Karen L Cropsey
Biographic Data
| ID | 4889701 |
|---|---|
| NAME | Karen L Cropsey |
| GIVEN NAMES | Karen L |
| FAMILY NAME | Cropsey |
| SIGNATURE | CROPSEY K L |
| AFFILIATIONS | University of Alabama at Birmingham |
| ORCID | 0000-0001-6921-3440 |
| VERIFIED | Yes |
| TOTAL WORKS | 42 |
| TOTAL CITATIONS | 11 |
| AUTHOR COUNT | 42 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2005 |
| LATEST PUBLICATION YEAR | 2025 |
| H-INDEX | 2 |
Healthcare Provider Perceptions on Screening and Treatment for Unhealthy Alcohol Use in HIV Primary Care Settings
Meaning in Life as a Potential Protective Factor for Tobacco Abstinence Among Adult Rural Residents
U.S. rural counties have been shown to demonstrate higher rates of tobacco use, however, there is limited understanding concerning protective factors that may decrease the likelihood of tobacco use in these settings. The increased presence of the sense that one's life is meaningful has been found to be associated with engagement in health behaviors, including refraining from tobacco use. However, comprehensive population-based assessments are req…
The association between criminal legal attitudes and healthcare utilization among adolescents
System avoidance is a concept that individual contact with the criminal legal system causes avoidance of other social institutions. Negative attitudes about the criminal legal system and subsequent mistrust in healthcare systems or providers have only been studied in adults. Therefore, the aim of this study is to explore the association between healthcare utilization and youth-reported negative criminal legal attitudes stratified by gender and ra…
Alcohol and drug use severity are independently associated with antiretroviral adherence in the current treatment era
Substance use in people with HIV (PWH) negatively impacts antiretroviral therapy (ART) adherence. However, less is known about this in the current treatment era and the impact of specific substances or severity of substance use. We examined the associations of alcohol, marijuana, and illicit drug use (methamphetamine/crystal, cocaine/crack, illicit opioids/heroin) and their severity of use with adherence using multivariable linear regression in a…
Vaporized nicotine use among patients in HIV care who smoke tobacco
Evidence suggests adverse health effects from vaporized nicotine (VN) use, such as electronic “e” cigarettes, and limited efficacy to aid tobacco cessation. People with HIV (PWH) smoke tobacco at higher rates than the general population, with greater morbidity, highlighting the necessity of effective tobacco cessation tools. PWH may be more vulnerable to adverse effects of VN. Using semi-structured 1:1 interviews, we examined health beliefs regar…
Intersection of alcohol use, HIV infection, and the HIV care continuum in Zambia
Through a nationally-representative household survey, we measured the prevalence and correlates of unhealthy alcohol use (UAU) in Zambia and its association with the HIV care continuum. Adolescent and adult (ages 15–59 years) data, including the Alcohol Use Disorders Identification Test-Consumption (AUDIT-C), from the 2016 Zambia Population-based HIV Impact Assessment, were analyzed. UAU was defined as AUDIT-C of 3 + points for women and 4 + for …
Relations between affect, self-efficacy, and alcohol expectancies in adults experiencing homelessness
It may be important to deliver real-time treatment messages suggesting alternatives to drinking and/or ways to boost self-efficacy during moments when negative affect is high
In vivo Experience With NRT to Increase Adherence and Smoking Abstinence Among Individuals in the Criminal Legal System
Background While tobacco use among individuals involved in the criminal legal system remains 3–4 times higher than the general population, few interventions have been targeted for this population to aid in smoking cessation. Nicotine replacement therapy (NRT) is a relatively effective and accessible smoking cessation aid; however, individuals frequently stop use of NRT early due to side effects and misperceptions about the products. The present s…
Perceived healthcare quality and contraception utilization among persons recently incarcerated
Prevalence and impact of comorbid chronic pain and cigarette smoking among people living with HIV
Rates of chronic pain and cigarette smoking are each substantially higher among people living with HIV (PLWH) than in the general population. The goal of these analyses was to examine the prevalence and impact of comorbid chronic pain and cigarette smoking among PLWH. Participants included 3289 PLWH (83% male) who were recruited from five HIV clinics. As expected, the prevalence of smoking was higher among PLWH with chronic pain (41.9%), than PLW…
Abnormal Pap Follow-Up among Criminal-Legal Involved Women in Three U.S. Cities
