Monique J Brown
Dados Biográficos
| ID | 3583739 |
|---|---|
| NOME | Monique J Brown |
| PRENOMES | Monique J |
| SOBRENOME | Brown |
| ASSINATURA | BROWN M J |
| AFILIAÇÕES | University of South Carolina |
| ORCID | 0000-0001-9552-244X |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 69 |
| TOTAL DE CITAÇÕES | 40 |
| TOTAL COMO AUTOR | 69 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2014 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 3 |
Educational attainment and dementia among older women in the US
Higher education is associated with lower dementia risk. However, less is known about the moderating role of immigration status among women. The aims of this study were to: (a) examine the association between educational attainment and dementia among older women and (b) assess the moderating role of immigration status. Data were obtained from the 2020 Health and Retirement Study. Unadjusted and multivariable multinomial logistic regression models…
Impact of a Trauma-Informed Intervention on Psychosocial and HIV Treatment Outcomes Among Older Adults Living with HIV
A childhood sexual abuse (CSA) history is more prevalent among people living with HIV and may have lingering effects among older adults living with HIV (OALH). However, studies examining the impact of trauma-informed interventions among OALH are scant. The aim of the study was to determine the preliminary effect of the Coping with Childhood Sexual Abuse, HIV, and Aging (CoSHA) intervention on depressive symptoms, coping and ART adherence among OA…
Parenting Stress, Family Resilience, and Emotional Support Among US Military Families
Sociodemographic and HIV-Related Characteristics Associated with Mental Health Diagnoses Among People Living with HIV
Mental health diagnoses have been linked to poor HIV treatment outcomes and poorer quality of life among people living with HIV (PLWH). Therefore, this study aimed to investigate the association between sociodemographic and HIV-related characteristics, and common and serious mental health disorders among PLWH in South Carolina (SC). Data were obtained from the integrated system of statewide electronic health record (EHR) data in SC (2006-2019; N …
Investing in the development of the next generation of MCH leaders
The public health landscape is constantly evolving to address the strengths and needs of the community. Training for the public health workforce is leading the way, establishing an ecosystem approach that integrates individuals within social, political, and environmental contexts to promote health equity within a framework of social justice. One area of public health that is innovatively preparing the next generation of leaders is maternal and ch…
Caregiving burdens of task time and task difficulty among paid and unpaid caregivers of persons living with dementia
Background Demands of caregivers of persons living with dementia (PLWD) are often influenced by the context of their caregiving situation. This study examines common and unique factors associated with caregiving burden in terms of task time and task difficulty among paid and unpaid caregivers of PLWD. Methods Cross-sectional baseline survey data were analyzed from 107 paid and unpaid caregivers of PLWD participating in a larger NIH-funded study a…
Health-related quality of life pattern and correlates
This cross-sectional study assessed health-related quality of life (HRQoL) and its correlates among 386 people living with HIV (PLWH) receiving care at a large immunology center in South Carolina, USA. This study used the WHO Quality of Life (WHOQOL-HIV BREF) scale to measure HRQoL across six domains: physical, psychological, independence, social, environmental, and spiritual. The study found that mean HRQoL scores were statistically significantl…
Digital HIV information seeking and willingness to use a smartphone application for PrEP care among persons who inject drugs in Northeast Georgia, United States
Georgia has one of the highest rates of new HIV diagnoses in the United States, while rates of PrEP uptake are among the lowest. This study examines the association between seeking digital HIV information and willingness to use smartphone applications (app) for PrEP resources and services among people who inject drugs (PWID) living in northeast Georgia. Data were collected from adult HIV-negative PWID who reported using the internet (N = 130). Mo…
Factors that influence communication between healthcare providers and sexual minority men in HIV service delivery in Zambia
