Marya Gwadz
Dados Biográficos
| ID | 95146 |
|---|---|
| NOME | Marya Gwadz |
| PRENOMES | Marya |
| SOBRENOME | Gwadz |
| ASSINATURA | GWADZ M |
| AFILIAÇÕES | New York University |
| ORCID | 0000-0002-2386-9409 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 59 |
| TOTAL DE CITAÇÕES | 160 |
| TOTAL COMO AUTOR | 59 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 1994 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 5 |
Understanding engagement with an emergency department-based peer navigator intervention for opioid overdose prevention for a subset of patients experiencing homelessness
The leading cause of death among people experiencing homelessness is overdose. New York City operates the Relay initiative, which sends trained peer “Wellness Advocates” (WAs) to meet patients in the emergency department (ED) who have presented with an opioid-involved overdose. A high proportion of Relay patients experience homelessness. We conducted in-depth, one-on-one qualitative interviews with patient recipients of Relay services, Relay peer…
“It’s Our Superpower”
African American/Black and Latine (AABL) emerging adults living with HIV have insufficient engagement along the HIV care continuum, and lower rates than their White peers. Some subpopulations (e.g., those with unsuppressed HIV viral load, immigrants) and aspects of their experiences are understudied. This study uses a sequential explanatory mixed-methods design to explore motivational appraisals (e.g., core health goals), generative capabilities …
Black and Latinx Foreign- and US-Born Young and Emerging Adults Living with HIV
Social processes and engagement along the HIV care continuum
Racial/ethnic and age-related disparities in HIV care continuum engagement are serious in the US. American/Black and Latine (AABL) young/emerging adults living with HIV have the lowest rates of engagement, but aspects of their experiences and some subpopulations are understudied. The present study is grounded in social action theory and uses a sequential explanatory mixed methods design to explore social interaction processes (e.g., social networ…
Understanding African American/Black and Latine young and emerging adults living with HIV
The present study advances knowledge on AABL young/emerging adults living with HIV and highlights ways to improve screening and services
A mixed methods descriptive study of a diverse cohort of African American/Black and Latine young and emerging adults living with HIV
The present study advances what is known about the backgrounds and contexts of diverse and understudied AABL young/emerging adults living with HIV
Perspectives on Covid-19 Vaccination Among Unvaccinated and Under-Vaccinated African American/Black and Latine Frontline Essential Workers
PrEP Intentions, Heavy Substance Use, and Gender Affirmation among Black and Latine Transgender and Gender-Expansive Youth
Intentions to Use PrEP Among a National Sample of Transgender and Gender-Expansive Youth and Emerging Adults
Nobody’s Going to Say No to a Dollar”
People living with HIV (PLWH) experiencing chronic poverty may divert their antiretroviral therapy (ART) as an economic survival strategy, yet their lived experiences remain under examined. We conducted a phenomenological analysis of in-depth interviews with Black and Latino (N = 38) PLWH from two trials using the Intervention Innovations Team's Integrated Conceptual Model (IIT-ICM), which centers systemic and socioeconomic inequities in HIV care…
Engaging Diverse African American/Black and Latine Youth and Emerging Adults Living with HIV into Research
Empirical Development of a Behavioral Intervention for African American/Black and Latino Persons with Unsuppressed HIV Viral Load Levels
A virtual pilot optimization trial for African American/Black and Latino persons with non-suppressed HIV viral load grounded in motivational interviewing and behavioral economics
Introduction: Virtual and low-touch behavioral interventions are needed for African American/Black and Latino persons living with HIV (PLWH) with barriers to HIV viral suppression, particularly during COVID-19. Guided by the multiphase optimization strategy, we explored three components for PLWH without viral suppression, grounded in motivational interviewing and behavioral economics: (1) motivational interviewing counseling, (2) 21-weeks of auto…
Exploring behavioral intervention components for African American/Black and Latino persons living with HIV with non-suppressed HIV viral load in the United States
The present study advances research on interventions for African American/Black and Latino PLWH, who experience complex barriers to engagement along the HIV care continuum. Future study of the components is warranted to address racial/ethnic health inequities in HIV
Understanding why racial/ethnic inequities along the HIV care continuum persist in the United States
To reduce racial/ethnic inequities and end the HIV epidemic, it is necessary to understand African American/Black and Latino PLWH's perspectives on the systemic impediments they experience throughout the HIV care continuum. This study uncovers and describes a number of salient barriers and how they operate, including unexpected findings regarding drug diversion and negative aspects of congregate housing. There is growing awareness that systemic r…
