Marguerite Baty Lucea | Towson University (original) (raw)

Papers by Marguerite Baty Lucea

Research paper thumbnail of Intimate Partner Violence, Depression, PTSD, and Use of Mental Health Resources Among Ethnically Diverse Black Women

Social Work in Health Care, 2013

Research paper thumbnail of INTIMATE PARTNER VIOLENCE AND MENTAL HEALTH Intimate partner violence among African American and African Caribbean women: prevalence, risk factors, and the influence of cultural attitudes

Background: Women of African descent are disproportionately affected by intimate partner abuse; y... more Background: Women of African descent are disproportionately affected by intimate partner abuse; yet, limited data exist on whether the prevalence varies for women of African descent in the United States and those in the US territories. Objective: In this multisite study, we estimated lifetime and 2-year prevalence of physical, sexual, and psychological intimate partner abuse (IPA) among 1,545 women of African descent in the United States and US Virgin Islands (USVI). We also examined how cultural tolerance of physical and/or sexual intimate partner violence (IPV) influences abuse. Design: Between 2009 and 2011, we recruited African American and African Caribbean women aged 1855 from health clinics in Baltimore, MD, and St. Thomas and St. Croix, USVI, into a comparative case-control study. Screened and enrolled women completed an audio computer-assisted self-interview. Screening-based prevalence of IPA and IPV were stratified by study site and associations between tolerance of IPV an...

Research paper thumbnail of Prevalence of Intimate Partner Abuse Among Afro Caribbean and African American Women

... Co-Authors: Gloria Callwood; Doris W Campbell; Laura Sutton; Kelly Wight; Trista Jones; Jacqu... more ... Co-Authors: Gloria Callwood; Doris W Campbell; Laura Sutton; Kelly Wight; Trista Jones; Jacquelyn Campbell; Jamila Stockman; Richelle Bolyard; Phyllis W ... Women 18-55 of African descent who have had an intimate partner within the prior two years and are seeking care in ...

Research paper thumbnail of Examining HIV risk, partner violence and relationship power among young adults in Cebu, the Philippines

Research paper thumbnail of The intersection of intimate partner violence against women and HIV/AIDS: a review

International Journal of Injury Control and Safety Promotion, 2008

Research paper thumbnail of Intimate Partner Violence, Substance Use, and Adverse Neonatal Outcomes among Urban Women

The Journal of Pediatrics, 2013

Objective-To assess the prevalence of intimate partner violence, substance use, and their cooccur... more Objective-To assess the prevalence of intimate partner violence, substance use, and their cooccurrence during pregnancy and examines their associations with adverse neonatal outcomes. Study design-Between February 2009 and February 2010, pregnant women receiving obstetrical care at three urban clinics were screened for intimate partner violence and substance use between 24-28 weeks gestation. A chart review was conducted upon delivery to assess for adverse neonatal outcomes of low birth weight (LBW), preterm birth, and small for gestational age (SGA). Results-Maternal and neonatal data were collected on 166 mothers and their neonates. Overall, 19% of the sample reported intimate partner violence during their pregnancies. Of the study's neonates 41% had at least one adverse neonatal outcome. Nearly half of the mothers reported using at least one substance during pregnancy. Women experiencing intimate partner violence had a higher prevalence of marijuana use than their non-abused counterparts (p < 0.01). Experiencing intimate partner violence was associated with a fourfold increase in having a SGA neonate (aOR = 4.00; 95% CI 1.58-9.97). Women who reported marijuana use had five times the odds of having a neonate classified as SGA (aOR = 5.16, 95% CI 2.24-11.89) or LBW (aOR 5.00; 95% CI 1.98-12.65). Conclusions-The prevalence of intimate partner violence during pregnancy and substance use is high in urban mothers, the risks of which extend to their neonates. Pediatric providers are urged to routinely screen for both issues and recognize the impact of co-occurrence of these risk factors on poor neonatal and childhood outcomes.

