Julia C Dombrowski
Biographic Data
| ID | 6057047 |
|---|---|
| NAME | Julia C Dombrowski |
| GIVEN NAMES | Julia C |
| FAMILY NAME | Dombrowski |
| SIGNATURE | DOMBROWSKI J C |
| AFFILIATIONS | University of Washington |
| ORCID | 0000-0003-1907-9428 |
| VERIFIED | Yes |
| TOTAL WORKS | 21 |
| TOTAL CITATIONS | 1 |
| WORKS AS AUTHOR | 21 |
| WORKS AS EDITOR | 0 |
| FIRST PUBLICATION YEAR | 2004 |
| LATEST PUBLICATION YEAR | 2025 |
| H-INDEX | 1 |
Formative qualitative research to guide implementation of the Collaborative Care Model in a low-barrier HIV clinic
Integrated behavioral healthcare interventions have increased access to care for people with behavioral health conditions in primary care settings. However, they have not been widely implemented in low-barrier HIV care settings where undertreated behavioral health needs remain high. We conducted a formative qualitative evaluation, using in-depth interviews with purposively selected stakeholders (n = 13) and patients (n = 16), to identify anticipa…
Evaluating the utility of public-facing jail registers to inform public health practice, Washington state 2023
Public facing carceral data in Washington State constitute a data source with high completeness and adequate information for record linkage
HIV Testing and Prevention Services in Behavioral Health Organizations
Despite the well-established need to increase access to HIV testing and prevention services among people with serious mental illness, little is known about the determinants of implementation of these services in behavioral health organizations. This multi-method study was conducted in King County, Washington, an EHE priority jurisdiction. A quantitative survey of 16 county behavioral health organizations explored the HIV testing and prevention se…
The Aids Drug Assistance Program Is a Model for Chronic Disease Treatment Support
Associations between adverse childhood experiences, viral suppression, and quality of life among persons living with HIV in Washington state
Adverse childhood experiences (ACEs) have been linked to numerous negative health outcomes in adulthood and have been recognized as a hurdle to participating in HIV care. However, few studies have examined the cumulative impact that different types of childhood trauma have on HIV care engagement and HIV outcomes. This study characterized the relationship between ACEs, viral suppression, and health-related quality of life (HRQOL) among persons liv…
Substance Use and Mental Health Comorbidities and Receipt of Specialty Care Among Patients Enrolled in a Low-Barrier HIV Clinic
Should Patients Who Receive Postexposure Prophylaxis After Sexual Assault Be Considered for Preexposure Prophylaxis for HIV
Clinicians who encounter patients after sexual assault must offer competent, compassionate, trauma-informed care that fosters a patient's sense of safety and trust. In this case, a patient presents for HIV postexposure prophylaxis after a second sexual assault by the same perpetrator. This article considers how to balance providing a potentially beneficial intervention and avoiding retraumatization and stigmatization. Clinicians who facilitate pa…
Contextual compatibility of three empirically supported behavior therapies for cART adherence among patients with substance use disorders
Though substance use disorders complicate adherence to combination antiretroviral therapy (cART), cognitive-behavioral therapy (CBT), contingency management (CM), and motivational interviewing (MI) each demonstrate efficacy to improve cART adherence among substance-using patients. To inform dissemination of these therapies, this mixed-method study was undertaken involving a full-day site visit to each of four HIV care settings. At each setting, a…
Differences in Receipt of Alcohol‐Related Care Across Rurality Among VA Patients Living With HIV With Unhealthy Alcohol Use
PURPOSE: It is unknown whether receipt of evidence-based alcohol-related care varies by rurality among people living with HIV (PLWH) with unhealthy alcohol use-a population for whom such care is particularly important. METHODS: All positive screens for unhealthy alcohol use (AUDIT-C ≥ 5) among PLWH were identified using Veterans Health Administration electronic health record data (10/1/09-5/30/13). Three domains of alcohol-related care were asses…
Patterns of Alcohol Use Among Patients Living With HIV in Urban, Large Rural, and Small Rural Areas
BACKGROUND: For people living with HIV (PLWH), alcohol use is harmful and may be influenced by unique challenges faced by PLWH living in rural areas. We describe patterns of alcohol use across rurality among PLWH. METHODS: Veterans Aging Cohort Study electronic health record data were used to identify patients with HIV (ICD-9 codes for HIV or AIDS) who completed AUDIT-C alcohol screening between February 1, 2008, and September 30, 2014. Regressio…
Predictors of Successful HIV Care Re-engagement Among Persons Poorly Engaged in HIV Care
Changes in Sexual Behavior and STI Diagnoses Among MSM Initiating PrEP in a Clinic Setting
Influence of Substance Use Disorders on 2-Year HIV Care Retention in the United States
Operationalizing the Measurement of Seroadaptive Behaviors
Integrating HIV Surveillance and Field Services
