Julie A Denison
Datos Biográficos
| ID | 6083575 |
|---|---|
| NOMBRE | Julie A Denison |
| NOMBRES | Julie A |
| APELLIDO | Denison |
| FIRMA | DENISON J A |
| AFILIACIONES | Johns Hopkins University |
| ORCID | 0000-0002-4670-093X |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 21 |
| TOTAL DE CITAS | 0 |
| TOTAL COMO AUTOR | 21 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2004 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 0 |
Men’s understanding of three different measures of transactional sex
Lack of valid and reliable measures and inconsistent transactional sex measurement has resulted in poor understanding of the practice, particularly among men. To improve transactional sex measurement and facilitate comparison across studies, we examined how men comprehend and respond to three common transactional sex measures. Cognitive interviews were conducted with 25 sexually active adult men in Rakai, Uganda and data were thematically analyse…
“I can’t fail. And my son can’t fail.”
Adolescents and young adults (AYA, aged 15–24) living with HIV have suboptimal antiretroviral treatment adherence compared to their adult counterparts, raising concerns of poor health and drug resistance. While it is known that AYA require caregiver and family support to successfully transition to HIV self-management, there has been limited engagement with caregivers to this end. To fill this gap, we examined caregivers’ experiences of navigating…
Dissolution of transactional sex relationships during Covid-19
The COVID-19 pandemic and subsequent mitigation measures led to social disruption and negative economic shocks for a large proportion of Uganda's population. The social and economic consequences of COVID-19 on Ugandan men's sexual behaviours, including transactional sex relationships, are unclear. We conducted in-depth interviews between November 2021-February 2022 with 26 men in a high HIV prevalence region of Uganda. Data were analysed thematic…
Nearly half of adults with symptoms of sexually transmitted infections (STIs) did not seek clinical care
Understanding treatment-seeking behavior is critical to the treatment and control of sexually transmitted infections (STIs), yet current data on STI treatment seeking in low-resource settings is rare. This population-based study aimed to describe STI treatment-seeking behavior and identify factors associated with seeking treatment at a clinic among adults with STI-related symptoms in rural Uganda. The STI prevalence study (STIPS) conducted a surv…
Family Connections randomized controlled trial
Achieving the 95-95-95 UNAIDS targets requires meeting the needs of adolescents, however we lack evidenced-based approaches to improving adolescent adherence to antiretroviral therapy (ART), increasing viral suppression, and supporting general wellbeing. We developed Family Connections as a group intervention for adolescents and their adult caregivers and conducted a randomized controlled trial in Ndola, Zambia to test feasibility and acceptabili…
Mindfulness instruction for medication adherence among adolescents and young adults living with HIV
Adolescents and young adults (AYA) 13–24 years old make up a disproportionate 21% of new HIV diagnoses. Unfortunately, they are less likely to treat HIV effectively, with only 30% achieving viral suppression, limiting efforts to interrupt HIV transmission. Previous work with mindfulness-based stress reduction (MBSR) has shown promise for improving treatment in AYA living with HIV (AYALH). This randomized controlled trial compared MBSR with genera…
Integrating Adolescent Mental Health into HIV Prevention and Treatment Programs
Adolescent mental health (AMH) is a critical driver of HIV outcomes, but is often overlooked in HIV research and programming. The implementation science Exploration, Preparation, Implementation, Sustainment (EPIS) framework informed development of a questionnaire that was sent to a global alliance of adolescent HIV researchers, providers, and implementors working in sub-Saharan Africa with the aim to (1) describe current AMH outcomes incorporated…
So hurt and broken’
Emerging data show associations between violence victimisation and negative HIV outcomes among youth in sub-Saharan Africa. We conducted in-depth interviews with adolescents and young adults living with HIV (aged 15-24 years) in Ndola, Zambia, to better understand this relationship. We purposively selected 41 youth (24 females, 17 males) with varied experiences of violence and virologic results. Analysis used thematic coding. Two-thirds of partic…
