Marsha H Cohen
Biographic Data
| ID | 248369 |
|---|---|
| NAME | Marsha H Cohen |
| GIVEN NAMES | Marsha H |
| FAMILY NAME | Cohen |
| SIGNATURE | COHEN M H |
| AFFILIATIONS | John H. Stroger, Jr. Hospital of Cook County |
| ORCID | 0000-0002-1351-9624 |
| VERIFIED | Yes |
| TOTAL WORKS | 79 |
| TOTAL CITATIONS | 88 |
| AUTHOR COUNT | 79 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1995 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 5 |
Neighborhood Violence and Safety
Neighborhood violence and safety concerns are associated with poor health outcomes including HIV acquisition/transmission, and possible lack of viral suppression. Using a cross-sectional analytic design, we determined the prevalence of neighbourhood violence and safety concerns among participants in the MACS WIHS Combined Cohort Study, a large US cohort of men and women with and without HIV. We used multivariable logistic regression to assess fac…
Patterns of Cannabis Use among Women With HIV in the United States
Associations Between Internalized HIV Stigma and Cognitive Function Among Older Women With HIV
Objectives Internalized HIV stigma refers to the negative beliefs, feelings, and attitudes that people with HIV (PWH) adopt about themselves due to societal HIV stigma. Internalized HIV stigma negatively affects mental health but less is known about this factor on cognitive function in PWH. This study examines associations between internalized HIV stigma and cognition among women aged 50+ with HIV. Methods Internalized HIV stigma was measured in …
Heterogeneous depressive symptom trajectories among women with type 2 diabetes
BACKGROUND: Depression affects 33% of women with type 2 diabetes (T2D) and leads to increased risks of premature mortality. Fluctuation and variation of depressive presentations can hinder clinical identification. PURPOSE: We aimed to identify and examine subgroups characterized by distinct depressive symptom trajectories among women with T2D. METHODS: This retrospective analysis leveraged the Women's Interagency HIV Study data to identify depres…
Association of experienced stigma in healthcare settings with health outcomes among Black women living with HIV
A web-based positive-affect intervention to reduce stress and improve well-being in women living with HIV – feasibility and acceptability of a single-arm, pilot study
Women living with HIV (WLWH) experience high rates of depression but are underrepresented in mental health research. Positive emotions are associated with beneficial health outcomes in WLWH and should be a targeted component of psychological interventions in this population. Positive psychological interventions aim to increase positive emotions through the use of simple exercises, such as keeping a gratitude journal. We conducted a single-arm fea…
Psychosocial Syndemic Classes and Longitudinal Transition Patterns Among Sexual Minority men Living with or Without HIV in the Multicenter Aids Cohort Study (Macs)
Longitudinal Relationship Between Food Insecurity, Engagement in Care, and ART Adherence Among US Women Living with HIV
Impacts of Medicaid Expansion on Health Insurance and Coverage Transitions among Women with or at Risk for HIV in the United States
Associations between population density and clinical and sociodemographic factors in women living with HIV in the Southern United States
To explore the associations of urbanicity with clinical/behavioral outcomes and sociodemographic factors among women living with HIV in the Southern United States, 523 participants of the Women's Interagency HIV Study were classified into population density quartiles. Rural-Urban Commuting Area codes revealed that 7% resided in areas where >30% commute to urban areas, 2% resided in small towns or rural areas, and 91% resided in varying densities …
Health insurance and Aids Drug Assistance Program (Adap) increases retention in care among women living with HIV in the United States
Our objective was to examine the association between healthcare payer type and missed HIV care visits among 1,366 US women living with HIV (WLWH) enrolled in the prospective Women's Interagency HIV Study (WIHS). We collected secondary patient-level data (October 1, 2017-September 30, 2018) from WLWH at nine WIHS sites. We used bivariate and multivariable binary logistic regression to examine the relationship between healthcare payer type (cross-c…
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
