Ryan M Combs
Biographic Data
| ID | 318093 |
|---|---|
| NAME | Ryan M Combs |
| GIVEN NAMES | Ryan M |
| FAMILY NAME | Combs |
| SIGNATURE | COMBS R M |
| AFFILIATIONS | University of Louisville |
| ORCID | 0000-0002-7609-0925 |
| VERIFIED | Yes |
| TOTAL WORKS | 20 |
| TOTAL CITATIONS | 81 |
| WORKS AS AUTHOR | 20 |
| WORKS AS EDITOR | 0 |
| FIRST PUBLICATION YEAR | 2013 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 4 |
Bridging the Crisis Gap
Reimagining Support After Sexual Violence
Recognizing and Addressing Health Care Barriers for Transgender and Nonbinary People Living With a Chronic Illness or Disability
This paper explores the health care experiences of individuals who are transgender and/or nonbinary (TGNB) and live with a chronic illness and/or disability (CI/D). Using an interpretivist epistemological worldview and an intersectional lens, the research team explored the compounded barriers faced by this patient population and propose solutions for improving their care. The study conducted in-depth interviews with TGNB individuals who self-iden…
Evaluation of a community-informed multimedia intervention to increase PrEP awareness and intention among African American young adults
Despite the benefits of pre-exposure prophylaxis (PrEP) in preventing HIV and its potential for reducing racial/ethnic HIV inequities, PrEP remains underutilized among African Americans who may benefit from it. Factors of PrEP uptake include awareness and acceptability of this prevention strategy among this group, yet few community-informed interventions have been developed and evaluated to address these challenges. Thus, this study evaluates the…
LGBTQ+ Microaggressions in Health Care
Microaggressions are subtle derogatory behaviors that unintentionally communicate hostility toward marginalized social groups. This article describes the preliminarily validation of a framework for observing LGBTQ+ microaggressions in health care, which can lead to distrust and disengagement from the healthcare system. Coders used the framework to observe microaggressions in video-recorded clinical-skills assessments with medical students who eli…
Understanding Influences on Intention to Use Pre-exposure Prophylaxis (PrEP) Among African American Young Adults
Sociocultural and structural influences on HIV Pre-Exposure Prophylaxis (PrEP) Engagement and Uptake among African American Young adults
Our study highlights sociocultural and structural factors that act as barriers and facilitators to PrEP engagement. The SEM guided the understanding of how these factors operated on multiple levels. One of the sociocultural factors, community/social network influences operated at the interpersonal level of the SEM; the other two, stigma and medical mistrust, operated at the community level. The structural factors (PrEP availability, accessibility…
Post-traumatic stress disorder symptoms and PrEP intentions among Black American young adults at high-risk for HIV
Findings are discussed in the context of the negative impacts of high levels of PTSD and potential positive adaptations subsequent to moderate levels of PTSD that could be relevant to advances in HIV prevention efforts
Board certification of professional chaplains
Many professional chaplaincy organizations in the United States have board certified healthcare chaplains since the 1920s and documented how they have adapted their process as the profession has grown. In 2019, the Association of Professional Chaplains and the National Association of Catholic Chaplains sought the perspectives of key stakeholders about professional chaplaincy board certification. This study reports the results from 50 semi-structu…
Perspectives of Transgender and Nonbinary Health Care Providers on Gender Minority Patient Simulation
Health disparities experienced by gender minority (GM; i.e., transgender or nonbinary) patients have become a recent focus in health professions education. 1 However, trainee competencies, guidelines, and best practices have not been established or widely discussed. A 2021 study of patient simulation professionals from across the United States and Canada found a lack of consensus about who should portray GM patients. 2 Also, a 2020 study of GM st…
A Qualitative Exploration of Various Stigmas Impacting HIV Pre-Exposure Prophylaxis (PrEP) Uptake Among African American Young Adults
Pre-exposure prophylaxis (PrEP) has promise for reducing racial/ethnic HIV disparities; yet, acceptance among African Americans remains low. PrEP-related stigmas may impact uptake, but this is understudied. This study examines mechanisms by which stigma impacts PrEP acceptance among various priority African American populations. Focus group data from 63 African American young adults (aged 18-29 years) in Louisville, Kentucky, explore how various …
Community-Informed Development of a Campaign to Increase HIV Pre-exposure Prophylaxis (PrEP) Awareness Among African-American Young Adults
Examining Factors that Impact Intentions to Use Pre-Exposure Prophylaxis Among African-American Young Adults
Gender-Based Perspectives on Professional Healthcare Chaplaincy Board Certification
This article explores the ways in which gendered processes play out through the professionalization of chaplains in healthcare settings. It describes how gender manifests within organizations, how literature addresses the role of gender in professionalization, and considerations for professional chaplaincy. Fifty interviews with U.S. chaplains were analyzed to explore the relationship between the professionalization of chaplaincy and male and fem…
Promoting Interdisciplinary, Participatory Approaches to Address Childhood Asthma Disparities in an Urban Black Community
