Michael V Relf
Biographic Data
| ID | 6076151 |
|---|---|
| NAME | Michael V Relf |
| GIVEN NAMES | Michael V |
| FAMILY NAME | Relf |
| SIGNATURE | RELF M V |
| AFFILIATIONS | Duke University |
| ORCID | 0000-0002-4951-8869 |
| VERIFIED | Yes |
| TOTAL WORKS | 16 |
| TOTAL CITATIONS | 49 |
| AUTHOR COUNT | 16 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2002 |
| LATEST PUBLICATION YEAR | 2025 |
| H-INDEX | 2 |
Development of a brief telehealth-delivered counseling intervention to reduce suicide risk and improve HIV care engagement in Kilimanjaro, Tanzania
Phenotypes of successful living among adolescents with HIV in Rwanda
This study identified two profiles of Successful Living among AWH. Our results suggest developing profile-oriented, tailored interventions to improve the quality of life and health outcomes of AWH
Stigma and Time
For people with HIV and tuberculosis (TB), stigma may change over time. Identifying time points when individuals are most likely to experience HIV or TB related stigma, or when stigma begins to abate, may be useful in tailoring stigma-reduction interventions in resource-limited settings. This study used longitudinal qualitative data to explore if and how HIV and TB stigma change over the course of treatment. People living with HIV and rifampicin-…
Challenges and opportunities for improving mental health care and preventing suicide among people living with HIV
People living with HIV (PLWH) experience unique stressors that contribute to emotional distress, and PLWH are more than twice as likely to die by suicide when compared to the general population. In countries like Tanzania, there is a relatively high burden of HIV but few resources to support mental health needs. To gain a better understanding of mental health challenges experienced by PLWH in northern Tanzania and identify opportunities for inter…
Cognitive dissonance in tuberculosis stigma
Background The Patient and Community Perspectives Towards Tuberculosis are the most common measure of tuberculosis (TB) stigma in sub-Saharan Africa. The instrument and its sub-scales (patient and community) have been quantitatively validated but have not undergone qualitative exploration in South Africa. Methods We explored whether the Patient Perspectives Towards Tuberculosis adequately represents stigma as experienced by people with TB in Sout…
A scoping review of interventions targeting HIV stigma in women living with HIV
Since its initial detection in the 1980s, AIDS has become a significant global health threat, disproportionately affecting women. Stigma constitutes the substantial barrier to accessing healthcare for women living with HIV (WLWH). This scoping review based on the Population, Concept, and Context (PCC) framework aimed to provide evidence-based guidance for clinical caregivers to develop intervention strategies and assess their effectiveness. From …
Patient perspectives on the helpfulness of a community health worker program for HIV care engagement in Tanzania
Task-shifting is a valuable approach for redistributing clinical tasks to nonprofessional health workers and relieving human resource shortages. The Community-Based HIV Services (CBHS) program is a national cohort of volunteer community health workers (CHWs) who support HIV care engagement at clinics in Tanzania. We recruited 23 patients initiating HIV care at two clinics to understand their experiences with the CBHS program. Participants complet…
Validation of a culturally sensitive, Swahili-translated instrument to assess suicide risk among adults living with HIV in Tanzania
In Tanzania, there are high rates of suicidal thoughts and behavior among people living with HIV (PLWH), yet few instruments exist for effective screening and referral. To address this gap, we developed and validated Swahili translations of the Columbia Suicide Severity Rating Scale (C-SSRS) Screen Version and two accompanying scales assessing self-efficacy to avoid suicidal action and reasons for living. We administered a structured survey to 80…
HIV Stigmatizing Attitudes Among Men Accompanying Their Partners to Antenatal Care in Tanzania
She Just Told Me Not To Cry”
Topics for Inclusive Parent-Child Sex Communication by Gay, Bisexual, Queer Youth
The purposes of this study were to identify the sexuality-related topics parents and gay, bisexual, or queer (GBQ) adolescent males discussed at home and to describe the topics GBQ adolescent males recommend for parents to discuss with future cohorts of GBQ youth. Minimal research on parent-child sex communication with sexual minority adolescents prevents the development of interventions that would benefit adolescent males with same-sex attractio…
