Mallory O Johnson
Dados Biográficos
| ID | 765023 |
|---|---|
| NOME | Mallory O Johnson |
| PRENOMES | Mallory |
| SOBRENOME | O Johnson |
| ASSINATURA | JOHNSON M O |
| AFILIAÇÕES | University of California, San Francisco |
| ORCID | 0000-0003-0480-2804 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 93 |
| TOTAL DE CITAÇÕES | 116 |
| TOTAL COMO AUTOR | 93 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2003 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 7 |
“It Will Make It Easier for Us to Live Better”
Long-acting injectable ART (LAI-ART) may mitigate barriers to ART adherence, but research is needed to optimize LAI-ART for Spanish-speaking people with HIV (PWH). As part of a larger multi-site qualitative study, we conducted 20 semistructured interviews with monolingual Spanish-speaking PWH at a Ryan White-funded academic HIV clinic. Transcripts were analyzed in Spanish using thematic analysis. The median age of participants was 47 years (range…
The Relationship Between Financial Well-Being and Antiretroviral Therapy Adherence in Youth with HIV in the United States
Youth and young adults experience high attrition across the HIV care continuum, including elevated risk of antiretroviral therapy (ART) nonadherence and virologic failure. This study examined how financial well-being relates to ART adherence among youth with HIV (YWH), including those using oral or LAI-based regimens. We analyzed baseline data from YWH aged 18–29 years in the United States enrolled between 2023 and 2025 in a randomized controlled…
Uncovering geographic variations in HIV burden and prevention
Despite advancements in HIV prevention and treatment, disparities persist across the U.S. that are geographically and demographically unique. This study analyzed HIV burden and prevention efforts in three urban counties, Suffolk County, MA (Boston), Orange County, FL (Orlando), and Philadelphia County, PA (Philadelphia), using AIDSVu data. We assessed HIV prevalence, new diagnoses, Pre-Exposure Prophylaxis (PrEP) use, PrEP-to-Need Ratio (PnR), an…
Facilitators and Barriers to Home-Based Long-Acting Injectable Antiretroviral Therapy
Randomized Controlled Trial of a Couples-Based HIV Intervention for Transgender Women and Their Partners
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…
Pandemic expertise
This qualitative study explored the experiences of people living with HIV (PLWH) in the San Francisco Bay Area, United States, during the COVID-19 pandemic and subsequent public health restrictions at a safety net HIV clinic. Patients (N = 30) were recruited for Spanish/English language semi-structured interviews (n = 30), translated when necessary, and analyzed thematically. The recurring theme of “pandemic expertise” emerged from the data: skil…
Intersectional Stigma, Fear of Negative Evaluation, Depression, and ART Adherence Among Women Living with HIV Who Engage in Substance Use
Acceptability of Long-Acting Injectable Antiretroviral Therapy Among People with HIV Receiving Care at Three Ryan White Funded Clinics in the United States
Understanding the acceptability of long-acting injectable antiretroviral therapy (LAI-ART) among people with HIV (PWH), especially priority populations, is essential for effective implementation. We conducted semi-structured interviews with patients in three Ryan White-funded HIV clinics in San Francisco, Chicago, and Atlanta. We employed maximal variation sampling across age, gender, race, ethnicity, and time living with HIV and oversampled for …
A Cautionary Tale
Longitudinal associations between intersectional stigmas, antiretroviral therapy adherence, and viral load among women living with HIV using multidimensional latent transition item response analysis
Feasibility and Acceptability Pilot Test of Connecting Latinos en Parejas
Despite recent emphasis on couples-based HIV prevention interventions, efficacious interventions for Latino male couples have yet to be tested. The study examined the feasibility and acceptability of the Connecting Latinos en Pareja (CLP) intervention, a couples-based HIV prevention intervention for Latino male couples. This pilot demonstrated high feasibility, meeting targets for recruitment, retention, and intervention completion. We recruited …
Socio-Ecological Influences on HIV Care Engagement
How Does Poverty Stigma Affect Depression Symptoms for Women Living with HIV? Longitudinal Mediating and Moderating Mechanisms
A factorial experiment grounded in the multiphase optimization strategy to promote viral suppression among people who inject drugs on the Texas-Mexico border
This project was registered at clinicaltrials.gov (NCT05377463) on May 17th, 2022
ReACH2Gether
Socio-ecological Barriers to Viral Suppression Among Transgender Women Living with HIV in San Francisco and Los Angeles, California