Objectives. To assess how integration of HIV surveillance and field services might influence surveillance data and linkage to care metrics. Methods. We used HIV surveillance and field services data from King County, Washington, to assess potential impact of misclassification of prior diagnoses on numbers of new diagnoses. The relationship between partner services and linkage to care was evaluated with multivariable log-binomial regression models.…
Jail Booking as an Occasion for HIV Care Reengagement
Objectives. To examine population and HIV care outcomes of people living with HIV/AIDS (PLWHA) at their first incarceration of 2014 in 2 county jails in King County, Washington. Methods. Using HIV surveillance data linked with jail booking data, we examined demographic information, viral loads, CD4 counts, and incarceration details for the period prior to jail booking, during incarceration, and year following jail release. Results. In 2014, 202 P…
Delayed entry into HIV medical care in a nationally representative sample of HIV-infected adults receiving medical care in the USA
Before widespread antiretroviral therapy (ART), an estimated 17% of people delayed HIV care. We report national estimates of the prevalence and factors associated with delayed care entry in the contemporary ART era. We used Medical Monitoring Project data collected from June 2009 through May 2011 for 1425 persons diagnosed with HIV from May 2004 to April 2009 who initiated care within 12 months. We defined delayed care as entry >three months from…
HIV provider and patient perspectives on the Development of a Health Department “Data to Care” Program
Health departments can build support for Data to Care efforts by gathering input of key stakeholders, such as HIV medical and social service providers, and coordinating with clinic-based efforts to re-engage patients in care
Prevalence and Predictors of Substance Use Disorders Among HIV Care Enrollees in the United States
Sudden New Demand on Curriculum and Practice
During the summer of 2001, I sat on a restaurant patio in Chicago talking with my family about the possibility of a bioterrorist attack in the United States. Our conversation was stimulated by The Hot Zone, the story of an ebola outbreak in a laboratory just outside Washington, DC.1 The disaster scenarios we envisioned then seemed more like science fiction than plausible occurrences. As the events of subsequent months unfolded, however, conversat…
Disaster Life Support
The National Disaster Life Support Program offers courses that teach health
Jail Booking as an Occasion for HIV Care Reengagement
Objectives. To examine population and HIV care outcomes of people living with HIV/AIDS (PLWHA) at their first incarceration of 2014 in 2 county jails in King County, Washington. Methods. Using HIV surveillance data linked with jail booking data, we examined demographic information, viral loads, CD4 counts, and incarceration details for the period prior to jail booking, during incarceration, and year following jail release. Results. In 2014, 202 P…
Sudden New Demand on Curriculum and Practice
During the summer of 2001, I sat on a restaurant patio in Chicago talking with my family about the possibility of a bioterrorist attack in the United States. Our conversation was stimulated by The Hot Zone, the story of an ebola outbreak in a laboratory just outside Washington, DC.1 The disaster scenarios we envisioned then seemed more like science fiction than plausible occurrences. As the events of subsequent months unfolded, however, conversat…
Disaster Life Support
The National Disaster Life Support Program offers courses that teach health
Delayed entry into HIV medical care in a nationally representative sample of HIV-infected adults receiving medical care in the USA
Before widespread antiretroviral therapy (ART), an estimated 17% of people delayed HIV care. We report national estimates of the prevalence and factors associated with delayed care entry in the contemporary ART era. We used Medical Monitoring Project data collected from June 2009 through May 2011 for 1425 persons diagnosed with HIV from May 2004 to April 2009 who initiated care within 12 months. We defined delayed care as entry >three months from…
HIV provider and patient perspectives on the Development of a Health Department “Data to Care” Program
Health departments can build support for Data to Care efforts by gathering input of key stakeholders, such as HIV medical and social service providers, and coordinating with clinic-based efforts to re-engage patients in care
Prevalence and Predictors of Substance Use Disorders Among HIV Care Enrollees in the United States
Influence of Substance Use Disorders on 2-Year HIV Care Retention in the United States
Operationalizing the Measurement of Seroadaptive Behaviors
Integrating HIV Surveillance and Field Services
Objectives. To assess how integration of HIV surveillance and field services might influence surveillance data and linkage to care metrics. Methods. We used HIV surveillance and field services data from King County, Washington, to assess potential impact of misclassification of prior diagnoses on numbers of new diagnoses. The relationship between partner services and linkage to care was evaluated with multivariable log-binomial regression models.…
Jail Booking as an Occasion for HIV Care Reengagement