Criminal-legal involved women experience significant barriers to preventive cervical care, and consequently there is a higher incidence of cervical cancer in this population. The purpose of this study is to identify variables that may facilitate abnormal Pap follow-up among criminal-legal involved women living in community settings. The study included n = 510 women with criminal-legal histories, from three U.S. cities-Birmingham, AL; Kansas City,…
Efficacy of the Common Elements Treatment Approach (Ceta) for Unhealthy Alcohol Use Among Adults with HIV in Zambia
Decreased Alcohol Consumption in an Implementation Study of Computerized Brief Intervention among HIV Patients in Clinical Care
Health and Health Service Needs
Objectives: We profiled the health and health services needs of a sample of older adult women (age 50+) with criminal-legal system (CLS) involvement and compared them with younger women (age 18-49), also CLS-involved. Methods : Using survey data collected from January to June 2020 from adult women with CLS involvement in three US cities, we profiled and compared the older adult women with younger women on behavioral and structural risk factors, h…
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…
Criminal Justice–Involved Women Navigate Covid-19
In March–April, 2020, we communicated with a cohort of criminal justice–involved (CJI) women to see how they were navigating COVID-19, chronic illness, homelessness, and shelter-in-place orders in Oakland, Birmingham, and Kansas City. We report on conversations with N = 35 women (out of the cohort of 474 women) and our own observations from ongoing criminal justice involvement studies. Women reported barriers to protecting themselves given widesp…
Racial disparities and factors associated with prescription for smoking cessation medications among smokers receiving routine clinical care for HIV
Factors associated with prescription of smoking cessation medication (SCM), including the impact of race, have not been well described among a large population of people living with HIV (PLWH) engaged in routine clinical care. Our study investigated whether there are racial differences between African-American and White PLWH regarding SCM prescription and sought to identify other factors associated with these prescriptions at a large HIV clinic i…
Delivery and implementation of an algorithm for smoking cessation treatment for people living with HIV and Aids
Compared to the general population, persons living with HIV (PLWH) have higher rates of tobacco use and an increased risk of morbidity from tobacco-related diseases. We conducted a single-arm pilot study of the real-world feasibility of integrating a smoking cessation decisional algorithm within routine clinic visits to engage non-treatment-seeking smokers in smoking cessation therapies. Smokers had an initial study visit during routine care foll…
Changing Patterns of Alcohol Use and Probability of Unsuppressed Viral Load Among Treated Patients with HIV Engaged in Routine Care in the United States
Pharmacies and features of the built environment associated with opioid overdose
Predictors of smoking cessation among people living with HIV receiving routine clinical care
People living with HIV (PLWH) have a higher prevalence of smoking and are less likely to quit smoking than the general population. Few studies involving a large sample of PLWH receiving routine care have evaluated factors associated with smoking cessation. This retrospective longitudinal cohort study evaluated factors associated with smoking cessation among PLWH from 2007 to 2018. Of 1,714 PLWH smokers included in the study, 27.6% reported quitti…
Mental health disorders and alcohol use are associated with increased likelihood of smoking relapse among people living with HIV attending routine clinical care
Our study underscores the high prevalence of smoking relapse that exists among PLWH after they quit smoking. Successful engagement in mental health care may enhance efforts to reduce relapse in the underserved populations of PLWH
A Pilot Study of Cancer 101 for Incarcerated Male Smokers
Incarcerated men in the United States, an understudied population, have not been the focus of cancer prevention research. This pilot study explored the impact of Cancer 101 for imprisoned male smokers to increase cancer knowledge and promote cancer prevention activities in the prison population. Cancer 101 was pilot tested for adoption with representatives from the target audience in three prison facilities located in the northeastern region of t…
Attitudes and availability
Depressive symptoms and age of alcohol use onset interact to predict suicidal ideation
