends among occupational groups in Rakai, Uganda
Certain occupations have been associated with heightened risk of HIV acquisition and spread in sub-Saharan Africa, including female bar and restaurant work and male transportation work. However, data on changes in population prevalence of HIV infection and HIV incidence within occupations following mass scale-up of African HIV treatment and prevention programs is very limited. We evaluated prospective data collected between 1999 and 2016 from the…
Associations Between State Laws Regulating Minors’ Access to Confidential Sexual Health Services and Lifetime HIV Testing Among U.S. Male High School Students
What’s driving girls’ adolescent marriage decline in Rakai, Uganda? The interplay between adolescent pregnancies and social determinants, 1999 – 2018
Few studies have sought to untangle the influence of social determinants and pregnancy on adolescent marriage declines. Using longitudinal data from 15- to 17-year-old girls in the Rakai Community Cohort Survey, we assessed how education, socio-economic status, orphanhood and pregnancy contributed to trends in adolescent marriage. We examined descriptive trends and logistic regressions of the associations between social determinants and adolescen…
Psychosocial outcomes and peer influences among multiracial adolescents in the United States
Objective: To examine racial and ethnic self-identification among adolescents and explore psychosocial outcomes and peer treatment for multiracial adolescents in the United States. Methods: Data are from the 2014 Child Development Supplement, a subsample of the Panel Study of Income Dynamics. Data were weighted to be nationally representative. Descriptive statistics were used to describe the population and to explore family and parent demographic…
Social and Structural Influences on Multiracial Identification and Health
The negative health spillover effects of universal primary education policy
Scholars of global health have embraced universal education as a structural intervention to prevent HIV. Yet the costs of school, including fees and other ancillary costs, create an economic burden for students and their families, indicating both the challenge of realising the potential of education for preventing HIV and the ways in which the desire for education may produce vulnerabilities to HIV for those struggling to afford it. To explore th…
Gendered access to digital capital and mobile phone ownership among young people in Rakai, Uganda
This article examines how gendered access to digital capital-in the form of the social and economic resources needed to own and use a mobile phone-is connected to key adult milestones, such as securing employment and engaging in romantic relationships. Descriptive statistical analysis of 11,030 young people aged 15-24 in Rakai, Uganda indicated that men were more likely to own mobile phones than women. Analysis of qualitative interviews with youn…
Associations between Developmental Assets and Adolescent Health Status
BACKGROUND: Developmental assets foster positive health outcomes among adolescents, but have not been studied in adolescents with chronic illness or depression, two conditions that impact behaviors in school. We examined parent-reported assets in a national sample of adolescents and compared the number and types of assets by health statuses. METHODS: Data were from the 2016 National Survey of Children's Health (N = 15,734 adolescents), which capt…
Associations Between Low-Household Income and First-Generation Status With College Student Belonging, Mental Health, and Well-Being
Completing college can be difficult and students who are first-generation (FG) or low-income (LI) or both (FGLI) encounter unique structural challenges. We conducted a population-based survey (N=1671) at two interconnected highly-selective institutions of higher education and examined measures related to belonging, mental health, and well-being. Means and standard deviations for continuous measures and proportions for categorical measures were ca…
Sex is supposed to be naturally more pleasurable
Global health researchers often approach Traditional, Complementary, and Alternative Medicine (TCAM) from a health efficacy perspective, asking whether the presence of plural medical systems helps or hinders the uptake of biomedicine. Medical anthropologists, by contrast, typically emphasize how plural medical systems encourage us to rethink health ontologies-that is, who and what comes to constitute the experience of health and illness, and thro…
When Coffee Collapsed
In some Ugandan fishing communities, almost half the population lives with HIV. Researchers designate these communities "HIV hotspots" and attribute disproportionate disease burdens to "sex-for-fish" relationships endemic to the lakeshores. In this article, we trace the emergence of Uganda's HIV hotspots to structural adjustment. We show how global economic policies negotiated in the 1990s precipitated the collapse of Uganda's coffee sector, caus…
