Claude Ann Mellins
Dados Biográficos
| ID | 95881 |
|---|---|
| NOME | Claude Ann Mellins |
| PRENOMES | Claude Ann |
| SOBRENOME | Mellins |
| ASSINATURA | MELLINS C A |
| AFILIAÇÕES | New York Psychoanalytic Society and Institute |
| ORCID | 0000-0002-1978-7638 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 99 |
| TOTAL DE CITAÇÕES | 94 |
| TOTAL COMO AUTOR | 99 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 1987 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 6 |
Suubi+Adherence-Round 2
ClinicalTrials.gov , ID: NCT01790373
The secret life of young adolescents living with HIV in northern Mozambique - a mixed methods study
HIV-related secrecy prevails among ALHIV, a situation exacerbated by caregivers and healthcare providers. Caregivers play a major role in supporting adherence among young ALHIV, yet ALHIV could also benefit from adolescent-friendly services, including peer support, sexual and reproductive health services and preparation for independent health management. Integrating such programs into ART services in Mozambique may be critical to promoting ALHIV …
The Role of Behavioral and Neurocognitive Functioning in Substance Use Among Youth with Perinatally Acquired HIV Infection and Perinatal HIV Exposure Without Infection
Navigating Stigma Trajectory and Mental Health Among Young Adults Living with Perinatal HIV in New York City
Relationship Between Mental Health and HIV Transmission Knowledge and Prevention Attitudes Among Adolescents Living with HIV
Evaluating potential mediators for the impact of a family-based economic intervention (Suubi+Adherence) on the mental health of adolescents living with HIV in Uganda
Maximizing Response Rates to Ads for Free At-Home HIV Testing on a Men-for-Men Geosocial Sexual Networking App
Internet-based recruitment can be effective in reaching large numbers of geographically diverse individuals. Geosocial sexual networking apps on smartphones have emerged as the modal way in which men who have sex with men (MSM) meet sex partners, and as venues for sexual health research. We report on the performance of three types of ads—text-only, text with male figure (no face), and text with male figure (with face)—used on a geosocial sexual n…
The Situational Contexts of Sexual Experiences among Urban College Students
Objectives Research examining sex among college students has frequently focused on negative sexual experiences. This study aimed to understand situational predictors of various dimensions of students’ sexual experiences. Methods: 427 college students participated in a 60-day daily survey; 213 reported sex and were asked questions about each sexual encounter. Results: 1,664 sexual encounters were reported. 72.5% were described as very pleasurable,…
Longitudinal trajectories of neurocognitive test performance among individuals with perinatal HIV-infection and -exposure
There are an estimated 2.1 million youth less than 15 years of age living with HIV globally (the majority perinatally HIV-infected [PHIV]) and millions more perinatally HIV-exposed uninfected (PHEU) youth who are expected to survive through adolescence and into adulthood. Transitioning from adolescence to young adulthood requires adaptation to more demanding social interactions, academic pressures, and individual responsibilities which place dist…
Psychiatric disorders and young adult milestones in HIV-exposed, uninfected youth
The global population of perinatally HIV-exposed but uninfected (HEU) children is growing, with relatively little known about their psychosocial outcomes, particularly across adolescence and young adulthood. Using data from a longitudinal cohort study of HEU youth in New York City (N = 134), we examine rates of substance use disorders (SUD) and non-SUD psychiatric disorders (mood, anxiety, and behavioral) at five time-points during adolescence an…
Cognitive and Language Development at Age 4–6 Years in Children HIV‐Exposed But Uninfected Compared to Those HIV‐Unexposed and to Children Living With HIV
Perinatal HIV infection is associated with delayed neurocognitive development, but less is known about children perinatally HIV-exposed but uninfected (CHEU). We compared cognitive and language outcomes in 4-6-year old CHEU versus children HIV-unexposed and uninfected (CHUU) and children living with HIV (CLHIV). We enrolled 1,581 children (77% of the child population) in five communities in KwaZulu-Natal, South Africa. Children completed: Grover-…
Socio-Ecologically Constituted Types of Sexual Assault