A mixed‐methods study of relationship stigma and well‐being among sexual and gender minority couples
Research has documented associations between relationship stigma, relationship quality and adverse health outcomes among sexual and gender minority couples. However, this work focused primarily on one aspect of an individual's or a couple's identity rather than understanding the intersections of multiple, stigmatized social identities. As part of a larger project focused on testing the efficacy of a couples‐based intervention to improve HIV medic…
It comes altogether as one
Our findings highlight new potential opportunities and strategies to mitigate risk of HIV transmission during ATIs among key groups historically under-represented in HIV cure research. Findings also underscore the relational aspects of ATI trials. We provide preliminary considerations for planning ATI trials with diverse HIV serodifferent partners. Future studies should continue to explore these issues among other types of partnerships, cultures,…
A qualitative study of the acceptability of remote electronic bednet use monitoring in Uganda
Objective monitoring of bednet use with SmartNet appears acceptable to these households in Uganda. Use of SmartNet seems to be similar to behaviors around use of standard LLINs. Viewpoints on many aspects of SmartNet were generally favorable. Concerns around ethicality of bednet monitoring are present and indicate the need for continuing community education. The device will continue to be optimized to make it more acceptable to users and to accur…
The development and feasibility of a group-based household-level intervention to improve preconception nutrition in Nawalparasi district of Nepal
ClinicalTrials.gov NCT04383847 , registered 05/12/2020
Impacts of Medicaid Expansion on Health Insurance and Coverage Transitions among Women with or at Risk for HIV in the United States
A Systematic Review of Black American Same-Sex Couples Research
Methods in HIV-Related Intersectional Stigma Research
Researchers are increasingly recognizing the importance of studying and addressing intersectional stigma within the field of HIV. Yet, researchers have, arguably, struggled to operationalize intersectional stigma. To ensure that future research and methodological innovation is guided by frameworks from which this area of inquiry has arisen, we propose a series of core elements for future HIV-related intersectional stigma research. These core elem…
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…
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…
Framing Mechanisms Linking HIV-Related Stigma, Adherence to Treatment, and Health Outcomes
We present a conceptual framework that highlights how unique dimensions of individual-level HIV-related stigma (perceived community stigma, experienced stigma, internalized stigma, and anticipated stigma) might differently affect the health of those living with HIV. HIV-related stigma is recognized as a barrier to both HIV prevention and engagement in HIV care, but little is known about the mechanisms through which stigma leads to worse health be…
Throwing the Dice”
CONTEXT Although AIDS‐related deaths among U.S. women have decreased, the number of HIV‐positive women, especially of reproductive age, has increased. A better understanding of the interaction between HIV and family planning is needed, especially as antiretroviral medications allow HIV‐positive women to live longer, healthier lives. METHODS Qualitative methods were used to examine pregnancy decision‐making among 56 HIV‐positive women in four U.S.…
Power and the association with relationship quality in South African couples
Research and health interventions aiming to improving HIV-related behaviors should consider sources of shared power within couples and potential leverage points for empowerment at the couple level. Efforts solely focused on empowering women should also take the dyadic environment and men's perspectives into account to ensure positive relationship outcomes
Relationship Characteristics and HIV Transmission Risk in Same-Sex Male Couples in HIV Serodiscordant Relationships
A mixed‐methods study of relationship stigma and well‐being among sexual and gender minority couples
Research has documented associations between relationship stigma, relationship quality and adverse health outcomes among sexual and gender minority couples. However, this work focused primarily on one aspect of an individual's or a couple's identity rather than understanding the intersections of multiple, stigmatized social identities. As part of a larger project focused on testing the efficacy of a couples‐based intervention to improve HIV medic…