Using a Daily Diary Approach to Examine Substance Use and Negative Sexual Experiences Among College Students
Suubi+Adherence-Round 2
ClinicalTrials.gov , ID: NCT01790373
Debating Sex and Sovereignty
Analyzing rhetoric mobilized by both supporters and detractors of sex education reveals the contested political terrain policy advocates must navigate in Uganda and other postcolonial contexts
The Situational Contexts of Sexual Experiences among Urban College Students
Objectives Research examining sex among college students has frequently focused on negative sexual experiences. This study aimed to understand situational predictors of various dimensions of students’ sexual experiences. Methods: 427 college students participated in a 60-day daily survey; 213 reported sex and were asked questions about each sexual encounter. Results: 1,664 sexual encounters were reported. 72.5% were described as very pleasurable,…
Socio-Ecologically Constituted Types of Sexual Assault
Despite the burden of sexual assault on college campuses, few effective prevention programs exist. Understanding the socio-ecological context in which sexual assaults occur may illuminate novel pathways to augment prevention. We examined data from 349 students at two inter-connected urban universities who completed a population-based survey ( N = 1,671) and described at least one incident of sexual assault victimization. Using latent class analys…
Progress in adolescent health and wellbeing
BACKGROUND: Rapid demographic, epidemiological, and nutritional transitons have brought a pressing need to track progress in adolescent health. Here, we present country-level estimates of 12 headline indicators from the Lancet Commission on adolescent health and wellbeing, from 1990 to 2016. METHODS: Indicators included those of health outcomes (disability-adjusted life-years [DALYs] due to communicable, maternal, and nutritional diseases; injuri…
Cell Phones, Sexual Behaviors and HIV Prevalence in Rakai, Uganda
Ideology or Evidence? Examining the Population-Level Impact of US Government Funding to Prevent Adolescent Pregnancy
"Ideology or Evidence? Examining the Population-Level Impact of US Government Funding to Prevent Adolescent Pregnancy." , 109(3), pp. 356–357
Couple perspectives on unintended pregnancy in an area with high HIV prevalence
Understanding how couples perceive a recent unintended pregnancy in the context of HIV infection and high levels of gender inequality may provide insights for prevention of undesired pregnancy. We used data from 24 in-depth interviews with 8 HIV-serodiscordant and 4 seroconcordant couples living in rural Uganda and interviewed separately; between 15 and 49 years and one or both identified the pregnancy as unintended. A dyadic analysis was perform…
Abstinence-Only-Until-Marriage
Adolescence is marked by the emergence of human sexuality, sexual identity, and the initiation of intimate relations; within this context, abstinence from sexual intercourse can be a healthy choice. However, programs that promote abstinence-only-until-marriage (AOUM) or sexual risk avoidance are scientifically and ethically problematic and-as such-have been widely rejected by medical and public health professionals. Although abstinence is theoret…
Contraceptive knowledge, perceptions, and concerns among men in Uganda
Overall, we found limited accurate knowledge about contraceptive methods among men in Uganda. Moreover, fears about the side effects of modern contraceptive methods appeared to be common among men. Family planning services in Uganda could be significantly strengthened by renewed efforts to focus on men's knowledge, fears, and misconceptions
Understanding pregnancy in a population of inner-city women in New Orleans-results of qualitative research
Long-Term Health Correlates of Timing of Sexual Debut
Objectives. We explored long-term health consequences of age at sexual initiation and of abstinence until marriage to evaluate empirical support for the claim that postponing sexual initiation has beneficial health effects. Methods. We analyzed data from the 1996 National Sexual Health Survey, a cross-sectional study of the US adult population. We compared sexual health outcomes among individuals who had initiated sexual activity at an early or l…
Toward a Multidimensional Measure of Pregnancy Intentions
Widely used dichotomous categorical measures of pregnancy intentions do not represent well the complexity of factors involved in women's intentions. We used a variety of exploratory statistical methods to examine measures of pregnancy intention in the 2002 National Survey of Family Growth (N = 3,032 pregnancies). Factor analyses identified two key dimensions of pregnancy intentions (desire and mistiming) and two smaller nondimensional categories …