Research paper thumbnail of Disordered Eating among African American and African Caribbean Women: The Influence of Intimate Partner Violence, Depression, and PTSD

Issues in Mental Health Nursing, Jul 30, 2012

We assessed the influence of intimate partner violence (IPV), depression and post-traumatic stres... more We assessed the influence of intimate partner violence (IPV), depression and post-traumatic stress disorder (PTSD) on disordered eating patterns (DE) among women of African descent through a comparative case-control study (N=790) in Baltimore, MD and St. Thomas and St. Croix, US Virgin Islands from 2009-2011. IPV, depression and PTSD were independent risk factors in the full sample. The relationship between IPV and DE was partially mediated by depression. The influence of risk for lethality from violence was fully mediated by depression. IPV should be considered in research and treatment of DE and both IPV and DE assessed when the other or depression is detected. Eating disorders and disordered eating (DE) patterns affect more than estimated 8 million Americans, 7 million of whom are women. (South Carolina Department of Mental Health, 2006) In a nationally representative survey of US households (2001-2003), prevalence rates of eating disturbances for women ranged from 1%-4%. (Hudson, Hiripi, Pope Jr., & Kessler, 2007; Meltzer-Brody et al., 2011) Understanding of risk factors associated with DE and eating disorder symptomatology is critical as eating disorders have the highest mortality rate of any mental health related problem.

Research paper thumbnail of HIV Risk, Partner Violence, and Relationship Power Among Filipino Young Women: Testing a Structural Model

Health Care for Women International, 2012

A person&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;... more A person&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s ability to minimize HIV risk is embedded in a complex, multidimensional context. In this study, we tested a model of how relationship power impacts IPV victimization, which in turn impacts HIV risk behaviors. We analyzed data from 474 young adult women (aged 15-31) in Cebu Province, Philippines, using structural equation modeling, and demonstrated good fit for the models. High relationship power is directly associated with increased IPV victimization, and IPV victimization is positively associated with increased HIV risk. We highlight in this article the complex dynamics to consider in HIV risk prevention among these young women.

Research paper thumbnail of The Context of Condom Use Among Young Adults in the Philippines: Implications for HIV Prevention

Health Care For Women International

We examine current perceptions and constraints surrounding condom use among young adults in the P... more We examine current perceptions and constraints surrounding condom use among young adults in the Philippines to garner a deeper contextual understanding of this aspect of HIV prevention within Filipino society. Through thematic analysis of focus group data, we found three broad themes, all of which include societal and individual barriers to using condoms. The findings may provide insight for similar settings in which religion has a strong influence on society. To strengthen HIV prevention efforts in such settings, we suggest that the development of strategies to address these constraints and promote healthy sexuality in young adults is essential.

Research paper thumbnail of Health effects of partner violence: Aiming toward prevention

Preventing partner violence: Research and evidence-based intervention strategies., 2009

Research paper thumbnail of Impact of Intimate Partner Forced Sex on HIV Risk Factors in Physically Abused African American and African Caribbean Women

J Immigrant Minority Health, 2014

Research paper thumbnail of Intimate partner violence among African American and African Caribbean women: prevalence, risk factors, and the influence of cultural attitudes

Global health action, 2014

Women of African descent are disproportionately affected by intimate partner abuse; yet, limited ... more Women of African descent are disproportionately affected by intimate partner abuse; yet, limited data exist on whether the prevalence varies for women of African descent in the United States and those in the US territories. In this multisite study, we estimated lifetime and 2-year prevalence of physical, sexual, and psychological intimate partner abuse (IPA) among 1,545 women of African descent in the United States and US Virgin Islands (USVI). We also examined how cultural tolerance of physical and/or sexual intimate partner violence (IPV) influences abuse. Between 2009 and 2011, we recruited African American and African Caribbean women aged 18-55 from health clinics in Baltimore, MD, and St. Thomas and St. Croix, USVI, into a comparative case-control study. Screened and enrolled women completed an audio computer-assisted self-interview. Screening-based prevalence of IPA and IPV were stratified by study site and associations between tolerance of IPV and abuse experiences were exami...