A factorial experiment grounded in the multiphase optimization strategy to promote viral suppression among people who inject drugs on the Texas-Mexico border
This project was registered at clinicaltrials.gov (NCT05377463) on May 17th, 2022
Suubi + Adherence4Youth
This project was registered at clinicaltrials.gov (NCT05600621) on October, 31, 2022. https://clinicaltrials.gov/ct2/show/NCT05600621
Effects of Behavioral Intervention Components for African American/Black and Latino Persons Living with HIV with Non-suppressed Viral Load Levels
Behavioral intervention grounded in motivational interviewing and behavioral economics shows promise with Black and English-speaking Latino persons living with HIV with unsuppressed HIV viral load in …
Introduction: Sustained HIV viral suppression is the ultimate goal of HIV treatment. African American/Black and Latino persons with HIV (PWH) in the United States are less likely than their White peers to achieve and sustain viral suppression. To address these disparities, we developed a "low-touch" behavioral intervention drawing on motivational interviewing and behavioral economics. The intervention had three main components: (1) a motivational…
Advancing behavioral interventions for African American/Black and Latino persons living with HIV using a new conceptual model that integrates critical race theory, harm reduction, and self-determinati…
The new conceptual model emphasizes the salience of systemic/structural and social factors that drive health behavior and the resultant interventions foster trust, self-reflection, engagement, and behavior change. The model has potential to enhance intervention acceptability, feasibility, and effectiveness with African American/Black and Latino PLWH
Using the multiphase optimization strategy (Most) framework to optimize an intervention to increase Covid-19 testing for Black and Latino/Hispanic frontline essential workers
ClinicalTrials.gov: NCT05139927 ; Registered on 11/29/2021. Protocol version 1.0. May 2, 2022, Version 1.0
Feasibility and Acceptability of the Adherence Connection Counseling, Education, and Support (Access) Proof of Concept
African American/Black and Latino Adults with Detectable HIV Viral Load Evidence Substantial Risk for Polysubstance Substance Use and Co-occurring Problems
“No brokers to move out of here”
Homelessness in the United States has been increasing at an exponential rate over the past three decades, and the US has not experienced the current level of homelessness since the Great Depression of the 1930's. With this rise in homelessness has come an increase in the number of rules, regulations, and strict and punitive policies within shelters. Given the historic levels of homelessness nationally and increased bureaucracy, this paper aims to…
Understanding Medical Distrust Among African American/Black and Latino Persons Living With HIV With Sub-Optimal Engagement Along the HIV Care Continuum
Medical distrust is a potent barrier to participation in HIV care and medication use among African American/Black and Latino (AABL) persons living with HIV (PLWH). However, little is known about sociodemographic and risk factors associated with distrust. We recruited adult AABL PLWH from low socio-economic status backgrounds with insufficient engagement in HIV care ( N = 512). Participants completed structured assessments on three types of distru…
The Coming‐Out Process and Its Adaptational and Health‐Related Associations Among Gay, Lesbian, and Bisexual Youths
A model is proposed and explored that links the coming‐out process to the psychological functioning (i.e., self‐esteem and distress) and sexual behaviors of gay, lesbian, and bisexual youths recruited from gay‐focused community‐based and college organizations in New York City. The coming‐out process is multidimensional, consisting, as defined here, of involvement in gay/lesbian activities, attitudes toward homosexuality, comfort with homosexualit…
The psychosexual development of urban lesbian, gay, and bisexual youths
An examination of cognitive sexual orientation, sexual partner activity, and sexual identity was conducted among 76 lesbian/bisexual female youths and 80 gay/bisexual male youths (age range of 14–21 years) recruited from community‐based or college organizations for lesbian / gay youths in New York City. Self‐identification as lesbian / gay or bisexual changed over time; more than half the youths who identified as lesbian / gay at the interview ha…
Exploration of Substance Use Among Lesbian, Gay, and Bisexual Youth
The prevalence and correlates of substance use and abuse were explored among lesbian, gay male, and bisexual youth recruitedfrom gay-focused organizations in New York City. Lifetime substance use was prevalent andfrequent, as was quantity of use and substance abuse symptoms. Few significant gender or ethnic differences emerged, but the significant differences unexpectedly indicated that the female youth were at greater risk for substance abuse th…
An Intervention for Parents With Aids and Their Adolescent Children
Objectives. This study evaluated an intervention designed to improve behavioral and mental health outcomes among adolescents and their parents with AIDS. Methods. Parents with AIDS (n = 307) and their adolescent children (n = 412) were randomly assigned to an intensive intervention or a standard care control condition. Ninety-five percent of subjects were reassessed at least once annually over 2 years. Results. Adolescents in the intensive interv…