Studies that have investigated client-provider interactions in HIV service delivery have focused mainly on the views of sexual and gender minorities. This study explored the views of both Healthcare Providers (HCPs) and Sexual Minority Men (SMM) in Zambia about factors that influence client-provider interactions and how this could affect HIV service delivery. We conducted in-depth interviews with 20 HCPs (>25 years old) and 20 SMM (20-34 years ol…
Geographic disparities in unpaid caregiving
PURPOSE: An updated, nationally representative examination of rural-urban differences in the experiences, health, and well-being of caregivers is needed; previous research on this topic uses older data or has limited generalizability. This study examines rural-urban differences in the characteristics, experiences, and health of caregivers. METHODS: The 2021-2022 Behavioral Risk Factor Surveillance System (n = 44,274 unpaid caregivers) was used, w…
A closer examination of the “rural mortality penalty”
BACKGROUND: Racial health disparities are well documented and pervasive across the United States. Evidence suggests there is a "rural mortality penalty" whereby rural residents experience poorer health outcomes than their urban counterparts. However, whether this penalty is uniform across demographic groups and U.S. regions is unknown. OBJECTIVE: To assess how rural-urban differences in mortality differ by race (Black vs. White), U.S. region, pov…
Adverse Childhood Experiences, Positive Childhood Experiences, and Digital Media Use among Children and Adolescents in the United States
Compensatory internet use has been demonstrated to be a potential coping mechanism for stressors, which may lead to heavy digital media use. Little is known about what family-based factors may contribute to heavy digital media use among children and adolescents. This study used cross-sectional data from the 2021–2022 National Survey of Children’s Health to examine the prevalence of adverse and positive childhood experiences (ACEs and PCEs) and ho…
Gay Community Connectedness, Internalized Homonegativity, and HIV Pre-Exposure Prophylaxis (PrEP) Attitudes and Use Among Men Who Have Sex with Men in Georgia
Georgia has one of the highest HIV diagnosis rates in the U.S., yet only 33% of Pre-Exposure Prophylaxis (PrEP) users in the Deep South live there. This study aims to determine the potential mediational role of internalized homonegativity and attitudes towards PrEP between gay community connectedness and PrEP use among men who have sex with men (MSM) living in Georgia. Participants (N = 121) completed an online survey in June 2020. PrEP use (yes/…
Varying Forms of Childhood Sexual Abuse and Late-Life Depression Among Older Adults Living with HIV
Childhood sexual abuse (CSA) has been linked to depression in adulthood. However, studies examining the potential link between CSA and depression in older adulthood are limited. Therefore, the aim of this study was to examine the association between CSA and late-life depression among older adults living with HIV (OALH) using two measures of depression. Data were obtained from OALH attending an immunology clinic in South Carolina (n = 91). Multiva…
Social isolation and loneliness prevention among rural older adults aging-in-place
Introduction The adverse effects of social isolation and loneliness (SI/L) have been documented among older adults in rural communities and contribute to poor health outcomes, premature disability and mortality, and increased burden on the healthcare system. The identification of factors contributing to SI/L among older adults can build the foundation for rural policymakers and leaders to allocate resources and develop tailored strategies more ef…
Stories of childhood sexual abuse (CSA) among older adults living with HIV (Oalh) in South Carolina
Childhood sexual abuse (CSA) devastatingly impacts an individual's behavioral, psychological, and social health. Childhood, a developmental stage directly influenced by the home or school environment, leaves a life-long imprint. Compared with the general population, CSA prevalence is doubled among people living with HIV. Thus, the study aimed to explore CSA circumstances among older adults living with HIV (OALH) in South Carolina (SC). We include…
Childhood sexual trauma and opioid use among older adults living with HIV
Childhood sexual abuse (CSA) has been linked to substance use and substance use disorders in adulthood. However, there have been limited studies examining the relationship between CSA and opioid use among older adults living with HIV (OALH). Therefore, the aim of this study was to determine the association between CSA and opioid use among OALH (n = 91). Data were obtained from an HIV clinic population in South Carolina using paper-and-pen, and on…