How does learning one’s HIV status relate to viral suppression? an analysis among perinatally infected adolescents and young adults in Ndola, Zambia
Little data exist on how 15-to-24-year-old perinatally infected youth living with HIV (p-YLHIV) learn their HIV status, and how those disclosure experiences may relate to current viral suppression (VS). Cross-sectional analyses were conducted using baseline data from a randomized controlled trial testing a peer mentoring program in Ndola, Zambia. Analyses were restricted to self-reported p-YLHIV to assess associations between disclosure experienc…
Intimate partner violence polyvictimisation and HIV among coupled women in Zambia
Women in sub-Saharan Africa are disproportionately at risk for the dual epidemics of intimate partner violence (IPV) and HIV. Little is known about how specific violence profiles affect women's HIV risk, limiting effective intervention. We analysed couples' data from the Zambia Demographic and Health Survey 2013-2014 to evaluate relationships among IPV, male partner HIV status and women's HIV status. We considered the individual and combined effe…
Past-Year Violence Victimization is Associated with Viral Load Failure Among HIV-Positive Adolescents and Young Adults
We examined the relationship between past-year violence victimization and viral load (VL) failure among consecutively-sampled male and female adolescents and young adults, aged 15-24, in four HIV clinics in Ndola, Zambia. Measures of past-year physical violence, psychological abuse, and forced sex were adapted from the ICAST-C and WHO Multi-Country Study. Using logistic regression, we derived associations between VL failure (≥ 1000 copies/mL) and…
From HIV to Covid-19
From HIV to COVID-19: Focusing on and Engaging Adolescents and Young Adults During the Pandemic Stephanie M. DeLong PhD, MPH, Julie A. Denison PhD, MHS, Cui Yang PhD, MA, Allison Agwu MD, ScM, Kamila A. Alexander PhD, MPH, RN, Michelle R. Kaufman PhD, MA, and Renata Arrington-Sanders MD, MPH, ScM Affiliation Stephanie M. DeLong is with the Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD. Julie A. Denison…
The interactive effects of social support and physical functioning on HIV medical outcomes among African Americans whom inject drugs
Research suggests a syndemic of substance use, mental illness, and familial conflict is associated with poor HIV medical outcomes among African American persons living with HIV (PLHIV). Social support may facilitate positive health outcomes. This study explores psychosocial correlates of HIV medical outcomes, defined as undetectable viral load (UVL) and acute care minimization. Data were from baseline of the BEACON study (N = 351). UVL was ≤40 co…
Caregivers’ Support Network Characteristics Associated with Viral Suppression among HIV Care Recipients
Factors Related to Incomplete Adherence to Antiretroviral Therapy among Adolescents Attending Three HIV Clinics in the Copperbelt, Zambia
Informal HIV Caregiver Proxy Reports of Care Recipients’ Treatment Adherence
Trends in HIV counseling and testing uptake among married individuals in Rakai, Uganda
Uptake of couples' HCT remained consistently low (below 30%) over the years, while uptake of individual HCT declined over time. These findings call for innovative strategies to increase demand for couples' HCT, particularly among younger couples and those with no prior HCT
Families matter
A cross-sectional survey among 550 randomly selected 16–19-year-olds in Ndola, Zambia, assessed the influence of individual (e.g., HIV knowledge), relational (e.g., discussed HIV testing with family), and environmental factors (e.g., distance) on adolescents’ use of HIV counseling and testing. A multivariable logistic regression analysis comparing respondents who have taken an HIV test to respondents who have not found that at the relational leve…
HIV Voluntary Counseling and Testing and Behavioral Risk Reduction in Developing Countries
The HIV testing experiences of adolescents in Ndola, Zambia
This study explored how adolescents involve their families, friends and sex partners when making decisions about seeking HIV voluntary counseling and testing (VCT) and disclosing their HIV-status. The study is based on 40 qualitative in-depth interviews with 16 to 19 year olds who knew their HIV status in Ndola, Zambia. The findings show that: a) almost half of the youth turned to family members for advice or approval prior to seeking VCT; b) a d…
Ending Intimate Partner Violence
Women ending IPV do use the TM processes and constructs of change. These findings support the development and evaluation of a TM stage-based IPV intervention
Sin obras prominentes en esta página.