Neighborhood Context and Sexual Behaviors Among Adolescents
CONTEXT: Adolescent sexual behaviors are a significant public health concern because of the risks of STDs and the negative social consequences of teenage pregnancies. Associations between neighborhood characteristics and adolescents' initiation of sex and contraceptive use are poorly understood. METHODS: Multilevel logistic regression analyses of data from 14,151 adolescents in grades 7–12 in Wave 1 of the National Longitudinal Study of Adolescen…
Explaining Recent Declines in Adolescent Pregnancy in the United States
Objectives. We explored the relative contributions of declining sexual activity and improved contraceptive use to the recent decline in adolescent pregnancy rates in the United States. Methods. We used data from 1995 and 2002 for women 15 to 19 years of age to develop 2 indexes: the contraceptive risk index, summarizing the overall effectiveness of contraceptive use among sexually active adolescents (including nonuse), and the overall pregnancy r…
Pregnancy Ambivalence and Contraceptive Use Among Young Adults in the United States
The association between men's pregnancy ambivalence and contraceptive practices suggests that women should not remain the sole targets of pregnancy prevention programs. Further research should explore whether clinical interventions that assess and address pregnancy ambivalence for both women and men could lead to improved contraceptive counseling and use
Sex Education and Sexual Socialization
Abstinence-only policies and programs
Differences Between Mistimed and Unwanted Pregnancies Among Women Who Have Live Births
CONTEXT: Mistimed and unwanted pregnancies that result in live births are commonly considered together as unintended pregnancies, but they may have different precursors and outcomes METHODS: Data from 15 states participating in the 1998 Pregnancy Risk Assessment Monitoring System were used to calculate the prevalence of intended, mistimed and unwanted conceptions, by selected variables. Associations between unintendedness and women's behaviors an…
Invited Commentary
Scientific research has made major contributions to adolescent health by providing insights into factors that influence it and by defining ways to improve it. However, US adolescent sexual and reproductive health policies-particularly sexuality health education policies and programs-have not benefited from the full scope of scientific understanding. From 1998 to 2009, federal funding for sexuality education focused almost exclusively on ineffecti…
Changes in Formal Sex Education
Measuring Factors Underlying Intendedness Of Women's First and Later Pregnancies
Future surveys on pregnancy intendedness could reduce the number of questions used to capture pregnancy desirability. This should help standardize surveillance systems and permit better assessment of trends in pregnancy desirability over time
Contraceptive Use and Pregnancy Risk Among U.S. High School Students, 1991-2003
An Exploration of the Dimensions of Pregnancy Intentions Among Women Choosing to Terminate Pregnancy or to Initiate Prenatal Care in New Orleans, Louisiana
Objectives. We examined pregnancy decisionmaking among women seeking abortion or prenatal care. Methods. Conventional measures of pregnancy intentions were compared with newer measures in 1017 women seeking abortion. A reduced sample of abortion patients (142 African American women from New Orleans) was compared with 464 similar women entering prenatal care. Results. Virtually all abortion patients reported the pregnancy as unintended; two thirds…
Pregnancy Risk among Black, White, and Hispanic Teen Girls in New York City Public Schools
State refusal of federal funding for abstinence-only programs
Neighborhood Context and Sexual Behaviors Among Adolescents
Aids and behavioural risk factors in women in inner city Baltimore
STUDY OBJECTIVE--The study aimed to investigate the influence the mode of administration of a questionnaire (telephone or face to face) on reports of sexual behaviour and attitudes of HIV risk among woman of reproductive age. DESIGN--Two cross sectional surveys--one, a modified random digit dialing telephone survey, the second, a face to face street sample--were carried out by the same interviewers using similar questionnaires in the same neighbo…
Human rights, cultural, and scientific aspects of abstinence-only policies and programs
Medical Accuracy in Sexuality Education
