Christina S. Meade | Scholars@Duke

Christina S. Meade
Associate Professor in Psychiatry and Behavioral Sciences

Dr. Meade’s domestic research program focuses on predictors of HIV risk behavior in adults with substance use and psychiatric disorders, and the relationship between neuropsychiatric conditions and continued risk behavior in HIV-positive adults. She is particularly interested in how drug addiction and HIV infection impact executive functions, such as decision making, that lead individuals to engage in risky behaviors. Many of her current projects incorporate MRI to isolate the effects of addiction and HIV on both brain function and structure. Dr. Meade is also interested in the development of evidence-based treatments to improve cognitive functioning and reduce risk behaviors among drug users.

Given that most people infected or affected by HIV/AIDS live in Sub-Saharan Africa, Dr. Meade’s international research program is based in South Africa. The Western Cape has experienced a dramatic increase in methamphetamine use since the early 2000s, and there is concern that it may further fuel the HIV epidemic in this country. Current projects focus on characterizing drug addiction and HIV risk behaviors in this understudied group, both in in community and treatment settings, and ultimately increasing uptake of HIV services to improve health outcomes and reduce the continued spread of HIV.

Current Appointments & Affiliations

Associate Professor in Psychiatry and Behavioral Sciences, Psychiatry & Behavioral Sciences, Addiction, Psychiatry & Behavioral Sciences 2017
Associate Research Professor of Global Health, Duke Global Health Institute, University Institutes and Centers 2011
Associate Research Professor in the Department of Psychology and Neuroscience, Psychology and Neuroscience, Trinity College of Arts & Sciences 2014
Faculty Network Member of the Duke Institute for Brain Sciences, Duke Institute for Brain Sciences, University Institutes and Centers 2009
Affiliate of the Center for Brain Imaging and Analysis, Duke-UNC Center for Brain Imaging and Analysis, Institutes and Centers 2009
Associate of the Duke Initiative for Science & Society, Duke Science & Society, Initiatives 2017

Contact Information

905 W. Main Street, Box 102848, Durham, NC 27710
905 W. Main Street, Suite 24-E, Durham, NC 27701
christina.meade@duke.edu (919) 613-6549

Background
Education, Training, & Certifications
- Ph.D., Yale University 2006
Duke Appointment History
- Associate Professor of Psychiatry and Behavioral Sciences, Psychiatry & Behavioral Sciences, Addiction, Psychiatry & Behavioral Sciences 2014 - 2017
- Associate Professor in Psychiatry and Behavioral Sciences, Psychiatry & Behavioral Sciences, Addiction, Psychiatry & Behavioral Sciences 2013 - 2014
- Assistant Research Professor in the Department of Psychology & Neuroscience, Psychology and Neuroscience, Trinity College of Arts & Sciences 2010 - 2014
- Assistant Professor of Psychiatry and Behavioral Sciences, Psychiatry & Behavioral Sciences, Medical Psychology, Psychiatry & Behavioral Sciences 2008 - 2013
Recognition
In the News
- NOV 17, 2015
  
  Positive Outcomes Emerge from Study on 'Tik' Use and HIV in South Africa
Expertise
Global Scholarship
- Research
  - South Africa (Country)
  - United States of America (Country)
Research
Selected Grants
- Modeling the effects of chronic marijuana use on neuroinflammation and HIV-related neuronal injury awarded by National Institutes of Health 2020 - 2025
- Interdisciplinary Research Training Program in AIDS awarded by National Institutes of Health 2010 - 2025
- Role of cannabis on HIV-related cognitive impairment: a brain connectomics study awarded by National Institutes of Health 2018 - 2023
- MRI data fusion to investigate effects of drug abuse on HIV neurological complications awarded by National Institutes of Health 2018 - 2023
- Mobile health interventions for varenicline adherence among HIV-positive smokers awarded by National Institutes of Health 2017 - 2022
- A Systems Biology Approach to HIV-associated Neurocognitive Impairment: Role of Drug Abuse and Neuroinflammation awarded by National Institutes of Health 2016 - 2021
- Decision Making and HIV Risk: New Approaches to neuroAIDS Research in Drug Users awarded by National Institutes of Health 2015 - 2020
- Testing a Biopsychosocial Model of Minority Stress and Health for HIV-Positive Men awarded by Research Foundation of The City University of New York 2019 - 2020
