Mirjam-Colette Kempf
Biographic Data
| ID | 3800427 |
|---|---|
| NAME | Mirjam-Colette Kempf |
| GIVEN NAMES | Mirjam-Colette |
| FAMILY NAME | Kempf |
| SIGNATURE | KEMPF M |
| AFFILIATIONS | University of Alabama at Birmingham |
| VERIFIED | No |
| TOTAL WORKS | 36 |
| TOTAL CITATIONS | 30 |
| WORKS AS AUTHOR | 36 |
| WORKS AS EDITOR | 0 |
| FIRST PUBLICATION YEAR | 2012 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 1 |
Predictors of worsening food security among women living with and without HIV and seronegative women during Covid-19
This study aimed to assess the prevalence, severity, predictors, and lived experiences of food insecurity among women enrolled in the Women’s Interagency HIV Study in the USA in 2020, at the height of the COVID-19 pandemic. We hypothesized that pre-existing socioeconomic and health-related disparities would heighten the risk of worsening food insecurity during the pandemic. The 10-item US Household Food Security Survey was administered to partici…
Implementation of State Prescription Drug Monitoring Program Mandatory Checking Requirements and Prescribed Opioid Analgesic Use Among Women With and Without HIV in The Women’s Interagency HIV Study
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…
Financial, housing, food, and healthcare insecurities and their independent and joint associations with depressive symptoms and stress in a U.S. cohort of adults with and without HIV
Facilitators and barriers to anal cancer screening among men with HIV and their providers in Alabama
Anal cancer, primarily caused by persistent high-risk HPV infection, is increasing worldwide. Men who have sex with men (MSM) and men with HIV (MWH) have incidence rates over ten-fold the rate among the general population. We explored health beliefs related to anal cancer, and perceived benefits, barriers, and facilitators to screening among MWH and their HIV care providers in the U.S. South, where HIV incidence remains high. We conducted in-dept…
Perceptions of and preferences for PrEP use among African American women and providers in the U.S. South
OBJECTIVE: African American (AA) women in the U.S. South experience significant HIV incidence, and efforts to support antiretroviral pre-exposure prophylaxis (PrEP) uptake and maintenance among this group have been insufficient. This study aimed to explore perceptions, attitudes, and implementation preferences surrounding PrEP use for AA women in the U.S. South. METHODS AND MEASURES: = 20) in Federally Qualified Health Centers and HIV clinics in …
Opportunities for Low-Barrier HIV Testing in the U.S. Deep South
The HIV epidemic remains a critical public health challenge in the Southern U.S., where barriers such as healthcare shortages, structural racism, and social determinants of health exacerbate disparities. Mobile- and self-HIV testing offer promising approaches to address these barriers. Partnering with a community-based healthcare organization in Alabama, we surveyed 181 individuals accessing facility- and community-based HIV testing from August 2…
Development and Validation of an Updated Internalized HIV Stigma Scale Among People Living with HIV
Trends in Alcohol Use Before and During the Covid-19 Pandemic Among Women Living With and Without HIV in the United States (2017–2022)
Data on alcohol use trends in women living with HIV (WLWH) are lacking. We examine data collected before and across the COVID-19 pandemic (2014-2022) in WLWH and socio-demographically similar women living without HIV (WLWOH)(n = 1564; 67% WLWH) who self-reported alcohol use to establish and compare trends. Women were categorized into baseline groups based on use pattern from 10/2014 to 09/2017: abstinence (no alcohol at any visit), non-heavy drin…
Patterns of Cannabis Use among Women With HIV in the United States
Exploring the role of motherhood in healthcare engagement for women living with HIV in the USA
Mothers living with HIV are faced with managing their own complex healthcare and wellness needs while caring for their children. Understanding the lived experiences of mothers living with HIV, including grandmothers and mothers with older children - who are less explicitly represented in existing literature, may guide the development of interventions that best support them and their families. This study sought to explore the role of motherhood an…
Association of experienced stigma in healthcare settings with health outcomes among Black women living with HIV
Sexual risk characteristics, social vulnerability, and anal cancer screening uptake among men living with HIV in the deep south
