Zena Stein
Dados Biográficos
| ID | 3640323 |
|---|---|
| NOME | Zena Stein |
| PRENOMES | Zena |
| SOBRENOME | Stein |
| ASSINATURA | STEIN Z |
| AFILIAÇÕES | New York Psychoanalytic Society and Institute |
| VERIFICADO | Não |
| TOTAL DE OBRAS | 50 |
| TOTAL DE CITAÇÕES | 176 |
| TOTAL COMO AUTOR | 50 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 1960 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2016 |
| ÍNDICE H | 7 |
Emtonjeni—A Structural Intervention to Integrate Sexual and Reproductive Health into Public Sector HIV Care in Cape Town, South Africa
The Hearing Aid Industry Is More Helpful Than Suggested
AffiliationsZena A. Stein is Professor Emerita, Psychiatry and Public Health, Columbia University, New York, NY
Beyond Larc
AffiliationsErica L. Gollub is with the Department of Epidemiology at the Robert Stempel College of Public Health and Social Work at Florida International University, Miami. Zena A. Stein is with the Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY and the HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute, New York
Methods of Protection against Sexual Acquisition of HIV
Promoting Female Condom Use Among Female University Students in KwaZulu-Natal, South Africa
The Needle and the Damage Done
Project Reach
High rates of unintended pregnancies and sexually transmitted infection (STI), including HIV, highlight the importance of promoting dual protection (DP) - i.e., methods that offer concurrent protection against unintended pregnancies and STI - during contraceptive counseling. Using a Phase II quasi-experimental design, this study compared an individualized, clinic-based, nurse-delivered intervention designed to increase DP against standard of care…
Conflicts between conservative Christian institutions and secular groups in sub-Saharan Africa
Religious and secular institutions advocate strategies that represent all points on the continuum to reduce the spread of HIV/AIDS. Drawing on an extensive literature review of studies conducted in sub-Saharan Africa, we focus on those secular institutions that support all effective methods of reducing HIV/AIDS transmission and those conservative religious institutions that support a limited set of prevention methods. We conclude by identifying t…
Off-Label Use of the Female Condom for Anal Intercourse Among Men in New York City
We surveyed 111 male clients of an HIV/AIDS service organization in New York City in 2008 and 2009. Seventeen percent had used the female condom for anal intercourse; of these, 89.3% had used the female condom with male partners, 21.4% with female partners, and 10.7% with both. Users of the female condom for vaginal intercourse were more likely to use it for anal intercourse (odds ratio = 12.7; 95% confidence interval = 2.5, 64.9; P = .002). The …
Anal use of the female condom
Despite limited safety data and the absence of efficacy data, several studies have reported that the female condom is being used for anal sex by men who have sex with men. We describe providers' awareness of female condom use during anal sex among their clients and their experiences in counseling clients. We conducted semi-structured interviews with 78 health-care providers recruited from various health-care delivery systems in New York City: a f…
Gender norms in South Africa
In post-Apartheid South Africa, women are constitutionally guaranteed protections and freedoms that were previously unknown to them. These freedoms may have positive implications for women's ability to negotiate sexual protection with partners and hence prevent unintended pregnancy and decrease their risk of HIV. Among tertiary institution students, who are a relatively 'privileged' group, there is little information on gender norms that might sh…
Adding the Female Condom to the Public Health Agenda on Prevention of HIV and Other Sexually Transmitted Infections Among Men and Women During Anal Intercourse
Legal barriers to conducting public health research on methods of protection for anal intercourse were lifted in the United States in 2003 when the US Supreme Court invalidated all state antisodomy laws. Although research funding has been available for the development of rectal microbicides, the female condom, which has already been approved for vaginal use, has not been evaluated for anal use. Although there is no evidence that the female condom…
TheMpondombiliProject
Unintended pregnancy, HIV and other sexually transmitted infections are major threats to the health of South African youth. Gendered social norms make it difficult for young women to negotiate safer sex, and sexual coercion and violence are prevalent. Sexual activity among adolescents is influenced strongly by conservative social norms, which favour abstinence. In reality, most young people are sexually active by the end of the teen years. Girls’…
Microbicide acceptability research
The Future of the Female Condom
More than 10 years have elapsed since the female condom became widely available, and it remains the only femaleinitiated means of preventing both pregnancy and sexually transmitted infections (STIs), including HIV. The female condom was developed as an alternative to the male condom, and it was hailed as a method that would enable women to have greater control over their own protection from disease. With the support of the Joint United Nations Pr…
