Karolynn Siegel
Dados Biográficos
| ID | 123490 |
|---|---|
| NOME | Karolynn Siegel |
| PRENOMES | Karolynn |
| SOBRENOME | Siegel |
| ASSINATURA | SIEGEL K |
| AFILIAÇÕES | Columbia University |
| ORCID | 0000-0001-8208-5949 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 81 |
| TOTAL DE CITAÇÕES | 339 |
| TOTAL COMO AUTOR | 81 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 1985 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 11 |
The use of religion, prayer, and faith to cope with the receipt of Alzheimer's disease risk information in a research context
People commonly turn to religion when confronted with threatening events including illness. However, limited research has investigated the use of religious coping to manage distress associated with knowledge of one’s risk for serious illnesses such as Alzheimer’s disease (AD). To examine how they coped with receiving information about their risk for late-onset AD, semi-structured interviews were conducted with a sample of Latinos (ages 40-64) liv…
Latinos' beliefs regarding the role played by nonmedical factors in the quality of Alzheimer's disease care
Latinos represent the fastest-growing subpopulation in the United States and are expected to experience the steepest increase in the coming decades in adults 65 and older living with Alzheimer's disease (AD). However, they also have a higher likelihood of delayed diagnosis, greater difficulty in accessing specialist referrals, treatments and support services and have fewer long-term and nursing care options than non-Latino Whites. A New York City…
Addressing Disparities in Alzheimer’s Disease-Related Healthcare Through Understanding Factors Contributing to Perceived Vulnerability Among Latinos in Northern Manhattan
Beliefs About the Causes of Alzheimer’s Disease Among Latinos in New York City
Anticipated Responses to Genetic Testing for Alzheimer’s Disease Susceptibility among Latinos in Northern Manhattan
Experiences of interpersonal violence among a diverse sample of male sex workers
A notable portion of men who have sex with men engage in exchange sex-i.e. the trading of sex for money, drugs, shelter or other material goods. Despite the risks for physical and sexual violence, threatening behaviour and robbery that male sex workers confront, very little is known about their experiences of such actions by clients. To gain more insight into male sex workers' experiences of interpersonal violence, we analysed qualitative intervi…
It’s Almost Like Playing ‘The Price is Right’”
I Assumed that He Knows Because He’s Seen My Profile”
Condomless Anal Sex Between Male Sex Workers and Clients in the Age of Hookup Apps
Dating and Hookup Apps and Websites as Facilitators of Entry into Sex Work
Negative Sexual Experiences Among Gay, Bisexual, and Other Men Who Have Sex with Men Using GPS-Enabled Hook-Up Apps and Websites
Gay, bisexual, and other men who have sex with men (GBMSM) often use GPS-enabled dating apps and websites to facilitate in-person sexual encounters. Many of these encounters are positive and enjoyable. However, there is limited research on GBMSM's negative experiences with partners from hookup and dating apps/websites, especially those characterized by threats to GBMSM's sexual, physical, and/or psychological safety. In this report, we investigat…
Interest in Sex Work-related Resources Among Gay, Bisexual, and Other Men Who Have Sex With Men Engaged in Sex Work
Attitudes Toward HIV-Positive Status Disclosure Among U=U-Aware Sexual and Gender Minority Individuals in the USA
Perceived Stigma and Stigma Management Strategies Among Online Male Sex Workers
Efficacy, Use, and Usability of the VIP-Hana App for Symptom Self-management in PLWH with Hana Conditions
Barriers to Pre-Exposure Prophylaxis Uptake Among Online Male Sex Workers in the US
Awareness and Perceived Effectiveness of HIV Treatment as Prevention Among Men Who Have Sex with Men in New York City
HIV-related ‘conspiracy beliefs’
HIV-related 'conspiracy beliefs' include ideas about the genocidal origin of HIV and the nature and purpose of HIV-related medications. These ideas have been widely documented as affecting myriad health behaviours and outcomes, including birth control use and HIV testing. Most HIV-related research has quantitatively explored this phenomenon, and further qualitative research is necessary to better understand the complexity of these beliefs as arti…
Racial and socioeconomic disparities in the symptom reporting of persons living with HIV
Persons living with HIV (PLWH) today can survive decades with the disease, making the symptom experience much more relevant to their lifestyle and health outcomes. The goal of the research reported here was to assess the symptom reporting of PLWH in the Unites States (US) in the combined antiretroviral therapy (cART) age of the epidemic. We conducted an anonymous online survey of symptomatic PLWH in the US and asked participants to report the fre…
