Suzanne Maman
Dados Biográficos
| ID | 129843 |
|---|---|
| NOME | Suzanne Maman |
| PRENOMES | Suzanne |
| SOBRENOME | Maman |
| ASSINATURA | MAMAN S |
| AFILIAÇÕES | University of North Carolina at Chapel Hill |
| ORCID | 0000-0003-4048-1585 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 107 |
| TOTAL DE CITAÇÕES | 222 |
| TOTAL COMO AUTOR | 107 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2000 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 7 |
Predictors of HIV Testing among Orphaned Youths in Three East African Countries
Fostering gender equality and alternatives to violence
Gender-based violence and violence against children are significant problems in South Africa. Community mobilisation and gender-transformative programming are promising approaches to address and reduce violence. A quantitative evaluation of One Man Can, a gender-transformative community mobilisation programme in South Africa, found mixed results in increasing gender-equitable behaviours and reducing violence. To better understand these findings, …
Equality in the Home and in the Community
The impact of HIV couple testing and counseling on social support among pregnant women and their partners in Lilongwe, Malawi
Couples HIV testing and counseling (couple counseling) promotes safer sexual behaviors, increases communication between couples, and decreases HIV transmission. However, the impact of couple counseling on social support, critical for persons living with HIV, has not been examined. Ninety couples with a recently tested HIV-positive pregnant woman (female-positive couples) and 47 couples with a recently tested HIV-negative pregnant woman (female-ne…
A longitudinal study of the relationship between intimate partner violence and postpartum unsafe sex among newly diagnosed HIV-infected South African women
HIV-positive women who engage in postpartum unsafe sex are at risk for sexually transmitted infection (STI), unintended pregnancy, and secondary transmission of HIV to uninfected partners. One factor that may increase risk for postpartum unsafe sex among HIV-positive women is intimate partner violence (IPV) victimization; few studies, however, have examined this association. This longitudinal study examined whether patterns of psychological, phys…
Sexual and Social Network Correlates of Willingness to Self-Test for HIV Among Ever-Tested and Never-Tested Men
We examined factors associated with HIV self-testing (HIVST) willingness among male ever-testers and never-testers who participated in a midpoint survey of a cluster randomized controlled HIV prevention trial in Dar es Salaam. Linear mixed binary logistic regression models were constructed to examine factors (demographic, HIV risk behavior, and sexual/social network) associated with willingness to self-test. Sixtyseven percent of 301 never-tester…
If the mother does not know, there is no way she can tell the adolescent to go for drugs”
Competition and Humiliation
We use data collected from in-depth interviews with men ( n = 30) in the Dominican Republic to explore how men's concern about being perceived as masculine influences their interactions with their social networks and how those interactions drive men's sexual behaviors and use of violence. Men's sexual and violent behaviors were shaped by the need to compete with other men for social status. This sense of competition also generated fear of humilia…
Microfinance and health interventions
Poverty is associated with numerous poor health outcomes. Youth unemployment in Tanzania is approximately 13.7%, and concentrates in urban areas. These youth lack relevant job skills and access to financial capital. Microfinance continues to be implemented globally to address poverty, and increasingly has been linked to health interventions. Men less frequently are recipients of microfinance loans. We offered microcredit to young men in an area o…
Infant and young child feeding learning sessions during savings groups are feasible and acceptable for HIV‐positive and HIV‐negative women in Malawi
Based on formative research, HIV-positive women in Lilongwe District, Malawi receive little infant and young child feeding (IYCF) counselling postpartum and want more support for IYCF from their husbands. To address these gaps, we implemented a behaviour change communication intervention promoting IYCF in village savings and loan associations (VSLAs) that included HIV-positive and HIV-negative women. The intervention consisted of 15 IYCF learning…
Correlates of Anxiety and Depression among Young Men Living in Dar Es Salaam, Tanzania
Maternal Decision-Making and Uptake of Health Services for the Prevention of Mother-to-Child HIV Transmission
Structural Network Position and Performance of Health Leaders Within an HIV Prevention Trial
Peer network influence on intimate partner violence perpetration among urban Tanzanian men