Research paper thumbnail of Intimate partner violence among African American and African Caribbean women: prevalence, risk factors, and the influence of cultural attitudes

Global health action, 2014

Women of African descent are disproportionately affected by intimate partner abuse; yet, limited ... more Women of African descent are disproportionately affected by intimate partner abuse; yet, limited data exist on whether the prevalence varies for women of African descent in the United States and those in the US territories. In this multisite study, we estimated lifetime and 2-year prevalence of physical, sexual, and psychological intimate partner abuse (IPA) among 1,545 women of African descent in the United States and US Virgin Islands (USVI). We also examined how cultural tolerance of physical and/or sexual intimate partner violence (IPV) influences abuse. Between 2009 and 2011, we recruited African American and African Caribbean women aged 18-55 from health clinics in Baltimore, MD, and St. Thomas and St. Croix, USVI, into a comparative case-control study. Screened and enrolled women completed an audio computer-assisted self-interview. Screening-based prevalence of IPA and IPV were stratified by study site and associations between tolerance of IPV and abuse experiences were exami...

Research paper thumbnail of Genital Herpes Testing Among Persons Living With HIV

Journal of the Association of Nurses in AIDS Care, 2011

This cross-sectional survey explored the frequency of genital herpes testing among 110 people liv... more This cross-sectional survey explored the frequency of genital herpes testing among 110 people living with HIV (PLWH) and reported barriers and facilitators related to testing. Forty-four percent of the respondents had not been tested for genital herpes since receiving an HIV diagnosis, 34% had been tested, and 22% preferred not to say. Respondents' most frequently cited factors affecting a decision to not be tested were: (a) testing not being recommended by a provider, (b) not having herpes symptoms, and (c) not thinking they had herpes. Data from this study indicated that PLWH were not frequently tested for genital herpes; there was a limited understanding of the frequently subclinical nature of infection; and provider recommendations for testing, or lack thereof, affected testing decisions.

Research paper thumbnail of Intimate partner violence, substance use, and adverse neonatal outcomes among urban women

Data Revues 00223476 Unassign S002234761300111x, Jan 8, 2013

To assess the prevalence of intimate partner violence, substance use, and their co-occurrence dur... more To assess the prevalence of intimate partner violence, substance use, and their co-occurrence during pregnancy and to examine their associations with adverse neonatal outcomes. Between February 2009-February 2010, pregnant women receiving obstetrical care at 3 urban clinics were screened for intimate partner violence and substance use between 24-28 weeks gestation. A chart review was conducted upon delivery to assess for adverse neonatal outcomes of low birth weight, preterm birth, and small for gestational age (SGA). Maternal and neonatal data were collected on 166 mothers and their neonates. Overall, 19% of the sample reported intimate partner violence during their pregnancies. Of the study&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s neonates, 41% had at least 1 adverse neonatal outcome. Nearly one-half of the mothers reported using at least 1 substance during pregnancy. Women experiencing intimate partner violence had a higher prevalence of marijuana use than their nonabused counterparts (P &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt; .01). Experiencing intimate partner violence was associated with a 4-fold increase in having a SGA neonate (aOR = 4.00; 95% CI 1.58-9.97). Women who reported marijuana use had 5 times the odds of having a neonate classified as SGA (aOR = 5.16, 95% CI 2.24-11.89) or low birth weight (aOR 5.00; 95% CI 1.98-12.65). The prevalence of intimate partner violence during pregnancy and substance use is high in urban mothers, the risks of which extend to their neonates. Pediatric providers are urged to routinely screen for both issues and recognize the impact of co-occurrence of these risk factors on poor neonatal and childhood outcomes.

Research paper thumbnail of The Context of Condoms and Hiv for Youth in the Philippines

Aims: Documented HIV prevalence in the Philippines is low (<1%), but several societal risk fac... more Aims: Documented HIV prevalence in the Philippines is low (<1%), but several societal risk factors place it at the verge of a burgeoning epidemic. In this predominantly Roman Catholic country (85% of the population), limited data are available on condom use (CU) among the general population. This investigation examined the context of CU among young adults in Cebu, the second largest metropolitan area in the Philippines. Methods: This qualitative study utilized focus group discussions of heterosexual young adults in Cebu City. Eligible participants were between the ages of 21-30 and in an intimate relationship. Separate FGDs were held for men and women, with a total of 26 women and 28 men participating. The FGDS explored the constraints to CU as well as the general perceptions of persons who use condoms in their sexual relationships. Thematic analysis was performed. Results: Analysis found five broad themes representing constraints, including the cultural context, relationship sta...