Distal risk factors of alcohol use may increase suicidal ideation in the presence of proximal risk factors, such as depressive symptoms. We tested whether depressive symptoms and age at onset of alcohol use interact to predict suicidal ideation in 500 individuals (67% men; 68% Black/African American) under criminal justice supervision. Regression analysis revealed that age of onset negatively associated with suicidal ideation only at average and …
Assessment of Cardiovascular Health among Community-Dwelling Men with Incarceration History
Rapid Follow-Up for Patients After Psychiatric Crisis
Smoking Cessation Intervention for Female Prisoners
Objectives. We tested the efficacy of a combined pharmacologic and behavioral smoking cessation intervention among women in a state prison in the southern United States. Methods. The study design was a randomized controlled trial with a 6-month waitlist control group. The intervention was a 10-week group intervention combined with nicotine replacement therapy. Two hundred and fifty participants received the intervention, and 289 were in the contr…
Perceived healthcare quality and contraception utilization among persons recently incarcerated
Health and Health Service Needs
Objectives: We profiled the health and health services needs of a sample of older adult women (age 50+) with criminal-legal system (CLS) involvement and compared them with younger women (age 18-49), also CLS-involved. Methods : Using survey data collected from January to June 2020 from adult women with CLS involvement in three US cities, we profiled and compared the older adult women with younger women on behavioral and structural risk factors, h…
HCV Prevalence in Methadone Maintenance
Women and the Criminal Justice System
Proportionately women offenders are growing among the ranks of those involved in the correctional system in the U.S. This paper presents an overview of the characteristics of women offenders, our state of knowledge about programs and services for women, and policy choices regarding how to handle the increasing number of women in the criminal justice system. Using the evidence-based practices literature, the needs of the women are compared to the …
Publishing HIV/Aids behavioural science reports
The purpose of this paper is to report on characteristics of journals that publish manuscripts in the HIV/AIDS behavioural science realm, with the goal of providing assistance to authors seeking to disseminate their work in the most appropriate outlet. Fifty journals who publish behavioural research on HIV/AIDS in English were identified through library and electronic searches. Although ten of the journals focused specifically on HIV/AIDS, the ma…
A Test of Motivational Plus Nicotine Replacement Interventions for HIV Positive Smokers
HCV in Incarcerated Populations
While studies have explored the prevalence and correlates for hepatitis C (HCV) infection in substance-using and incarcerated populations these studies have not examined the attributes of criminal histories for those with HCV infection. This study examines the HCV infection rate as it relates to criminal risk factors using baseline data from a randomized trial of re-entering offenders and examines how these risk factors vary by gender. The HCV-po…
Smoking Cessation Intervention for Female Prisoners
Objectives. We tested the efficacy of a combined pharmacologic and behavioral smoking cessation intervention among women in a state prison in the southern United States. Methods. The study design was a randomized controlled trial with a 6-month waitlist control group. The intervention was a 10-week group intervention combined with nicotine replacement therapy. Two hundred and fifty participants received the intervention, and 289 were in the contr…
The Impact of Quitting Smoking on Weight Among Women Prisoners Participating in a Smoking Cessation Intervention
Objectives. We examined the impact of smoking cessation on weight change in a population of women prisoners. Methods. Women prisoners (n = 360) enrolled in a smoking cessation intervention; 250 received a 10-week group intervention plus transdermal nicotine replacement. Results. Women who quit smoking had significant weight gain at 3- and 6-month follow-ups, with a net difference of 10 pounds between smokers and abstainers at 6 months. By the 12-…
Rapid Follow-Up for Patients After Psychiatric Crisis
Factors Associated with Prescription of Opioids and Co-prescription of Sedating Medications in Individuals with HIV
A Pilot Trial Examining African American and White Responses to Algorithm-Guided Smoking Cessation Medication Selection in Persons Living with HIV
Not all non-drinkers with HIV are equal
Studies of persons living with HIV (PLWH) have compared current non-drinkers to at-risk drinkers without differentiating whether current non-drinkers had a prior alcohol use disorder (AUD). The purpose of this study was to compare current non-drinkers with and without a prior AUD on demographic and clinical characteristics to understand the impact of combining them. We included data from six sites across the US from 1/2013 to 3/2015. Patients com…