Feasibility and Acceptability of a Program to Promote Positive Affect, Well-Being and Gender Empowerment in Black Women Living with HIV
Intensity of Social Support Matters
Quality of care for Black and Latina women living with HIV in the U.S
Quality of care represents a key changeable lever affecting engage in care among WLWH. The communities most proximally affected by HIV should be key stakeholders in HIV-related quality assurance. Findings highlight aspects of the health care experience valued by WLWH, and potential participatory, patient-driven avenues for improvement
Internalized HIV Stigma and Pain among Women with HIV in the United States
Neighborhood Poverty and Control of HIV, Hypertension, and Diabetes in the Women’s Interagency HIV Study
Longitudinal Associations Between Neighborhood Factors and HIV Care Outcomes in the Wihs
Interest in Long-Acting Injectable Pre-exposure Prophylaxis (LAI PrEP) Among Women in the Women’s Interagency HIV Study (Wihs)
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
Incarceration and Number of Sexual Partners After Incarceration Among Vulnerable US Women, 2007–2017
Objectives. To examine whether women’s incarceration increases numbers of total and new sexual partners. Methods. US women with or at risk for HIV in a multicenter cohort study answered incarceration and sexual partner questions semiannually between 2007 and 2017. We used marginal structural models to compare total and new partners at visits not following incarceration with all visits following incarceration and visits immediately following incar…
Impact of Medicare Part D on mental health treatment and outcomes for dual eligible beneficiaries with HIV
Depression is common among women with HIV and untreated depression can result in poor quality of life and worsen HIV outcomes. Women with HIV who are dually enrolled in Medicaid and Medicare faced a potential disruption in medication access when Medicare Part D was implemented in 2006. The goal of this study was to estimate the effects of Medicare Part D implementation on antidepressant use, depressive symptoms, and hospitalization in Medicaid-Me…
The Relationship Between Discrimination and Missed HIV Care Appointments Among Women Living with HIV
Dental insurance, dental care utilization, and perceived unmet dental needs in women living with HIV
Dental insurance coverage increases dental care utilization and is associated with better oral health among WLWH. In the era of health-care reform, dental insurance coverage may be instrumental for enhancing treatment outcomes
Depressive Symptoms and Aids-Related Mortality Among a Multisite Cohort of HIV-Positive Women
Objectives. We examined associations between depressive symptoms and AIDS-related mortality after controlling for antiretroviral therapy use, mental health treatment, medication adherence, substance abuse, clinical indicators, and demographic factors. Methods. One thousand seven hundred sixteen HIV-seropositive women completed semiannual visits from 1994 through 2001 to clinics at 6 sites. Multivariate Cox and logistic regression analyses estimat…
Resilience Among Women with HIV
Use of Highly Active Antiretroviral Therapy in a Cohort of HIV-Seropositive Women
Objectives. This study examined longitudinal trends in use of highly active antiretroviral therapy (HAART) among a cohort of HIV-positive participants in the Women's Interagency HIV Study. Methods. Beginning in 1994, 1690 HIV-positive women reported detailed information about their use of antiretroviral therapy at 6-month study visits. Multivariate logistic and Cox regression analyses were used to estimate the likelihood of antiretroviral therapy…
The Triggers of Heightened Parental Uncertainty in Chronic, Life-Threatening Childhood Illness
Advances in the treatment of childhood diseases have created a population of technology-dependent and medically fragile children whose life expectancy is unknown and whose future quality of life is unpredictable. Seven commonly occurring events were found to precipitate increased parental anxiety by triggering a heightened awareness of the uncertainty concerning the child's survival. These triggers are presented, with supporting data from parenta…
Gender Roles and Mental Health in Women With and at Risk for HIV
Predominantly low-income and African American women from the same community, HIV-infected ( n = 100; HIV+) and uninfected ( n = 42; HIV-), were assessed on reported gender roles in sexual and other close relationships-including levels of self-silencing, unmitigated communion, and sexual relationship power-at a single recent study visit during 2008-2012. Recent gender roles were investigated in relation to depressive symptoms and health-related qu…
