Demetria Cain
Datos Biográficos
| ID | 298358 |
|---|---|
| NOMBRE | Demetria Cain |
| NOMBRES | Demetria |
| APELLIDO | Cain |
| FIRMA | CAIN D |
| AFILIACIONES | University of Connecticut |
| ORCID | 0000-0002-9360-9928 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 48 |
| TOTAL DE CITAS | 96 |
| TOTAL COMO AUTOR | 48 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2004 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 5 |
Discrimination, relationship quality, and the mental health of sexual minority men in relationships
Mental health disparities among sexual minority men (SMM) are commonly studied in the context of minority stress theory. The psychological mediation hypothesis posits that stigma is adversely associated with mental health in part through disruptions in interpersonal relationships. This study tested models hypothesizing internalized, enacted, and relationship-focused stigma would be associated with mental health through diminished relationship qua…
PrEP Disparities Among Transgender Feminine, Transgender Masculine, Nonbinary, and Gender Expansive Youth and Young Adults in the United States
This study assessed disparities in pre-exposure prophylaxis (PrEP) use among transgender and gender expansive youth and young adults (N = 477) between 15 and 24 years old in the CARES (ATN 149) and TechStep (ATN 160) study protocols within the National Adolescent Medicine Trials Network for HIV/AIDS Interventions (ATN). Structural equation modeling was used to test mediation pathways between gender identity and PrEP uptake among the full sample a…
Psychosocial correlates of gender-affirming hormone and medically necessary surgical intervention use among transgender and gender diverse youth and young adults
Gender-affirming hormone therapy (GAHT) and medically necessary surgical interventions (MNSI) play vital roles in helping transgender and gender diverse (TGD) individuals align their bodies with their gender identity. However, research in this area has primarily focused on TGD adults, leaving TGD youth and young adults (TGD-YYA)'s experiences understudied. Even less is known about demographic and psychosocial correlates of hormone and MNSI utiliz…
Similarities and distinctions in the drug use and sexual behavior of transfeminine and nonbinary adults assigned male at birth in the United States
Research has clearly documented high rates of human immunodeficiency virus (HIV) infection among transfeminine (TF) people (including trans women). This research has largely overlooked nonbinary people assigned male at birth (NBAMAB) despite their gender fluidity. This study examined similarities and distinctions in the occurrence and frequency of condomless anal sex (CAS) with casual male partners and associated drug use among TF and NBAMAB peop…
Interdependence and Sexual Health
Sexual HIV transmission risk among sexual minority men (SMM) in relationships has been the focus of considerable research informed by interdependence theory. We tested a hypothesized model that situated condomless anal sex (CAS) with casual and main partners in the context of cannabis and illicit drug use, joint coping to reduce HIV risk, and relationship quality. A sample of 192 cisgender SMM aged 18 to 35 completed survey measures and a 30-day …
Drug use during the second year of the Covid-19 pandemic
Studies conducted early in the COVID-19 pandemic - before vaccines were widely available - indicated that drug use may have declined among sexual minority men (SMM). This study evaluated drug use trends in the second year of the pandemic. Cross-sectional responses from cisgender SMM living in the US and recruited online (n = 15,897) were grouped for analyses: Time 1: 3/1/2021-5/30/2021; Time 2: 6/1/2021-8/31/2021; Time 3: 9/1/2021-11/30/2021; and…
A protocol for a randomized controlled trial of couples motivational interviewing to reduce drug use and HIV transmission risk among male couples in the US
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A Qualitative Analysis of Shared Values and Motivation for Change Expressed by Sexual Minority Men in Relationships
Optimizing Individual HIV Testing and Counseling for Emerging Adult Sexual Minority Men (Aged 18 to 24) in Relationships
An Adaptive Antiretroviral Therapy Adherence Intervention for Youth with HIV Through Text Message and Cell Phone Support with and without Incentives
Youth living with HIV have low rates of medication adherence. Youth ages 15-24 years with adherence ≤ 80% or with HIV RNA PCRs (VL) ≥ 200 recruited through social media and clinical sites were randomized to brief weekday cell phone support (CPS) calls or daily, two-way, personalized text message (SMS) reminders for 3 months. Those with VL ≥ 200 or adherence ≤ 80% were rerandomized to receive SMS or CPS with monthly incentives for those utilizing …
Technology-Based Interventions, with a Stepped Care Approach, for Reducing Sexual Risk Behaviors and Increasing PrEP Initiation Among Transgender and Gender Expansive Youth and Young Adults
The intersectional social patterning of early-Covid-era digital intimacies among transgender and gender-diverse young adults