Male perpetration of intimate partner violence (IPV) against women in Tanzania is widespread. Theory and empirical evidence suggest peer networks may play an important role in shaping IPV perpetration, although research on this topic in sub-Saharan Africa is limited. Grounded in social learning theory, social influence theory, and the theory of gender and power, the purpose of this study was to examine whether and how peer networks influence men'…
Peer norms moderate the association between mental health and sexual risk behaviors among young men living in Dar es Salaam, Tanzania
Anxiety and depression strongly associated with sexual risk behaviors among networks of young men in Dar es Salaam, Tanzania
This study tested the association between mental health scores and sexual risk behaviors among male members of social groups known as "camps" in Dar es Salaam, Tanzania. Anxiety and depression were measured using the HSCL-25 and condom use and sexual partner concurrency were assessed through self-report. A total of 1113 sexually active men with an average age of 27 years were included in the analyses. Higher anxiety and depression scores were sig…
Understanding men’s networks and perceptions of leadership to promote HIV testing and treatment in Agincourt, South Africa
Understanding informal leadership in high HIV prevalence settings is important for the success of popular opinion leader (POL) and other HIV testing and treatment promotion strategies which aim to leverage the influence of these leaders. We conducted a study in Mpumalanga province, South Africa, in which we aimed to: (1) describe men's personal networks and key social relationships; and (2) describe the types of individuals men identify as leader…
HIV‐positive Malawian women with young children prefer overweight body sizes and link underweight body size with inability to exclusively breastfeed
Before the prevention of mother-to-child transmission (PMTCT) program was widely implemented in Malawi, HIV-positive women associated exclusive breastfeeding with accelerated disease progression and felt that an HIV-positive woman could more successfully breastfeed if she had a larger body size. The relationship between breastfeeding practices and body image perceptions has not been explored in the context of the Option B+ PMTCT program, which of…
We have heard it together”
Encouraging HIV-infected pregnant women to recruit male partners for couple HIV testing and counselling (CHTC) is promoted by the World Health Organization, but remains challenging. Formal strategies for recruiting the male partners of pregnant women have not been explored within an Option B+ programme. Our objective was to learn about experiences surrounding CHTC recruitment within a formal CHTC recruitment study. A randomised controlled trial c…
Experiences along the HIV care continuum
To be effective, HIV programmes should be responsive to the unique needs of diverse groups of infected adolescents. We highlight a range of adolescent perspectives on HIV services, including those who acquired HIV perinatally or sexually and those who were either in care, had dropped out of care, or had never enrolled in care. We conducted semi-structured interviews with 29 adolescents (aged 15-19) and 14 caregivers in western Kenya. Data were an…
HIV Positive Diagnosis During Pregnancy Increases Risk of IPV Postpartum Among Women with No History of IPV in Their Relationship
Hope, the Household Environment, and Sexual Risk Behaviors Among Young Women in Rural South Africa (HPTN 068)
Changes in Anxiety and Depression Symptoms Predict Sexual Risk Behaviors Among Young Men Living in Dar es Salaam, Tanzania
Gender, HIV Testing and Stigma
Individual, Partner, and Couple Predictors of HIV Infection among Pregnant Women in Malawi
The intersections of HIV and violence
The purpose of this paper is to review the available literature on the intersections between HIV and violence and present an agenda for future research to guide policy and programs. This paper aims to answer four questions: (1) How does forced sex affect women's risk for HIV infection? (2) How do violence and threats of violence affect women's ability to negotiate condom use? (3) Is the risk of violence greater for women living with HIV infection…
A comparison of HIV/Aids-related stigma in four countries
HIV-Positive Women Report More Lifetime Partner Violence
Objectives. Experiences of partner violence were compared between HIV-positive and HIV-negative women. Methods. Of 340 women enrolled, 245 (72%) were followed and interviewed 3 months after HIV testing to estimate the prevalence and identify the correlates of violence. Results. The odds of reporting at least 1 violent event was significantly higher among HIV-positive women than among HIV-negative women (physical violence odds ratio [OR] = 2.63; 9…
A comparison of HIV stigma and discrimination in five international sites
The role of religion in HIV-positive women's disclosure experiences and coping strategies in Kinshasa, Democratic Republic of Congo
The Process of Ending Abuse in Intimate Relationships