Association of Race, Substance Abuse, and Health Insurance Coverage With Use of Highly Active Antiretroviral Therapy Among HIV-Infected Women, 2005
Objectives. We examined racial/ethnic disparities in highly active antiretroviral therapy (HAART) use and whether differences are moderated by substance use or insurance status, using data from the Women's Interagency HIV Study (WIHS). Methods. Logistic regression examined HAART use in a longitudinal cohort of women for whom HAART was clinically indicated in 2005 (N = 1354). Results. Approximately 3 of every 10 eligible women reported not taking …
Medically Eligible Women Who Do Not Use Haart
Objectives. We investigated the prevalence and characteristics of HIV-positive women who do not report highly active antiretroviral therapy (HAART) use. Methods. We analyzed HAART use among 1165 HIV-positive participants in the Women’s Interagency HIV Study. Results. Between October 1, 2000, and March 31, 2001, 254 women with clinical indications for HAART reported not using it, 635 reported HAART use, and 276 had no clinical indications. In mult…
The Costs of Silencing the Self and Divided Self in the Context of Physical Abuse, Racial/Ethnic Identity, and Medication Adherence in Women Living with HIV
The Pleasure Is Better as I’ve Gotten Older”
Changes in Sexual Behavior Among HIV-Infected Women After Initiation of Haart
Objectives. We assessed the association between initiation of highly active antiretroviral treatment (HAART) regimens and sexual risk behaviors among HIVinfected women. Methods. We analyzed data from 724 women who initiated HAART between January 1996 and January 2001 and who had pre-HAART viral loads at or above 400 copies per milliliter. Results. Sexually active women were less likely (odds ratio [OR] = 0.79) to report 2 or more partners during …
Sexual Minority Women and Depressive Symptoms Throughout Adulthood
Objectives. We examined the associations between depressive symptoms and sexual identity and behavior among women with or at risk for HIV. Methods. We analyzed longitudinal data from 1811 participants in the Women’s Interagency HIV Study (WIHS) from 1994 to 2013 in Brooklyn and the Bronx, New York; Chicago, Illinois; Washington, DC; and Los Angeles and San Francisco, California, by comparing depressive symptoms by baseline sexual identity and ong…
Association of Cigarette Smoking With HIV Prognosis Among Women in the Haart Era
Objective. We assessed the association of cigarette smoking with the effectiveness of highly active antiretroviral therapy (HAART) among low-income women. Methods. Data were analyzed from the Women’s Interagency HIV Study, a multisite longitudinal study up to 7.9 years for 924 women representing 72% of all women who initiated HAART between July 1, 1995, and September 30, 2003. Results. When Cox’s regression was used after control for age, race, h…
Mothers on the margins
The Technology-Dependent Child and the Socially Marginalized Family
The aim of the grounded theory investigation described in this article was to begin to develop an explanatory model of the transition of technology-dependent children to home- and community-based care that would account for variation in process and outcome. To study the transition process prospectively, the investigation was initiated during discharge planning and continued for 1 year following discharge. Data sources included participant observa…
Association of experienced stigma in healthcare settings with health outcomes among Black women living with HIV
Incarceration and Number of Sexual Partners After Incarceration Among Vulnerable US Women, 2007–2017
Objectives. To examine whether women’s incarceration increases numbers of total and new sexual partners. Methods. US women with or at risk for HIV in a multicenter cohort study answered incarceration and sexual partner questions semiannually between 2007 and 2017. We used marginal structural models to compare total and new partners at visits not following incarceration with all visits following incarceration and visits immediately following incar…
The effect of unstable housing on HIV treatment biomarkers
Longitudinal Relationships Between Use of Highly Active Antiretroviral Therapy and Satisfaction With Care Among Women Living With HIV/Aids