Interactive communications technologies facilitate identity formation and socio-sexual connection among transgender and gender-diverse young people. However, within their communities, variations in technology use along ethno-racial, sexual and gendered lines, and as facilitators of sexual resilience during the early COVID-19 pandemic, remain under-studied. Among N = 230 transgender and gender-diverse young adults, surveyed between October 2020 an…
Peer social support moderates the impact of ethnoracial discrimination on mental health among young sexual minority men of color
Few studies have examined developmentally relevant sources of resilience, such as peer social support, among young sexual minority men (SMM) of color experiencing discrimination and mental health distress. To address this gap in the literature, we examined the role of peer social support in the association between discrimination and mental health distress in a sample of young SMM of color. Ninety-four cisgender young SMM of color (aged 16–29) wer…
Client Responses to Video-Based Communication Skills Training Involving PrEP for HIV
Testing the Effectiveness of a Motivational Interviewing Intervention to Reduce HIV Risk and Drug Use in Young Sexual Minority Men in a Community-Based Organization Setting
Correlates of Mpox Vaccination among Sexual Minority Men in the United States
Sexual minority men (SMM) have accounted for the majority of infections during the 2022 outbreak of the orthopox virus known as mpox (previously "monkeypox") in the US. This study examined correlates of mpox vaccination. Between July 28 and September 22, 2022, adult cisgender SMM ( n = 2,620) not previously diagnosed with mpox responded to recruitment advertisements on social networking applications and completed an online survey. Of these, 730 (…
Stress-Related Growth Among Transgender Women
Although transgender women (TGW), and especially TGW of color, are disproportionately exposed to discrimination and violence, many of them experience stress-related growth. However, little is known about the experience of stress-related growth and its correlates among TGW. Using data from a racially-diverse sample of 210 TGW, the short version of the Stress-Related Growth Scale was modified to assess growth as a result of coming to terms with one…
Heterosexual Cisgender Men Partnered with Transgender Women Exhibit Higher HIV/STI Sexual Risk than Their Gay, Bisexual, and Queer Counterparts
Chronic High Risk Prescription Opioid Use Among Persons With HIV
Persons with HIV (PWH) are a population at risk for adverse sequelae of opioid use. Yet, few studies have examined correlates of chronic high risk opioid use and its impact on HIV outcomes. Trends in prescribing patterns and identification of factors that impact the use of opioid prescriptions among PWH are crucial to determine prevention and treatment interventions. This study examined electronic medical records (EMR) of patients receiving HIV c…
Developmental Barriers to Couples’ HIV Testing and Counseling Among Adolescent Sexual Minority Males
Gay and Bisexual Men’s Experiences Using Self-Testing Kits for HIV and Rectal and Urethral Bacterial Sexually Transmitted Infections
This study investigated the experiences of gay, bisexual, and other men who have sex with men (GBM) conducting HIV and sexually transmitted infection (STI) self-testing procedures. We analyzed mixed-methods data from 11 GBM who self-tested HIV-positive and 1,070 HIV-negative GBM who completed the HIV self-testing and STI self-sampling procedures. Nearly all (99%) reported ease in urine-based STI self-sampling and most (90%) found rectal swab self…
Attachment as a Predictor of Psychological and Sexual Wellbeing Among Transgender Women in New York City
Transgender women are disproportionately affected by HIV and experience high rates of depression and anxiety. The importance of secure attachment in buffering against negative sexual and mental health outcomes is well established. However, few studies have examined attachment among transgender women. We recruited a community-based convenience sample of 213 transgender women in New York City ( M age = 34.3; SD = 11.7). The majority were women of c…
Syndemic Conditions, HIV Transmission Risk Behavior, and Transactional Sex Among Transgender Women
Recruiting a US National Sample of HIV-Negative Gay and Bisexual Men to Complete at-Home Self-Administered HIV/STI Testing and Surveys
Exploring the Relationships Among Food Insecurity, Alcohol Use, and Sexual Risk Taking Among Men and Women Living in South African Townships
Associations of poverty, substance use, and HIV transmission risk behaviors in three South African communities
Gender attitudes, sexual violence, and HIV/Aids risks among men and women in Cape Town, South Africa
This study examined gender attitudes and sexual violence-supportive beliefs (rape myths) in a sample of South African men and women at risk for HIV transmission. Over 40% of women and 16% of men had been sexually assaulted, and more than one in five men openly admitted to having perpetrated sexual assault. Traditional attitudes toward women's social and gender roles, as well as rape myths, were endorsed by a significant minority of both men and w…