Research paper thumbnail of Intimate partner violence among African American and African Caribbean women: prevalence, risk factors, and the influence of cultural attitudes

Global health action, 2014

Women of African descent are disproportionately affected by intimate partner abuse; yet, limited ... more Women of African descent are disproportionately affected by intimate partner abuse; yet, limited data exist on whether the prevalence varies for women of African descent in the United States and those in the US territories. In this multisite study, we estimated lifetime and 2-year prevalence of physical, sexual, and psychological intimate partner abuse (IPA) among 1,545 women of African descent in the United States and US Virgin Islands (USVI). We also examined how cultural tolerance of physical and/or sexual intimate partner violence (IPV) influences abuse. Between 2009 and 2011, we recruited African American and African Caribbean women aged 18-55 from health clinics in Baltimore, MD, and St. Thomas and St. Croix, USVI, into a comparative case-control study. Screened and enrolled women completed an audio computer-assisted self-interview. Screening-based prevalence of IPA and IPV were stratified by study site and associations between tolerance of IPV and abuse experiences were exami...

Research paper thumbnail of Perceptions of and Experience With System Responses to Female Same-Sex Intimate Partner Violence

Partner Abuse, 2010

Female same-sex intimate partner violence (FSSIPV) is a significant problem that affects the phys... more Female same-sex intimate partner violence (FSSIPV) is a significant problem that affects the physical and mental health and the safety of sexual minority women. A mixed-methods study was conducted to (a) identify risk and protective factors for victimization and perpetration of repeat violence in abusive same-sex relationships and (b) examine participant experiences with system responses (by domestic violence services, criminal justice systems, and health care services) to FSSIPV. The purpose of the article is to report the findings from the qualitative component (e.g., focus groups and individual interviews) of the parent study that are specific to survivors' perceptions of and experiences with domestic violence services, criminal justice systems, and health care services. The findings indicate a significant need across all systems for increased awareness, enhanced understanding, and provision of services specific to survivors of FSSIPV.

Research paper thumbnail of Genital Herpes Testing Among Persons Living With HIV

Journal of the Association of Nurses in AIDS Care, 2011

This cross-sectional survey explored the frequency of genital herpes testing among 110 people liv... more This cross-sectional survey explored the frequency of genital herpes testing among 110 people living with HIV (PLWH) and reported barriers and facilitators related to testing. Forty-four percent of the respondents had not been tested for genital herpes since receiving an HIV diagnosis, 34% had been tested, and 22% preferred not to say. Respondents' most frequently cited factors affecting a decision to not be tested were: (a) testing not being recommended by a provider, (b) not having herpes symptoms, and (c) not thinking they had herpes. Data from this study indicated that PLWH were not frequently tested for genital herpes; there was a limited understanding of the frequently subclinical nature of infection; and provider recommendations for testing, or lack thereof, affected testing decisions.

Research paper thumbnail of Intimate Partner Violence, Substance Use, and Adverse Neonatal Outcomes among Urban Women

The Journal of Pediatrics, 2013

To assess the prevalence of intimate partner violence, substance use, and their co-occurrence dur... more To assess the prevalence of intimate partner violence, substance use, and their co-occurrence during pregnancy and to examine their associations with adverse neonatal outcomes. Between February 2009-February 2010, pregnant women receiving obstetrical care at 3 urban clinics were screened for intimate partner violence and substance use between 24-28 weeks gestation. A chart review was conducted upon delivery to assess for adverse neonatal outcomes of low birth weight, preterm birth, and small for gestational age (SGA). Maternal and neonatal data were collected on 166 mothers and their neonates. Overall, 19% of the sample reported intimate partner violence during their pregnancies. Of the study&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s neonates, 41% had at least 1 adverse neonatal outcome. Nearly one-half of the mothers reported using at least 1 substance during pregnancy. Women experiencing intimate partner violence had a higher prevalence of marijuana use than their nonabused counterparts (P &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt; .01). Experiencing intimate partner violence was associated with a 4-fold increase in having a SGA neonate (aOR = 4.00; 95% CI 1.58-9.97). Women who reported marijuana use had 5 times the odds of having a neonate classified as SGA (aOR = 5.16, 95% CI 2.24-11.89) or low birth weight (aOR 5.00; 95% CI 1.98-12.65). The prevalence of intimate partner violence during pregnancy and substance use is high in urban mothers, the risks of which extend to their neonates. Pediatric providers are urged to routinely screen for both issues and recognize the impact of co-occurrence of these risk factors on poor neonatal and childhood outcomes.