Objectives. We used longitudinal data to examine the roles of 4 dimensions of patient satisfaction as both predictors and outcomes of use of highly active antiretroviral therapy (HAART) among women in the United States with HIV/AIDS. Methods. Generalized estimating equations were used to analyze time-lagged satisfaction–HAART relationships over 8 years in the Women’s Interagency HIV Study. Results. Multivariate models showed that, over time, HAAR…
The Triggers of Heightened Parental Uncertainty in Chronic, Life-Threatening Childhood Illness
Advances in the treatment of childhood diseases have created a population of technology-dependent and medically fragile children whose life expectancy is unknown and whose future quality of life is unpredictable. Seven commonly occurring events were found to precipitate increased parental anxiety by triggering a heightened awareness of the uncertainty concerning the child's survival. These triggers are presented, with supporting data from parenta…
The Technology-Dependent Child and the Socially Marginalized Family
The aim of the grounded theory investigation described in this article was to begin to develop an explanatory model of the transition of technology-dependent children to home- and community-based care that would account for variation in process and outcome. To study the transition process prospectively, the investigation was initiated during discharge planning and continued for 1 year following discharge. Data sources included participant observa…
Prescription of and Adherence to Antiretroviral Therapy Among Women with Aids
The Effect of Sexual and Physical Violence on Risky Sexual Behavior and STDs Among a Cohort of HIV Seropositive Women
HIV multidisciplinary teams work
The multidisciplinary team model of HIV care evolved out of necessity due to the diverse characteristics and needs of people living with HIV disease. Though it is now accepted as the international standard of care, it represents a significant departure from methods of care for other infectious diseases, and debate continues regarding the effectiveness of its interventions. The debate has been largely uninformed by data; for example, little is kno…
Use of Highly Active Antiretroviral Therapy in a Cohort of HIV-Seropositive Women
Objectives. This study examined longitudinal trends in use of highly active antiretroviral therapy (HAART) among a cohort of HIV-positive participants in the Women's Interagency HIV Study. Methods. Beginning in 1994, 1690 HIV-positive women reported detailed information about their use of antiretroviral therapy at 6-month study visits. Multivariate logistic and Cox regression analyses were used to estimate the likelihood of antiretroviral therapy…
Dissatisfaction with medical care among women with HIV
Studies have shown that women with HIV/AIDS in the USA are less likely than men to have access to appropriate health care and to utilize services, including the latest antiretroviral drug therapies. One explanation for this underutilization is patient dissatisfaction with medical care. Dissatisfaction with care has been shown to be associated not only with treatment underutilization, but also with discontinuity of care and poor clinical outcomes.…
Changes in Sexual Behavior Among HIV-Infected Women After Initiation of Haart
Objectives. We assessed the association between initiation of highly active antiretroviral treatment (HAART) regimens and sexual risk behaviors among HIVinfected women. Methods. We analyzed data from 724 women who initiated HAART between January 1996 and January 2001 and who had pre-HAART viral loads at or above 400 copies per milliliter. Results. Sexually active women were less likely (odds ratio [OR] = 0.79) to report 2 or more partners during …
Medically Eligible Women Who Do Not Use Haart
Objectives. We investigated the prevalence and characteristics of HIV-positive women who do not report highly active antiretroviral therapy (HAART) use. Methods. We analyzed HAART use among 1165 HIV-positive participants in the Women’s Interagency HIV Study. Results. Between October 1, 2000, and March 31, 2001, 254 women with clinical indications for HAART reported not using it, 635 reported HAART use, and 276 had no clinical indications. In mult…
Depressive Symptoms and Aids-Related Mortality Among a Multisite Cohort of HIV-Positive Women
Objectives. We examined associations between depressive symptoms and AIDS-related mortality after controlling for antiretroviral therapy use, mental health treatment, medication adherence, substance abuse, clinical indicators, and demographic factors. Methods. One thousand seven hundred sixteen HIV-seropositive women completed semiannual visits from 1994 through 2001 to clinics at 6 sites. Multivariate Cox and logistic regression analyses estimat…