This article explores the suggestion that the transtheoretical model of behavior change is a promising conceptual framework for understanding how women end abuse in their intimate relationships. In-depth interviews were conducted with 78 women who were either currently in or had recently left abusive relationships. These results suggest that the model is consistent with how women describe surviving their abusive situations, and they have implicat…
It's all the time in my mind
Competition and Humiliation
We use data collected from in-depth interviews with men ( n = 30) in the Dominican Republic to explore how men's concern about being perceived as masculine influences their interactions with their social networks and how those interactions drive men's sexual behaviors and use of violence. Men's sexual and violent behaviors were shaped by the need to compete with other men for social status. This sense of competition also generated fear of humilia…
Development, validation, and performance of a scale to measure community mobilization
Evidence of social network influence on multiple HIV risk behaviors and normative beliefs among young Tanzanian men
Social venues that protect against and promote HIV risk for young men in Dar es Salaam, Tanzania
Using Participatory Mapping to Inform a Community-Randomized Trial of HIV Counseling and Testing
Participatory mapping and transect walks were used to inform the research and intervention design and to begin building community relations in preparation for Project Accept, a community-randomized trial sponsored by the National Institute of Mental Health. Project Accept is being conducted at five sites in four countries: Thailand, Zimbabwe, South Africa, and Tanzania. Results from the mapping exercises informed decisions such as defining commun…
Structural Barriers to Receiving Health Care Services for Female Sex Workers in Russia
Female sex workers in Russia have been particularly vulnerable to recent social, political, and economic changes. In this article, we describe the facilitators and barriers for sex workers receiving health care services in St. Petersburg, Russia. We conducted observations at medical institutions and nongovernmental organizations and in-depth interviews with 29 female sex workers. We identified the following barriers: poverty, not having documents…
Contraceptive Conversations among Adolescent Girls and Young Women and Their Partners, Peers, and Older Female Family Members in Lilongwe, Malawi
In sub‐Saharan Africa, adolescent girls and young women (AGYW) have high levels of unmet need for contraception, particularly those who are unmarried or nulliparous. Conversations with partners, peers, and family members influence AGYW contraceptive decision‐making yet little is known about conversation content and impact or how they vary by relationship status and parity. This paper draws on qualitative data from 60 AGYW (aged 15–24) participati…
Equality in the Home and in the Community
Peer norms moderate the association between mental health and sexual risk behaviors among young men living in Dar es Salaam, Tanzania
Addressing Intimate Partner Violence Among Female Clients Accessing HIV Testing and Counseling Services
The World Health Organization recommends that HIV counseling and testing (HCT) programs implement strategies to address how intimate partner violence (IPV) influences women's ability to protect themselves from and seek care and treatment for HIV infection. We discuss the process used to adapt a screening and brief intervention (SBI) for female clients of HCT services in Rakai, Uganda-a setting with high prevalence of both HIV and IPV. By outlinin…
Terms Used for People Living With HIV in the Democratic Republic of the Congo
For this study we conducted in-depth interviews with 29 youth living with HIV (YLWH) and key informant interviews with 8 HIV care/support providers. We describe terms used to portray people living with HIV (PLWH) in Kinshasa, Democratic Republic of the Congo. Labels commonly used, mostly derogatory, described PLWH as walking corpses, dangers to others, or people deserving to die before others get infected. Blame and other accusations were directe…
Questioning Mandatory Hiv Testing During Pregnancy
Schuklenk and Kleinsmidt’s recent proposal1 to pilot mandatory HIV testing of pregnant women during antenatal care in areas with high HIV prevalence rates provides a plausible ethical justification for compulsory testing and treatment—if such a program were likely to succeed. The authors fail, however, to provide evidence that their program would be successful. In addition, they overlook several basic implementation problems likely to accompany a…
The intersections of HIV and violence
The purpose of this paper is to review the available literature on the intersections between HIV and violence and present an agenda for future research to guide policy and programs. This paper aims to answer four questions: (1) How does forced sex affect women's risk for HIV infection? (2) How do violence and threats of violence affect women's ability to negotiate condom use? (3) Is the risk of violence greater for women living with HIV infection…
Women's barriers to HIV-1 testing and disclosure