Research paper thumbnail of Intimate Partner Violence, Depression, PTSD, and Use of Mental Health Resources Among Ethnically Diverse Black Women

Social Work in Health Care, 2013

Research paper thumbnail of INTIMATE PARTNER VIOLENCE AND MENTAL HEALTH Intimate partner violence among African American and African Caribbean women: prevalence, risk factors, and the influence of cultural attitudes

Background: Women of African descent are disproportionately affected by intimate partner abuse; y... more Background: Women of African descent are disproportionately affected by intimate partner abuse; yet, limited data exist on whether the prevalence varies for women of African descent in the United States and those in the US territories. Objective: In this multisite study, we estimated lifetime and 2-year prevalence of physical, sexual, and psychological intimate partner abuse (IPA) among 1,545 women of African descent in the United States and US Virgin Islands (USVI). We also examined how cultural tolerance of physical and/or sexual intimate partner violence (IPV) influences abuse. Design: Between 2009 and 2011, we recruited African American and African Caribbean women aged 1855 from health clinics in Baltimore, MD, and St. Thomas and St. Croix, USVI, into a comparative case-control study. Screened and enrolled women completed an audio computer-assisted self-interview. Screening-based prevalence of IPA and IPV were stratified by study site and associations between tolerance of IPV an...

Research paper thumbnail of Prevalence of Intimate Partner Abuse Among Afro Caribbean and African American Women

... Co-Authors: Gloria Callwood; Doris W Campbell; Laura Sutton; Kelly Wight; Trista Jones; Jacqu... more ... Co-Authors: Gloria Callwood; Doris W Campbell; Laura Sutton; Kelly Wight; Trista Jones; Jacquelyn Campbell; Jamila Stockman; Richelle Bolyard; Phyllis W ... Women 18-55 of African descent who have had an intimate partner within the prior two years and are seeking care in ...

Research paper thumbnail of Examining HIV risk, partner violence and relationship power among young adults in Cebu, the Philippines

Research paper thumbnail of The intersection of intimate partner violence against women and HIV/AIDS: a review

International Journal of Injury Control and Safety Promotion, 2008

Research paper thumbnail of Intimate Partner Violence, Substance Use, and Adverse Neonatal Outcomes among Urban Women

The Journal of Pediatrics, 2013

Objective-To assess the prevalence of intimate partner violence, substance use, and their cooccur... more Objective-To assess the prevalence of intimate partner violence, substance use, and their cooccurrence during pregnancy and examines their associations with adverse neonatal outcomes. Study design-Between February 2009 and February 2010, pregnant women receiving obstetrical care at three urban clinics were screened for intimate partner violence and substance use between 24-28 weeks gestation. A chart review was conducted upon delivery to assess for adverse neonatal outcomes of low birth weight (LBW), preterm birth, and small for gestational age (SGA). Results-Maternal and neonatal data were collected on 166 mothers and their neonates. Overall, 19% of the sample reported intimate partner violence during their pregnancies. Of the study's neonates 41% had at least one adverse neonatal outcome. Nearly half of the mothers reported using at least one substance during pregnancy. Women experiencing intimate partner violence had a higher prevalence of marijuana use than their non-abused counterparts (p < 0.01). Experiencing intimate partner violence was associated with a fourfold increase in having a SGA neonate (aOR = 4.00; 95% CI 1.58-9.97). Women who reported marijuana use had five times the odds of having a neonate classified as SGA (aOR = 5.16, 95% CI 2.24-11.89) or LBW (aOR 5.00; 95% CI 1.98-12.65). Conclusions-The prevalence of intimate partner violence during pregnancy and substance use is high in urban mothers, the risks of which extend to their neonates. Pediatric providers are urged to routinely screen for both issues and recognize the impact of co-occurrence of these risk factors on poor neonatal and childhood outcomes.