Resilience among young men who have sex with men in New York City
Timing of HIV Interventions on Reductions in Sexual Risk Among Adolescents
Examined the effectiveness of an HIV intervention program among 151 adolescents ages 13 to 24 years who were randomly assigned to (a) seven sessions of 1.5 hr each (10.5 hr); (b) three sessions of 3.5 hr each (10.5 hr); or (c) a no‐intervention condition. Using cognitive‐behavioral intervention strategies, social skills and HIV‐related beliefs, perceptions, and norms were targeted in both the three‐ and seven‐session, small‐group intervention con…
Understanding organizations for runaway and homeless youth
I Thought There Was No Hope for Me
In this article, the authors evaluate the effects of a behavioral intervention for mothers with problem drinking who were infected with, or at risk for, HIV. They randomly selected 25 mothers from a larger longitudinal randomized controlled intervention trial for a qualitative interview. The authors found that mothers' participation in the program was facilitated by the development of a strong therapeutic alliance with the intervention facilitato…
Support, Criticism, Emotion and Depressive Symptoms
It has been suggested that the level of support and criticism provided by significant others is associated with subjects' level of depressive symptoms. The present study was designed with two goals in mind: (1) to examine the relationship between partners' level of support and criticism during a conflict resolution task, and subjects' emotional response; and (2) to assess the relationship between subjects' emotional response, and their level of d…
Forgetting to take HIV antiretroviral therapy
18) were purposively sampled for maximum variability and engaged in semi-structured/in-depth interviews on HIV/ART management. The analysis took a directed content analysis approach. Participants were mostly male (56%) and African American/Black (79%), between 50 and 69 years old, and had lived with HIV for an average of 21 years. Findings were organised into six inter-related themes: (1) forgetting to take ART was a shorthand description of a co…
Support, Criticism, Emotion and Depressive Symptoms
It has been suggested that the level of support and criticism provided by significant others is associated with subjects' level of depressive symptoms. The present study was designed with two goals in mind: (1) to examine the relationship between partners' level of support and criticism during a conflict resolution task, and subjects' emotional response; and (2) to assess the relationship between subjects' emotional response, and their level of d…
The psychosexual development of urban lesbian, gay, and bisexual youths
An examination of cognitive sexual orientation, sexual partner activity, and sexual identity was conducted among 76 lesbian/bisexual female youths and 80 gay/bisexual male youths (age range of 14–21 years) recruited from community‐based or college organizations for lesbian / gay youths in New York City. Self‐identification as lesbian / gay or bisexual changed over time; more than half the youths who identified as lesbian / gay at the interview ha…
Exploration of Substance Use Among Lesbian, Gay, and Bisexual Youth
The prevalence and correlates of substance use and abuse were explored among lesbian, gay male, and bisexual youth recruitedfrom gay-focused organizations in New York City. Lifetime substance use was prevalent andfrequent, as was quantity of use and substance abuse symptoms. Few significant gender or ethnic differences emerged, but the significant differences unexpectedly indicated that the female youth were at greater risk for substance abuse th…
Timing of HIV Interventions on Reductions in Sexual Risk Among Adolescents
Examined the effectiveness of an HIV intervention program among 151 adolescents ages 13 to 24 years who were randomly assigned to (a) seven sessions of 1.5 hr each (10.5 hr); (b) three sessions of 3.5 hr each (10.5 hr); or (c) a no‐intervention condition. Using cognitive‐behavioral intervention strategies, social skills and HIV‐related beliefs, perceptions, and norms were targeted in both the three‐ and seven‐session, small‐group intervention con…
The Coming‐Out Process and Its Adaptational and Health‐Related Associations Among Gay, Lesbian, and Bisexual Youths
A model is proposed and explored that links the coming‐out process to the psychological functioning (i.e., self‐esteem and distress) and sexual behaviors of gay, lesbian, and bisexual youths recruited from gay‐focused community‐based and college organizations in New York City. The coming‐out process is multidimensional, consisting, as defined here, of involvement in gay/lesbian activities, attitudes toward homosexuality, comfort with homosexualit…
An Intervention for Parents With Aids and Their Adolescent Children
Objectives. This study evaluated an intervention designed to improve behavioral and mental health outcomes among adolescents and their parents with AIDS. Methods. Parents with AIDS (n = 307) and their adolescent children (n = 412) were randomly assigned to an intensive intervention or a standard care control condition. Ninety-five percent of subjects were reassessed at least once annually over 2 years. Results. Adolescents in the intensive interv…
Gay-related stress and emotional distress among gay, lesbian and bisexual youths