Recently, many states have implemented requirements for scientific or medical accuracy in sexuality education and HIV prevention programs. Although seemingly uncontroversial, these requirements respond to the increasing injection of ideology into sexuality education, as represented by abstinence-only programs. I describe the process by which health professionals and government advisory groups within the United States reach scientific consensus an…
Recruitment and retention of youth for research using social media
Youth, particularly youth of color, continue to face disparities with regard to sexually transmitted infections (STIs), including HIV. Yet, comprehensive education about sex and sexual risk for STIs is not universal for youth in the United States. While Internet research on HIV prevention has demonstrated that the medium can be as effective as face-to-face education and prevention approaches, Internet-based research has faced challenges in recrui…
The accuracy of condom information in three selected abstinence-only education curricula
Abstinence-Only Education
John S. Santelli Abstinence-Only Education: Politics, Science, and Ethics INTRODUCTION UNTIL AUGUST 2 0 0 4 , 1W ORKED ATTHE US CENTERS FOR DISEASE CONTROL and Prevention (CDC) as a researcher on adolescent health issues, an Institutional Review Board chairm an, and a supervisor of other public health scientists.* This opportunity to do im portant public health research in a supportive, collaborative environm ent was a trem endous personal experi…
Socio-Ecologically Constituted Types of Sexual Assault
Despite the burden of sexual assault on college campuses, few effective prevention programs exist. Understanding the socio-ecological context in which sexual assaults occur may illuminate novel pathways to augment prevention. We examined data from 349 students at two inter-connected urban universities who completed a population-based survey ( N = 1,671) and described at least one incident of sexual assault victimization. Using latent class analys…
Ideology or Evidence? Examining the Population-Level Impact of US Government Funding to Prevent Adolescent Pregnancy
"Ideology or Evidence? Examining the Population-Level Impact of US Government Funding to Prevent Adolescent Pregnancy." , 109(3), pp. 356–357
Aids and behavioural risk factors in women in inner city Baltimore
STUDY OBJECTIVE--The study aimed to investigate the influence the mode of administration of a questionnaire (telephone or face to face) on reports of sexual behaviour and attitudes of HIV risk among woman of reproductive age. DESIGN--Two cross sectional surveys--one, a modified random digit dialing telephone survey, the second, a face to face street sample--were carried out by the same interviewers using similar questionnaires in the same neighbo…
Multiple Sexual Partners Among U.S. Adolescents and Young Adults
CONTEXT: Because many teenagers and young adults fail to use condoms correctly and consistently, the number of sexual partners they have is an important risk factor for sexually transmitted diseases, including HIV. Identifying factors that are associated with having multiple partners can help in the design of disease interventions. METHODS: Data on 8,450 males and females aged 14-22 who participated in the 1992 Youth Risk Behavior Survey were use…
An Evaluation of Human Subjects Protection at CDC / ATSDR
Socioeconomic and Racial/Ethnic Disparities in Unintended Pregnancy Among Postpartum Women in California
Reliability in Adolescent Reporting of Clinician Counseling, Health Care Use, and Health Behaviors
BACKGROUND: Accurate measures of health-care use by adolescents would be useful in managed care quality assurance, public health surveillance, and health-care research. OBJECTIVE: To assess test-retest reliability and factors associated with reliability of adolescent reports of clinician counseling, preventive health services, and health behaviors. RESEARCH DESIGN: A convenience sample of high school students (N = 253) completed identical paper-a…
The Measurement and Meaning of Unintended Pregnancy
The Measurement and Meaning of Unintended Pregnancy
Differences Between Mistimed and Unwanted Pregnancies Among Women Who Have Live Births
CONTEXT: Mistimed and unwanted pregnancies that result in live births are commonly considered together as unintended pregnancies, but they may have different precursors and outcomes METHODS: Data from 15 states participating in the 1998 Pregnancy Risk Assessment Monitoring System were used to calculate the prevalence of intended, mistimed and unwanted conceptions, by selected variables. Associations between unintendedness and women's behaviors an…
Measuring Factors Underlying Intendedness Of Women's First and Later Pregnancies
Future surveys on pregnancy intendedness could reduce the number of questions used to capture pregnancy desirability. This should help standardize surveillance systems and permit better assessment of trends in pregnancy desirability over time