Black children are twice as likely as non-Hispanic white children to have asthma due to an interplay of socioeconomic, historical, and industrial factors. The underlying socio-economic and structural inequities result in poor adherence to recommended asthma management treatments. National guidelines suggest asthma action plans (AAPs) as a tool for patient self-management, yet they remain underutilized. Boot Camp Translation (BCT), rooted in commu…
Depression Is Real
BCT offers a structured process for engaging stakeholders in developing culturally tailored health communication campaigns
Depression Is Real
Background: Depression is the leading cause of disability in the United States. African Americans are disproportionately affected owing to systemic and sociocultural factors. Stigma, denial, and inadequate knowledge on depression are significant barriers to mental help seeking. Addressing mental health literacy can improve mental health knowledge, management, and outcomes. West Louisville, a predominantly African American community, is of particu…
Hidden caring, hidden carers? Exploring the experience of carers for people with long‐term conditions
Informal carers make a significant contribution to illness management in communities, but many struggle to access support and remain 'hidden carers'. We aimed to explore how carers of people with common long-term conditions (LTCs, such as coronary heart disease or kidney disease) conceptualised their caring, and whether they struggled to identify themselves with the term 'carer' or access for support. We conducted semi-structured interviews with …
Clues of subjective social status among young adults
Acceptable Difference
Journal Article ‘Acceptable Difference’: Diversity, Representation and Pathways to UK Politics Get access Catherine Durose, Catherine Durose * 1University of Birmingham, Birmingham, UK *Correspondence: [email protected] Search for other works by this author on: Oxford Academic Google Scholar Liz Richardson, Liz Richardson 2University of Manchester, Manchester, UK Search for other works by this author on: Oxford Academic Google Scholar Ryan Comb…
Acceptable Difference
Journal Article ‘Acceptable Difference’: Diversity, Representation and Pathways to UK Politics Get access Catherine Durose, Catherine Durose * 1University of Birmingham, Birmingham, UK *Correspondence: [email protected] Search for other works by this author on: Oxford Academic Google Scholar Liz Richardson, Liz Richardson 2University of Manchester, Manchester, UK Search for other works by this author on: Oxford Academic Google Scholar Ryan Comb…
Clues of subjective social status among young adults
Hidden caring, hidden carers? Exploring the experience of carers for people with long‐term conditions
Informal carers make a significant contribution to illness management in communities, but many struggle to access support and remain 'hidden carers'. We aimed to explore how carers of people with common long-term conditions (LTCs, such as coronary heart disease or kidney disease) conceptualised their caring, and whether they struggled to identify themselves with the term 'carer' or access for support. We conducted semi-structured interviews with …
Depression Is Real
Background: Depression is the leading cause of disability in the United States. African Americans are disproportionately affected owing to systemic and sociocultural factors. Stigma, denial, and inadequate knowledge on depression are significant barriers to mental help seeking. Addressing mental health literacy can improve mental health knowledge, management, and outcomes. West Louisville, a predominantly African American community, is of particu…
Examining Factors that Impact Intentions to Use Pre-Exposure Prophylaxis Among African-American Young Adults
Gender-Based Perspectives on Professional Healthcare Chaplaincy Board Certification
This article explores the ways in which gendered processes play out through the professionalization of chaplains in healthcare settings. It describes how gender manifests within organizations, how literature addresses the role of gender in professionalization, and considerations for professional chaplaincy. Fifty interviews with U.S. chaplains were analyzed to explore the relationship between the professionalization of chaplaincy and male and fem…
Acceptable Difference
Journal Article ‘Acceptable Difference’: Diversity, Representation and Pathways to UK Politics Get access Catherine Durose, Catherine Durose * 1University of Birmingham, Birmingham, UK *Correspondence: [email protected] Search for other works by this author on: Oxford Academic Google Scholar Liz Richardson, Liz Richardson 2University of Manchester, Manchester, UK Search for other works by this author on: Oxford Academic Google Scholar Ryan Comb…
Hidden caring, hidden carers? Exploring the experience of carers for people with long‐term conditions
Informal carers make a significant contribution to illness management in communities, but many struggle to access support and remain 'hidden carers'. We aimed to explore how carers of people with common long-term conditions (LTCs, such as coronary heart disease or kidney disease) conceptualised their caring, and whether they struggled to identify themselves with the term 'carer' or access for support. We conducted semi-structured interviews with …
Clues of subjective social status among young adults
Promoting Interdisciplinary, Participatory Approaches to Address Childhood Asthma Disparities in an Urban Black Community
Black children are twice as likely as non-Hispanic white children to have asthma due to an interplay of socioeconomic, historical, and industrial factors. The underlying socio-economic and structural inequities result in poor adherence to recommended asthma management treatments. National guidelines suggest asthma action plans (AAPs) as a tool for patient self-management, yet they remain underutilized. Boot Camp Translation (BCT), rooted in commu…
Depression Is Real
BCT offers a structured process for engaging stakeholders in developing culturally tailored health communication campaigns