Research paper thumbnail of Disordered Eating among African American and African Caribbean Women: The Influence of Intimate Partner Violence, Depression, and PTSD

Issues in Mental Health Nursing, Jul 30, 2012

We assessed the influence of intimate partner violence (IPV), depression and post-traumatic stres... more We assessed the influence of intimate partner violence (IPV), depression and post-traumatic stress disorder (PTSD) on disordered eating patterns (DE) among women of African descent through a comparative case-control study (N=790) in Baltimore, MD and St. Thomas and St. Croix, US Virgin Islands from 2009-2011. IPV, depression and PTSD were independent risk factors in the full sample. The relationship between IPV and DE was partially mediated by depression. The influence of risk for lethality from violence was fully mediated by depression. IPV should be considered in research and treatment of DE and both IPV and DE assessed when the other or depression is detected. Eating disorders and disordered eating (DE) patterns affect more than estimated 8 million Americans, 7 million of whom are women. (South Carolina Department of Mental Health, 2006) In a nationally representative survey of US households (2001-2003), prevalence rates of eating disturbances for women ranged from 1%-4%. (Hudson, Hiripi, Pope Jr., & Kessler, 2007; Meltzer-Brody et al., 2011) Understanding of risk factors associated with DE and eating disorder symptomatology is critical as eating disorders have the highest mortality rate of any mental health related problem.

Research paper thumbnail of HIV Risk, Partner Violence, and Relationship Power Among Filipino Young Women: Testing a Structural Model

Health Care for Women International, 2012

A person&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;... more A person&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s ability to minimize HIV risk is embedded in a complex, multidimensional context. In this study, we tested a model of how relationship power impacts IPV victimization, which in turn impacts HIV risk behaviors. We analyzed data from 474 young adult women (aged 15-31) in Cebu Province, Philippines, using structural equation modeling, and demonstrated good fit for the models. High relationship power is directly associated with increased IPV victimization, and IPV victimization is positively associated with increased HIV risk. We highlight in this article the complex dynamics to consider in HIV risk prevention among these young women.

Research paper thumbnail of The Context of Condom Use Among Young Adults in the Philippines: Implications for HIV Prevention

Health Care For Women International

We examine current perceptions and constraints surrounding condom use among young adults in the P... more We examine current perceptions and constraints surrounding condom use among young adults in the Philippines to garner a deeper contextual understanding of this aspect of HIV prevention within Filipino society. Through thematic analysis of focus group data, we found three broad themes, all of which include societal and individual barriers to using condoms. The findings may provide insight for similar settings in which religion has a strong influence on society. To strengthen HIV prevention efforts in such settings, we suggest that the development of strategies to address these constraints and promote healthy sexuality in young adults is essential.

Research paper thumbnail of Health effects of partner violence: Aiming toward prevention

Preventing partner violence: Research and evidence-based intervention strategies., 2009

Research paper thumbnail of Impact of Intimate Partner Forced Sex on HIV Risk Factors in Physically Abused African American and African Caribbean Women

J Immigrant Minority Health, 2014

Research paper thumbnail of Intimate partner violence among African American and African Caribbean women: prevalence, risk factors, and the influence of cultural attitudes

Global health action, 2014

Women of African descent are disproportionately affected by intimate partner abuse; yet, limited ... more Women of African descent are disproportionately affected by intimate partner abuse; yet, limited data exist on whether the prevalence varies for women of African descent in the United States and those in the US territories. In this multisite study, we estimated lifetime and 2-year prevalence of physical, sexual, and psychological intimate partner abuse (IPA) among 1,545 women of African descent in the United States and US Virgin Islands (USVI). We also examined how cultural tolerance of physical and/or sexual intimate partner violence (IPV) influences abuse. Between 2009 and 2011, we recruited African American and African Caribbean women aged 18-55 from health clinics in Baltimore, MD, and St. Thomas and St. Croix, USVI, into a comparative case-control study. Screened and enrolled women completed an audio computer-assisted self-interview. Screening-based prevalence of IPA and IPV were stratified by study site and associations between tolerance of IPV and abuse experiences were exami...

Research paper thumbnail of Intimate partner violence among African American and African Caribbean women: prevalence, risk factors, and the influence of cultural attitudes

Global health action, 2014

Women of African descent are disproportionately affected by intimate partner abuse; yet, limited ... more Women of African descent are disproportionately affected by intimate partner abuse; yet, limited data exist on whether the prevalence varies for women of African descent in the United States and those in the US territories. In this multisite study, we estimated lifetime and 2-year prevalence of physical, sexual, and psychological intimate partner abuse (IPA) among 1,545 women of African descent in the United States and US Virgin Islands (USVI). We also examined how cultural tolerance of physical and/or sexual intimate partner violence (IPV) influences abuse. Between 2009 and 2011, we recruited African American and African Caribbean women aged 18-55 from health clinics in Baltimore, MD, and St. Thomas and St. Croix, USVI, into a comparative case-control study. Screened and enrolled women completed an audio computer-assisted self-interview. Screening-based prevalence of IPA and IPV were stratified by study site and associations between tolerance of IPV and abuse experiences were exami...