Despite the burden of sexual assault on college campuses, few effective prevention programs exist. Understanding the socio-ecological context in which sexual assaults occur may illuminate novel pathways to augment prevention. We examined data from 349 students at two inter-connected urban universities who completed a population-based survey ( N = 1,671) and described at least one incident of sexual assault victimization. Using latent class analys…
Mental health and HIV/Aids
Tremendous biomedical advancements in HIV prevention and treatment have led to aspirational efforts to end the HIV epidemic. However, this goal will not be achieved without addressing the significant mental health and substance use problems among people living with HIV (PLWH) and people vulnerable to acquiring HIV. These problems exacerbate the many social and economic barriers to accessing adequate and sustained healthcare, and are among the mos…
Social Dimensions of Sexual Consent Among Cisgender Heterosexual College Students
Friends, strangers, and bystanders
Sexual assault is a part of many students' experiences in higher education. In U.S. universities, one in four women and one in ten men report being sexually assaulted before graduation. Bystander training programmes have been shown to modestly reduce campus sexual assault. Like all public health interventions, however, they have unintended social consequences; this research examines how undergraduate men on one campus understand bystander interve…
Caregiver perceptions of environment moderate relationship between neighborhood characteristics and language skills among youth living with perinatal HIV and uninfected youth exposed to HIV in New Yor…
Despite the increased recognition of how neighborhood conditions bear on cognitive and academic outcomes, no studies have examined the influences of objective and subjective neighborhood indices on specific areas of cognitive functioning among youth living with perinatal HIV (PHIV). In the United States (US), this is of particular concern as HIV has disproportionately affected African American youth living in economically disadvantaged and racial…
The Temporal Character of Sexual Consent among College Students
The presence or absence of sexual consent distinguishes between sexual contact that is sexual assault and sex that is not assault. While temporality is an implicit focus in studies of sexual consent, it has received relatively little attention as an object of analysis. Drawing on in-depth ethnographic research conducted as part of a mixed methods study on sexual health and sexual assault among college students, this article examines the role of t…
The Social Organization of Sexual Assault
In this review, we provide an overview of the literature on sexual assault. First, we define sexual assault, noting its multiple dimensions and the consequences for operationalization—including reviewing strategies for such operationalization. Second, we outline different approaches to sexual assault, critically assessing those frameworks that rely upon a model of sociopathy; instead, we propose focusing on more sociological and ecological unders…
The Advisory Board Perspective from a Campus Community-Based Participatory Research Project on Sexual Violence
Based on the experience of board members this article outlines four recommendations for the construction of CBPR studies: meeting frequently, co-education of board members and researchers, addressing power and privilege, and prioritizing highly valued participation, with mutual respect for and recognition of distinct roles and expertise
Residential summer camp for youth with special needs
Determinants of suboptimal adherence and elevated HIV viral load in pregnant women already on antiretroviral therapy when entering antenatal care in Cape Town, South Africa
Across sub-Saharan Africa, prevention of mother-to-child transmission services are encountering increasing numbers of women already established on antiretroviral therapy (ART) when entering antenatal care. However, there are few data examining ART adherence and HIV viral load in this group. We used multivariable logistic regression models to examine self-reported suboptimal adherence (defined as missed ART doses on ≥2 days during the preceding 30…
HIV-status disclosure and depression in the context of unintended pregnancy among South African women
Depressive symptoms are common among pregnant women living with HIV, and an unintended pregnancy may heighten vulnerability. HIV-status disclosure is thought to improve psychological well-being, but few quantitative studies have explored the relationships among disclosure, pregnancy intention and depression. Using multivariable linear regression models, we examined the impact of disclosure on depressive symptoms (Edinburgh Postnatal Depression Sc…