Childhood sexual abuse and antiretroviral therapy adherence among older adults living with HIV
Findings on the association between childhood sexual abuse (CSA) and antiretroviral therapy (ART) adherence have been varied, with some studies showing a relationship, or a lack thereof. However, to our knowledge, no study has examined this association among older adults living with HIV (OALH). Therefore, the purpose of this study was to examine the association between CSA and ART adherence among OALH using a mixed methods approach. This study, w…
Health disparities in mortality among individuals with HIV-associated dementia in South Carolina
HIV disproportionately affects the South compared to other regions of the US. Some people living with HIV (PLWH) may acquire HIV-associated neurocognitive disorders (HAND), of which HIV-associated dementia (HAD) is the most severe form. This study aimed to examine the disparities in mortality among individuals with HAD. Data were obtained from the South Carolina Alzheimer's Disease and Related Dementias Registry from 2010 to 2016 (HAD: n = 505; N…
Rural‐urban differences in access to care among children and adolescents in the United States
PURPOSE: Rural children and adolescents face disproportionate challenges in access to health care services than their urban counterparts. Yet, recent evidence on disparities in access to health care between rural and urban children and adolescents has been limited. This study examines the associations of residence location with receipt of preventive care, foregone medical care, and continuity of insurance coverage among US children and adolescent…
Associations between sleep duration, sleep disturbance and cardiovascular disease biomarkers among adults in the United States
Short and long sleep durations were positively associated with abnormal CRP, HDL, HbA1c, blood glucose, and insulin levels, while sleep disturbance was associated with abnormal triglyceride and blood glucose levels. Since sleep is a modifiable factor, adopting healthy sleeping habits may create a balanced metabolism and reduce the risk of developing a CVD. Our study may provide insights into the relationship between sleep duration, sleep disturba…
Childhood Sexual Abuse and Compulsive Sexual Behavior Among Men Who Have Sex with Men Newly Diagnosed with HIV
Childhood sexual abuse (CSA) continues to be a public health challenge. The prevalence of experiencing CSA is higher among men who have sex with men (MSM) than the general population. CSA has been linked to compulsive sexual behavior (CSB) among varying populations but has not been examined among MSM who were newly diagnosed with HIV. Therefore, the aims of this study were to assess the direct association between CSA and CSB among newly diagnosed…
Adverse Childhood Experiences and HIV-Related Stigma
Experiencing adverse childhood experiences (ACEs) may impact personal opinions, attitudes, and judgments, which can further result in HIV-related stigma. HIV-related stigma consequentially may impact HIV preventive measures such as HIV testing, pre-exposure prophylaxis uptake, and condom use. The extent to which ACEs influence HIV-related stigma perception has not been well studied. Therefore, the study aimed to examine the association between AC…
Mental Health Care Disparities Among US Pregnant Individuals in 2020-2021
Purpose To examine maternal characteristics associated with perceived unmet mental health needs and mental health care settings, focusing on residential rurality and race/ethnicity. Methods This cross-sectional study analyzed self-reported unmet mental health needs and mental health care settings among 1097 pregnant respondents in the 2020-2021 National Survey on Drug Use and Health, incorporating the complex sampling weights for national represe…
Patterns of HIV Disclosure and its Impact on the HIV Care Continuum Among Black Men who Have Sex With Men in South Carolina
Addressing the psychosocial concerns of Black men who have sex with men (MSM), such as HIV disclosure, is critical for effective HIV treatment efforts. Black MSM living with HIV experience multiple psychosocial challenges, such as “triple stigma” due to their sexual orientation, racial minority status, and HIV status, which hinder their HIV disclosure and subsequent HIV care-seeking behavior. Our study sought to examine the HIV disclosure pattern…
Gendered racism, anxiety, and depression
Stress from gendered racism is associated with loneliness, which can negatively impact Black women's mental health. Findings suggest that gendered racialized stress and social isolation is important for understanding the relationship between gendered racism and mental health outcomes, such as anxiety and depression