Research paper thumbnail of Genital Herpes Testing Among Persons Living With HIV

Journal of the Association of Nurses in AIDS Care, 2011

This cross-sectional survey explored the frequency of genital herpes testing among 110 people liv... more This cross-sectional survey explored the frequency of genital herpes testing among 110 people living with HIV (PLWH) and reported barriers and facilitators related to testing. Forty-four percent of the respondents had not been tested for genital herpes since receiving an HIV diagnosis, 34% had been tested, and 22% preferred not to say. Respondents' most frequently cited factors affecting a decision to not be tested were: (a) testing not being recommended by a provider, (b) not having herpes symptoms, and (c) not thinking they had herpes. Data from this study indicated that PLWH were not frequently tested for genital herpes; there was a limited understanding of the frequently subclinical nature of infection; and provider recommendations for testing, or lack thereof, affected testing decisions.

Research paper thumbnail of Intimate partner violence, substance use, and adverse neonatal outcomes among urban women

Data Revues 00223476 Unassign S002234761300111x, Jan 8, 2013

To assess the prevalence of intimate partner violence, substance use, and their co-occurrence dur... more To assess the prevalence of intimate partner violence, substance use, and their co-occurrence during pregnancy and to examine their associations with adverse neonatal outcomes. Between February 2009-February 2010, pregnant women receiving obstetrical care at 3 urban clinics were screened for intimate partner violence and substance use between 24-28 weeks gestation. A chart review was conducted upon delivery to assess for adverse neonatal outcomes of low birth weight, preterm birth, and small for gestational age (SGA). Maternal and neonatal data were collected on 166 mothers and their neonates. Overall, 19% of the sample reported intimate partner violence during their pregnancies. Of the study&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s neonates, 41% had at least 1 adverse neonatal outcome. Nearly one-half of the mothers reported using at least 1 substance during pregnancy. Women experiencing intimate partner violence had a higher prevalence of marijuana use than their nonabused counterparts (P &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt; .01). Experiencing intimate partner violence was associated with a 4-fold increase in having a SGA neonate (aOR = 4.00; 95% CI 1.58-9.97). Women who reported marijuana use had 5 times the odds of having a neonate classified as SGA (aOR = 5.16, 95% CI 2.24-11.89) or low birth weight (aOR 5.00; 95% CI 1.98-12.65). The prevalence of intimate partner violence during pregnancy and substance use is high in urban mothers, the risks of which extend to their neonates. Pediatric providers are urged to routinely screen for both issues and recognize the impact of co-occurrence of these risk factors on poor neonatal and childhood outcomes.

Research paper thumbnail of The Context of Condoms and Hiv for Youth in the Philippines

Aims: Documented HIV prevalence in the Philippines is low (<1%), but several societal risk fac... more Aims: Documented HIV prevalence in the Philippines is low (<1%), but several societal risk factors place it at the verge of a burgeoning epidemic. In this predominantly Roman Catholic country (85% of the population), limited data are available on condom use (CU) among the general population. This investigation examined the context of CU among young adults in Cebu, the second largest metropolitan area in the Philippines. Methods: This qualitative study utilized focus group discussions of heterosexual young adults in Cebu City. Eligible participants were between the ages of 21-30 and in an intimate relationship. Separate FGDs were held for men and women, with a total of 26 women and 28 men participating. The FGDS explored the constraints to CU as well as the general perceptions of persons who use condoms in their sexual relationships. Thematic analysis was performed. Results: Analysis found five broad themes representing constraints, including the cultural context, relationship sta...