Measuring Factors Underlying Intendedness Of Women's First and Later Pregnancies
CONTEXT: Unintended pregnancy is associated with poor health outcomes for mothers and infants, and is indicative of gaps in family planning services. Conventional measures of pregnancy intendedness do not reflect the multiple factors affecting a woman's pregnancy-related intentions and attitudes METHODS: Data collected between March 2002 and February 2003 from 701 women in a public family planning clinic and 671 women in a public prenatal clinic …
Differences Between Mistimed and Unwanted Pregnancies Among Women Who Have Live Births
CONTEXT: Mistimed and unwanted pregnancies that result in live births are commonly considered together as unintended pregnancies, but they may have different precursors and outcomes METHODS: Data from 15 states participating in the 1998 Pregnancy Risk Assessment Monitoring System were used to calculate the prevalence of intended, mistimed and unwanted conceptions, by selected variables. Associations between unintendedness and women's behaviors an…
Neighborhood Context and Sexual Behaviors Among Adolescents
Neighborhood Context and Sexual Behaviors Among Adolescents
CONTEXT: Adolescent sexual behaviors are a significant public health concern because of the risks of STDs and the negative social consequences of teenage pregnancies. Associations between neighborhood characteristics and adolescents' initiation of sex and contraceptive use are poorly understood. METHODS: Multilevel logistic regression analyses of data from 14,151 adolescents in grades 7–12 in Wave 1 of the National Longitudinal Study of Adolescen…
Understanding pregnancy in a population of inner-city women in New Orleans-results of qualitative research
Abstinence and abstinence-only education
Reasons for Contraceptive Nonuse at First Sex and Unintended Pregnancy
Changes in Formal Sex Education
Changes in Formal Sex Education
Contraceptive Use and Pregnancy Risk Among U.S. High School Students, 1991-2003
Contraceptive Use and Pregnancy Risk Among U.S. High School Students, 1991?2003
Improvement in the use of contraceptives by sexually active high school students during the 1990s is encouraging. To sustain this trend, programs need to encourage contraceptive use among teenagers who do not use it and to stress consistent and correct use among those who do
An Exploration of the Dimensions of Pregnancy Intentions Among Women Choosing to Terminate Pregnancy or to Initiate Prenatal Care in New Orleans, Louisiana
Objectives. We examined pregnancy decisionmaking among women seeking abortion or prenatal care. Methods. Conventional measures of pregnancy intentions were compared with newer measures in 1017 women seeking abortion. A reduced sample of abortion patients (142 African American women from New Orleans) was compared with 464 similar women entering prenatal care. Results. Virtually all abortion patients reported the pregnancy as unintended; two thirds…
Abstinence-Only Education
John S. Santelli Abstinence-Only Education: Politics, Science, and Ethics INTRODUCTION UNTIL AUGUST 2 0 0 4 , 1W ORKED ATTHE US CENTERS FOR DISEASE CONTROL and Prevention (CDC) as a researcher on adolescent health issues, an Institutional Review Board chairm an, and a supervisor of other public health scientists.* This opportunity to do im portant public health research in a supportive, collaborative environm ent was a trem endous personal experi…
Sex Education and Sexual Socialization
Explaining Recent Declines in Adolescent Pregnancy in the United States
Objectives. We explored the relative contributions of declining sexual activity and improved contraceptive use to the recent decline in adolescent pregnancy rates in the United States. Methods. We used data from 1995 and 2002 for women 15 to 19 years of age to develop 2 indexes: the contraceptive risk index, summarizing the overall effectiveness of contraceptive use among sexually active adolescents (including nonuse), and the overall pregnancy r…
Santelli Et Al. Respond
We thank Mann and Stine for their interest in our recent article. We examined data on sexual activity and contraceptive use from the National Survey on Family Growth (NSFG) and found that most of the declines in US adolescent pregnancy from 1995 to 2002 could be attributed to improved contraceptive use: for 77% of the decline among those aged 15-17 years and for all of the decline among those aged 18-19 years. The methodological improvement in ca…
Medicine (60 obras) · Adolescent Sexual and Reproductive Health (48 obras) · Population (46 obras) · Psychology (42 obras) · Environmental health (39 obras) · Family planning (26 obras) · Demography (25 obras) · Sociology (24 obras) · Pregnancy (22 obras) · HIV/AIDS Research and Interventions (20 obras)