Suubi4Her
Clinical Trials NCT03307226 (Registered: 10/11/17)
Patterns and Predictors of HIV-Status Disclosure Among Pregnant Women in South Africa
Does Economic Strengthening Improve Viral Suppression Among Adolescents Living with HIV? Results From a Cluster Randomized Trial in Uganda
I Didn't Want To Be 'That Girl
This article deploys ethnographic data to explain why some students do not label experiences as sexual assault or report those experiences. Using ideas of social risks and productive ambiguities, it argues that not labeling or reporting assault can help students (1) sustain their current identities and allow for several future ones, (2) retain their social relationships and group affiliations while maintaining the possibility of developing a wide…
Communication About HIV and Risk Behaviors Among Mothers Living With HIV and Their Early Adolescent Children
Little is known about how mothers living with HIV communicate to their children about HIV risk. The current study explored communication between mothers and children about prevention and risk behaviors, the impact of maternal HIV infection and child knowledge of HIV, and concordance in reports from mothers and their children. The sample comprised 220 mothers and their early adolescent children (10-14 years old) who resided in socioeconomically di…
Cross-cultural adaptation of the Child Depression Inventory for use in Tanzania with children affected by HIV
Understanding the impact of the acquired immune deficiency syndrome (AIDS) epidemic is critical for developing appropriate interventions to create supportive environments for orphans and vulnerable children (OVC). Unfortunately, there are very few studies on the psychosocial wellbeing of children orphaned by AIDS in Africa, and even fewer in Tanzania. It has been difficult to make generalizations across studies and to identify and track children …
The Social Organization of Sexual Assault
In this review, we provide an overview of the literature on sexual assault. First, we define sexual assault, noting its multiple dimensions and the consequences for operationalization—including reviewing strategies for such operationalization. Second, we outline different approaches to sexual assault, critically assessing those frameworks that rely upon a model of sociopathy; instead, we propose focusing on more sociological and ecological unders…
Current Life Concerns of Early Adolescents and Their Mothers
Focus group discussions were conducted with inner-city ethnic minority families with regard to current life concerns, mother/child communication of concerns, and the influence of maternal HIV on both of those issues. Participants included early adolescents who were HIV-negative and their mothers (one-half were HIV-positive and one-half HIV-negative). Early adolescents were most concerned about sexual activity, pregnancy, safety and violence, and …
The influence of individual and family characteristics upon career aspirations of girls during childhood and adolescence
Sexual Behavior and Perceived Peer Norms
The Mental Health Risk of Mothers and Children
Rates of mental health problems in mothers and children in families affected by maternal HIV as compared to those not affected by maternal HIV but living in similar inner-city, low-SES, primarily ethnic-minority neighborhoods were examined. In addition, correspondence between mother and child mental health was explored. Interviews were conducted with 220 mother/child dyads regarding symptoms of depression and anxiety. Participants included HIV-ne…
A Comparison of Audio Computer-Assisted Self-Interviews to Face-to-Face Interviews of Sexual Behavior Among Perinatally HIV-Exposed Youth
Predicting the Onset of Sexual and Drug Risk Behaviors in HIV-Negative Youths with HIV-Positive Mothers
Evaluating potential mediators for the impact of a family-based economic intervention (Suubi+Adherence) on the mental health of adolescents living with HIV in Uganda
Residential summer camp for youth with special needs
A Prospective Study of the Onset of Sexual Behavior and Sexual Risk in Youth Perinatally Infected with HIV
Perinatally HIV-infected (PHIV+) youth are surviving into adolescence and young adulthood. Understanding the sexual development of PHIV+ youth is vital to providing them with developmentally appropriate HIV-prevention programs. Using pooled data (N = 417) from two longitudinal studies focused on HIV among youth (51% female; 39% HIV+) and their caregivers (92% female; 46% HIV+), the rate of sexual onset during adolescence across four youth-caregiv…