The Future of the Female Condom
Family Planning Providers' Perspectives On Dual Protection
Training is needed to reduce providers' negative perceptions of the female condom and to reinforce the importance of individualized counseling tailored to women's specific circumstances. Studies are needed on how to encourage family planning providers to promote male and female condoms as effective contraceptive methods
Family Planning Providers' Perspectives On Dual Protection
CONTEXT: Family planning providers can play an important role in helping women to identify their risk of HIV and other sexually transmitted diseases (STDs) and to adopt preventive measures. In-depth investigation of providers' attitudes about approaches to STD risk assessment, contraceptive counseling and dual protection–concurrent protection from STDs and unintended pregnancy–has been limited. METHODS: In semistructured interviews conducted in 1…
Female-Condom Use in a Gender-Specific Family Planning Clinic Trial
Objectives. We evaluated female-condom use among women participating in an HIV/STD intervention designed to reduce unprotected sex and expand prevention strategies. Methods. Women (n = 360) were recruited from a family-planning clinic and were randomized into an 8- or 4-session intervention group or a control group. We conducted follow-up interviews at 1, 6, and 12 months. Results. At 1 month, the odds ratios of first-time female-condom use were …
New York besieged
Epidemiologists all over the world have been good enough to express their concerns and worries about how we, and other friends and colleagues in New York, fared in the terror provoked on 11 September. This annotation responds to the editors' invitation that we convey something from our vantage point. We welcomed their interest. The experience is, so far, unique in history. Our account is personal, that of four individuals, all related (Sally marr…
Safer sex strategies for women
Silicone breast implants
Skeptics may certainly find fault with the third study (the only one to report a significant finding) or with all or any of the statistics described. But few could argue, after examining these studies, that the relative risk for a known and well-defined connective tissue disease is likely greater than 2. Another possibility has been raised, one that calls to mind other difficult-to-study syndromes linked to exposures. In a study addressing Gulf W…
Annotation
Annotation: prevention of HIV, other sexually transmitted diseases, and unwanted pregnancy--testing physical barriers available to women. Z Stein, and M SusserCopyRight https://doi.org/10.2105/AJPH.88.6.872 Published Online: October 07, 2011
Aids--an update on the global dynamics
AIDS--an update on the global dynamics. Z Stein, and M SusserCopyRight https://doi.org/10.2105/AJPH.87.6.901 Published Online: August 30, 2011
Infant survival, HIV infection, and feeding alternatives in less-developed countries
OBJECTIVES: This study examines, in the context of the human immunodeficiency virus (HIV) epidemic, the effects of optimal breast-feeding, complete avoidance of breast-feeding, and early cessation of breast-feeding. METHODS: The three categories of breast-feeding were weighed in terms of HIV transmission and infant mortality. Estimates of the frequency of adverse outcomes were obtained by simulation. RESULTS: Avoidance of all breast-feeding by th…
HIV prevention
Efforts to prevent heterosexual transmission of HIV (human immunodeficiency virus) infection have thus far focused on modifying sexual behaviors and the use of condoms. While the experience of family planners, particularly in those countries most threatened by heterosexual HIV transmission, has shown that the most effective measures of pregnancy prevention have relied on women, little attention has been given to barriers to HIV transmission that …
Microbicide acceptability research
Commentary
A US Food and Drug Administration (FDA) advisory panel has recommended that the female condom Reality be approved for contraception and acquired immunodeficiency syndrome (AIDS) prevention. Final FDA approval will mark the first official recognition of a woman-controlled method for protection against sexually transmitted disease. A female condom allows women to use just one method to respond to the twin anxieties of AIDS and unwanted pregnancy. I…
HIV prevention
HIV prevention: an update on the status of methods women can use. Z SteinCopyRight https://doi.org/10.2105/AJPH.83.10.1379 Published Online: October 07, 2011
Infant survival, HIV infection, and feeding alternatives in less-developed countries
OBJECTIVES: This study examines, in the context of the human immunodeficiency virus (HIV) epidemic, the effects of optimal breast-feeding, complete avoidance of breast-feeding, and early cessation of breast-feeding. METHODS: The three categories of breast-feeding were weighed in terms of HIV transmission and infant mortality. Estimates of the frequency of adverse outcomes were obtained by simulation. RESULTS: Avoidance of all breast-feeding by th…
Family planning, sexually transmitted diseases, and the prevention of Aids--divided we fail