Ending Intimate Partner Violence
Women ending IPV do use the TM processes and constructs of change. These findings support the development and evaluation of a TM stage-based IPV intervention
HIV Voluntary Counseling and Testing and Behavioral Risk Reduction in Developing Countries
The HIV testing experiences of adolescents in Ndola, Zambia
This study explored how adolescents involve their families, friends and sex partners when making decisions about seeking HIV voluntary counseling and testing (VCT) and disclosing their HIV-status. The study is based on 40 qualitative in-depth interviews with 16 to 19 year olds who knew their HIV status in Ndola, Zambia. The findings show that: a) almost half of the youth turned to family members for advice or approval prior to seeking VCT; b) a d…
Trends in HIV counseling and testing uptake among married individuals in Rakai, Uganda
Uptake of couples' HCT remained consistently low (below 30%) over the years, while uptake of individual HCT declined over time. These findings call for innovative strategies to increase demand for couples' HCT, particularly among younger couples and those with no prior HCT
Families matter
A cross-sectional survey among 550 randomly selected 16–19-year-olds in Ndola, Zambia, assessed the influence of individual (e.g., HIV knowledge), relational (e.g., discussed HIV testing with family), and environmental factors (e.g., distance) on adolescents’ use of HIV counseling and testing. A multivariable logistic regression analysis comparing respondents who have taken an HIV test to respondents who have not found that at the relational leve…
Informal HIV Caregiver Proxy Reports of Care Recipients’ Treatment Adherence
The interactive effects of social support and physical functioning on HIV medical outcomes among African Americans whom inject drugs
Research suggests a syndemic of substance use, mental illness, and familial conflict is associated with poor HIV medical outcomes among African American persons living with HIV (PLHIV). Social support may facilitate positive health outcomes. This study explores psychosocial correlates of HIV medical outcomes, defined as undetectable viral load (UVL) and acute care minimization. Data were from baseline of the BEACON study (N = 351). UVL was ≤40 co…
Caregivers’ Support Network Characteristics Associated with Viral Suppression among HIV Care Recipients
Factors Related to Incomplete Adherence to Antiretroviral Therapy among Adolescents Attending Three HIV Clinics in the Copperbelt, Zambia
Intimate partner violence polyvictimisation and HIV among coupled women in Zambia
Women in sub-Saharan Africa are disproportionately at risk for the dual epidemics of intimate partner violence (IPV) and HIV. Little is known about how specific violence profiles affect women's HIV risk, limiting effective intervention. We analysed couples' data from the Zambia Demographic and Health Survey 2013-2014 to evaluate relationships among IPV, male partner HIV status and women's HIV status. We considered the individual and combined effe…
Past-Year Violence Victimization is Associated with Viral Load Failure Among HIV-Positive Adolescents and Young Adults
We examined the relationship between past-year violence victimization and viral load (VL) failure among consecutively-sampled male and female adolescents and young adults, aged 15-24, in four HIV clinics in Ndola, Zambia. Measures of past-year physical violence, psychological abuse, and forced sex were adapted from the ICAST-C and WHO Multi-Country Study. Using logistic regression, we derived associations between VL failure (≥ 1000 copies/mL) and…
From HIV to Covid-19
From HIV to COVID-19: Focusing on and Engaging Adolescents and Young Adults During the Pandemic Stephanie M. DeLong PhD, MPH, Julie A. Denison PhD, MHS, Cui Yang PhD, MA, Allison Agwu MD, ScM, Kamila A. Alexander PhD, MPH, RN, Michelle R. Kaufman PhD, MA, and Renata Arrington-Sanders MD, MPH, ScM Affiliation Stephanie M. DeLong is with the Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD. Julie A. Denison…
So hurt and broken’
Emerging data show associations between violence victimisation and negative HIV outcomes among youth in sub-Saharan Africa. We conducted in-depth interviews with adolescents and young adults living with HIV (aged 15-24 years) in Ndola, Zambia, to better understand this relationship. We purposively selected 41 youth (24 females, 17 males) with varied experiences of violence and virologic results. Analysis used thematic coding. Two-thirds of partic…