The experience and management of HIV stigma among HIV-negative adults in heterosexual serodiscordant relationships in New York City
Despite treatment advances that have improved the health and life expectancy of HIV-positive people and contribute to the prevention of HIV transmission, HIV stigma is still frequently experienced by HIV-infected individuals and those close to them. This study investigated the types of HIV-related stigma experienced by HIV-negative adults in serodiscordant heterosexual relationships when their partner's HIV-positive status was revealed to family …
HIV testing in the dental setting
The dental setting is a largely untapped venue to identify patients with undiagnosed HIV infection. Yet, uptake of rapid HIV testing within the dental community remains low. This study sought to better understand the experiences of dental professionals who have administered the test and how these experiences might inform efforts to promote greater uptake of rapid HIV testing in dental settings. Qualitative interviews were conducted with United St…
Self-Management Strategies for Coping with Adverse Symptoms in Persons Living with HIV with HIV Associated Non-Aids Conditions
Reproductive Desires and Considerations of HIV-Positive Men in Heterosexual Relationships in New York City
Venues Where Male Sex Workers Meet Partners
Sexual Risk Behaviors and Perceptions of Men Who Go to Gay Sex Parties in New York City
Men who have sex with men (MSM) who attend group-sex events often engage in risky sexual behaviors that contribute to the high human immunodeficiency virus (HIV) incidence among this population. We conducted an online survey with 211 New York City MSM who attended sex parties in the prior year and asked them to describe their behaviors and perceptions of risk. We compared responses from HIV-positive-undetectable men (n = 36), HIV-negative men on …
Stigma Management Among Gay/Bisexual Men with HIV/Aids
Living with HIV Infection
With improved understanding of the natural history of HIV/AIDS and the availability of effective early intervention, HIV infection recently has come to be conceptualized as a chronic illness. As we enter the next phase of the epidemic, insights into the challenges of daily living faced by seropositive persons will aid in designing appropriate interventions to educate for adaptive success and to ameliorate adaptive difficulties. In our analysis of…
Perceiving benefits in adversity
The Motives of Gay Men for Taking or Not Taking the HIV Antibody Test
This paper analyzes the motives for taking or not taking the HIV antibody test among a sample of 120 gay men. The motives were forged from prevailing cultural constructions of the HIV test. The most commonly cited motives for taking the test were: to take medical treatments for HIV infection, to become motivated to make needed health and lifestyle changes, to clarify an ambiguous medical condition, to inform sexual decision making, and to relieve…
Psychological well-being of gay men with Aids
Factors distinguishing homosexual males practicing risky and safer sex
Sexually Explicit Media on the Internet
The Perceived Benefits of Religious and Spiritual Coping Among Older Adults Living with HIV/Aids
Although religious and spiritual beliefs and practices have been frequently associated with greater psychological well-being among illness populations, little is known about the specific benefits individuals perceive they receive from these beliefs and practices. This issue was examined in interviews with 63 older HIV-infected adults. Participants reported a variety of benefits from their religious and spiritual beliefs and practices, including: …
Felt and Enacted Stigma Among HIV/HCV-Coinfected Adults
The realization that many persons with HIV/AIDS are subjected to multiple layers of stigmatization because they belong to socially deviant and disenfranchised groups (e.g., injection drug users, racial/ethnic and sexual minorities) accounts for an increasing interest in the phenomenon of stigma layering. The stigma associated with hepatitis C virus (HCV) has also been conceptualized as layered. However, researchers have overlooked the fact that H…
Perceived Barriers to Social Support from Family and Friends among Older Adults with HIV/Aids
Research has found that HIV-infected adults age 50 and older are more socially isolated than younger HIV-infected individuals. This study examines the perceived barriers to obtaining emotional and practical social support from friends and family among 63 older adults (age 50+) living with HIV/AIDS. Many reported they did not receive enough emotional support (42%) or practical assistance (27%). Barriers to obtaining support included: (1) nondisclo…