Family planning, sexually transmitted diseases, and the prevention of AIDS--divided we fail? Z SteinCopyRight https://doi.org/10.2105/AJPH.86.6.783 Published Online: October 07, 2011
The effects of a natural disaster on child behavior
OBJECTIVES. A prospective study of children examined both before and after a flood disaster in Bangladesh is used to test the hypothesis that stressful events play a causal role in the development of behavioral disorders in children. METHODS. Six months before the disaster, structured measures of selected behavioral problems were made during an epidemiological study of disability among 2- to 9-year-old children. Five months after the disaster, a …
The double bind in science policy and the protection of women from HIV infection
The double bind in science policy and the protection of women from HIV infection. Z A SteinCopyRight https://doi.org/10.2105/AJPH.82.11.1471 Published Online: October 07, 2011
Smoking, alcohol and reproduction
Smoking, alcohol and reproduction. Z Stein, and J KlineCopyRight https://doi.org/10.2105/AJPH.73.10.1154 Published Online: October 07, 2011
The effects of vitamin A supplementation on the morbidity of children born to HIV-infected women
OBJECTIVE. The effects of vitamin A supplementation on morbidity of children born to human immunodeficiency virus (HIV)-infected women were evaluated in a population where vitamin A deficiency is not endemic. METHODS. A randomized, placebo-controlled trial of vitamin A supplementation was carried out in 118 offspring of HIV-infected women in Durban, South Africa. Those assigned to receive a supplement were given 50,000 IU of vitamin A at 1 and 3 …
More on women and the prevention of HIV infection
More on women and the prevention of HIV infection. Z A SteinCopyRight https://doi.org/10.2105/AJPH.85.11.1485 Published Online: October 07, 2011
The effects of teenaged motherhood and maternal age on offspring intelligence
Causal models of the effects of maternal age on offspring intelligence were generated using three large data sets. The direct and indirect effects of two components of maternal age, teenage motherhood and linear maternal age, were investigated separately for white and black children. The intervening variables investigated as routes of indirect effect were family structure, parental education, parental employment, family income, and family size. T…
Family Planning Providers' Perspectives On Dual Protection
Training is needed to reduce providers' negative perceptions of the female condom and to reinforce the importance of individualized counseling tailored to women's specific circumstances. Studies are needed on how to encourage family planning providers to promote male and female condoms as effective contraceptive methods
Maternal-infant HIV transmission and circumstances of delivery
OBJECTIVES. Circumstances of delivery among children with acquired immunodeficiency syndrome (AIDS) were investigated to assess whether they were consistent with predictions that intrapartum factors affect the risk of maternal-infant human immunodeficiency virus (HIV) transmission. METHODS. Pediatric AIDS patients (maternal-infant transmission; n = 632) reported to the New York City Health Department through 1991 were compared with a series of in…
Adding the Female Condom to the Public Health Agenda on Prevention of HIV and Other Sexually Transmitted Infections Among Men and Women During Anal Intercourse
Legal barriers to conducting public health research on methods of protection for anal intercourse were lifted in the United States in 2003 when the US Supreme Court invalidated all state antisodomy laws. Although research funding has been available for the development of rectal microbicides, the female condom, which has already been approved for vaginal use, has not been evaluated for anal use. Although there is no evidence that the female condom…
TheMpondombiliProject
Unintended pregnancy, HIV and other sexually transmitted infections are major threats to the health of South African youth. Gendered social norms make it difficult for young women to negotiate safer sex, and sexual coercion and violence are prevalent. Sexual activity among adolescents is influenced strongly by conservative social norms, which favour abstinence. In reality, most young people are sexually active by the end of the teen years. Girls’…
Female-Condom Use in a Gender-Specific Family Planning Clinic Trial
Objectives. We evaluated female-condom use among women participating in an HIV/STD intervention designed to reduce unprotected sex and expand prevention strategies. Methods. Women (n = 360) were recruited from a family-planning clinic and were randomized into an 8- or 4-session intervention group or a control group. We conducted follow-up interviews at 1, 6, and 12 months. Results. At 1 month, the odds ratios of first-time female-condom use were …
Safer sex strategies for women
Silicone breast implants
Skeptics may certainly find fault with the third study (the only one to report a significant finding) or with all or any of the statistics described. But few could argue, after examining these studies, that the relative risk for a known and well-defined connective tissue disease is likely greater than 2. Another possibility has been raised, one that calls to mind other difficult-to-study syndromes linked to exposures. In a study addressing Gulf W…