Adverse childhood experiences and intimate partner aggression in the US
Exploring the association between parenting stress and a child's exposure to adverse childhood experiences (ACEs)
Covid-19-Related Changes in Assistance Networks for U.S. Older Adults with and without Dementia
Early in the pandemic, assistance networks of older adults adapted by substituting helpers, by contracting to reduce exposures with more intimate tasks for recipients with dementia, and by reducing transportation assistance. Future research should explore the impact of such changes on the well-being of older adults and their assistance networks
Sociodemographic and psychosocial correlates of resilience among older adults living with HIV in the Deep South
This cross-sectional study assessed the psychosocial and sociodemographic correlates of resilience among older adults living with HIV. Data were obtained from 103 men and 53 women aged 50 years and older in South Carolina. Multivariable linear regression models showed that employment (any) ( B: 3.52; 95% confidence interval : 1.04, 5.99), education ( B: −3.56; 95% confidence interval : −6.15, −0.98), time since diagnosis ( B: 0.18; 95% confidence…
Socioeconomic and demographic factors modify the association between informal caregiving and health in the Sandwich Generation
Our findings suggest that the added burden of caregiving for both children and elderly relatives may be impacted by income and race/ethnicity. These differences should be considered when developing culturally appropriate interventions to improve caregiver health and maintain this vital component of the US health care system
Depressive Symptoms, Substance Use and Partner Violence Victimization Associated with HIV Disclosure Among Men Who have Sex with Men
Meeting Sex Partners Through the Internet, Risky Sexual Behavior, and HIV Testing Among Sexually Transmitted Infections Clinic Patients
Adverse childhood experiences and intimate partner aggression in the US
Psychological reactance and HIV-related stigma among women living with HIV
Psychological reactance is defined as the drive to re-establish autonomy after it has been threatened or constrained. People living with HIV may have high levels of psychological reactance due to the restrictions that they may perceive as a result of living with HIV. People living with HIV may also exhibit levels of HIV-related stigma. The relationship between psychological reactance and HIV-related stigma is complex yet understudied. Therefore, …
Psychometric Evaluation of the HIV Disclosure Belief Scale
Vengeance, Condomless Sex and HIV Disclosure Among Men Who Have Sex with Men Living with HIV
Sex Disparities in Adverse Childhood Experiences and HIV/STIs
Outcome Expectancy and Sexual Compulsivity Among Men Who Have Sex with Men Living with HIV
Vengeance, sexual compulsivity and self-efficacy among men who have sex with men living with HIV
Vengeance is defined as a continuum of thoughts and/or actions ranging from harmless thoughts to destruction or death, due to feelings of hurt or anger, as a result of a perceived personal attack. Studies assessing the association between vengeance and HIV risk behavior are extremely lacking. The primary aims of this study were to examine the associations between vengeance and sexual compulsivity (SC), and self-efficacies (SEs) for condom use, HI…
Mediating Effects of Depressive Symptoms on Perceived Social Support and HIV Disclosure
The Impact of Peer Support on the Risk of Future Hospital Readmissions among Older Adults with a Medical Illness and Co-Occurring Depression
Older adults account for 60% of all preventable hospital readmissions. Although not all readmissions are preventable, evidence indicates that up to 75% of hospital readmissions can be prevented with enhanced patient education, pre-discharge assessment, and effective care upon discharge. Social support, specifically peer support, after discharge from hospital may be a crucial factor in minimizing the risk of preventable hospital readmission. The p…
Evaluation of HIV Disclosure Behavior Following a Randomized Controlled Disclosure Intervention for Men Who Have Sex with Men Living with HIV
Ways of coping and HIV disclosure among people living with HIV
Individuals living with HIV/AIDS face several stressors and use varying strategies to cope. Disclosure (or nondisclosure) of HIV serostatus is an important consideration among individuals living with HIV. However, studies examining the association between coping and HIV disclosure are lacking, and more research examining potential mediators and moderators is needed. The transactional model of stress and coping and the theory of planned behavior m…