Hiv-Infected Mothers' Disclosure to their Uninfected Children
Focused interviews were conducted with a sample of 45 HIV-infected mothers to identify the reasons women offer for disclosing or not disclosing the illness to their uninfected children, the women's perceptions of their children's reactions to such disclosure, and what effects this disclosure may have on subsequent relationships with their children. Two-thirds (66%) of the mothers had disclosed their HIV infection to one or more of their children.…
Sexual Behaviors of Non-gay Identified Non-disclosing Men Who Have Sex with Men and Women
Coping with Negative Emotions
While the managing of negative emotions has been identified as a central adaptive task for those living with chronic illnesses such as HIV/AIDS, little is known about the specific coping strategies used to achieve this task. The present study employed unstructured interviews to examine illnessspecific cognitive strategies used by an ethnically diverse sample of HIV-infected men who have sex with men (MSM) in their attempts to manage the negative …
Reasons and Justifications for Considering Pregnancy Among Women Living With Hiv/Aids
Despite the risks associated with pregnancy, available data suggest that HIV-infected women are no less likely to become pregnant than uninfected women. To understand HIV-infected women's reasons for wanting to have a child, focused interviews were conducted with a predominantly minority sample of 51 HIV-infected women in New York City. They were noted to actively weigh both the potential risks and benefits of their pregnancy decisions. Women rep…
HIV-infected women
Reasons for the adoption of celibacy among older men and women living with HIV/Aids
The reasons for becoming celibate following diagnosis with HIV/AIDS were examined using focused interviews with 63 infected older adults (ages 50-68). Forty-eight percent reported they were currently celibate or had been celibate following diagnosis with HIV/AIDS. Women reported celibacy (78%) more than men (36%). Although men and women reported some similar reasons for celibacy, most notably fear of infecting others and fear of reinfection, we a…
Illness‐Related Support and Negative Network Interactions
Data collected as part of a psychosocial study of gay and bisexual men's experiences of living with HIV infection as a chronic illness were examined to investigate the psychological impact of the perceived availability of illness‐related support and negative illness‐related network interactions in a sample of men from this population. The sample was comprised of 144 HIV‐infected non‐Hispanic white, African American, and Puerto Rican men living in…
Sexual Venue Selection and Strategies for Concealment of Same-Sex Behavior Among Non-Disclosing Men Who Have Sex with Men and Women
In order to conceal their same-sex behavior, men who have sex with men and women (MSMW) who do not disclose their same-sex behavior to female partners must be cautious in their attempts to find potential male partners. This study interviewed 46 non-gay-identified, non-disclosing MSMW to identify the venues where they meet male sexual partners and the strategies they use to reduce the likelihood of discovery when at such venues. Most (74%) reporte…
Continuities and Discontinuities in the Experiences of Felt and Enacted Stigma Among Women With HIV/Aids
In the post-1996 era, the effectiveness of antiviral therapies (such as highly active antiretroviral therapy [HAART]), which transformed HIV/AIDS into a more manageable disease, raised expectations that the disease's stigma would decrease. The authors compared focused-interview data from a pre-HAART (1994 to 1996) and a HAART-era (2000 to 2003) sample of African American, Puerto Rican, and White women living with HIV/AIDS to identify changes in s…
Patterns of change in sexual behavior among gay men in New York City
Children's Psychological Distress Following the Death of a Parent
Symptom Interpretation and Medication Adherence among Late Middle-age and Older HIV-infected Adults
All individuals, whether healthy or ill, have bodily 'expectancies'. Symptoms recognized as deviations from these expectancies necessitate interpretive activities. The behavioral implications of symptom interpretations are explored using data from a psychosocial study of the adaptation to HIV illness among late middle-aged and older men and women. Thematic analysis revealed that rather than the mere presence of symptoms, it was the attributions m…
Diminished Sexual Activity, Interest, and Feelings of Attractiveness Among HIV-Infected Women in Two Eras of the Aids Epidemic
Psychosocial Characteristics of New York City HIV-Infected Women Before and After the Advent of Haart
