D Scott Batey
Dados Biográficos
| ID | 5941723 |
|---|---|
| NOME | D Scott Batey |
| PRENOMES | D Scott |
| SOBRENOME | Batey |
| ASSINATURA | BATEY D S |
| AFILIAÇÕES | University of Alabama at Birmingham |
| ORCID | 0000-0002-2422-5787 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 39 |
| TOTAL DE CITAÇÕES | 10 |
| TOTAL COMO AUTOR | 39 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2012 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 1 |
Multilevel factors influencing HIV care and management in the Deep South
The United States Deep South bears a disproportionate HIV burden, with low rates of retention in care and viral suppression among people living with HIV (PWH). Factors influencing HIV care engagement can be understood through the modified social ecological model (MSEM), which comprises five interconnected layers: individual, network, community, policy, and HIV epidemic stage. We interviewed thirty HIV care professionals from Alabama, Mississippi,…
From trauma to trust
Background Transgender women (TGW) experience unique life traumas that may perpetuate negative sexual health outcomes, such as high rates of HIV and sexually transmitted infections. This is especially true in the US Deep South, where structural and cultural factors further marginalize gender minorities as well as people of color. Providing trauma informed care to TGW in sexual and reproductive health (SRH) settings is necessary, but strategies to…
Substance use patterns among U.S. adults with HIV
Given the significant syndemic of HIV and substance use in the U.S., this study sought to examine substance use patterns (consistent user, former user, recent adopter, and abstainers) and identify sociodemographic disparities among people with HIV (PWH). Using 2015–2019 National Survey on Drug Use and Health data (N = 212,411), we estimated prevalence rates and conducted multinomial logistic regression to assess associations between HIV status an…
Unequal gains
Infant mortality remains a critical public health concern in the United States, with disparities by race and maternal marital status. In response, Alabama implemented a pilot initiative in 2019 to reduce the state’s high infant mortality rate (IMR). This study evaluates the program’s effectiveness in mitigating IMR disparities across race and marital status. We utilized linked birth and infant death certificate data from 2014 to 2023 to assess pr…
The Role of Peer Patient Navigation in Enhancing PrEP Persistence Among LGBTQ + Populations and Other Individuals at High Susceptibility to HIV Transmission in the Deep South State of Alabama
This study evaluated the impact of peer patient navigation compared to standard care in promoting PrEP treatment among individuals at high risk for HIV in Alabama. The study was conducted at an LGBTQ+-focused primary care clinic dedicated to culturally competent, affirming care. Longitudinal data from January 2016 to June 2022, covering 4,194 visits by 764 patients, were analyzed. Three service periods were compared: Standard of Care (SOC) (01/20…
Healthcare Provider Perceptions on Screening and Treatment for Unhealthy Alcohol Use in HIV Primary Care Settings
Efficacy of CHAMPS for Improving Viral Suppression
Social Marketing Perspective on Participant Recruitment in Informatics-Based Intervention Studies
Examining the Intersection of Ethnoracial Disparities and HIV Status in Substance Use Risks among U.S. Adults
Black/African American and Hispanic Americans experience significant HIV-related disparities. Substance use might be a contributing factor to these disparities, but there is limited research on this topic. This study investigated various substance use risks by HIV status and race/ethnicity (Black, Hispanic, White) among U.S. adults. We used data from the 2005-2019 National Survey on Drug Use and Health (N = 541,921). In each racial/ethnic group, …
Partnership status and retention in care among cisgender heterosexual newly diagnosed people with HIV
This study examined the role of partnership status (married, unmarried-partnered, and unpartnered) on retention in care among newly diagnosed (2013-2017), cisgender heterosexual people with HIV in Birmingham, Alabama (n = 152). This study evaluated all scheduled HIV primary care provider visits for two years following diagnosis date. A kept-visit measure was calculated such that, if an individual attended ≥1 visit in each of the four 6-month inte…
Structural violence within communities and its impact on the well-being of people with HIV (PWH)
Structural violence (SV) is the concept that there are often invisible and intangible structures in place, whether political, economic, legal, cultural, religious, or social, that can inhibit individuals from reaching their full potential. There is a need to better understand the influence of SV on the well-being of people with HIV (PWH) in the Deep South. To address this gap in the literature, we interpreted data using a Structural Violence fram…
“If I have to drive 100 miles, I’ll drive 100 miles to get it”