Depression Is Real
Background: Depression is the leading cause of disability in the United States. African Americans are disproportionately affected owing to systemic and sociocultural factors. Stigma, denial, and inadequate knowledge on depression are significant barriers to mental help seeking. Addressing mental health literacy can improve mental health knowledge, management, and outcomes. West Louisville, a predominantly African American community, is of particu…
Community-Informed Development of a Campaign to Increase HIV Pre-exposure Prophylaxis (PrEP) Awareness Among African-American Young Adults
Examining Factors that Impact Intentions to Use Pre-Exposure Prophylaxis Among African-American Young Adults
Gender-Based Perspectives on Professional Healthcare Chaplaincy Board Certification
This article explores the ways in which gendered processes play out through the professionalization of chaplains in healthcare settings. It describes how gender manifests within organizations, how literature addresses the role of gender in professionalization, and considerations for professional chaplaincy. Fifty interviews with U.S. chaplains were analyzed to explore the relationship between the professionalization of chaplaincy and male and fem…
Board certification of professional chaplains
Many professional chaplaincy organizations in the United States have board certified healthcare chaplains since the 1920s and documented how they have adapted their process as the profession has grown. In 2019, the Association of Professional Chaplains and the National Association of Catholic Chaplains sought the perspectives of key stakeholders about professional chaplaincy board certification. This study reports the results from 50 semi-structu…
Perspectives of Transgender and Nonbinary Health Care Providers on Gender Minority Patient Simulation
Health disparities experienced by gender minority (GM; i.e., transgender or nonbinary) patients have become a recent focus in health professions education. 1 However, trainee competencies, guidelines, and best practices have not been established or widely discussed. A 2021 study of patient simulation professionals from across the United States and Canada found a lack of consensus about who should portray GM patients. 2 Also, a 2020 study of GM st…
A Qualitative Exploration of Various Stigmas Impacting HIV Pre-Exposure Prophylaxis (PrEP) Uptake Among African American Young Adults
Pre-exposure prophylaxis (PrEP) has promise for reducing racial/ethnic HIV disparities; yet, acceptance among African Americans remains low. PrEP-related stigmas may impact uptake, but this is understudied. This study examines mechanisms by which stigma impacts PrEP acceptance among various priority African American populations. Focus group data from 63 African American young adults (aged 18-29 years) in Louisville, Kentucky, explore how various …
Understanding Influences on Intention to Use Pre-exposure Prophylaxis (PrEP) Among African American Young Adults
Sociocultural and structural influences on HIV Pre-Exposure Prophylaxis (PrEP) Engagement and Uptake among African American Young adults
Our study highlights sociocultural and structural factors that act as barriers and facilitators to PrEP engagement. The SEM guided the understanding of how these factors operated on multiple levels. One of the sociocultural factors, community/social network influences operated at the interpersonal level of the SEM; the other two, stigma and medical mistrust, operated at the community level. The structural factors (PrEP availability, accessibility…
Post-traumatic stress disorder symptoms and PrEP intentions among Black American young adults at high-risk for HIV
Findings are discussed in the context of the negative impacts of high levels of PTSD and potential positive adaptations subsequent to moderate levels of PTSD that could be relevant to advances in HIV prevention efforts
Evaluation of a community-informed multimedia intervention to increase PrEP awareness and intention among African American young adults
Despite the benefits of pre-exposure prophylaxis (PrEP) in preventing HIV and its potential for reducing racial/ethnic HIV inequities, PrEP remains underutilized among African Americans who may benefit from it. Factors of PrEP uptake include awareness and acceptability of this prevention strategy among this group, yet few community-informed interventions have been developed and evaluated to address these challenges. Thus, this study evaluates the…
LGBTQ+ Microaggressions in Health Care
Microaggressions are subtle derogatory behaviors that unintentionally communicate hostility toward marginalized social groups. This article describes the preliminarily validation of a framework for observing LGBTQ+ microaggressions in health care, which can lead to distrust and disengagement from the healthcare system. Coders used the framework to observe microaggressions in video-recorded clinical-skills assessments with medical students who eli…
Reimagining Support After Sexual Violence
Recognizing and Addressing Health Care Barriers for Transgender and Nonbinary People Living With a Chronic Illness or Disability
This paper explores the health care experiences of individuals who are transgender and/or nonbinary (TGNB) and live with a chronic illness and/or disability (CI/D). Using an interpretivist epistemological worldview and an intersectional lens, the research team explored the compounded barriers faced by this patient population and propose solutions for improving their care. The study conducted in-depth interviews with TGNB individuals who self-iden…
Bridging the Crisis Gap
Medicine (16 works) · Psychology (14 works) · Sociology (12 works) · Political science (11 works) · Nursing (10 works) · Gerontology (9 works) · Family medicine (7 works) · HIV/AIDS Research and Interventions (7 works) · Health care (6 works) · HIV, Drug Use, Sexual Risk (6 works)