Without standard guidelines, there is a critical need to examine anal cancer screening uptake in the South which has the highest HIV incidence in the U.S. We identified factors associated with screening among men living with HIV (MLHIV) at a large academic HIV outpatient clinic in Alabama. Relationships between sociodemographic, clinical, sexual risk characteristics and screening were examined using T-tests, Fisher’s exact, Chi-square, and logist…
Protocol
Innovative and culturally sensitive strategies to improve access to HIV prevention and treatment services for cisgender women are vital to curb the burden of the HIV epidemic for this key population. Findings from this study will inform future research, intervention strategies, and public policies
Intersectional Stigma, Fear of Negative Evaluation, Depression, and ART Adherence Among Women Living with HIV Who Engage in Substance Use
Longitudinal associations between intersectional stigmas, antiretroviral therapy adherence, and viral load among women living with HIV using multidimensional latent transition item response analysis
Epigenetic age acceleration mediates the relationship between neighborhood deprivation and pain severity in adults with or at risk for knee osteoarthritis pain
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…
Patient Health Literacy and Communication with Providers Among Women Living with HIV
Intensity of Social Support Matters
Feasibility, acceptability, and preliminary impact of telemedicine-administered cognitive behavioral therapy for adherence and depression among African American women living with HIV in the rural Sout…
Women living with HIV are disproportionally affected by depression and mental healthcare access. A pilot feasibility trial using videoconferencing compared cognitive behavioral therapy for antiretroviral therapy adherence and depression ( N = 11) to supportive psychotherapy ( N = 11). Participants completed 10-12 weekly therapy sessions and 6-month follow-up. Retention at 6 months was 95 percent. Depression symptoms significantly decreased in bot…
Internalized HIV Stigma and Pain among Women with HIV in the United States
Perceived Value of Microenterprise for Low-Income Women Living with HIV in Alabama
Barriers to HIV Testing
Perceptions of intersectional stigma among diverse women living with HIV in the United States
Attitudes and behavior that devalue individuals based upon their HIV status (HIV-related stigma) are barriers to HIV prevention, treatment, and wellbeing among women living with HIV. Other coexisting forms of stigma (e.g., racism, sexism) may worsen the effects of HIV-related stigma, and may contribute to persistent racial and gendered disparities in HIV prevention and treatment. Few studies examine perceptions of intersectional stigma among wome…
Association of experienced stigma in healthcare settings with health outcomes among Black women living with HIV
Longitudinal associations between intersectional stigmas, antiretroviral therapy adherence, and viral load among women living with HIV using multidimensional latent transition item response analysis
The effect of unstable housing on HIV treatment biomarkers
HIV-Infected Women's Relationships With Their Health Care Providers in the Rural Deep South
Through this qualitative study we explored the patient/provider relationships of rural HIV-infected women. Thirty-nine women from rural Alabama were recruited to participate in one of four focus groups. The focus groups were audiorecorded, and the participants were asked to complete surveys measuring patient/provider trust. The verbatim-transcribed audio recordings were analyzed using content analysis. The participants' descriptions of their rela…
A qualitative study on factors impacting HIV care adherence among postpartum HIV-infected women in the rural southeastern USA
Declines in HIV care and treatment adherence among HIV-infected women from pregnancy to the postpartum period have significant implications for the clinical outcomes and overall well-being of HIV-infected women, especially due to immunosuppression during the postpartum period. While the overall increased risk for mortality associated with HIV care discontinuation is well established, the reasons for HIV care nonadherence among HIV-infected postpa…
Perceptions of barriers and facilitators to cervical cancer screening among low-income, HIV-infected women from an integrated HIV clinic
Significantly elevated rates of cervical cancer and low rates of Papanicolaou (Pap) smear screening have been documented among HIV-infected women. However, little is known about women's perceptions of cervical cancer screening utilization. Hence, this study describes barriers and facilitators related to cervical cancer screening in a sample of HIV-infected women seeking care at an integrated HIV clinic in Houston, Texas. Using an inductive qualit…
HIV-Related Stigma Among Healthcare Providers in the Deep South
Interpersonal Mechanisms Contributing to the Association Between HIV-Related Internalized Stigma and Medication Adherence