Perceptions of Adolescents’ Sexual Behavior Among Mothers Living With and Without HIV
The Advisory Board Perspective from a Campus Community-Based Participatory Research Project on Sexual Violence
Based on the experience of board members this article outlines four recommendations for the construction of CBPR studies: meeting frequently, co-education of board members and researchers, addressing power and privilege, and prioritizing highly valued participation, with mutual respect for and recognition of distinct roles and expertise
Disadvantaged neighborhood influences on depression and anxiety in youth with perinatally acquired human immunodeficiency virus
Children living with perinatal HIV illness (PHIV+) disproportionately reside in disadvantaged neighborhoods and contend with persistent mental health challenges. This study examined the influences of disadvantaged residential neighborhood on anxiety and depression, and potential resources that buffer against internalizing problems when youths were exposed to neighborhood stressors. Multilevel analysis of 196 PHIV+ and 129 perinatally HIV‐exposed …
Socio-Ecologically Constituted Types of Sexual Assault
Despite the burden of sexual assault on college campuses, few effective prevention programs exist. Understanding the socio-ecological context in which sexual assaults occur may illuminate novel pathways to augment prevention. We examined data from 349 students at two inter-connected urban universities who completed a population-based survey ( N = 1,671) and described at least one incident of sexual assault victimization. Using latent class analys…
A qualitative exploration of psychosocial challenges of perinatally HIV-infected adolescents and families in Bangkok, Thailand
Thailand has the highest HIV prevalence in Asia, with 9,600 HIV+ adolescents and thousands additional younger HIV+ children (World Bank, 2015; UNICEF, 2015). Studies from other settings suggest perinatally HIV-infected (PHIV+) adolescents are at high risk for mental health problems and engagement in risk behaviors that threaten individual and public health. Yet, few studies exist in Thailand, and few evidence-based psychosocial interventions have…
An Exploration of Family and Juvenile Justice Systems to Reduce Youth HIV / STI Risk
Using in-depth interviews with 20 probation youth (60% female; 35% white; 30% Hispanic; mean age 15years, range=13-17), their caregivers (100% female; mean age 44years, range=34-71) and 12 female probation officers (100% white; mean age 46years, range=34-57), we explored how family and probation systems exacerbate or mitigate sexual risk. We conducted thematic analyses of interviews, comparing narratives of families of sexually risky ( n= 9) vers…
HIV+ and HIV– youth living in group homes in South Africa need more psychosocial support
Orphans and vulnerable youth who live in group homes are at risk of poor mental health and sexual and drug-using behaviors that increase the risk of HIV transmission. This study explores factors related to this risk among youth living in group homes ("children's homes") for orphans and vulnerable children in South Africa, a country afflicted by high levels of parental loss due to HIV. The study explores 1) knowledge and attitudes about HIV, 2) so…
Asking Only “Did You Use a Condom?” Underestimates the Prevalence of Unprotected Sex Among Perinatally HIV Infected and Perinatally Exposed But Uninfected Youth
Among young adults who use condoms, incomplete condom use (putting a condom on after beginning or taking a condom off before finishing sex) and condom failure (condom breaking or slipping off during sex) are common. Therefore, sexual behavior surveys that ask only if a condom was used are likely to underestimate the actual prevalence of unprotected sex. This study examined data from 135 sexually active perinatally HIV-infected (PHIV+) youth and p…
The influence of individual and family characteristics upon career aspirations of girls during childhood and adolescence
The impact of pediatric HIV on infected children and their uninfected siblings
Psychiatric Symptomatology and Psychological Functioning in HIV-Infected Mothers
Psychosocial Factors Associated with Adaptation in HIV-Infected Mothers
Current Life Concerns of Early Adolescents and Their Mothers
Focus group discussions were conducted with inner-city ethnic minority families with regard to current life concerns, mother/child communication of concerns, and the influence of maternal HIV on both of those issues. Participants included early adolescents who were HIV-negative and their mothers (one-half were HIV-positive and one-half HIV-negative). Early adolescents were most concerned about sexual activity, pregnancy, safety and violence, and …