Gender differences in attitudes toward Aids clinical trials among urban HIV-infected individuals from racial and ethnic minority backgrounds
Racial/ethnic minorities and women are under-represented in AIDS clinical trials (ACTs). We examined gender differences in willingness to participate in ACTs among urban HIV-infected individuals (N = 286). Sixty percent of participants were male, and most were from racial/ethnic minority backgrounds (55% African-American, 34% Latino/Hispanic, 11% White/other). Knowledge of ACTs was poor. Males and females did not differ substantially in their dis…
Resilience among young men who have sex with men in New York City
I Thought There Was No Hope for Me
In this article, the authors evaluate the effects of a behavioral intervention for mothers with problem drinking who were infected with, or at risk for, HIV. They randomly selected 25 mothers from a larger longitudinal randomized controlled intervention trial for a qualitative interview. The authors found that mothers' participation in the program was facilitated by the development of a strong therapeutic alliance with the intervention facilitato…
Behavioral interventions for HIV infected and uninfected mothers with problem drinking
This article evaluates the efficacy of a 14-session social-cognitive behavioral intervention on problem drinking (and where applicable, drug use) among urban HIV-infected and uninfected mothers, in comparison to a single-session social/motivational intervention, and explores the relationships of initial substance use problem severity and HIV status to efficacy. A randomized controlled trial design was used. Participants (N = 118) were mothers wit…
An Exploratory Behavioral Intervention Trial to Improve Rates of Screening for Aids Clinical Trials Among Racial/Ethnic Minority and Female Persons Living with HIV/Aids
The Effect of Peer-Driven Intervention on Rates of Screening for Aids Clinical Trials Among African Americans and Hispanics
Objectives. We examined the efficacy of a peer-driven intervention to increase rates of screening for AIDS clinical trials among African Americans and Hispanics living with HIV/AIDS. Methods. We used a randomized controlled trial design to examine the efficacy of peer-driven intervention (6 hours of structured sessions and the opportunity to educate 3 peers) compared with a time-matched control intervention. Participants were recruited using resp…
Predictors of Screening for Aids Clinical Trials Among African-Americans and Latino/Hispanics Enrolled in an Efficacious Peer-Driven Intervention
Theory, Measurement and Hard Times
ACT2 Peer-Driven Intervention Increases Enrollment into HIV/Aids Medical Studies Among African Americans/Blacks and Hispanics
Strategies to uncover undiagnosed HIV infection among heterosexuals at high risk and link them to HIV care with high retention
ClinicalTrials.gov, NCT01607541, Registered May 23, 2012
Hybrid STTR intervention for heterosexuals using anonymous HIV testing and confidential linkage to care
ClinicalTrials.gov, NCT02421159 , Registered April 15, 2015
Behavioral Intervention Improves Treatment Outcomes Among HIV-Infected Individuals Who Have Delayed, Declined, or Discontinued Antiretroviral Therapy
Optimization of Multicomponent Behavioral and Biobehavioral Interventions for the Prevention and Treatment of HIV/Aids
Critical race theory as a tool for understanding poor engagement along the HIV care continuum among African American/Black and Hispanic persons living with HIV in the United States
Critical race theory proved useful in uncovering how macro-level structural racism affects individual-level health decisions and behaviors. HIV clinical settings can counter-balance the effects of structural racism by building "structural competency," and interventions fostering core self-determination needs including autonomy may prove culturally appropriate and beneficial for AABH-PLWH
Using the multiphase optimization strategy (Most) to optimize an HIV care continuum intervention for vulnerable populations
ClinicalTrials.gov, NCT02801747 , Registered June 8, 2016
Understanding organizations for runaway and homeless youth
Doing battle with “the monster”
In the context of economic and social inequality, HIV stigma operates on multiple, intersecting layers. IR-HRA struggle with an aversion to HIV testing, because adopting another stigmatized status is dangerous. They also find ways to manage stigma to engage in testing, even if not at recommended levels. Findings highlight strategies to reduce HIV stigma at the levels of communities, institutions, and individuals to improve rates of annual HIV tes…
Perceived access and barriers to care among illicit drug users and hazardous drinkers
The current study found that financial burdens of care, logistical difficulties in accessing care, and low social support were common challenges among individuals using illicit drugs and/or drinking hazardously. Addressing structural barriers and strengthening social support may be important strategies to improve health care among marginalized populations, regardless of HIV status
Medicine (49 obras) · HIV/AIDS Research and Interventions (43 obras) · Public health (38 obras) · Psychiatry (37 obras) · Psychology (36 obras) · Family medicine (29 obras) · Clinical Psychology (25 obras) · Nursing (25 obras) · HIV, Drug Use, Sexual Risk (23 obras) · Human immunodeficiency virus (HIV (23 obras)