Adaora A Adimora
Biographic Data
| ID | 315832 |
|---|---|
| NAME | Adaora A Adimora |
| GIVEN NAMES | Adaora A |
| FAMILY NAME | Adimora |
| SIGNATURE | ADIMORA A A |
| AFFILIATIONS | University of North Carolina at Chapel Hill |
| ORCID | 0000-0001-5035-1552 |
| VERIFIED | Yes |
| TOTAL WORKS | 60 |
| TOTAL CITATIONS | 102 |
| AUTHOR COUNT | 60 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2002 |
| LATEST PUBLICATION YEAR | 2023 |
| H-INDEX | 6 |
PrEP and HIV prevention decision-making among social network members of women who have experienced incarceration
Incarceration and HIV are a syndemic for US women, yet very few women who have experienced incarceration use pre-exposure prophylaxis (PrEP) for HIV. We conducted semi-structured interviews with 32 participants recruited by women who have experienced incarceration from their social networks, informed by the modified social ecological model for PrEP. Emergent themes from the interviews included individual-level (low personal HIV risk assessment, p…
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
The influence of social relationships on PrEP attitudes among women with incarceration experience in the Southeastern USA
Women who have experienced incarceration face a disproportionately high risk of acquiring HIV. Despite efficacy of pre-exposure prophylaxis (PrEP) for HIV, very few women with incarceration histories are using PrEP. Our objective was to learn how sexual, drug-use and social relationships shape decisions about PrEP among women who have experienced incarceration. We used an inductive approach to analyse data from four focus groups undertaken with w…
Where’s the “Everyday Black Woman”? An intersectional qualitative analysis of Black Women’s decision-making regarding HIV pre-exposure prophylaxis (PrEP) in Mississippi
An effective response to PrEP implementation among Black women in the South requires developing programs to center the needs of Black women and carry out active strategies that prioritize peer advocacy while reinforcing positive and mitigating negative influences from broader social and historical contexts
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
Psychosocial Mechanisms of Self-rated Successful Aging with HIV
Patient Health Literacy and Communication with Providers Among 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
Starting or Switching to an Integrase Inhibitor-Based Regimen Affects PTSD Symptoms in Women with HIV
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)
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…
Precarity and health
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
The Relationship Between Economic Deprivation, Housing Instability and Transactional Sex Among Women in North Carolina (HPTN 064)
Comparing neighborhood and state contexts for women living with and without HIV
In the South, people living with HIV experience worse health outcomes than in other geographic regions, likely due to regional political, structural, and socioeconomic factors. We describe the neighborhoods of women (n = 1,800) living with and without HIV in the Women's Interagency HIV Study (WIHS), a cohort with Southern sites in Chapel Hill, NC; Atlanta, GA; Birmingham, AL; Jackson, MS; and Miami, FL; and non-Southern sites in Brooklyn, NY; Bro…
Structural barriers to comprehensive, coordinated HIV care
Structural barriers to HIV care are particularly challenging in the US South, which has higher HIV diagnosis rates, poverty, uninsurance, HIV stigma, and rurality, and fewer comprehensive public health programs versus other US regions. Focusing on one structural barrier, we examined geographic accessibility to comprehensive, coordinated HIV care (HIVCCC) in the US South. We integrated publicly available data to study travel time to HIVCCC in 16 S…
Concurrent Sexual Partnerships Among Men in the United States
Objectives. We sought to determine the prevalence, distribution, and correlates of US men’s involvement in concurrent sexual partnerships, a sexual network pattern that speeds population dissemination of HIV. Methods. For this analysis, we compared sexual partnership dates of 4928 male respondents in the 2002 National Survey of Family Growth to determine the prevalence of concurrent sexual partnerships and evaluated associations between concurren…
Incarceration and High-Risk Sex Partnerships among Men in the United States
Precarity and health
Dissolution of Primary Intimate Relationships during Incarceration and Implications for Post-release HIV Transmission
Concurrent Partnerships, Nonmonogamous Partners, and Substance Use Among Women in the United States
Objectives. We determined the prevalence, distribution, and correlates of US women's involvement in concurrent sexual partnerships, a sexual-network pattern that speeds population-wide HIV dissemination. Methods. We used sexual partnership dates reported by 7643 women in the 2002 National Survey of Family Growth to determine prevalence of concurrent sexual partnerships during the preceding 12 months. We examined associations between concurrency a…
Incarceration and Risky Sexual Partnerships in a Southern US City
Confidentiality considerations for use of social-spatial data on the social determinants of health
Relationship of Racial Residential Segregation to Newly Diagnosed Cases of HIV among Black Heterosexuals in US Metropolitan Areas, 2008–2015
Marital Status and Sexually Transmitted Infections Among African Americans
This article assesses the relationship between low marriage rates and racial disparities in sexually transmitted infection (STI) rates. Data from the 2002 National Survey of Family Growth was used to examine the prevalence of sexual risk behaviors by marital status. Logistic regression was used to examine whether racial differences in marriage patterns help account for racial disparities in STI rates. Results indicate that the 12-month prevalence…
Dissolution of Committed Partnerships during Incarceration and STI/HIV-Related Sexual Risk Behavior after Prison Release among African American Men
Black Pastors’ Views on preaching about sex
These findings have implications for the potential utility of sermons as an HIV prevention tool and suggest that it is possible for public health professionals and pastors of Black churches to form partnerships to develop messages that are consonant with pastors' religious convictions as well as public health recommendations
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
Concurrent Sexual Partnerships Among Women in the United States
BACKGROUND: The marked racial disparity in sexually transmitted infection (STI) rates in the United States remains inadequately explained. One important factor may be concurrent sexual partnerships (relationships that overlap in time), which can transmit STIs more rapidly through a population than does sequential monogamy. METHODS: To determine prevalence, distribution, and correlates of U.S. women's involvement in concurrent partnerships, we ana…