Objectives. We compared level of psychosocial distress of HIV-infected women living in New York City before the advent of highly active antiretroviral therapy (HAART) with level of psychosocial distress reported by women living with the disease after the use of HAART became widespread. Methods. Data were from HIV-positive New York City women aged 18 to 50 years, enrolled through outreach and self-referral. We compared scores on measures of psycho…
Reporting recent sexual practices
Rational Suicide and the Terminally Ill Cancer Patient
In recent years societal attitudes toward suicide among the terminally ill have become increasingly tolerant. These sentiments have become embodied in “Rational Suicide” movements. The central underlying premise of the rational suicide position is that terminally ill patients (of which the cancer patient has served as the prototypal case) have a greater propensity for suicide growing out of their desire to escape overwhelming pain and despair. Th…
Problems in transition following bone marrow transplantation
The number of patients achieving long-term survival following bone marrow transplantation is increasing. Psychosocial issues that may arise for the pediatric patient and for the family following discharge from the hospital are described. Implications for other situations in which there is a lengthy hospitalization for an organ transplant or life-threatening condition are highlighted
Anticipating the social consequences of Aids
Patterns of change in sexual behavior among gay men in New York City
Individual and aggregate level change in sexual behavior among gay men at risk for Aids
Factors distinguishing homosexual males practicing risky and safer sex
The Motives of Gay Men for Taking or Not Taking the HIV Antibody Test
This paper analyzes the motives for taking or not taking the HIV antibody test among a sample of 120 gay men. The motives were forged from prevailing cultural constructions of the HIV test. The most commonly cited motives for taking the test were: to take medical treatments for HIV infection, to become motivated to make needed health and lifestyle changes, to clarify an ambiguous medical condition, to inform sexual decision making, and to relieve…
A prevention program for bereaved children
The death of a parent seriously threatens children's social and emotional development. When the death can be anticipated, early intervention may facilitate children's adjustment. A prevention program designed to enable parents to foster their children's necessary grief work and resolution of the loss is described
Perceptions of parental competence while facing the death of a spouse
Healthy parents' perceptions of their competence to meet children's needs during the terminal illness of the other parent were measured on five major domains of parent-child relationships and parental functioning central to children's healthy development. Significant declines from pre-illness competence were perceived, of which the greatest were in emotional sensitivity and responsiveness, and ability to set limits and impose discipline. Implicat…
A preventive intervention program for bereaved children
A brief, standardized intervention program to facilitate children's adjustment to the terminal illness and death of a parent posed the following implementation problems: estimation of patient life expectancy; engagement of the family in crisis; adhesion to the parental guidance model; and termination of formal clinical intervention. Resolution of these issues is described, and adaptation of such programs to other high-risk populations is consider…
Living with HIV Infection
With improved understanding of the natural history of HIV/AIDS and the availability of effective early intervention, HIV infection recently has come to be conceptualized as a chronic illness. As we enter the next phase of the epidemic, insights into the challenges of daily living faced by seropositive persons will aid in designing appropriate interventions to educate for adaptive success and to ameliorate adaptive difficulties. In our analysis of…
Impact of parental terminal cancer on latency-age children
The underlying psychological and emotional components of distress were examined in 87 children with a parent in the terminal phase of cancer. Common fears, concerns, misperceptions, and behavioral consequences are analyzed, as are more severe psychological and behavioral reactions. Implications for psychoeducational parent-guidance intervention are discussed
Impact of parental terminal cancer on adolescents
Psychological and emotional concerns of adolescents during a parent's terminal cancer are described. Compared to younger children, the adolescents' greater cognitive and emphatic capacities allowed them to be more aware of losses and of the parent's physical and emotional pain. Parental illness also precipitated conflict around issues of developmentally appropriate separation. The capacity to use intellectual defenses, search for meaning and deep…