Mediator and moderator effects on the relationship between HIV-positive status disclosure concerns and health-related quality of life
HIV-related stigma and the effect on quality of life is an on-going public health concern despite decades of education, prevention, and intervention efforts. The main purposes of this study were to examine the mediating role of four coping styles and the moderating role of gender on the relationship between HIV-positive status disclosure concerns and eight health-related quality of life outcomes. Data were collected from 346 women and men living …
Gender Disparities in Traumatic Life Experiences and Antiretroviral Therapy Adherence Among People Living with HIV in South Carolina
Exploring the association between parenting stress and a child's exposure to adverse childhood experiences (ACEs)
Psycho-Social Correlates of Opioid Use Disorder among the US Adult Population
Background The United States (US) has experienced an opioid epidemic over the last two decades. Drug overdose deaths increased by 21% from 2015 to 2016, with two-thirds of these deaths attributed to opioid use disorder (OUD). This study assessed the psycho-social correlates associated with OUD over 2015–2018 in the US. Methods: This study used data collected from 171,766 (weighted = 245,838,163) eligible non-institutionalized US adults in the poo…
Links between sexual trauma exposure and Quality of Life (QoL) domains among people living with HIV in the Southern United States
People living with HIV (PLHIV) in the United States (US) are more likely to experience traumatic events than non-affected peers. Sexual violence is a unique trauma that has important implications for HIV-related treatment and care. The aim of the current study was to examine links between sexual violence and Quality of Life (QoL) among PLHIV in South Carolina - a Southern state that is disproportionately impacted by the HIV epidemic. Specifically…
Effects of a Decision-Making Intervention to Help Decide Whether to Disclose HIV-Positive Status to Family Members on Well-Being and Sexual Behavior
Age and Sex Disparities in Sexual Trauma, Depressive Symptoms, and Antiretroviral Adherence Among People Living with HIV in the Deep South
Sociodemographic factors affecting viral load suppression among people living with HIV in South Carolina
Adherence to antiretroviral therapy (ART) enables people living with HIV (PLWH) to reach and maintain viral suppression. As viral suppression significantly reduces risk for secondary transmission, this study aimed to examine sociodemographic factors associated with viral suppression among PLWH in South Carolina (SC). We analyzed cross-sectional data collected from 342 PLWH receiving HIV care from a large clinic in SC and provided complete informa…
Regional differences of self-reported HIV testing among men in Haiti
Haiti has the greatest burden of HIV in the Caribbean. In 2018, the country's HIV prevalence was 2% with an estimated 2200 AIDS-related deaths. Using 2016-2017 Demographic and Health Survey (DHS) data, Haitian men's self-reported ever-having HIV testing was analyzed with a focus on their regions of residence. Only 34% of the men reported ever-having HIV testing. Men who lived in Northern region (aOR:1.59, 95%CI:1.23-2.05), and Southern region (aO…
Gendered racism, anxiety, and depression
Stress from gendered racism is associated with loneliness, which can negatively impact Black women's mental health. Findings suggest that gendered racialized stress and social isolation is important for understanding the relationship between gendered racism and mental health outcomes, such as anxiety and depression
Sociodemographic and psychosocial correlates of resilience among older adults living with HIV in the Deep South
This cross-sectional study assessed the psychosocial and sociodemographic correlates of resilience among older adults living with HIV. Data were obtained from 103 men and 53 women aged 50 years and older in South Carolina. Multivariable linear regression models showed that employment (any) ( B: 3.52; 95% confidence interval : 1.04, 5.99), education ( B: −3.56; 95% confidence interval : −6.15, −0.98), time since diagnosis ( B: 0.18; 95% confidence…
Medicine (58 obras) · Psychology (45 obras) · Psychiatry (43 obras) · HIV/AIDS Research and Interventions (38 obras) · Clinical Psychology (33 obras) · Gerontology (27 obras) · Psychological intervention (27 obras) · Public health (27 obras) · Environmental health (25 obras) · HIV, Drug Use, Sexual Risk (23 obras)