Alabama depends heavily on Ryan White HIV/AIDS Program (RWHAP) funding, yet patient enrollment at one large, RWHAP-funded, academically-affiliated HIV clinic in Alabama has steadily increased each year, with approximately 20% bypassing more proximal RWHAP clinics. To understand reasons why patients travel long distances and bypass closer clinics to receive care, we conducted eight focus groups over Zoom, each containing between 2-3 participants (…
A feasibility study of the use of HIV self-tests in young men who have sex with men
Studies on HIV self-testing (HIV-ST) have been limited to adults (age 18+). The study assessed use of HIV-ST among a diverse group of young men who have sex with men (YMSM) in the United States (US) and assessed differences in uptake by demographic characteristics and requirements for parental consent. This study demonstrated feasibility of HIV-ST for YMSM as young as 14 years of age, which suggests potential for increasing HIV testing in this yo…
A community health worker and mobile health app intervention to improve adherence to HIV medication among persons with HIV
This trial was registered with Clinicaltrials.gov (NCT04562649) on 9/24/20
Role of Visit Modality in the HIV-Related No-Shows During the Covid-19 Pandemic
Development and Preliminary Validation of the PrEP Empowerment Scale
Chronic disease multimorbidity and substance use among African American men
Chronic disease multi-morbidity appears to be a context in which African American veterans may be at greater risk for certain undesirable health behaviors than African American non-veterans and at lower risk for others. This may be due to exposure to trauma, difficulty accessing care, socio-environmental factors, and co-occurring mental health conditions. These complex interactions may contribute to higher rates of SUDs among African American vet…
The impact of stigma and sexual identity on PrEP awareness and use among at-risk men who have sex with men in four U.S. cities (HPTN 078)
Persistent pre-exposure prophylaxis (PrEP) use reduces the risk of HIV infection, yet uptake lags among those with the greatest need. Sexual identity stigma may be a significant barrier to PrEP awareness and use among high-risk communities. The primary aim of this study was to determine whether sexual identity was related to PrEP awareness and use. This multi-site HIV Prevention Trials Network (HPTN) study (HPTN 078) focuses on men who have sex w…
Homonegative Victimization and Perceived Stress among Adolescent Sexual Minority Males
Purpose: Research suggests social support may protect sexual minorities from the harmful effects of victimization that undermine mental and sexual health wellness; however, this relationship has been underexplored among a diverse youth population. We examined the association between lifetime homonegative victimization, perceived stress in the last month, and resilience factors among a diverse sample of adolescent sexual minority males. Methods: D…
Changes in high-risk sexual behavior, HIV and other STI testing, and PrEP use during the Covid-19 pandemic in a longitudinal cohort of adolescent men who have sex with men 13 to 18 years old in the Un…
Assessing the Impact of Covid-19 on Retention in HIV Primary Care
Community-engaged Processes for Restarting Federally Funded Research in a Community-based Organization during the Coronavirus Disease 2019 Pandemic
The challenges presented by COVID-19 in the research sector have provided an opportunity to reevaluate study activities and increase the extent to which research is conducted in a community-centered manner
Drug and alcohol use among people living with HIV in care in the United States by geographic region
Substance use in the U.S. varies by geographic region. Opioid prescribing practices and marijuana, heroin, and methamphetamine availability are evolving differently across regions. We examined self-reported substance use among people living with HIV (PLWH) in care at seven sites from 2017-2019 to understand current regional substance use patterns. We calculated the percentage and standardized percentage of PLWH reporting current drug use and at-r…
Impact and correlates of sub-optimal social support among patients in HIV care
Social support (SS) predicts health outcomes among patients living with HIV. We administered a brief, validated measure of SS, the Multifactoral Assessment of Perceived Social Support, within a patient-reported outcomes assessment of health domains in HIV care at 4 U.S. clinics in English and Spanish (n = 708). In univariate analysis, low SS was associated with poorer engagement in care, antiretroviral adherence, and health-related quality of lif…
Patient and Provider Perspectives on HIV Stigma in Healthcare Settings in Underserved Areas of the US South
Technology Use among Emerging Adult Homeless in Two U.S. Cities
Researchers have shown increasing interest in technology use among youths and emerging adults (Bleakley, Merzel, VanDevanter, & Messeri, 2004; Redpath et al., 2006; Valentine & Bernhisel, 2008). However, no research to date examines this issue among emerging adult homeless. As these young people are more difficult to engage in services (Ensign & Bell, 2004; Hudson, Nyamathi, & Sweat, 2008) and have higher rates of mental illness (Merscham, Van Le…