- Cognitive Training to Reduce Impulsivity in HIV-infected Cocaine Users awarded by National Institutes of Health 2016 - 2019
- NeuroAIDS research with disadvantaged drug users awarded by National Institutes of Health 2014 - 2017
- A Compute Cluster for Brain Imaging and Analysis awarded by National Institutes of Health 2016 - 2017
- Effects of Cocaine and HIV Decision Making Involving Potential Loss awarded by National Institutes of Health 2013 - 2016
- Neural Substrates Associated with Executive Functioning in Marijuana and HIV awarded by National Institutes of Health 2014 - 2016
- Neurocognitive Impact of Marijuana Use in Patients with HIV/AIDS awarded by National Institutes of Health 2013 - 2015
- Neurobehavioral and fMRI Research in HIV Infection and Cocaine Dependence awarded by National Institutes of Health 2010 - 2015
- HIV risk behaviors among methamphetamine users in Cape Town, South Africa awarded by National Institutes of Health 2012 - 2015
- CFAR Minority Supplement:Mentor Meade awarded by National Institutes of Health 2010 - 2015
- Environments as Smoking Cues: Imaging Brain Substrates, Developing New Treatments awarded by National Institutes of Health 2012 - 2014
- Brief Care-based HIV Prevention for Newly Diagnosed Men awarded by National Institutes of Health 2009 - 2012
Publications & Artistic Works
Selected Publications
- Academic Articles
  - Hall, Shana A., Zahra Lalee, Ryan P. Bell, Sheri L. Towe, and Christina S. Meade. “Synergistic effects of HIV and marijuana use on functional brain network organization.” Prog Neuropsychopharmacol Biol Psychiatry 104 (January 10, 2021): 110040. https://doi.org/10.1016/j.pnpbp.2020.110040.
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  - Lee, Jared, Ji-Young Lee, Christina S. Meade, Michael Cohn, Antonio Chahine, Samantha E. Dilworth, Jessica F. Magidson, Hetta Gouse, Dietmar Fuchs, and Adam W. Carrico. “Tryptophan degradation is associated with risk-taking propensity in methamphetamine users with treated HIV infection.” J Neurovirol 26, no. 5 (October 2020): 779–84. https://doi.org/10.1007/s13365-020-00841-4.
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  - Xu, Yunan, Sheri L. Towe, Shakiera T. Causey, Paul A. Dennis, and Christina S. Meade. “Effects of substance use on monetary delay discounting among people who use stimulants with and without HIV: An ecological momentary assessment study.” Exp Clin Psychopharmacol, August 6, 2020. https://doi.org/10.1037/pha0000423.
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  - Towe, Sheri L., Catherine A. Sullivan, Mehri S. McKellar, and Christina S. Meade. “Examining the Potential of Pre-exposure Prophylaxis (PrEP) for HIV Prevention in a Community Sample of Persons Who Use Stimulants Living in the Southern United States.” Aids Behav, August 5, 2020. https://doi.org/10.1007/s10461-020-02987-y.
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  - Towe, Sheri L., Jeremiah T. Hartsock, Yunan Xu, and Christina S. Meade. “Web-Based Cognitive Training to Improve Working Memory in Persons with Co-Occurring HIV Infection and Cocaine Use Disorder: Outcomes from a Randomized Controlled Trial.” Aids Behav, August 4, 2020. https://doi.org/10.1007/s10461-020-02993-0.
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  - Bell, Ryan P., Sheri L. Towe, Zahra Lalee, Scott A. Huettel, and Christina S. Meade. “Neural sensitivity to risk in adults with co-occurring HIV infection and cocaine use disorder.” Cogn Affect Behav Neurosci 20, no. 4 (August 2020): 859–72. https://doi.org/10.3758/s13415-020-00806-4.
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  - Meade, Christina S., Sheri L. Towe, Yunan Xu, and Crissi Rainer. “HIV Prevalence and Associated Risks in a Respondent-Driven Sample of Illicit Stimulant Users in a Southern United States City.” Aids Behav 24, no. 8 (August 2020): 2336–46. https://doi.org/10.1007/s10461-020-02793-6.
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  - Pacek, Lauren R., Alicia D. Holloway, Karen L. Cropsey, Christina S. Meade, Maggie M. Sweitzer, James M. Davis, and F Joseph McClernon. “Cigarette Smoking and Cessation-Related Interactions With Health Care Providers in the Context of Living With HIV: Focus Group Study Findings.” J Assoc Nurses Aids Care, July 2, 2020. https://doi.org/10.1097/JNC.0000000000000185.