Prevalence and Factors Associated with Hazardous Alcohol Use Among Persons Living with HIV Across the US in the Current Era of Antiretroviral Treatment
Point-of-Care Urine Ethyl Glucuronide Testing to Detect Alcohol Use Among HIV-Hepatitis B Virus Coinfected Adults in Zambia
Alcohol Use Patterns and Subsequent Sexual Behaviors Among Women, Men who have Sex with Men and Men who have Sex with Women Engaged in Routine HIV Care in the United States
Treatment Outcomes Associated with Quitting Cigarettes Among Sexual Minority Men Living with HIV
Do Symptoms of Depression Interact with Substance Use to Affect HIV Continuum of Care Outcomes
Assessment of Cardiovascular Health among Community-Dwelling Men with Incarceration History
Predictors of smoking cessation among people living with HIV receiving routine clinical care
People living with HIV (PLWH) have a higher prevalence of smoking and are less likely to quit smoking than the general population. Few studies involving a large sample of PLWH receiving routine care have evaluated factors associated with smoking cessation. This retrospective longitudinal cohort study evaluated factors associated with smoking cessation among PLWH from 2007 to 2018. Of 1,714 PLWH smokers included in the study, 27.6% reported quitti…
Mental health disorders and alcohol use are associated with increased likelihood of smoking relapse among people living with HIV attending routine clinical care
Our study underscores the high prevalence of smoking relapse that exists among PLWH after they quit smoking. Successful engagement in mental health care may enhance efforts to reduce relapse in the underserved populations of PLWH
A Pilot Study of Cancer 101 for Incarcerated Male Smokers
Incarcerated men in the United States, an understudied population, have not been the focus of cancer prevention research. This pilot study explored the impact of Cancer 101 for imprisoned male smokers to increase cancer knowledge and promote cancer prevention activities in the prison population. Cancer 101 was pilot tested for adoption with representatives from the target audience in three prison facilities located in the northeastern region of t…
Attitudes and availability
Depressive symptoms and age of alcohol use onset interact to predict suicidal ideation
Distal risk factors of alcohol use may increase suicidal ideation in the presence of proximal risk factors, such as depressive symptoms. We tested whether depressive symptoms and age at onset of alcohol use interact to predict suicidal ideation in 500 individuals (67% men; 68% Black/African American) under criminal justice supervision. Regression analysis revealed that age of onset negatively associated with suicidal ideation only at average and …
Criminal Justice–Involved Women Navigate Covid-19
In March–April, 2020, we communicated with a cohort of criminal justice–involved (CJI) women to see how they were navigating COVID-19, chronic illness, homelessness, and shelter-in-place orders in Oakland, Birmingham, and Kansas City. We report on conversations with N = 35 women (out of the cohort of 474 women) and our own observations from ongoing criminal justice involvement studies. Women reported barriers to protecting themselves given widesp…
Racial disparities and factors associated with prescription for smoking cessation medications among smokers receiving routine clinical care for HIV
Factors associated with prescription of smoking cessation medication (SCM), including the impact of race, have not been well described among a large population of people living with HIV (PLWH) engaged in routine clinical care. Our study investigated whether there are racial differences between African-American and White PLWH regarding SCM prescription and sought to identify other factors associated with these prescriptions at a large HIV clinic i…
Delivery and implementation of an algorithm for smoking cessation treatment for people living with HIV and Aids
Compared to the general population, persons living with HIV (PLWH) have higher rates of tobacco use and an increased risk of morbidity from tobacco-related diseases. We conducted a single-arm pilot study of the real-world feasibility of integrating a smoking cessation decisional algorithm within routine clinic visits to engage non-treatment-seeking smokers in smoking cessation therapies. Smokers had an initial study visit during routine care foll…
Medicine (38 works) · Psychiatry (28 works) · Internal Medicine (25 works) · Environmental health (20 works) · HIV/AIDS Research and Interventions (17 works) · Psychology (15 works) · Public health (15 works) · HIV, Drug Use, Sexual Risk (14 works) · Family medicine (13 works) · Population (13 works)