Routine Depression Screening in an HIV Clinic Cohort Identifies Patients with Complex Psychiatric Co-morbidities Who Show Significant Response to Treatment
Technology Use among Emerging Adult Homeless in Two U.S. Cities
Researchers have shown increasing interest in technology use among youths and emerging adults (Bleakley, Merzel, VanDevanter, & Messeri, 2004; Redpath et al., 2006; Valentine & Bernhisel, 2008). However, no research to date examines this issue among emerging adult homeless. As these young people are more difficult to engage in services (Ensign & Bell, 2004; Hudson, Nyamathi, & Sweat, 2008) and have higher rates of mental illness (Merscham, Van Le…
Patient and provider priorities for self-reported domains of HIV clinical care
We sought to understand how HIV-infected patients, their providers, and HIV care researchers prioritize self-reported domains of clinical care. Participants rank-ordered two lists of domains. A modified Delphi process was used for providers and researchers. Approximately 25% of patients were interviewed to discuss rationale for rank order choices. List 1 included anger, anxiety, depression, fatigue, physical function, pain, and sleep disturbance.…
The Contribution of Missed Clinic Visits to Disparities in HIV Viral Load Outcomes
Objectives. We explored the contribution of missed primary HIV care visits (“no-show”) to observed disparities in virological failure (VF) among Black persons and persons with injection drug use (IDU) history. Methods. We used patient-level data from 6 academic clinics, before the Centers for Disease Control and Prevention and Health Resources and Services Administration Retention in Care intervention. We employed staged multivariable logistic re…
The HIV treatment cascade and care continuum
The HIV care continuum is a framework that models the dynamic stages of HIV care. The continuum consists of five main steps, which, at the population level, are depicted cross-sectionally as the HIV treatment cascade. These steps include diagnosis, linkage to care (LTC), retention in care (RiC), adherence to antiretroviral therapy (ART), and viral suppression. Although the HIV treatment cascade is represented as a linear, unidirectional framework…
A Mixed-Methods Exploration of the Needs of People Living with HIV (PLWH) Enrolled in Access to Care, a National HIV Linkage, Retention and Re-Engagement in Medical Care Program
Differences in health-related quality of life among persons living with HIV/Aids
We sought to identify differences in health-related quality of life (HRQoL) among a sample of HIV positive individuals receiving case management services in northern Florida. Our study consisted of 97 individuals receiving HIV case management that included 56 males (57.7%) and 81 African Americans (83.5%) who were 47.05 years old (SD = 9.33). HRQoL was measured using the HIV/AIDS Targeted-Quality of Life scale (HAT-QOL). Results show significant …
Suboptimal Retention in Care Among Recently Released Prisoners
Development and content validation of the Multifactoral assessment of perceived social support (MAPSS), a brief, patient-reported measure of social support for use in HIV care
Low perceived social support (SS) negatively impacts health outcomes. We developed a measure of perceived SS for use in HIV care. We sought and categorized legacy items, selecting strongest items within categories. We elicited SS concepts from patients in English/Spanish, coded transcripts to match item pool content, and developed new items for salient unrepresented content. In focus groups, patients prioritized highly-matched items. We conducted…
Accessing Pre-exposure Prophylaxis (PrEP)
Are missed- and kept-visit measures capturing different aspects of retention in HIV primary care
The literature recognizes six measures of retention in care, an integral component of the HIV Continuum of Care. Given prior research showing that different retention measures are differentially associated with HIV health outcomes (e.g., CD4 count and viral suppression), we hypothesized that different groups of people living with HIV (PLWH) would also have differential retention outcomes based on the retention measure applied. We conducted a cros…
Protocol of a randomized controlled trial to test the effects of client-centered Representative Payee Services on antiretroviral therapy adherence among marginalized people living with HIV
The aim of this study is to determine if CCRP improves health outcomes for vulnerable PLWH. Study outcomes may provide information about supports needed to help economically fragile PLWH improve health outcomes and ultimately improve HIV health disparities. In addition, findings may help to refine service delivery including the provision of representative payee to this often-marginalized population. This protocol was prospectively registered on M…