The relationship between indicators of sexual compulsivity and high risk sexual practices among men and women receiving services from a sexually transmitted infection clinic
Sexual compulsivity, defined by sexual preoccupation and lack of sexual impulse control, is related to high-risk sexual behaviors. However, little is known about the prevalence and predictors of sexual compulsivity in people at high risk for contracting sexually transmitted infections (STIs). In the current study, patients receiving diagnostic and treatment services (85% African American) at an urban STI clinic completed measures of demographic c…
Recruiting a US National Sample of HIV-Negative Gay and Bisexual Men to Complete at-Home Self-Administered HIV/STI Testing and Surveys
Examining Factors Co-Existing with Interpersonal Violence in Lesbian Relationships
Correlates of Mpox Vaccination among Sexual Minority Men in the United States
Sexual minority men (SMM) have accounted for the majority of infections during the 2022 outbreak of the orthopox virus known as mpox (previously "monkeypox") in the US. This study examined correlates of mpox vaccination. Between July 28 and September 22, 2022, adult cisgender SMM ( n = 2,620) not previously diagnosed with mpox responded to recruitment advertisements on social networking applications and completed an online survey. Of these, 730 (…
Stress-Related Growth Among Transgender Women
Although transgender women (TGW), and especially TGW of color, are disproportionately exposed to discrimination and violence, many of them experience stress-related growth. However, little is known about the experience of stress-related growth and its correlates among TGW. Using data from a racially-diverse sample of 210 TGW, the short version of the Stress-Related Growth Scale was modified to assess growth as a result of coming to terms with one…
Randomized Clinical Trial of Brief Risk Reduction Counseling for Sexually Transmitted Infection Clinic Patients in Cape Town, South Africa
Objectives. We examined the effects of a brief counseling intervention designed to reduce HIV risk behaviors and sexually transmitted infections (STIs) among patients receiving STI services in Cape Town, South Africa. Methods. After randomization to either a 60-minute risk reduction counseling session or a 20-minute HIV–STI educational session, patients completed computerized sexual behavior assessments. More than 85% of the participants were ret…
On Holiday
Sexual risk behavior is higher when people vacation as compared to when they are at home. The current study uses survey data to compare sexual risk behavior of gay men who vacation at gay resorts to those who do not. Independent predictors of vacationing at gay resorts included income level, relationship status, ever having attended a circuit party, and HIV serostatus. For men who visit resorts to meet sex partners, independent predictors include…
Interdependence and Sexual Health
Sexual HIV transmission risk among sexual minority men (SMM) in relationships has been the focus of considerable research informed by interdependence theory. We tested a hypothesized model that situated condomless anal sex (CAS) with casual and main partners in the context of cannabis and illicit drug use, joint coping to reduce HIV risk, and relationship quality. A sample of 192 cisgender SMM aged 18 to 35 completed survey measures and a 30-day …
Attachment as a Predictor of Psychological and Sexual Wellbeing Among Transgender Women in New York City
Transgender women are disproportionately affected by HIV and experience high rates of depression and anxiety. The importance of secure attachment in buffering against negative sexual and mental health outcomes is well established. However, few studies have examined attachment among transgender women. We recruited a community-based convenience sample of 213 transgender women in New York City ( M age = 34.3; SD = 11.7). The majority were women of c…
A Novel Approach to Prevention for At-Risk HIV-Negative Men Who Have Sex With Men
Objectives. As a result of the impact of HIV among men who have sex with men (MSM), multiple strategies for reducing HIV risks have emerged from within the gay community. One common HIV risk reduction strategy limits unprotected sex partners to those who are of the same HIV status (serosorting). We tested a novel, brief, one-on-one intervention, based on informed decision-making and delivered by peer counselors, designed to address the limitation…
Integrated Behavioral Intervention to Improve HIV/Aids Treatment Adherence and Reduce HIV Transmission
Objectives. We conducted a randomized clinical trial to test an integrated behavioral intervention designed to enhance using HIV treatment as prevention by improving medication adherence, reducing risks for other sexually transmitted infections, and minimizing risk compensation beliefs. Methods. Individuals living with HIV/AIDS (n = 436) participated in a randomized clinical trial testing an intensive behavioral intervention aimed at reducing HIV…