Male same-sex couple dynamics and received social support for HIV medication adherence
This qualitative study examines received social support by analyzing relationship dynamics concerning antiretroviral therapy adherence among HIV+ seroconcordant and serodiscordant male couples. Using narrative data from 40 participants (20 couples interviewed separately), we describe patterns of relationship dynamics and support preferences. One group viewed adherence as a Personal Responsibility. A second group viewed adherence as a Couple Respo…
Methods in HIV-Related Intersectional Stigma Research
Researchers are increasingly recognizing the importance of studying and addressing intersectional stigma within the field of HIV. Yet, researchers have, arguably, struggled to operationalize intersectional stigma. To ensure that future research and methodological innovation is guided by frameworks from which this area of inquiry has arisen, we propose a series of core elements for future HIV-related intersectional stigma research. These core elem…
Development and Validation of the Couple Sexual Satisfaction Scale for HIV and Sexual Health Research
Depressive Symptomatology among HIV‐Positive Women in the Era of Haart
Objective: An enhanced stress and coping model was used to explain depression among HIV‐positive women in healthcare and community settings where highly active anti‐retroviral treatment (HAART) was commonplace. Method: HIV‐infected women in four cities ( N =978) were assessed, cross‐sectionally, for mental and physical health, stress, social support, and other background factors. Results: Self‐reported level of depressive symptomatology was high.…
A qualitative analysis of male couples' coping with HIV
Research suggests that optimal couple functioning depends on adopting a "we" orientation to health. Using qualitative data from 20 male couples in which at least one partner was HIV-positive, we examined how couples viewed their health involvement and its relation to social support. One group described their health as highly interconnected; in a second group, at least one partner viewed health as a personal responsibility. Results revealed that t…
The Shifting Landscape of Health Care
In a rapidly changing world of health care information access and patients’ rights, there is limited conceptual infrastructure available to understand how people approach and engage in treatment of medical conditions. The construct of health care empowerment is defined as the process and state of being engaged, informed, collaborative, committed, and tolerant of uncertainty regarding health care. I present a model in which health care empowerment…
Reducing Risky Sexual Behavior and Substance Use Among Currently and Formerly Homeless Adults Living With HIV
Objectives. We examined the efficacy of the Healthy Living Program in reducing risky sexual behavior and substance use among adults with HIV infection who were marginally housed (i.e., homeless at some point over a 37-month period). Methods. We had previously conducted a randomized controlled trial with 936 adults living with HIV infection. In that study, 3 intervention modules of 5 sessions each addressed different goals: reducing risky sexual a…
Counseling Psychology and Chronic Health Conditions
The authors support the assertion that counseling psychology expertise should be present at all levels of therapeutic activity that may benefit persons who live with chronic health conditions. They consider the impact of the increasing rates of chronic health conditions on health care systems, society, and health service professions. In order for the field to have an influential role in service delivery and policy formation that benefit individua…
Longitudinal associations between intersectional stigmas, antiretroviral therapy adherence, and viral load among women living with HIV using multidimensional latent transition item response analysis
Unpacking the “backpack of shame”
Our findings illustrate experiences of intersectional stigma and systems of oppression. They can be used to inform policies that address social exclusion, discrimination, and stigma among Latinx PLWH. (PsycInfo Database Record (c) 2021 APA, all rights reserved)
Receipt of Prevention Services Among HIV-Infected Men Who Have Sex with Men
Unprotected sexual intercourse remains a primary mode of HIV transmission in the United States. We found that receipt of services to reduce HIV transmission-risk behaviors was low among 3787 HIV-infected individuals and that men who have sex with men were especially unlikely to receive these services even though they were more likely to report unprotected sexual intercourse with seronegative and unknown serostatus casual partners. Greater efforts…
Adherence to Medication Treatment