In view of the ever-increasing HIV/AIDS epidemic in sub-Saharan Africa, the expansion of HIV-1 voluntary counselling and testing (VCT) as an integral part of prevention strategies and medical research is both a reality and an urgent need. As the availability of HIV-1 VCT grows two limitations need to be addressed, namely: low rates of HIV-1 serostatus disclosure to sexual partners and negative outcomes of serostatus disclosure. Results from a stu…
The Process of Ending Abuse in Intimate Relationships
This article explores the suggestion that the transtheoretical model of behavior change is a promising conceptual framework for understanding how women end abuse in their intimate relationships. In-depth interviews were conducted with 78 women who were either currently in or had recently left abusive relationships. These results suggest that the model is consistent with how women describe surviving their abusive situations, and they have implicat…
HIV-Positive Women Report More Lifetime Partner Violence
Objectives. Experiences of partner violence were compared between HIV-positive and HIV-negative women. Methods. Of 340 women enrolled, 245 (72%) were followed and interviewed 3 months after HIV testing to estimate the prevalence and identify the correlates of violence. Results. The odds of reporting at least 1 violent event was significantly higher among HIV-positive women than among HIV-negative women (physical violence odds ratio [OR] = 2.63; 9…
High Rates and Positive Outcomes of HIV-Serostatus Disclosure to Sexual Partners
Motivations, Understanding, and Voluntariness in International Randomized Trials
Research on informed consent conducted in wealthy countries has found that subjects' understanding of research often is incomplete or, at times, inaccurate. 1 Other studies reveal a subtler clouding of the distinction between treatment and research, whereby patient/subjects know they are in research, but view research as treatment for their disease. 2Such a misunderstanding may compromise meaningful decision-making about participation in clinical…
Community preparedness for HIV vaccine trials in the Democratic Republic of Congo
This paper reports on an assessment of community preparedness for HIV vaccine trials in the Democratic Republic of Congo. Formative research was conducted in the capital city of Kinshasa during the period October 2003 to March 2004 to answer questions pertinent to planning trials of a preventive HIV vaccine and to identify related issues. Twenty-seven in-depth interviews and two focus groups were held with potential trial participants and communi…
Skinning the goat and pulling the load
Transactional sex has been associated with risk of HIV infection in a number of studies throughout sub-Saharan Africa. Urban young women are economically vulnerable and at heightened risk of HIV infection in Tanzania; yet there are few studies that have explored relationship dynamics, including transactional sex, in this setting. This paper sheds light on the broader context of sexual relationships among youth at risk for HIV, how transactional s…
Questioning Mandatory Hiv Testing During Pregnancy
Schuklenk and Kleinsmidt’s recent proposal1 to pilot mandatory HIV testing of pregnant women during antenatal care in areas with high HIV prevalence rates provides a plausible ethical justification for compulsory testing and treatment—if such a program were likely to succeed. The authors fail, however, to provide evidence that their program would be successful. In addition, they overlook several basic implementation problems likely to accompany a…
The role of religion in HIV-positive women's disclosure experiences and coping strategies in Kinshasa, Democratic Republic of Congo
A comparison of HIV/Aids-related stigma in four countries
It's all the time in my mind
A comparison of HIV stigma and discrimination in five international sites
Using Participatory Mapping to Inform a Community-Randomized Trial of HIV Counseling and Testing
Participatory mapping and transect walks were used to inform the research and intervention design and to begin building community relations in preparation for Project Accept, a community-randomized trial sponsored by the National Institute of Mental Health. Project Accept is being conducted at five sites in four countries: Thailand, Zimbabwe, South Africa, and Tanzania. Results from the mapping exercises informed decisions such as defining commun…
Access to Treatment in Hiv Prevention Trials
Access to treatment, in HIV vaccine trials (HVTs), remains ethically controversial. In most prevention trials, including in South Africa, participants who seroconvert are referred to publicly funded programmes for treatment. This strategy is problematic when there is inadequate and uneven access to public sector antiretroviral therapy (ART) and support resources. The responsibilities, if any, of researchers, sponsors and public health authorities…
Factors associated with self-reported adherence to antiretroviral therapy in a Tanzanian setting