Behavioral Changes Associated With Testing HIV-Positive Among Sexually Transmitted Infection Clinic Patients In Cape Town, South Africa
Objectives. We sought to examine behavioral risks and behavior changes associated with testing HIV-positive among sexually transmitted infection (STI) patients, in order to inform HIV- and STI-prevention interventions. Methods. We performed a cohort study of 29 STI patients who seroconverted from HIV-negative to HIV-positive during 1 year of observation and 77 STI patients who persistently tested HIV-negative. Computerized behavioral interviews w…
The relationship between indicators of sexual compulsivity and high risk sexual practices among men and women receiving services from a sexually transmitted infection clinic
Sexual compulsivity, defined by sexual preoccupation and lack of sexual impulse control, is related to high-risk sexual behaviors. However, little is known about the prevalence and predictors of sexual compulsivity in people at high risk for contracting sexually transmitted infections (STIs). In the current study, patients receiving diagnostic and treatment services (85% African American) at an urban STI clinic completed measures of demographic c…
Development of a Brief Scale to Measure Aids-Related Stigma in South Africa
Risk Factors for HIV-Aids Among Youth in Cape Town, South Africa
Gender attitudes, sexual violence, and HIV/Aids risks among men and women in Cape Town, South Africa
This study examined gender attitudes and sexual violence-supportive beliefs (rape myths) in a sample of South African men and women at risk for HIV transmission. Over 40% of women and 16% of men had been sexually assaulted, and more than one in five men openly admitted to having perpetrated sexual assault. Traditional attitudes toward women's social and gender roles, as well as rape myths, were endorsed by a significant minority of both men and w…
Patterns of Sexual Risk Behavior Change Among Sexually Transmitted Infection Clinic Patients
Development of an HIV risk reduction counselling intervention for use in South African sexually transmitted infection clinics
South Africa urgently needs HIV prevention interventions that can be disseminated for use in clinical and community settings. A brief theory-based HIV risk reduction counselling intervention originally developed in the USA has recently been adapted for use in a South African sexually transmitted infection clinic. The 60-minute risk reduction counselling intervention was grounded in the Information-Motivation-Behavioural Skills (IMB) model of HIV …
Generalizing a model of health behaviour change and Aids stigma for use with sexually transmitted infection clinic patients in Cape Town, South Africa
We tested the Information-Motivation-Behavioural Skills (IMB) model of AIDS preventive behaviour in South Africa. Prospective path analyses were performed on measures collected from 131 men and 60 women with sexually transmitted infections (STI) in Cape Town. Results showed that IMB constructs collected at baseline predicted risk reduction behaviour 3 months later. Risk reduction intentions were positively associated with risk reduction self-effi…
HIV/Aids Risks among South African Men Who Report Sexually Assaulting Women
Associations of poverty, substance use, and HIV transmission risk behaviors in three South African communities
Alcohol Use and Sexual Risks for HIV/Aids in Sub-Saharan Africa
Sexual assault, sexual risks and gender attitudes in a community sample of South African men
Sexual assault against women and HIV infection are both prevalent and related social problems in South Africa. The current study examined hostile attitudes toward women, acceptance of violence against women and masculine ideological beliefs in relation to sexual assault history among men in a Cape Town township in South African. Men (n=435) completed anonymous surveys of sexual assault history, HIV risk history and gender-based attitudes. More th…
Altering Key Characteristics of a Disseminated Effective Behavioral Intervention for HIV Positive Adults
HIV/Aids information needs of sexually transmitted infection clinic patients
Basic factual information about disease is the cornerstone of health promotion and disease prevention interventions. Previous studies have shown that content analysis of the questions asked of service providers can elucidate the information needs of service consumers. Questions asked by individuals at known high risk for HIV infection have not previously been examined. The current study analyzed 944 questions asked by 634 patients receiving HIV‐r…
Examining Factors Co-Existing with Interpersonal Violence in Lesbian Relationships
On Holiday
Sexual risk behavior is higher when people vacation as compared to when they are at home. The current study uses survey data to compare sexual risk behavior of gay men who vacation at gay resorts to those who do not. Independent predictors of vacationing at gay resorts included income level, relationship status, ever having attended a circuit party, and HIV serostatus. For men who visit resorts to meet sex partners, independent predictors include…