Objectives. To examine population and HIV care outcomes of people living with HIV/AIDS (PLWHA) at their first incarceration of 2014 in 2 county jails in King County, Washington. Methods. Using HIV surveillance data linked with jail booking data, we examined demographic information, viral loads, CD4 counts, and incarceration details for the period prior to jail booking, during incarceration, and year following jail release. Results. In 2014, 202 P…
Changes in Sexual Behavior and STI Diagnoses Among MSM Initiating PrEP in a Clinic Setting
Contextual compatibility of three empirically supported behavior therapies for cART adherence among patients with substance use disorders
Though substance use disorders complicate adherence to combination antiretroviral therapy (cART), cognitive-behavioral therapy (CBT), contingency management (CM), and motivational interviewing (MI) each demonstrate efficacy to improve cART adherence among substance-using patients. To inform dissemination of these therapies, this mixed-method study was undertaken involving a full-day site visit to each of four HIV care settings. At each setting, a…
Differences in Receipt of Alcohol‐Related Care Across Rurality Among VA Patients Living With HIV With Unhealthy Alcohol Use
PURPOSE: It is unknown whether receipt of evidence-based alcohol-related care varies by rurality among people living with HIV (PLWH) with unhealthy alcohol use-a population for whom such care is particularly important. METHODS: All positive screens for unhealthy alcohol use (AUDIT-C ≥ 5) among PLWH were identified using Veterans Health Administration electronic health record data (10/1/09-5/30/13). Three domains of alcohol-related care were asses…
Patterns of Alcohol Use Among Patients Living With HIV in Urban, Large Rural, and Small Rural Areas
BACKGROUND: For people living with HIV (PLWH), alcohol use is harmful and may be influenced by unique challenges faced by PLWH living in rural areas. We describe patterns of alcohol use across rurality among PLWH. METHODS: Veterans Aging Cohort Study electronic health record data were used to identify patients with HIV (ICD-9 codes for HIV or AIDS) who completed AUDIT-C alcohol screening between February 1, 2008, and September 30, 2014. Regressio…
Predictors of Successful HIV Care Re-engagement Among Persons Poorly Engaged in HIV Care
Should Patients Who Receive Postexposure Prophylaxis After Sexual Assault Be Considered for Preexposure Prophylaxis for HIV
Clinicians who encounter patients after sexual assault must offer competent, compassionate, trauma-informed care that fosters a patient's sense of safety and trust. In this case, a patient presents for HIV postexposure prophylaxis after a second sexual assault by the same perpetrator. This article considers how to balance providing a potentially beneficial intervention and avoiding retraumatization and stigmatization. Clinicians who facilitate pa…
Substance Use and Mental Health Comorbidities and Receipt of Specialty Care Among Patients Enrolled in a Low-Barrier HIV Clinic
Associations between adverse childhood experiences, viral suppression, and quality of life among persons living with HIV in Washington state
Adverse childhood experiences (ACEs) have been linked to numerous negative health outcomes in adulthood and have been recognized as a hurdle to participating in HIV care. However, few studies have examined the cumulative impact that different types of childhood trauma have on HIV care engagement and HIV outcomes. This study characterized the relationship between ACEs, viral suppression, and health-related quality of life (HRQOL) among persons liv…
Formative qualitative research to guide implementation of the Collaborative Care Model in a low-barrier HIV clinic
Integrated behavioral healthcare interventions have increased access to care for people with behavioral health conditions in primary care settings. However, they have not been widely implemented in low-barrier HIV care settings where undertreated behavioral health needs remain high. We conducted a formative qualitative evaluation, using in-depth interviews with purposively selected stakeholders (n = 13) and patients (n = 16), to identify anticipa…
Evaluating the utility of public-facing jail registers to inform public health practice, Washington state 2023
Public facing carceral data in Washington State constitute a data source with high completeness and adequate information for record linkage
HIV Testing and Prevention Services in Behavioral Health Organizations
Despite the well-established need to increase access to HIV testing and prevention services among people with serious mental illness, little is known about the determinants of implementation of these services in behavioral health organizations. This multi-method study was conducted in King County, Washington, an EHE priority jurisdiction. A quantitative survey of 16 county behavioral health organizations explored the HIV testing and prevention se…
The Aids Drug Assistance Program Is a Model for Chronic Disease Treatment Support
Medicine (18 works) · HIV/AIDS Research and Interventions (16 works) · Family medicine (14 works) · HIV, Drug Use, Sexual Risk (11 works) · Public health (11 works) · Demography (8 works) · Psychiatry (8 works) · Environmental health (7 works) · Health psychology (7 works) · Internal Medicine (7 works)