Research paper thumbnail of Intimate partner violence among African American and African Caribbean women: prevalence, risk factors, and the influence of cultural attitudes

Global health action, 2014

Women of African descent are disproportionately affected by intimate partner abuse; yet, limited ... more Women of African descent are disproportionately affected by intimate partner abuse; yet, limited data exist on whether the prevalence varies for women of African descent in the United States and those in the US territories. In this multisite study, we estimated lifetime and 2-year prevalence of physical, sexual, and psychological intimate partner abuse (IPA) among 1,545 women of African descent in the United States and US Virgin Islands (USVI). We also examined how cultural tolerance of physical and/or sexual intimate partner violence (IPV) influences abuse. Between 2009 and 2011, we recruited African American and African Caribbean women aged 18-55 from health clinics in Baltimore, MD, and St. Thomas and St. Croix, USVI, into a comparative case-control study. Screened and enrolled women completed an audio computer-assisted self-interview. Screening-based prevalence of IPA and IPV were stratified by study site and associations between tolerance of IPV and abuse experiences were exami...

Research paper thumbnail of Perceptions of and Experience With System Responses to Female Same-Sex Intimate Partner Violence

Partner Abuse, 2010

Female same-sex intimate partner violence (FSSIPV) is a significant problem that affects the phys... more Female same-sex intimate partner violence (FSSIPV) is a significant problem that affects the physical and mental health and the safety of sexual minority women. A mixed-methods study was conducted to (a) identify risk and protective factors for victimization and perpetration of repeat violence in abusive same-sex relationships and (b) examine participant experiences with system responses (by domestic violence services, criminal justice systems, and health care services) to FSSIPV. The purpose of the article is to report the findings from the qualitative component (e.g., focus groups and individual interviews) of the parent study that are specific to survivors' perceptions of and experiences with domestic violence services, criminal justice systems, and health care services. The findings indicate a significant need across all systems for increased awareness, enhanced understanding, and provision of services specific to survivors of FSSIPV.

Research paper thumbnail of Genital Herpes Testing Among Persons Living With HIV

Journal of the Association of Nurses in AIDS Care, 2011

This cross-sectional survey explored the frequency of genital herpes testing among 110 people liv... more This cross-sectional survey explored the frequency of genital herpes testing among 110 people living with HIV (PLWH) and reported barriers and facilitators related to testing. Forty-four percent of the respondents had not been tested for genital herpes since receiving an HIV diagnosis, 34% had been tested, and 22% preferred not to say. Respondents' most frequently cited factors affecting a decision to not be tested were: (a) testing not being recommended by a provider, (b) not having herpes symptoms, and (c) not thinking they had herpes. Data from this study indicated that PLWH were not frequently tested for genital herpes; there was a limited understanding of the frequently subclinical nature of infection; and provider recommendations for testing, or lack thereof, affected testing decisions.

Research paper thumbnail of Intimate Partner Violence, Substance Use, and Adverse Neonatal Outcomes among Urban Women

The Journal of Pediatrics, 2013

To assess the prevalence of intimate partner violence, substance use, and their co-occurrence dur... more To assess the prevalence of intimate partner violence, substance use, and their co-occurrence during pregnancy and to examine their associations with adverse neonatal outcomes. Between February 2009-February 2010, pregnant women receiving obstetrical care at 3 urban clinics were screened for intimate partner violence and substance use between 24-28 weeks gestation. A chart review was conducted upon delivery to assess for adverse neonatal outcomes of low birth weight, preterm birth, and small for gestational age (SGA). Maternal and neonatal data were collected on 166 mothers and their neonates. Overall, 19% of the sample reported intimate partner violence during their pregnancies. Of the study&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s neonates, 41% had at least 1 adverse neonatal outcome. Nearly one-half of the mothers reported using at least 1 substance during pregnancy. Women experiencing intimate partner violence had a higher prevalence of marijuana use than their nonabused counterparts (P &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt; .01). Experiencing intimate partner violence was associated with a 4-fold increase in having a SGA neonate (aOR = 4.00; 95% CI 1.58-9.97). Women who reported marijuana use had 5 times the odds of having a neonate classified as SGA (aOR = 5.16, 95% CI 2.24-11.89) or low birth weight (aOR 5.00; 95% CI 1.98-12.65). The prevalence of intimate partner violence during pregnancy and substance use is high in urban mothers, the risks of which extend to their neonates. Pediatric providers are urged to routinely screen for both issues and recognize the impact of co-occurrence of these risk factors on poor neonatal and childhood outcomes.