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  - Towe, Sheri L., Christina S. Meade, Christine C. Cloak, Ryan P. Bell, Julian Baptiste, and Linda Chang. “Reciprocal Influences of HIV and Cannabinoids on the Brain and Cognitive Function.” J Neuroimmune Pharmacol, May 22, 2020. https://doi.org/10.1007/s11481-020-09921-y.
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  - Meade, Christina S., Ryan P. Bell, Sheri L. Towe, and Shana A. Hall. “Cocaine-related alterations in fronto-parietal gray matter volume correlate with trait and behavioral impulsivity.” Drug Alcohol Depend 206 (January 1, 2020): 107757. https://doi.org/10.1016/j.drugalcdep.2019.107757.
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  - Patel, Puja, Bonnie N. Kaiser, Christina S. Meade, Ali Giusto, David Ayuku, and Eve Puffer. “Problematic alcohol use among fathers in Kenya: Poverty, people, and practices as barriers and facilitators to help acceptance.” Int J Drug Policy 75 (January 2020): 102576. https://doi.org/10.1016/j.drugpo.2019.10.003.
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  - Meade, Christina S., Ryan P. Bell, Sheri L. Towe, Nan-Kuei Chen, Andrea L. Hobkirk, and Scott A. Huettel. “Synergistic effects of marijuana abuse and HIV infection on neural activation during a cognitive interference task.” Addict Biol 24, no. 6 (November 2019): 1235–44. https://doi.org/10.1111/adb.12678.
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  - Skalski, Linda M., Bianca Martin, and Christina S. Meade. “Sexual Orientation, Religious Coping, and Drug Use in a Sample of HIV-Infected African-American Men Living in the Southern USA.” J Relig Health 58, no. 4 (August 2019): 1368–81. https://doi.org/10.1007/s10943-019-00791-0.
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  - Hobkirk, Andréa L., Ryan P. Bell, Amanda V. Utevsky, Scott Huettel, and Christina S. Meade. “Reward and executive control network resting-state functional connectivity is associated with impulsivity during reward-based decision making for cocaine users.” Drug Alcohol Depend 194 (January 1, 2019): 32–39. https://doi.org/10.1016/j.drugalcdep.2018.09.013.
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  - Towe, Sheri L., Olivia E. Horton, Bianca Martin, and Christina S. Meade. “A Comparison of Motivations for Marijuana Use in HIV-Positive and HIV-Negative Adults.” Aids Behav 22, no. 9 (September 2018): 2807–14. https://doi.org/10.1007/s10461-018-2123-4.
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  - Bell, Ryan P., Laura L. Barnes, Sheri L. Towe, Nan-Kuei Chen, Allen W. Song, and Christina S. Meade. “Structural connectome differences in HIV infection: brain network segregation associated with nadir CD4 cell count.” J Neurovirol 24, no. 4 (August 2018): 454–63. https://doi.org/10.1007/s13365-018-0634-4.
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  - Khatiwoda, Prasana, Rae Jean Proeschold-Bell, Christina S. Meade, Lawrence P. Park, and Scott Proescholdbell. “Facilitators and Barriers to Naloxone Kit Use Among Opioid-Dependent Patients Enrolled in Medication Assisted Therapy Clinics in North Carolina.” N C Med J 79, no. 3 (May 2018): 149–55. https://doi.org/10.18043/ncm.79.3.149.
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  - Skalski, Linda M., Sheri L. Towe, Kathleen J. Sikkema, and Christina S. Meade. “Memory Impairment in HIV-Infected Individuals with Early and Late Initiation of Regular Marijuana Use.” Aids Behav 22, no. 5 (May 2018): 1596–1605. https://doi.org/10.1007/s10461-017-1898-z.
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  - Meade, Christina S., Merideth Addicott, Andrea L. Hobkirk, Sheri L. Towe, Nan-Kuei Chen, Sriramkumar Sridharan, and Scott A. Huettel. “Cocaine and HIV are independently associated with neural activation in response to gain and loss valuation during economic risky choice.” Addict Biol 23, no. 2 (March 2018): 796–809. https://doi.org/10.1111/adb.12529.