A randomized controlled efficacy trial of an mHealth HIV prevention intervention for sexual minority young men
ClinicalTrials.gov number, NCT03167606, registered May 30, 2017
Awareness, Willingness, and Perceived Efficacy of Pre-exposure Prophylaxis among Adolescent Sexual Minority Males
Drug and alcohol use among people living with HIV in care in the United States by geographic region
Substance use in the U.S. varies by geographic region. Opioid prescribing practices and marijuana, heroin, and methamphetamine availability are evolving differently across regions. We examined self-reported substance use among people living with HIV (PLWH) in care at seven sites from 2017-2019 to understand current regional substance use patterns. We calculated the percentage and standardized percentage of PLWH reporting current drug use and at-r…
Impact and correlates of sub-optimal social support among patients in HIV care
Social support (SS) predicts health outcomes among patients living with HIV. We administered a brief, validated measure of SS, the Multifactoral Assessment of Perceived Social Support, within a patient-reported outcomes assessment of health domains in HIV care at 4 U.S. clinics in English and Spanish (n = 708). In univariate analysis, low SS was associated with poorer engagement in care, antiretroviral adherence, and health-related quality of lif…
Patient and Provider Perspectives on HIV Stigma in Healthcare Settings in Underserved Areas of the US South
The impact of stigma and sexual identity on PrEP awareness and use among at-risk men who have sex with men in four U.S. cities (HPTN 078)
Persistent pre-exposure prophylaxis (PrEP) use reduces the risk of HIV infection, yet uptake lags among those with the greatest need. Sexual identity stigma may be a significant barrier to PrEP awareness and use among high-risk communities. The primary aim of this study was to determine whether sexual identity was related to PrEP awareness and use. This multi-site HIV Prevention Trials Network (HPTN) study (HPTN 078) focuses on men who have sex w…
Homonegative Victimization and Perceived Stress among Adolescent Sexual Minority Males
Purpose: Research suggests social support may protect sexual minorities from the harmful effects of victimization that undermine mental and sexual health wellness; however, this relationship has been underexplored among a diverse youth population. We examined the association between lifetime homonegative victimization, perceived stress in the last month, and resilience factors among a diverse sample of adolescent sexual minority males. Methods: D…
Changes in high-risk sexual behavior, HIV and other STI testing, and PrEP use during the Covid-19 pandemic in a longitudinal cohort of adolescent men who have sex with men 13 to 18 years old in the Un…
Assessing the Impact of Covid-19 on Retention in HIV Primary Care
Community-engaged Processes for Restarting Federally Funded Research in a Community-based Organization during the Coronavirus Disease 2019 Pandemic
The challenges presented by COVID-19 in the research sector have provided an opportunity to reevaluate study activities and increase the extent to which research is conducted in a community-centered manner
Partnership status and retention in care among cisgender heterosexual newly diagnosed people with HIV
This study examined the role of partnership status (married, unmarried-partnered, and unpartnered) on retention in care among newly diagnosed (2013-2017), cisgender heterosexual people with HIV in Birmingham, Alabama (n = 152). This study evaluated all scheduled HIV primary care provider visits for two years following diagnosis date. A kept-visit measure was calculated such that, if an individual attended ≥1 visit in each of the four 6-month inte…
Structural violence within communities and its impact on the well-being of people with HIV (PWH)
Structural violence (SV) is the concept that there are often invisible and intangible structures in place, whether political, economic, legal, cultural, religious, or social, that can inhibit individuals from reaching their full potential. There is a need to better understand the influence of SV on the well-being of people with HIV (PWH) in the Deep South. To address this gap in the literature, we interpreted data using a Structural Violence fram…
“If I have to drive 100 miles, I’ll drive 100 miles to get it”
Alabama depends heavily on Ryan White HIV/AIDS Program (RWHAP) funding, yet patient enrollment at one large, RWHAP-funded, academically-affiliated HIV clinic in Alabama has steadily increased each year, with approximately 20% bypassing more proximal RWHAP clinics. To understand reasons why patients travel long distances and bypass closer clinics to receive care, we conducted eight focus groups over Zoom, each containing between 2-3 participants (…
Medicine (34 obras) · HIV/AIDS Research and Interventions (31 obras) · HIV, Drug Use, Sexual Risk (22 obras) · Public health (20 obras) · Family medicine (19 obras) · Psychology (19 obras) · Nursing (16 obras) · Gerontology (15 obras) · Psychiatry (15 obras) · Health psychology (13 obras)