Behavioral Changes Associated With Testing HIV-Positive Among Sexually Transmitted Infection Clinic Patients In Cape Town, South Africa
Objectives. We sought to examine behavioral risks and behavior changes associated with testing HIV-positive among sexually transmitted infection (STI) patients, in order to inform HIV- and STI-prevention interventions. Methods. We performed a cohort study of 29 STI patients who seroconverted from HIV-negative to HIV-positive during 1 year of observation and 77 STI patients who persistently tested HIV-negative. Computerized behavioral interviews w…
Heterosexual anal intercourse and HIV infection risks in the context of alcohol serving venues, Cape Town, South Africa
Anal intercourse likely plays a significant role in HIV infections among a small minority of South Africans who patronize alcohol serving establishments. Heterosexual anal intercourse, the most risky sexual behavior for HIV transmission, should not be ignored in HIV prevention for South African heterosexuals. However, this relatively infrequent behavior should not become the focus of prevention efforts
A Novel Approach to Prevention for At-Risk HIV-Negative Men Who Have Sex With Men
Objectives. As a result of the impact of HIV among men who have sex with men (MSM), multiple strategies for reducing HIV risks have emerged from within the gay community. One common HIV risk reduction strategy limits unprotected sex partners to those who are of the same HIV status (serosorting). We tested a novel, brief, one-on-one intervention, based on informed decision-making and delivered by peer counselors, designed to address the limitation…
Integrated Behavioral Intervention to Improve HIV/Aids Treatment Adherence and Reduce HIV Transmission
Objectives. We conducted a randomized clinical trial to test an integrated behavioral intervention designed to enhance using HIV treatment as prevention by improving medication adherence, reducing risks for other sexually transmitted infections, and minimizing risk compensation beliefs. Methods. Individuals living with HIV/AIDS (n = 436) participated in a randomized clinical trial testing an intensive behavioral intervention aimed at reducing HIV…
Randomized Clinical Trial of Brief Risk Reduction Counseling for Sexually Transmitted Infection Clinic Patients in Cape Town, South Africa
Objectives. We examined the effects of a brief counseling intervention designed to reduce HIV risk behaviors and sexually transmitted infections (STIs) among patients receiving STI services in Cape Town, South Africa. Methods. After randomization to either a 60-minute risk reduction counseling session or a 20-minute HIV–STI educational session, patients completed computerized sexual behavior assessments. More than 85% of the participants were ret…
Randomized Clinical Trial of Brief Risk Reduction Counseling for Sexually Transmitted Infection Clinic Patients in Cape Town, South Africa
Objectives. We examined the effects of a brief counseling intervention designed to reduce HIV risk behaviors and sexually transmitted infections (STIs) among patients receiving STI services in Cape Town, South Africa. Methods. After randomization to either a 60-minute risk reduction counseling session or a 20-minute HIV–STI educational session, patients completed computerized sexual behavior assessments. More than 85% of the participants were ret…
Does perceived life stress mediate the association between HIV status and alcohol use? Evidence from adults living in Cape Town, South Africa
South Africa has the highest prevalence of HIV in the world. Because living with HIV is stressful and because alcohol consumption is often used to cope with stress, we examined whether stress mediates the association between HIV status and alcohol use among adults residing in South African townships. Field workers approached pedestrians or patrons of informal alcohol-serving venues (i.e., shebeens) and invited their participation in a survey. Of …
HIV testing is associated with increased knowledge and reductions in sexual risk behaviours among men in Cape Town, South Africa
HIV testing benefits those who test positive, allowing them to receive treatment, but the benefits for those who test negative remain controversial. We evaluated the impact of testing on HIV knowledge and sexual risk among men in South Africa. Men were recruited from townships outside Cape Town and completed a survey that assessed testing history, knowledge, and sexual behaviours. Among the 820 participants, 516 (63%) reported being tested (82% t…
Exploring the Relationships Among Food Insecurity, Alcohol Use, and Sexual Risk Taking Among Men and Women Living in South African Townships
Recruiting a US National Sample of HIV-Negative Gay and Bisexual Men to Complete at-Home Self-Administered HIV/STI Testing and Surveys
Medicine (42 obras) · HIV/AIDS Research and Interventions (29 obras) · Psychology (28 obras) · Adolescent Sexual and Reproductive Health (24 obras) · Family medicine (23 obras) · Psychiatry (23 obras) · Clinical Psychology (21 obras) · Public health (21 obras) · Demography (20 obras) · Environmental health (19 obras)