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  - Meade, Christina S., Andrea L. Hobkirk, Sheri L. Towe, Nan-Kuei Chen, Ryan P. Bell, and Scott A. Huettel. “Cocaine dependence modulates the effect of HIV infection on brain activation during intertemporal decision making.” Drug Alcohol Depend 178 (September 1, 2017): 443–51. https://doi.org/10.1016/j.drugalcdep.2017.05.043.
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  - Berg, Martha K., Andréa L. Hobkirk, John A. Joska, and Christina S. Meade. “The role of substance use coping in the relation between childhood sexual abuse and depression among methamphetamine users in South Africa.” Psychol Trauma 9, no. 4 (July 2017): 493–99. https://doi.org/10.1037/tra0000207.
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  - Towe, Sheri L., Puja Patel, and Christina S. Meade. “The Acceptability and Potential Utility of Cognitive Training to Improve Working Memory in Persons Living With HIV: A Preliminary Randomized Trial.” J Assoc Nurses Aids Care 28, no. 4 (July 2017): 633–43. https://doi.org/10.1016/j.jana.2017.03.007.
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  - Cordero, Daniella M., Sheri L. Towe, Nan-Kuei Chen, Kevin R. Robertson, David J. Madden, Scott A. Huettel, and Christina S. Meade. “Cocaine dependence does not contribute substantially to white matter abnormalities in HIV infection.” J Neurovirol 23, no. 3 (June 2017): 441–50. https://doi.org/10.1007/s13365-017-0512-5.
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  - Lion, Ryan R., Melissa H. Watt, Wendee M. Wechsberg, and Christina S. Meade. “Gender and Sex Trading Among Active Methamphetamine Users in Cape Town, South Africa.” Subst Use Misuse 52, no. 6 (May 12, 2017): 773–84. https://doi.org/10.1080/10826084.2016.1264964.
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  - Hobkirk, Andréa L., Sheri L. Towe, Puja Patel, and Christina S. Meade. “Food Insecurity Is Associated with Cognitive Deficits Among HIV-Positive, But Not HIV-Negative, Individuals in a United States Sample.” Aids Behav 21, no. 3 (March 2017): 783–91. https://doi.org/10.1007/s10461-016-1514-7.
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  - Hatch-Maillette, Mary A., Blair Beadnell, Aimee N. C. Campbell, Christina S. Meade, Susan Tross, and Donald A. Calsyn. “Heterosexual Anal Sex Among Men and Women in Substance Abuse Treatment: Secondary Analysis of Two Gender-Specific HIV-Prevention Trials.” J Sex Res 54, no. 1 (January 2017): 33–41. https://doi.org/10.1080/00224499.2015.1118426.
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  - Watt, Melissa H., Kathryn E. Guidera, Andréa L. Hobkirk, Donald Skinner, and Christina S. Meade. “Intimate partner violence among men and women who use methamphetamine: A mixed-methods study in South Africa.” Drug Alcohol Rev 36, no. 1 (January 2017): 97–106. https://doi.org/10.1111/dar.12420.
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  - Yechoor, Nirupama, Sheri L. Towe, Kevin R. Robertson, Daniel Westreich, Noeline Nakasujja, and Christina S. Meade. “Utility of a brief computerized battery to assess HIV-associated neurocognitive impairment in a resource-limited setting.” J Neurovirol 22, no. 6 (December 2016): 808–15. https://doi.org/10.1007/s13365-016-0456-1.
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  - Meade, Christina S., Ryan R. Lion, Daniella M. Cordero, Melissa H. Watt, John A. Joska, Hetta Gouse, and Warren Burnhams. “HIV Risk Behavior Among Methamphetamine Users Entering Substance Abuse Treatment in Cape Town, South Africa.” Aids Behav 20, no. 10 (October 2016): 2387–97. https://doi.org/10.1007/s10461-016-1333-x.
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  - Gouse, Hetta, John A. Joska, Ryan R. Lion, Melissa H. Watt, Warren Burnhams, Adam W. Carrico, and Christina S. Meade. “HIV testing and sero-prevalence among methamphetamine users seeking substance abuse treatment in Cape Town.” Drug and Alcohol Review 35, no. 5 (September 2016): 580–83. https://doi.org/10.1111/dar.12371.
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  - Meade, Christina S., Daniella M. Cordero, Andrea L. Hobkirk, Brandon M. Metra, Nan-Kuei Chen, and Scott A. Huettel. “Compensatory activation in fronto-parietal cortices among HIV-infected persons during a monetary decision-making task.” Hum Brain Mapp 37, no. 7 (July 2016): 2455–67. https://doi.org/10.1002/hbm.23185.