Contextual Factors and the Black-White Disparity in Heterosexual HIV Transmission
African-Americans have the highest rates of human immunodeficiency virus (HIV) transmission, including heterosexual transmission, in the United States. Although numerous factors probably contribute to the extreme racial disparity, reasons for its persistence remain poorly explained. Mathematical modeling demonstrates that concurrent sexual partnerships speed transmission of HIV through sexual networks more effectively than does serial monogamy, f…
Social Context, Sexual Networks, and Racial Disparities in Rates of Sexually Transmitted Infections
BACKGROUND: Social context (demographic, socioeconomic, macroeconomic, and sociopolitical features of the environment) influences the epidemiology and consequences of individual behaviors that affect health outcomes. This article examines the role of social context in heterosexual networks that facilitate the spread of human immunodeficiency virus (HIV) infection and other sexually transmitted infections (STIs), particularly in relation to persis…
Routine Physical Examination and Forgone Health Care among Latino Adolescent Immigrants in the United States
HIV and African Americans in the Southern United States
BACKGROUND: Heterosexual HIV transmission among African Americans in the rural southern United States has climbed in recent years. Concurrent partnerships and bridge populations have emerged as key elements in the spread of sexually transmitted infections (STIs). GOAL: The goal of this study was to examine published empiric data and other literature concerning the extent of these network patterns and their relationship to the socioeconomic contex…
Incarceration and Risky Sexual Partnerships in a Southern US City
Concurrent Sexual Partnerships Among Men in the United States
Objectives. We sought to determine the prevalence, distribution, and correlates of US men’s involvement in concurrent sexual partnerships, a sexual network pattern that speeds population dissemination of HIV. Methods. For this analysis, we compared sexual partnership dates of 4928 male respondents in the 2002 National Survey of Family Growth to determine the prevalence of concurrent sexual partnerships and evaluated associations between concurren…
Understanding and responding to disparities in HIV and other sexually transmitted infections in African Americans
Incarceration and High-Risk Sex Partnerships among Men in the United States
Structural Interventions for HIV Prevention in the United States
BACKGROUND: Structural interventions change the environment in which people act to influence their health behaviors. Most structural interventions research for HIV infection has focused on developing countries, with the United States receiving substantially less attention. This article identifies some social determinants of HIV vulnerability in the United States and structural interventions to address them. METHODS: Review of the medical, public …
Marital Status and Sexually Transmitted Infections Among African Americans
This article assesses the relationship between low marriage rates and racial disparities in sexually transmitted infection (STI) rates. Data from the 2002 National Survey of Family Growth was used to examine the prevalence of sexual risk behaviors by marital status. Logistic regression was used to examine whether racial differences in marriage patterns help account for racial disparities in STI rates. Results indicate that the 12-month prevalence…
Sexual Risk Behaviors among African-American and Hispanic Women in Five Counties in the Southeastern United States
Dissolution of Primary Intimate Relationships during Incarceration and Implications for Post-release HIV Transmission
Concurrent Partnerships, Nonmonogamous Partners, and Substance Use Among Women in the United States
Objectives. We determined the prevalence, distribution, and correlates of US women's involvement in concurrent sexual partnerships, a sexual-network pattern that speeds population-wide HIV dissemination. Methods. We used sexual partnership dates reported by 7643 women in the 2002 National Survey of Family Growth to determine prevalence of concurrent sexual partnerships during the preceding 12 months. We examined associations between concurrency a…
HealthMpowerment.org
Young Black men who have sex with men (BMSM) are disproportionately affected by HIV/AIDS in the USA and continue to experience rapidly increasing HIV incidence. We designed a tailored, theory-based interactive HIV/STI prevention website for young BMSM, called HealthMpowerment.org (HMP) and conducted a small pilot trial comparing HMP to currently available HIV/STI websites. We present findings demonstrating feasibility and acceptability of deliver…
Changes in Exposure to Neighborhood Characteristics are Associated with Sexual Network Characteristics in a Cohort of Adults Relocating from Public Housing
Prevalence and Correlates of Knowledge of Male Partner HIV Testing and Serostatus Among African-American Women Living in High Poverty, High HIV Prevalence Communities (HPTN 064)
Sexual Behaviors of US Women at Risk of HIV Acquisition
STI/HIV Sexual Risk Behavior and Prevalent STI Among Incarcerated African American Men in Committed Partnerships
Venues for Meeting Sex Partners and Partner HIV Risk Characteristics
Mechanisms for the Negative Effects of Internalized HIV-Related Stigma on Antiretroviral Therapy Adherence in Women
BACKGROUND: Internalization of HIV-related stigma may inhibit a person's ability to manage HIV disease through adherence to treatment regimens. Studies, mainly with white men, have suggested an association between internalized stigma and suboptimal adherence to antiretroviral therapy (ART). However, there is a scarcity of research with women of different racial/ethnic backgrounds and on mediating mechanisms in the association between internalized…
Socioecological factors influencing women’s HIV risk in the United States
Clinicaltrials.gov, NCT00995176
Confidentiality considerations for use of social-spatial data on the social determinants of health
Food Insecurity is Associated with Poor HIV Outcomes Among Women in the United States
Association between Perceived Discrimination in Healthcare Settings and HIV Medication Adherence
Medicine (57 works) · HIV/AIDS Research and Interventions (42 works) · Psychology (34 works) · Demography (33 works) · Sociology (33 works) · Public health (31 works) · Family medicine (29 works) · Adolescent Sexual and Reproductive Health (27 works) · Environmental health (26 works) · Human immunodeficiency virus (HIV (25 works)