That Guy is Gay and Black. That’s a Red Flag.” How HIV Stigma and Racism Affect Perception of Risk Among Young Black Men Who Have Sex with Men
Building Nursing and Midwifery Capacity Through Rwanda’s Human Resources for Health Program
Global disparities in the quantity, distribution, and skills of health workers worldwide pose a threat to attainment of the Sustainable Development Goals by 2030 and deepens already existing global health inequities. Rwanda and other low-resource countries face a critical shortage of health professionals, particularly nurses and midwives. This article describes the Human Resources for Health (HRH) Program in Rwanda, a collaboration between the Mi…
It’s Almost Like Gay Sex Doesn’t Exist”
Sex communication interventions facilitate positive sexual health outcomes with heterosexual adolescents. The same has yet to be established for male youth with same-sex attractions, behaviors, and identities. Our study describes the experiences of gay, bisexual and queer-identifying adolescent males with parent-child sex communication. We conducted 30 in-depth semi-structured interviews with a diverse group of 15 to 20 year-old gay, bisexual, an…
Feasibility of Using an iPod Touch Device and Acceptability of a Stigma Reduction Intervention with HIV-Infected Women in the Deep South
Battering Victimization Among a Probability-Based Sample of Men Who Have Sex With Men
Objectives. This study measured the prevalence of battering victimization (i.e., experience of psychological/symbolic, physical, and sexual battering) among men who have sex with men (MSM) and identified characteristics of these men. Methods. A probability-based sample of 2881 MSM living in 4 cities completed telephone interviews between 1996 and 1998. Results. Prevalence estimates were 34% for psychological/symbolic battering, 22% for physical b…
Battering Victimization Among a Probability-Based Sample of Men Who Have Sex With Men
Objectives. This study measured the prevalence of battering victimization (i.e., experience of psychological/symbolic, physical, and sexual battering) among men who have sex with men (MSM) and identified characteristics of these men. Methods. A probability-based sample of 2881 MSM living in 4 cities completed telephone interviews between 1996 and 1998. Results. Prevalence estimates were 34% for psychological/symbolic battering, 22% for physical b…
It’s Almost Like Gay Sex Doesn’t Exist”
Sex communication interventions facilitate positive sexual health outcomes with heterosexual adolescents. The same has yet to be established for male youth with same-sex attractions, behaviors, and identities. Our study describes the experiences of gay, bisexual and queer-identifying adolescent males with parent-child sex communication. We conducted 30 in-depth semi-structured interviews with a diverse group of 15 to 20 year-old gay, bisexual, an…
Battering Victimization Among a Probability-Based Sample of Men Who Have Sex With Men
Objectives. This study measured the prevalence of battering victimization (i.e., experience of psychological/symbolic, physical, and sexual battering) among men who have sex with men (MSM) and identified characteristics of these men. Methods. A probability-based sample of 2881 MSM living in 4 cities completed telephone interviews between 1996 and 1998. Results. Prevalence estimates were 34% for psychological/symbolic battering, 22% for physical b…
Feasibility of Using an iPod Touch Device and Acceptability of a Stigma Reduction Intervention with HIV-Infected Women in the Deep South
Building Nursing and Midwifery Capacity Through Rwanda’s Human Resources for Health Program
Global disparities in the quantity, distribution, and skills of health workers worldwide pose a threat to attainment of the Sustainable Development Goals by 2030 and deepens already existing global health inequities. Rwanda and other low-resource countries face a critical shortage of health professionals, particularly nurses and midwives. This article describes the Human Resources for Health (HRH) Program in Rwanda, a collaboration between the Mi…
It’s Almost Like Gay Sex Doesn’t Exist”
Sex communication interventions facilitate positive sexual health outcomes with heterosexual adolescents. The same has yet to be established for male youth with same-sex attractions, behaviors, and identities. Our study describes the experiences of gay, bisexual and queer-identifying adolescent males with parent-child sex communication. We conducted 30 in-depth semi-structured interviews with a diverse group of 15 to 20 year-old gay, bisexual, an…