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  - Watt, Melissa H., Stephen M. Kimani, Donald Skinner, and Christina S. Meade. “"Nothing Is Free": A Qualitative Study of Sex Trading Among Methamphetamine Users in Cape Town, South Africa.” Arch Sex Behav 45, no. 4 (May 2016): 923–33. https://doi.org/10.1007/s10508-014-0418-8.
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  - Hobkirk, Andréa L., Melissa H. Watt, Bronwyn Myers, Donald Skinner, and Christina S. Meade. “A qualitative study of methamphetamine initiation in Cape Town, South Africa.” Int J Drug Policy 30 (April 2016): 99–106. https://doi.org/10.1016/j.drugpo.2015.10.006.
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  - Skalski, Linda M., Sheri L. Towe, Kathleen J. Sikkema, and Christina S. Meade. “The Impact of Marijuana Use on Memory in HIV-Infected Patients: A Comprehensive Review of the HIV and Marijuana Literatures.” Curr Drug Abuse Rev 9, no. 2 (2016): 126–41. https://doi.org/10.2174/1874473709666160502124503.
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  - Hobkirk, Andréa L., Sheri L. Towe, Ryan Lion, and Christina S. Meade. “Primary and Secondary HIV Prevention Among Persons with Severe Mental Illness: Recent Findings.” Curr Hiv/Aids Rep 12, no. 4 (December 2015): 406–12. https://doi.org/10.1007/s11904-015-0294-4.
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  - Towe, Sheri L., Andréa L. Hobkirk, Daniel G. Ye, and Christina S. Meade. “Adaptation of the Monetary Choice Questionnaire to accommodate extreme monetary discounting in cocaine users.” Psychol Addict Behav 29, no. 4 (December 2015): 1048–55. https://doi.org/10.1037/adb0000101.
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  - Watt, Melissa H., Bronwyn Myers, Sheri L. Towe, and Christina S. Meade. “The mental health experiences and needs of methamphetamine users in Cape Town: A mixed methods study.” S Afr Med J 105, no. 8 (September 21, 2015): 685–88. https://doi.org/10.7196/samjnew.7910.
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  - Meade, Christina S., Sheri L. Towe, Melissa H. Watt, Ryan R. Lion, Bronwyn Myers, Donald Skinner, Stephen Kimani, and Desiree Pieterse. “Addiction and treatment experiences among active methamphetamine users recruited from a township community in Cape Town, South Africa: A mixed-methods study.” Drug Alcohol Depend 152 (July 1, 2015): 79–86. https://doi.org/10.1016/j.drugalcdep.2015.04.016.
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  - Meade, Christina S., Sheri L. Towe, Linda M. Skalski, and Kevin R. Robertson. “Independent effects of HIV infection and cocaine dependence on neurocognitive impairment in a community sample living in the southern United States.” Drug Alcohol Depend 149 (April 1, 2015): 128–35. https://doi.org/10.1016/j.drugalcdep.2015.01.034.
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  - Hobkirk, Andréa L., Melissa H. Watt, Kimberly T. Green, Jean C. Beckham, Donald Skinner, and Christina S. Meade. “Mediators of interpersonal violence and drug addiction severity among methamphetamine users in Cape Town, South Africa.” Addict Behav 42 (March 2015): 167–71. https://doi.org/10.1016/j.addbeh.2014.11.030.
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  - Eddy, Kamryn T., Elizabeth A. Lawson, Christina Meade, Erinne Meenaghan, Sarah E. Horton, Madhusmita Misra, Anne Klibanski, and Karen K. Miller. “Appetite regulatory hormones in women with anorexia nervosa: binge-eating/purging versus restricting type.” J Clin Psychiatry 76, no. 1 (January 2015): 19–24. https://doi.org/10.4088/JCP.13m08753.
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  - Meade, Christina S., Sheri L. Towe, Melissa H. Watt, Andrea L. Hobkirk, Donald Skinner, Bronwyn Myers, Stephen M. Kimani, and Desiree Pieterse. “HIV testing behaviors and attitudes among community recruited methamphetamine users in a South African township.” Aids Behav 19, no. 1 (January 2015): 186–91. https://doi.org/10.1007/s10461-014-0795-y.