Structural community factors and sub-optimal engagement in HIV care among low-income women in the Deep South of the USA
This study describes the ways in which poverty and other structural factors create a risk environment for sub-optimal engagement in HIV care among low-income women living with HIV in the Southern USA, contributing to existing health disparities. We conducted a qualitative study in 2012, involving in-depth interviews with 14 stakeholders (service providers and representatives of community-based organisations) and 7 focus-group discussions with 46 …
Feasibility and Acceptability of Real-Time Antiretroviral Adherence Monitoring among Depressed Women Living with HIV in the Deep South of the US
The Longitudinal Association between Social Support on HIV Medication Adherence and Healthcare Utilization in the Women’s Interagency HIV Study
The effect of unstable housing on HIV treatment biomarkers
Perceptions of intersectional stigma among diverse women living with HIV in the United States
Attitudes and behavior that devalue individuals based upon their HIV status (HIV-related stigma) are barriers to HIV prevention, treatment, and wellbeing among women living with HIV. Other coexisting forms of stigma (e.g., racism, sexism) may worsen the effects of HIV-related stigma, and may contribute to persistent racial and gendered disparities in HIV prevention and treatment. Few studies examine perceptions of intersectional stigma among wome…
Perceived Value of Microenterprise for Low-Income Women Living with HIV in Alabama
Barriers to HIV Testing
The Relationship Between Discrimination and Missed HIV Care Appointments Among Women Living with HIV
Internalized HIV Stigma and Pain among Women with 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…
Patient Health Literacy and Communication with Providers Among Women Living with HIV
Intensity of Social Support Matters
Feasibility, acceptability, and preliminary impact of telemedicine-administered cognitive behavioral therapy for adherence and depression among African American women living with HIV in the rural Sout…
Women living with HIV are disproportionally affected by depression and mental healthcare access. A pilot feasibility trial using videoconferencing compared cognitive behavioral therapy for antiretroviral therapy adherence and depression ( N = 11) to supportive psychotherapy ( N = 11). Participants completed 10-12 weekly therapy sessions and 6-month follow-up. Retention at 6 months was 95 percent. Depression symptoms significantly decreased in bot…
Epigenetic age acceleration mediates the relationship between neighborhood deprivation and pain severity in adults with or at risk for knee osteoarthritis pain
Sexual risk characteristics, social vulnerability, and anal cancer screening uptake among men living with HIV in the deep south
Without standard guidelines, there is a critical need to examine anal cancer screening uptake in the South which has the highest HIV incidence in the U.S. We identified factors associated with screening among men living with HIV (MLHIV) at a large academic HIV outpatient clinic in Alabama. Relationships between sociodemographic, clinical, sexual risk characteristics and screening were examined using T-tests, Fisher’s exact, Chi-square, and logist…
Protocol
Innovative and culturally sensitive strategies to improve access to HIV prevention and treatment services for cisgender women are vital to curb the burden of the HIV epidemic for this key population. Findings from this study will inform future research, intervention strategies, and public policies
Intersectional Stigma, Fear of Negative Evaluation, Depression, and ART Adherence Among Women Living with HIV Who Engage in Substance Use
Longitudinal associations between intersectional stigmas, antiretroviral therapy adherence, and viral load among women living with HIV using multidimensional latent transition item response analysis
Facilitators and barriers to anal cancer screening among men with HIV and their providers in Alabama
Anal cancer, primarily caused by persistent high-risk HPV infection, is increasing worldwide. Men who have sex with men (MSM) and men with HIV (MWH) have incidence rates over ten-fold the rate among the general population. We explored health beliefs related to anal cancer, and perceived benefits, barriers, and facilitators to screening among MWH and their HIV care providers in the U.S. South, where HIV incidence remains high. We conducted in-dept…
HIV/AIDS Research and Interventions (29 works) · Medicine (27 works) · Family medicine (22 works) · Human immunodeficiency virus (HIV (19 works) · Public health (19 works) · HIV, Drug Use, Sexual Risk (18 works) · Psychology (17 works) · Gerontology (16 works) · Nursing (16 works) · Health psychology (15 works)