Effects of treated and untreated depressive symptoms on highly active antiretroviral therapy use in a US multi-site cohort of HIV-positive women
This study examines the effects of treated and untreated depressive symptoms on the likelihood of utilization of highly active antiretroviral therapy (HAART) among a multi-site cohort of HIV-infected women who screened positive for probable depression. Data were collected biannually from 1996 through 2001 in a prospective cohort study. Random-effects regression analysis was used to estimate the longitudinal effects of mental health treatment on t…
Association of Cigarette Smoking With HIV Prognosis Among Women in the Haart Era
Objective. We assessed the association of cigarette smoking with the effectiveness of highly active antiretroviral therapy (HAART) among low-income women. Methods. Data were analyzed from the Women’s Interagency HIV Study, a multisite longitudinal study up to 7.9 years for 924 women representing 72% of all women who initiated HAART between July 1, 1995, and September 30, 2003. Results. When Cox’s regression was used after control for age, race, h…
Longitudinal Relationships Between Use of Highly Active Antiretroviral Therapy and Satisfaction With Care Among Women Living With HIV/Aids
Objectives. We used longitudinal data to examine the roles of 4 dimensions of patient satisfaction as both predictors and outcomes of use of highly active antiretroviral therapy (HAART) among women in the United States with HIV/AIDS. Methods. Generalized estimating equations were used to analyze time-lagged satisfaction–HAART relationships over 8 years in the Women’s Interagency HIV Study. Results. Multivariate models showed that, over time, HAAR…
Mothers on the margins
AZT Availability in Illinois Birthing Hospitals
Women Identified with HIV at Labor and Delivery
Ready or Not—Intrapartum Prevention of Perinatal HIV Transmission in Illinois
Correlates of Prenatal HIV Testing in Women with Undocumented Status at Delivery
Self-Perception of Body Fat Changes and Haart Adherence in the Women’s Interagency HIV Study
Factors Associated with Declining a Rapid Human Immunodeficiency Virus Test in Labor and Delivery
Multi-Dimensional Risk Factor Patterns Associated with Non-Use of Highly Active Antiretroviral Therapy among Human Immunodeficiency Virus-Infected Women
Association of Race, Substance Abuse, and Health Insurance Coverage With Use of Highly Active Antiretroviral Therapy Among HIV-Infected Women, 2005
Objectives. We examined racial/ethnic disparities in highly active antiretroviral therapy (HAART) use and whether differences are moderated by substance use or insurance status, using data from the Women's Interagency HIV Study (WIHS). Methods. Logistic regression examined HAART use in a longitudinal cohort of women for whom HAART was clinically indicated in 2005 (N = 1354). Results. Approximately 3 of every 10 eligible women reported not taking …
HIV and Aging
HIV risk behaviors, susceptibility to HIV acquisition, progression of disease after infection, and response to antiretroviral therapy all vary by age. In those living with HIV, current effective treatment has increased the median life expectancy to >70 years of age. Biologic, medical, individual, social, and societal issues change as one ages with HIV infection, but there has been only a small amount of research in this field. Therefore, the Offi…
I think my future will be better than my past’
Urgent need exists for improved psychological services among HIV-infected women in post-genocide Rwanda. Psychological problems associated with trauma and sexual violence (i.e., depression, posttraumatic stress disorder [PTSD]) place women at increased risk for sexual risk behaviour, low health-seeking behaviour, delay of antiretroviral therapy (ART) and reduced ART adherence. We explored experiences of HIV-infected Rwandan women attending psycho…
Alcohol Consumption Trajectory Patterns in Adult Women with HIV Infection
Medicine (75 works) · HIV/AIDS Research and Interventions (66 works) · Psychiatry (37 works) · Psychology (37 works) · Public health (37 works) · Family medicine (36 works) · Environmental health (33 works) · Human immunodeficiency virus (HIV (31 works) · HIV, Drug Use, Sexual Risk (30 works) · Demography (29 works)