The Drugs or the Disease? Causal Attributions of Symptoms Held by HIV-Positive Adults on Haart
Intricacies and inter-relationships between HIV disclosure and Haart
This study aimed to understand whether and how highly active antiretroviral treatment (HAART) affects views and patterns of disclosure and how disclosure interacts with treatment decisions. One hundred and fifty-two HIV-positive adults (52 MSM, 56 women and 44 IDU men) from four US cities participated in two to three-hour, semi-structured interviews in 1998-99. Results indicate that HAART interacts with and shapes HIV disclosure issues in several…
Throwing the Dice”
CONTEXT Although AIDS‐related deaths among U.S. women have decreased, the number of HIV‐positive women, especially of reproductive age, has increased. A better understanding of the interaction between HIV and family planning is needed, especially as antiretroviral medications allow HIV‐positive women to live longer, healthier lives. METHODS Qualitative methods were used to examine pregnancy decision‐making among 56 HIV‐positive women in four U.S.…
Throwing the Dice
CONTEXT Although AIDS-related deaths among U.S. women have decreased, the number of HIV-positive women, especially of reproductive age, has increased. A better understanding of the interaction between HIV and family planning is needed, especially as antiretroviral medications allow HIV-positive women to live longer, healthier lives. METHODS Qualitative methods were used to examine pregnancy decision-making among 56 HIV-positive women in four U.S.…
Insurance Coverage, Usual Source of Care, and Receipt of Clinically Indicated Care for Comorbid Conditions Among Adults Living With Human Immunodeficiency Virus
BACKGROUND AND OBJECTIVES: Associations of insurance coverage and source of care with use of human immunodeficiency virus (HIV)-related health, mental health, and substance abuse services are examined in a large, diverse, highly active antiretroviral therapy-era cohort. METHODS: Adults who were infected with HIV (n = 3818) were interviewed in clinics and community agencies in Los Angeles, Milwaukee, New York, and San Francisco regarding drug use …
Changing HIV treatment expectancies
Beliefs about HIV treatment efficacy, adherence self-efficacy, and side effects management are related cross-sectionally to adherence to antiretroviral therapy (ART). However, the role of such expectancies held prior to the initiation of ART is unknown. The purpose of this study was to explore feasibility, satisfaction, and preliminary effects of an intervention to address HIV treatment expectancies. ART naïve participants (N = 26) who were conte…
Depressive Symptomatology among HIV‐Positive Women in the Era of Haart
Objective: An enhanced stress and coping model was used to explain depression among HIV‐positive women in healthcare and community settings where highly active anti‐retroviral treatment (HAART) was commonplace. Method: HIV‐infected women in four cities ( N =978) were assessed, cross‐sectionally, for mental and physical health, stress, social support, and other background factors. Results: Self‐reported level of depressive symptomatology was high.…
The Value and Challenges of Improving Adherence to Antiretroviral Therapy for Human Immunodeficiency Virus
From the Center for AIDS Prevention Studies, Department of Medicine, University of California, San Francisco. Dr. Chesney currently is at National Center for Complementary and Alternative Medicine, National Institutes of Health; Center for AIDS Prevention Studies, Department of Medicine, University of California, San Francisco. Reprints: Dr. Mallory Johnson, CAPS-UCSF, 50 Beale Street, Suite 1300, San Francisco, CA 94105. E-mail: [email protected…
The Role of Self-Efficacy in HIV Treatment Adherence
It's not just what you say
In the post-HAART era, critical questions arise as to what factors affect disclosure decisions and how these decisions are associated with factors such as high-risk behaviors and partner variables. We interviewed 1,828 HIV-positive men who have sex with men (MSM), of whom 46% disclosed to all partners. Among men with casual partners, 41.8% disclosed to all of these partners and 21.5% to none. Disclosure was associated with relationship type, perc…
Affect Regulation, Stimulant Use, and Viral Load Among HIV-Positive Persons on Anti-Retroviral Therapy
Objective: A substantial minority of HIV-positive individuals have comorbid affective or substance use disorders, which can interfere with effective medical management. The present study examined the associations among affect regulation, substance use, non-adherence to anti-retroviral therapy (ART), and immune status in a diverse sample of HIV-positive persons. Methods: A total of 858 HIV-positive participants self-reporting risk of transmitting …