How does learning one’s HIV status relate to viral suppression? an analysis among perinatally infected adolescents and young adults in Ndola, Zambia
Little data exist on how 15-to-24-year-old perinatally infected youth living with HIV (p-YLHIV) learn their HIV status, and how those disclosure experiences may relate to current viral suppression (VS). Cross-sectional analyses were conducted using baseline data from a randomized controlled trial testing a peer mentoring program in Ndola, Zambia. Analyses were restricted to self-reported p-YLHIV to assess associations between disclosure experienc…
Family Connections randomized controlled trial
Achieving the 95-95-95 UNAIDS targets requires meeting the needs of adolescents, however we lack evidenced-based approaches to improving adolescent adherence to antiretroviral therapy (ART), increasing viral suppression, and supporting general wellbeing. We developed Family Connections as a group intervention for adolescents and their adult caregivers and conducted a randomized controlled trial in Ndola, Zambia to test feasibility and acceptabili…
Mindfulness instruction for medication adherence among adolescents and young adults living with HIV
Adolescents and young adults (AYA) 13–24 years old make up a disproportionate 21% of new HIV diagnoses. Unfortunately, they are less likely to treat HIV effectively, with only 30% achieving viral suppression, limiting efforts to interrupt HIV transmission. Previous work with mindfulness-based stress reduction (MBSR) has shown promise for improving treatment in AYA living with HIV (AYALH). This randomized controlled trial compared MBSR with genera…
Integrating Adolescent Mental Health into HIV Prevention and Treatment Programs
Adolescent mental health (AMH) is a critical driver of HIV outcomes, but is often overlooked in HIV research and programming. The implementation science Exploration, Preparation, Implementation, Sustainment (EPIS) framework informed development of a questionnaire that was sent to a global alliance of adolescent HIV researchers, providers, and implementors working in sub-Saharan Africa with the aim to (1) describe current AMH outcomes incorporated…
Nearly half of adults with symptoms of sexually transmitted infections (STIs) did not seek clinical care
Understanding treatment-seeking behavior is critical to the treatment and control of sexually transmitted infections (STIs), yet current data on STI treatment seeking in low-resource settings is rare. This population-based study aimed to describe STI treatment-seeking behavior and identify factors associated with seeking treatment at a clinic among adults with STI-related symptoms in rural Uganda. The STI prevalence study (STIPS) conducted a surv…
Dissolution of transactional sex relationships during Covid-19
The COVID-19 pandemic and subsequent mitigation measures led to social disruption and negative economic shocks for a large proportion of Uganda's population. The social and economic consequences of COVID-19 on Ugandan men's sexual behaviours, including transactional sex relationships, are unclear. We conducted in-depth interviews between November 2021-February 2022 with 26 men in a high HIV prevalence region of Uganda. Data were analysed thematic…
“I can’t fail. And my son can’t fail.”
Adolescents and young adults (AYA, aged 15–24) living with HIV have suboptimal antiretroviral treatment adherence compared to their adult counterparts, raising concerns of poor health and drug resistance. While it is known that AYA require caregiver and family support to successfully transition to HIV self-management, there has been limited engagement with caregivers to this end. To fill this gap, we examined caregivers’ experiences of navigating…
Men’s understanding of three different measures of transactional sex
Lack of valid and reliable measures and inconsistent transactional sex measurement has resulted in poor understanding of the practice, particularly among men. To improve transactional sex measurement and facilitate comparison across studies, we examined how men comprehend and respond to three common transactional sex measures. Cognitive interviews were conducted with 25 sexually active adult men in Rakai, Uganda and data were thematically analyse…
Medicine (18 obras) · Adolescent Sexual and Reproductive Health (16 obras) · HIV/AIDS Research and Interventions (16 obras) · Psychology (11 obras) · Psychiatry (10 obras) · Family medicine (9 obras) · Psychological intervention (8 obras) · Human immunodeficiency virus (HIV (7 obras) · Population (7 obras) · Public health (7 obras)