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  - Kimani, Stephen M., Melissa H. Watt, M Giovanna Merli, Donald Skinner, Bronwyn Myers, Desiree Pieterse, Jessica C. MacFarlane, and Christina S. Meade. “Respondent driven sampling is an effective method for engaging methamphetamine users in HIV prevention research in South Africa.” Drug Alcohol Depend 143 (October 1, 2014): 134–40. https://doi.org/10.1016/j.drugalcdep.2014.07.018.
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  - Matthews, E. J., E. S. Puffer, C. S. Meade, and S. A. Broverman. “IMPLEMENTATION OF A SCHOOL-BASED HIV PREVENTION CURRICULUM FOLLOWING NATIONAL DISSEMINATION IN NYANZA PROVINCE, KENYA.” East Afr Med J 91, no. 5 (May 2014): 152–60.
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  - Matthews, E. J., E. S. Puffer, C. S. Meade, and S. A. Broverman. “IMPLEMENTATION OF A SCHOOL-BASED HIV PREVENTION CURRICULUM FOLLOWING NATIONAL DISSEMINATION IN NYANZA PROVINCE, KENYA.” East Afr Med J 91, no. 5 (May 2014): 152–60.
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  - Watt, Melissa H., Christina S. Meade, Stephen Kimani, Jessica C. MacFarlane, Karmel W. Choi, Donald Skinner, Desiree Pieterse, Seth C. Kalichman, and Kathleen J. Sikkema. “The impact of methamphetamine ("tik") on a peri-urban community in Cape Town, South Africa.” Int J Drug Policy 25, no. 2 (March 2014): 219–25. https://doi.org/10.1016/j.drugpo.2013.10.007.
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  - Meade, Christina S., Lisa A. Bevilacqua, Elizabeth D. Moore, Margaret L. Griffin, John G. Gardin, Jennifer S. Potter, Mary Hatch-Maillette, and Roger D. Weiss. “Concurrent substance abuse is associated with sexual risk behavior among adults seeking treatment for prescription opioid dependence.” Am J Addict 23, no. 1 (January 2014): 27–33. https://doi.org/10.1111/j.1521-0391.2013.12057.x.
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  - Sikkema, K. J., C. S. Meade, J. D. Doughty-Berry, S. O. Zimmerman, B. Kloos, and D. L. Snow. “Community-level hiv prevention for persons with severe mental illness living in supportive housing programs: A pilot intervention study.” Hiv: Issues With Mental Health and Illness, 2014, 121–36. https://doi.org/10.4324/9781315785509.
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  - Skalski, Linda M., Kathleen J. Sikkema, Timothy G. Heckman, and Christina S. Meade. “Coping styles and illicit drug use in older adults with HIV/AIDS.” Psychol Addict Behav 27, no. 4 (December 2013): 1050–58. https://doi.org/10.1037/a0031044.
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  - Calsyn, Donald A., Mary A. Hatch-Maillette, Christina S. Meade, Susan Tross, Aimee N. C. Campbell, and Blair Beadnell. “Gender differences in heterosexual anal sex practices among women and men in substance abuse treatment.” Aids Behav 17, no. 7 (September 2013): 2450–58. https://doi.org/10.1007/s10461-012-0387-7.
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  - Drabkin, Anya S., Kathleen J. Sikkema, Patrick A. Wilson, Christina S. Meade, Nathan B. Hansen, Allyson DeLorenzo, Arlene Kochman, et al. “Risk patterns preceding diagnosis among newly HIV-diagnosed men who have sex with men in New York City.” Aids Patient Care Stds 27, no. 6 (June 2013): 333–41. https://doi.org/10.1089/apc.2012.0313.
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  - Sikkema, Kathleen J., Krista W. Ranby, Christina S. Meade, Nathan B. Hansen, Patrick A. Wilson, and Arlene Kochman. “Reductions in traumatic stress following a coping intervention were mediated by decreases in avoidant coping for people living with HIV/AIDS and childhood sexual abuse.” J Consult Clin Psychol 81, no. 2 (April 2013): 274–83. https://doi.org/10.1037/a0030144.
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  - Brooks, Audrey J., Yuliya Lokhnygina, Christina S. Meade, Jennifer Sharpe Potter, Donald A. Calsyn, and Shelly F. Greenfield. “Racial/ethnic differences in the rates and correlates of HIV risk behaviors among drug abusers.” Am J Addict 22, no. 2 (March 2013): 136–47. https://doi.org/10.1111/j.1521-0391.2013.00303.x.