This study aimed to determine the level of antiretroviral adherence and factors associated with adherence among patients receiving free antiretroviral therapy (ART) at one clinic in Tanzania. Adult patients were recruited into the cross-sectional study and completed a survey that included self-reported adherence over four days and over one month. Less than 95% adherence on either measure was considered "poor." Factors associated with adherence in…
The complexity of consent
Informed consent has historically been a cornerstone to ensuring autonomy during HIV testing. However, recent changes to global guidance on HIV testing have led to substantial debate on what policy provisions are necessary to ensure that consent remains meaningful in the context of testing. Despite disproportionate rates of testing during pregnancy, pregnant women's perspectives on the HIV testing process are underrepresented in the testing disco…
Acceptability of a group intervention for initiates of antiretroviral therapy in Tanzania
The success of antiretroviral therapy (ART) programmes requires high adherence and retention in care. In light of healthcare shortages, group interventions may be optimal ways to deliver information and provide support to ART patients. This study assessed the acceptability of a group intervention for patients and their supporters, which aimed to decrease stigma, harness social support and improve adherence. Twenty-eight ART patients attended a fo…
HIV risk perceptions, knowledge and behaviours among female sex workers in two cities in Turkmenistan
This paper describes HIV risk behaviour patterns among street- and bar-based female sex workers in the Turkmenistan cities of Ashgabat and Mary. Street-based sex workers had little to no knowledge of HIV and primarily used condoms when condom use was initiated by clients. Bar-based sex workers had HIV knowledge and reported regularly using condoms mainly with first-time clients. While sex workers perceived themselves to be at low risk for acquiri…
Engaging Key Stakeholders to Assess and Improve the Professional Preparation of MPH Health Educators
Objectives. We described the process of engaging key stakeholders in a systematic review of requirements for a master of public health (MPH) degree within the Department of Health Behavior and Health Education, University of North Carolina Gillings School of Global Public Health, and summarized resulting changes. Methods. A benchmarking study of 11 peer institutions was completed. Key stakeholders (i.e., current students, alumni, faculty, staff, …
Social venues that protect against and promote HIV risk for young men in Dar es Salaam, Tanzania
Looking to the future
This paper examines the approaches heterosexual men and women in South Africa use to engage their partners in discussions of HIV and risk factors in their relationships. These strategies entail balancing the risks of infection while managing the challenges of maintaining a relationship. In a context in which there is a great deal of insecurity in relationships it is especially challenging to discuss HIV risks with partners. Our findings reveal th…
The infant feeding choices and experiences of women living with HIV in Kinshasa, Democratic Republic of Congo
HIV transmission through breastfeeding is a significant public health challenge. While breastfeeding provides important nutrition, and results in reduced morbidity and mortality, there is a risk of HIV transmission through breastfeeding. International prevention of mother-to-child transmission (PMTCT) guidelines recommend exclusive breastfeeding for six months among HIV-infected women on antiretroviral therapy. Promoting exclusive feeding has pro…
HIV testing for pregnant women
Ethical and human rights concerns have been expressed regarding the global shift in policies on HIV testing of pregnant women. The main purpose of this research was to conduct a policy analysis using a human rights-based approach of national policies for HIV testing of pregnant women. We collected HIV testing policies from 19 countries including: Cambodia, China, Guyana, Haiti, India, Jamaica, Kenya, Moldova, Papua New Guinea, Russian Federation,…
Understanding the diversity of male clients of sex workers in China and the implications for HIV prevention programmes
Male clients of sex workers have been overlooked in China's HIV prevention efforts. This study aims to examine men's practices and attitudes toward extramarital sexual relationships, motivations for visiting female sex workers (FSWs), perceptions of sexually transmitted infection (STI)/HIV risk and risk prevention strategies used. One hundred and eighty-six clients of FSWs with varying socio-economic statuses were interviewed in different sex wor…
Medicine (100 obras) · Psychology (70 obras) · Adolescent Sexual and Reproductive Health (67 obras) · HIV/AIDS Research and Interventions (62 obras) · Family medicine (53 obras) · Environmental health (49 obras) · Nursing (44 obras) · Sociology (44 obras) · Human immunodeficiency virus (HIV (43 obras) · Public health (40 obras)