Characteristics of women with recurrent spontaneous abortions and women with favorable reproductive histories
Women with a history of recurrent spontaneous abortions (repeaters) are compared with women who have had live births and no spontaneous abortions (multiparae) and women who have had live births and only one spontaneous abortion (sporadics) to identify characteristics of the women and their abortuses that might predict subsequent fetal loss. A number of risk factors for recurrent spontaneous abortion have been identified: the loss of a chromosomal…
Ethics in Epidemiology
There is almost no step in the research process in epidemiology in which ethical issues do not exist. In this paper we follow the thread of our own experience in balancing values of scientific rigor against values concerning the interests of the people under study. Ethical issues in epidemiology are illustrated in the choice of research ques tions ; in the choice of study designs to explore the ques tions; in the maintenance of confidentiality; i…
The social dimensions of a symptom
Family Planning Providers' Perspectives On Dual Protection
CONTEXT: Family planning providers can play an important role in helping women to identify their risk of HIV and other sexually transmitted diseases (STDs) and to adopt preventive measures. In-depth investigation of providers' attitudes about approaches to STD risk assessment, contraceptive counseling and dual protection–concurrent protection from STDs and unintended pregnancy–has been limited. METHODS: In semistructured interviews conducted in 1…
New York besieged
Epidemiologists all over the world have been good enough to express their concerns and worries about how we, and other friends and colleagues in New York, fared in the terror provoked on 11 September. This annotation responds to the editors' invitation that we convey something from our vantage point. We welcomed their interest. The experience is, so far, unique in history. Our account is personal, that of four individuals, all related (Sally marr…
Annotation
Annotation: prevention of HIV, other sexually transmitted diseases, and unwanted pregnancy--testing physical barriers available to women. Z Stein, and M SusserCopyRight https://doi.org/10.2105/AJPH.88.6.872 Published Online: October 07, 2011
The Families of Dull Children
Under the Education Act of 1944, children who are backward at school may be referred for a special medical examination and officially "ascertained" as educationally subnormal (E.S.N.). On leaving school, they may be notified to the Local Health Authority and placed under the supervision of the mental health service. Some authorities, believing that these young people are able to manage their own affairs, take no action in such cases, whereas othe…
Hypothesis
Mismanaged cases are the accidents of medical care. As with other accidents, investigation may reveal recurrent patterns, and accidents that are predictable are prevented. In a file of cases studied there is a recurring pattern which has led to an hypothesis linking the form of the mismanagements with the doctor's work situation
Socio-medical study of enuresis among delinquent boys
Persistent enuresis, like apprehended juvenile crime, is common among poorly-housed and ill-educated families, and uncommon among intact families of the well-to-do. (For the social distribution of enuresis see Harnack, 1953; Bloomfield and
I.Q. Changes in Educationally Subnormal Children at Special School
Psychiatric Research and the Assessment of Change
PSYCHIATRIC RESEARCH AND THE ASSESSMENT OF CHANGE Zena A. Stein CopyRight https://doi.org/10.2105/AJPH.57.12.2220-a Published Online: August 29, 2011
The social dimensions of a symptom
Widowhood and mental illness
Recent views on mental retardation
Obesity in Young Men after Famine Exposure in Utero and Early Infancy
In a historical cohort study of 300,000 19-year-old men exposed to the Dutch famine of 1944-45 and examined at military induction, we tested the hypothesis that prenatal and early postnatal nutrition determines subsequent obesity. Outcomes were opposite depending on the time of exposure. During the last trimester of pregnancy and the first months of life, exposure produced significantly lower obesity rates (P less than 0.005). This result is cons…
Ethics in Epidemiology
There is almost no step in the research process in epidemiology in which ethical issues do not exist. In this paper we follow the thread of our own experience in balancing values of scientific rigor against values concerning the interests of the people under study. Ethical issues in epidemiology are illustrated in the choice of research ques tions ; in the choice of study designs to explore the ques tions; in the maintenance of confidentiality; i…
Stein and Susser reply
To the
The effects of teenaged motherhood and maternal age on offspring intelligence
Causal models of the effects of maternal age on offspring intelligence were generated using three large data sets. The direct and indirect effects of two components of maternal age, teenage motherhood and linear maternal age, were investigated separately for white and black children. The intervening variables investigated as routes of indirect effect were family structure, parental education, parental employment, family income, and family size. T…