Reporting recent sexual practices
Psychological well-being of gay men with Aids
Ethnic-Racial Differences in Psychological Stress Related to Gay Lifestyle among Hiv-Positive Men
To examine whether there were any ethnic-racial differences among 144 HIV-infected gay men (47 Caucasian, 48 African-American, and 49 Puerto Rican) on psychological stressors related to the gay lifestyle, responses to the Gay Lifestyle Hassles scale were analyzed. The African-American and Puerto Rican men reported significantly higher scores on frequency of Gay Lifestyle Hassles and cumulated severity of Gay Lifestyle Hassles over-all than Caucas…
Psychological and psychosocial adjustment of HIV‐infected gay/bisexual men
The association between HIV disease progression (asymptomatic, symptomatic, AIDS) and mental health and psychosocial adjustment was examined among 144 men living in the New York City metropolitan area who had sex with men. While mean levels of mental health reported by the men did not differ by disease stage, mean levels of psychosocial adjustment did, with asymptomatic participants reporting significantly higher levels of adjustment on average, …
Testing and treatment behaviour of HIV-infected women
Findings from a study of the testing and treatment behaviour and experiences of African-American (n = 31), Puerto Rican (n = 30) and non-Hispanic white (n = 23) HIV-infected women are reported. All women were 20-45 years of age and had not yet been diagnosed with AIDS. Data for the analyses presented were gathered through an interviewer-administered questionnaire completed before respondents participated in an unstructured interview. The analyses…
Coping and Mood in Hiv-Positive Women
Illness‐Related Support and Negative Network Interactions
Data collected as part of a psychosocial study of gay and bisexual men's experiences of living with HIV infection as a chronic illness were examined to investigate the psychological impact of the perceived availability of illness‐related support and negative illness‐related network interactions in a sample of men from this population. The sample was comprised of 144 HIV‐infected non‐Hispanic white, African American, and Puerto Rican men living in…
Perceptions of Access to HIV-Related Information, Care, and Services among Infected Minority Men
The findings from a qualitative investigation of HIV-infected African American and Puerto Rican gay and bisexual men's experiences obtaining HIV-related information; seeking HIV-related health care; as well as soliciting assistance from, and involvement with, HIV/AIDS service organizations are presented. Many men felt that their race or ethnicity-alone or together with their lower socioeconomic status-had been a factor in their experiences in see…
HIV-infected women
Factors associated with HIV-infected women's delay in seeking medical care
Data from an investigation of HIV-infected African-American, Puerto Rican and non-Hispanic white women's treatment behaviour and decision-making are presented. Findings are based on a thematic analysis of the narrative accounts of 31 women who exhibited significant delay in seeing a physician about their HIV infection after testing positive for HIV antibodies. Analysis of the women's qualitative interview data indicated that a variety of barriers…
Psychological and psychosocial adjustment of HIV-infected gay/bisexual men
The association between HIV disease progression (asymptomatic, symptomatic, AIDS) and mental health and psychosocial adjustment was examined among 144 men living in the New York City metropolitan area who had sex with men. While mean levels of mental health reported by the men did not differ by disease stage, mean levels of psychosocial adjustment did, with asymptomatic participants reporting significantly higher levels of adjustment on average, …
Psychological adjustment of women with HIV/Aids
The relationship of race and ethnicity with standardized measures of depressive symptomatology and mental health was examined in a sample of HIV-infected African American (n = 48), Puerto Rican (n = 50), and White non-Hispanic (n = 48) women in New York City. Mean scores of women from all three racial and ethnic groups were higher than those reported for normative samples on measures of depressive symptomatology and psychological distress, and me…
Medicine (71 obras) · Psychology (69 obras) · HIV/AIDS Research and Interventions (46 obras) · Psychiatry (46 obras) · Family medicine (39 obras) · Social Psychology (35 obras) · Clinical Psychology (32 obras) · Human immunodeficiency virus (HIV (24 obras) · Adolescent Sexual and Reproductive Health (21 obras) · Demography (21 obras)