Adherence in people living with HIV/Aids, mental illness, and chemical dependency
Adherence to antiretroviral medications is central to reducing morbidity and mortality among people living with HIV/AIDS. Relatively few studies published to date address HIV adherence among special populations. The purpose of this article is to review the existing literature on HIV antiretroviral adherence, with an emphasis on studies among the triply diagnosed population of people living with HIV/AIDS, mental illness, and chemical dependency. I…
Multiple Dimensions of HIV Stigma and Psychological Distress Among Asians and Pacific Islanders Living With HIV Illness
Communication About HIV and Risk Behaviors Among Mothers Living With HIV and Their Early Adolescent Children
Little is known about how mothers living with HIV communicate to their children about HIV risk. The current study explored communication between mothers and children about prevention and risk behaviors, the impact of maternal HIV infection and child knowledge of HIV, and concordance in reports from mothers and their children. The sample comprised 220 mothers and their early adolescent children (10-14 years old) who resided in socioeconomically di…
Developmental, Ethnic, and Social Influences on Participation in Sexual Possibility Situations for Youth With HIV-Positive and HIV-Negative Mothers
This cross-sectional study examined the relationship among maternal HIV, pubertal development, gender, ethnicity, and spirituality and adolescent participation in sexual possibility situations (SPSs) and in sexual activity. SPSs are social encounters with cross-gender peers that afford the opportunity to engage in sexual activity. Heterosexual African American and Latino adolescents (10 to 14 years) and their HIV-positive or HIV-negative mothers …
Disclosure of an HIV Diagnosis to Children
Disclosing the diagnosis of human immunodeficiency virus (HIV) or AIDS to a child is a controversial and emotionally charged issue among both the health care communities and parents and caregivers of these children. This paper provides a systematic review of research on disclosure of pediatric HIV infection. It begins with a brief discussion of disclosure drawing from research on pediatric cancer. Next, we review the available research including …
The Mental Health Risk of Mothers and Children
Rates of mental health problems in mothers and children in families affected by maternal HIV as compared to those not affected by maternal HIV but living in similar inner-city, low-SES, primarily ethnic-minority neighborhoods were examined. In addition, correspondence between mother and child mental health was explored. Interviews were conducted with 220 mother/child dyads regarding symptoms of depression and anxiety. Participants included HIV-ne…
Predicting the Onset of Sexual and Drug Risk Behaviors in HIV-Negative Youths with HIV-Positive Mothers
Adherence to antiretroviral treatment among pregnant and postpartum HIV-infected women
Among women with HIV infection, pregnancy is a time when maintenance of maternal health and reduction of vertical HIV transmission are primary concerns. Few studies have examined adherence to Antiretroviral Treatment (ART) during pregnancy and in the postpartum period when the demands of childcare may significantly interfere with women's self-care behaviors. This study examined ART use and adherence in HIV-infected pregnant and postpartum women p…
Adherence to antiretroviral medications and medical care in HIV-infected adults diagnosed with mental and substance abuse disorders
This paper examines factors associated with adherence to antiretroviral medications (ARVs) in an HIV-infected population at high risk for non-adherence: individuals living with psychiatric and substance abuse disorders. Data were examined from baseline interviews of a multisite cohort intervention study of 1138 HIV-infected adults with both a psychiatric and substance abuse disorder (based on a structured psychiatric research interview using DSM-…
Power and empowerment
In sub-Saharan Africa, HIV/AIDS has resulted in a rapidly growing population of orphans and vulnerable children (OVC). These OVC have strained the traditional safety net provided by extended families to its breaking point. Increasingly, community-based initiatives are emerging to fill the gap. However, relatively little is known about these efforts and their effectiveness. This article looks at one such initiative in rural Tanzania, and explores …