Smoking, alcohol and reproduction
Smoking, alcohol and reproduction. Z Stein, and J KlineCopyRight https://doi.org/10.2105/AJPH.73.10.1154 Published Online: October 07, 2011
Characteristics of women with recurrent spontaneous abortions and women with favorable reproductive histories
Women with a history of recurrent spontaneous abortions (repeaters) are compared with women who have had live births and no spontaneous abortions (multiparae) and women who have had live births and only one spontaneous abortion (sporadics) to identify characteristics of the women and their abortuses that might predict subsequent fetal loss. A number of risk factors for recurrent spontaneous abortion have been identified: the loss of a chromosomal…
HIV prevention
Efforts to prevent heterosexual transmission of HIV (human immunodeficiency virus) infection have thus far focused on modifying sexual behaviors and the use of condoms. While the experience of family planners, particularly in those countries most threatened by heterosexual HIV transmission, has shown that the most effective measures of pregnancy prevention have relied on women, little attention has been given to barriers to HIV transmission that …
The double bind in science policy and the protection of women from HIV infection
The double bind in science policy and the protection of women from HIV infection. Z A SteinCopyRight https://doi.org/10.2105/AJPH.82.11.1471 Published Online: October 07, 2011
Commentary
A US Food and Drug Administration (FDA) advisory panel has recommended that the female condom Reality be approved for contraception and acquired immunodeficiency syndrome (AIDS) prevention. Final FDA approval will mark the first official recognition of a woman-controlled method for protection against sexually transmitted disease. A female condom allows women to use just one method to respond to the twin anxieties of AIDS and unwanted pregnancy. I…
HIV prevention
HIV prevention: an update on the status of methods women can use. Z SteinCopyRight https://doi.org/10.2105/AJPH.83.10.1379 Published Online: October 07, 2011
The effects of a natural disaster on child behavior
OBJECTIVES. A prospective study of children examined both before and after a flood disaster in Bangladesh is used to test the hypothesis that stressful events play a causal role in the development of behavioral disorders in children. METHODS. Six months before the disaster, structured measures of selected behavioral problems were made during an epidemiological study of disability among 2- to 9-year-old children. Five months after the disaster, a …
What was new at Yokohama--women's voices at the 1994 international HIV/Aids conference
What was new at Yokohama--women's voices at the 1994 international HIV/AIDS conference. Z SteinCopyRight https://doi.org/10.2105/AJPH.84.12.1887 Published Online: October 07, 2011
Maternal-infant HIV transmission and circumstances of delivery
OBJECTIVES. Circumstances of delivery among children with acquired immunodeficiency syndrome (AIDS) were investigated to assess whether they were consistent with predictions that intrapartum factors affect the risk of maternal-infant human immunodeficiency virus (HIV) transmission. METHODS. Pediatric AIDS patients (maternal-infant transmission; n = 632) reported to the New York City Health Department through 1991 were compared with a series of in…
The effects of vitamin A supplementation on the morbidity of children born to HIV-infected women
OBJECTIVE. The effects of vitamin A supplementation on morbidity of children born to human immunodeficiency virus (HIV)-infected women were evaluated in a population where vitamin A deficiency is not endemic. METHODS. A randomized, placebo-controlled trial of vitamin A supplementation was carried out in 118 offspring of HIV-infected women in Durban, South Africa. Those assigned to receive a supplement were given 50,000 IU of vitamin A at 1 and 3 …
More on women and the prevention of HIV infection
More on women and the prevention of HIV infection. Z A SteinCopyRight https://doi.org/10.2105/AJPH.85.11.1485 Published Online: October 07, 2011
The Effects of Vitamin A Supplementation on the Morbidity of Children Born to HIV-Infected Women
OBJECTIVE. The effects of vitamin A supplementation on morbidity of children born to human immunodeficiency virus (HIV)-infected women were evaluated in a population where vitamin A deficiency is not endemic. METHODS. A randomized, placebo-controlled trial of vitamin A supplementation was carried out in 118 offspring of HIV-infected women in Durban, South Africa. Those assigned to receive a supplement were given 50,000 IU of vitamin A at 1 and 3 …
Family planning, sexually transmitted diseases, and the prevention of Aids--divided we fail
Family planning, sexually transmitted diseases, and the prevention of AIDS--divided we fail? Z SteinCopyRight https://doi.org/10.2105/AJPH.86.6.783 Published Online: October 07, 2011
Medicine (44 obras) · Adolescent Sexual and Reproductive Health (25 obras) · Family medicine (25 obras) · Environmental health (20 obras) · HIV/AIDS Research and Interventions (17 obras) · Psychology (16 obras) · Population (15 obras) · Condom (14 obras) · Human immunodeficiency virus (HIV) (13 obras) · Demography (12 obras)