Medication Adherence and Sexual Risk Behavior among HIV-Infected Adults
Coping with HIV Treatment Side Effects
Predictors of Attrition Among High Risk HIV-Infected Participants Enrolled in a Multi-Site Prevention Trial
Randomized Controlled Trial of a Cognitive-Behavioral Intervention for HIV-Positive Persons
Influence of Coping, Social Support, and Depression on Subjective Health Status Among HIV-Positive Adults With Different Sexual Identities
The authors examined associations between psychosocial variables (coping self-efficacy, social support, and cognitive depression) and subjective health status among a large national sample (N = 3,670) of human immunodeficiency virus (HIV)-positive persons with different sexual identities. After controlling for ethnicity, heterosexual men reported fewer symptoms than did either bisexual or gay men and heterosexual women reported fewer symptoms tha…
Receipt of Prevention Services Among HIV-Infected Men Who Have Sex with Men
Unprotected sexual intercourse remains a primary mode of HIV transmission in the United States. We found that receipt of services to reduce HIV transmission-risk behaviors was low among 3787 HIV-infected individuals and that men who have sex with men were especially unlikely to receive these services even though they were more likely to report unprotected sexual intercourse with seronegative and unknown serostatus casual partners. Greater efforts…
Counseling Psychology and Chronic Health Conditions
The authors support the assertion that counseling psychology expertise should be present at all levels of therapeutic activity that may benefit persons who live with chronic health conditions. They consider the impact of the increasing rates of chronic health conditions on health care systems, society, and health service professions. In order for the field to have an influential role in service delivery and policy formation that benefit individua…
Behavior Change Following Diagnosis with Acute/Early HIV Infection—A Move to Serosorting with Other HIV-Infected Individuals. The Nimh Multisite Acute HIV Infection Study
Risk reductions behaviors are especially important during acute/early HIV infection, a period of high transmission risk. We examined how sexual behaviors changed following diagnosis of acute/early HIV infection. Twenty-eight individuals completed structured surveys and in-depth interviews shortly after learning of their infection and 2 months later. Quantitative analyses revealed significant changes after diagnosis, including reductions in total …
Affective Correlates of Stimulant Use and Adherence to Anti-retroviral Therapy Among HIV-positive Methamphetamine Users
The use of stimulants has important implications for HIV prevention and care. However, few investigations have examined psychological correlates of substance use and adherence to anti-retroviral therapy (ART) among HIV-positive stimulant users. This cross-sectional investigation examined affective correlates of stimulant use and ART adherence among HIV-positive methamphetamine users. In total, 122 HIV-positive men who have sex with men or transge…
Reducing Risky Sexual Behavior and Substance Use Among Currently and Formerly Homeless Adults Living With HIV
Objectives. We examined the efficacy of the Healthy Living Program in reducing risky sexual behavior and substance use among adults with HIV infection who were marginally housed (i.e., homeless at some point over a 37-month period). Methods. We had previously conducted a randomized controlled trial with 936 adults living with HIV infection. In that study, 3 intervention modules of 5 sessions each addressed different goals: reducing risky sexual a…
Male same-sex couple dynamics and received social support for HIV medication adherence
This qualitative study examines received social support by analyzing relationship dynamics concerning antiretroviral therapy adherence among HIV+ seroconcordant and serodiscordant male couples. Using narrative data from 40 participants (20 couples interviewed separately), we describe patterns of relationship dynamics and support preferences. One group viewed adherence as a Personal Responsibility. A second group viewed adherence as a Couple Respo…
Medication Adherence
Real-Time Electronic Adherence Monitoring is Feasible, Comparable to Unannounced Pill Counts, and Acceptable
Medicine (84 obras) · HIV/AIDS Research and Interventions (80 obras) · Psychology (58 obras) · Psychiatry (49 obras) · Public health (49 obras) · Family medicine (40 obras) · Clinical Psychology (38 obras) · HIV, Drug Use, Sexual Risk (38 obras) · Adolescent Sexual and Reproductive Health (36 obras) · Human immunodeficiency virus (HIV (34 obras)