Sexual Behavior and Perceived Peer Norms
Perceptions of Adolescents’ Sexual Behavior Among Mothers Living With and Without HIV
Psychosocial challenges and protective influences for socio-emotional coping of HIV+ adolescents in South Africa
INTRODUCTION: While the roll-out of antiretroviral therapy in South Africa should lead to a reduction in mother to child transmission, mortality and orphaning, it will also be accompanied by a large number of children entering adolescence and adulthood with a chronic infectious disease. Adolescence is a particularly vulnerable period for HIV-infected people in relation to mental health problems and engagement in high-risk behaviours, including no…
Cross-cultural adaptation of the Child Depression Inventory for use in Tanzania with children affected by HIV
Understanding the impact of the acquired immune deficiency syndrome (AIDS) epidemic is critical for developing appropriate interventions to create supportive environments for orphans and vulnerable children (OVC). Unfortunately, there are very few studies on the psychosocial wellbeing of children orphaned by AIDS in Africa, and even fewer in Tanzania. It has been difficult to make generalizations across studies and to identify and track children …
Mental health functioning among children and adolescents with perinatal HIV infection and perinatal HIV exposure
Mental health problems (MHPs) among children with perinatal HIV infection have been described prior to and during the highly active antiretroviral therapy (HAART) era. Yet child, caregiver and socio-demographic factors associated with MHPs are not fully understood. We examined the prevalence of MHPs among older children and adolescents with perinatal HIV exposure, including both perinatally HIV-infected (PHIV +) and perinatally HIV-exposed but un…
“I feel like I'm carrying a weapon.” Information and motivations related to sexual risk among girls with perinatally acquired HIV
Some adolescent girls perinatally infected with HIV (PIH) engage in sexual behavior that poses risks to their own well-being and that of sexual partners. Interventions to promote condom use among girls PIH may be most effective if provided prior to first sexual intercourse. With in-depth interviews, we explored gender- and HIV-specific informational and motivational factors that might be important for sexual risk reduction interventions designed …
Disadvantaged neighborhood influences on depression and anxiety in youth with perinatally acquired human immunodeficiency virus
Children living with perinatal HIV illness (PHIV+) disproportionately reside in disadvantaged neighborhoods and contend with persistent mental health challenges. This study examined the influences of disadvantaged residential neighborhood on anxiety and depression, and potential resources that buffer against internalizing problems when youths were exposed to neighborhood stressors. Multilevel analysis of 196 PHIV+ and 129 perinatally HIV‐exposed …
A Prospective Study of the Onset of Sexual Behavior and Sexual Risk in Youth Perinatally Infected with HIV
Perinatally HIV-infected (PHIV+) youth are surviving into adolescence and young adulthood. Understanding the sexual development of PHIV+ youth is vital to providing them with developmentally appropriate HIV-prevention programs. Using pooled data (N = 417) from two longitudinal studies focused on HIV among youth (51% female; 39% HIV+) and their caregivers (92% female; 46% HIV+), the rate of sexual onset during adolescence across four youth-caregiv…
Prevalence and change in psychiatric disorders among perinatally HIV-infected and HIV-exposed youth
As the pediatric HIV epidemic in resource-rich countries evolves into an adolescent epidemic, there is a substantive need for studies elucidating mental health needs of perinatally HIV-infected (PHIV +) youth as they transition through adolescence. This article examines the role of perinatal HIV infection in influencing mental health by comparing the changes in psychiatric disorders and substance use disorders (SUD) in PHIV + and perinatally HIV-…
Reproductive Health Decision-Making in Perinatally HIV-Infected Adolescents and Young Adults
Medicine (89 obras) · HIV/AIDS Research and Interventions (70 obras) · Psychology (66 obras) · Psychiatry (61 obras) · Adolescent Sexual and Reproductive Health (60 obras) · Clinical Psychology (40 obras) · Family medicine (38 obras) · Public health (37 obras) · Human immunodeficiency virus (HIV (33 obras) · Environmental health (32 obras)