That Guy is Gay and Black. That’s a Red Flag.” How HIV Stigma and Racism Affect Perception of Risk Among Young Black Men Who Have Sex with Men
She Just Told Me Not To Cry”
Topics for Inclusive Parent-Child Sex Communication by Gay, Bisexual, Queer Youth
The purposes of this study were to identify the sexuality-related topics parents and gay, bisexual, or queer (GBQ) adolescent males discussed at home and to describe the topics GBQ adolescent males recommend for parents to discuss with future cohorts of GBQ youth. Minimal research on parent-child sex communication with sexual minority adolescents prevents the development of interventions that would benefit adolescent males with same-sex attractio…
HIV Stigmatizing Attitudes Among Men Accompanying Their Partners to Antenatal Care in Tanzania
Patient perspectives on the helpfulness of a community health worker program for HIV care engagement in Tanzania
Task-shifting is a valuable approach for redistributing clinical tasks to nonprofessional health workers and relieving human resource shortages. The Community-Based HIV Services (CBHS) program is a national cohort of volunteer community health workers (CHWs) who support HIV care engagement at clinics in Tanzania. We recruited 23 patients initiating HIV care at two clinics to understand their experiences with the CBHS program. Participants complet…
Validation of a culturally sensitive, Swahili-translated instrument to assess suicide risk among adults living with HIV in Tanzania
In Tanzania, there are high rates of suicidal thoughts and behavior among people living with HIV (PLWH), yet few instruments exist for effective screening and referral. To address this gap, we developed and validated Swahili translations of the Columbia Suicide Severity Rating Scale (C-SSRS) Screen Version and two accompanying scales assessing self-efficacy to avoid suicidal action and reasons for living. We administered a structured survey to 80…
Challenges and opportunities for improving mental health care and preventing suicide among people living with HIV
People living with HIV (PLWH) experience unique stressors that contribute to emotional distress, and PLWH are more than twice as likely to die by suicide when compared to the general population. In countries like Tanzania, there is a relatively high burden of HIV but few resources to support mental health needs. To gain a better understanding of mental health challenges experienced by PLWH in northern Tanzania and identify opportunities for inter…
Cognitive dissonance in tuberculosis stigma
Background The Patient and Community Perspectives Towards Tuberculosis are the most common measure of tuberculosis (TB) stigma in sub-Saharan Africa. The instrument and its sub-scales (patient and community) have been quantitatively validated but have not undergone qualitative exploration in South Africa. Methods We explored whether the Patient Perspectives Towards Tuberculosis adequately represents stigma as experienced by people with TB in Sout…
A scoping review of interventions targeting HIV stigma in women living with HIV
Since its initial detection in the 1980s, AIDS has become a significant global health threat, disproportionately affecting women. Stigma constitutes the substantial barrier to accessing healthcare for women living with HIV (WLWH). This scoping review based on the Population, Concept, and Context (PCC) framework aimed to provide evidence-based guidance for clinical caregivers to develop intervention strategies and assess their effectiveness. From …
Development of a brief telehealth-delivered counseling intervention to reduce suicide risk and improve HIV care engagement in Kilimanjaro, Tanzania
Phenotypes of successful living among adolescents with HIV in Rwanda
This study identified two profiles of Successful Living among AWH. Our results suggest developing profile-oriented, tailored interventions to improve the quality of life and health outcomes of AWH
Stigma and Time
For people with HIV and tuberculosis (TB), stigma may change over time. Identifying time points when individuals are most likely to experience HIV or TB related stigma, or when stigma begins to abate, may be useful in tailoring stigma-reduction interventions in resource-limited settings. This study used longitudinal qualitative data to explore if and how HIV and TB stigma change over the course of treatment. People living with HIV and rifampicin-…
Medicine (16 works) · HIV/AIDS Research and Interventions (13 works) · Psychology (13 works) · Psychiatry (10 works) · Adolescent Sexual and Reproductive Health (9 works) · Qualitative research (9 works) · Family medicine (8 works) · Nursing (8 works) · Clinical Psychology (7 works) · Public health (7 works)