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  - Puffer, Eve S., Linda M. Skalski, and Christina S. Meade. “Changes in religious coping and relapse to drug use among opioid-dependent patients following inpatient detoxification.” J Relig Health 51, no. 4 (December 2012): 1226–38. https://doi.org/10.1007/s10943-010-9418-8.
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  - Meade, Christina S., Lisa A. Bevilacqua, and Mary D. Key. “Bipolar disorder is associated with HIV transmission risk behavior among patients in treatment for HIV.” Aids Behav 16, no. 8 (November 2012): 2267–71. https://doi.org/10.1007/s10461-012-0203-4.
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  - Meade, Christina S., Melissa H. Watt, Kathleen J. Sikkema, Lisa X. Deng, Krista W. Ranby, Donald Skinner, Desiree Pieterse, and Seth C. Kalichmann. “Methamphetamine use is associated with childhood sexual abuse and HIV sexual risk behaviors among patrons of alcohol-serving venues in Cape Town, South Africa.” Drug Alcohol Depend 126, no. 1–2 (November 1, 2012): 232–39. https://doi.org/10.1016/j.drugalcdep.2012.05.024.
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  - Meade, C. S., M. H. Watt, K. J. Sikkema, L. X. Deng, K. W. Ranby, D. Skinner, D. Pieterse, and S. C. Kalichman. “Methamphetamine use is associated with sexual abuse and HIV sexual risk behaviours among patrons of alcohol serving venues in Cape Town, South Africa.” Journal of the International Aids Society 15 (October 1, 2012): 89–90.
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  - Watt, Melissa H., Krista W. Ranby, Christina S. Meade, Kathleen J. Sikkema, Jessica C. MacFarlane, Donald Skinner, Desiree Pieterse, and Seth C. Kalichman. “Posttraumatic stress disorder symptoms mediate the relationship between traumatic experiences and drinking behavior among women attending alcohol-serving venues in a South African township.” J Stud Alcohol Drugs 73, no. 4 (July 2012): 549–58. https://doi.org/10.15288/jsad.2012.73.549.
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  - Meade, Christina S., Garrett M. Fitzmaurice, Amy K. Sanchez, Margaret L. Griffin, Leah J. McDonald, and Roger D. Weiss. “The relationship of manic episodes and drug abuse to sexual risk behavior in patients with co-occurring bipolar and substance use disorders: a 15-month prospective analysis.” Aids Behav 15, no. 8 (November 2011): 1829–33. https://doi.org/10.1007/s10461-010-9814-9.
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  - Puffer, Eve S., Christina S. Meade, Anya S. Drabkin, Sherryl A. Broverman, Rose A. Ogwang-Odhiambo, and Kathleen J. Sikkema. “Individual- and family-level psychosocial correlates of HIV risk behavior among youth in rural Kenya.” Aids Behav 15, no. 6 (August 2011): 1264–74. https://doi.org/10.1007/s10461-010-9823-8.
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  - Sikkema, Kathleen J., Melissa H. Watt, Christina S. Meade, Krista W. Ranby, Seth C. Kalichman, Donald Skinner, and Desiree Pieterse. “Mental health and HIV sexual risk behavior among patrons of alcohol serving venues in Cape Town, South Africa.” J Acquir Immune Defic Syndr 57, no. 3 (July 1, 2011): 230–37. https://doi.org/10.1097/QAI.0b013e3182167e7a.
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  - Meade, Christina S., Steven B. Lowen, Robert R. MacLean, Mary D. Key, and Scott E. Lukas. “fMRI brain activation during a delay discounting task in HIV-positive adults with and without cocaine dependence.” Psychiatry Res 192, no. 3 (June 30, 2011): 167–75. https://doi.org/10.1016/j.pscychresns.2010.12.011.
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  - Meade, Christina S., Nina A. Conn, Linda M. Skalski, and Steven A. Safren. “Neurocognitive impairment and medication adherence in HIV patients with and without cocaine dependence.” J Behav Med 34, no. 2 (April 2011): 128–38. https://doi.org/10.1007/s10865-010-9293-5.
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  - Brooks, Audrey, Christina S. Meade, Jennifer Sharpe Potter, Yuliya Lokhnygina, Donald A. Calsyn, and Shelly F. Greenfield. “Gender differences in the rates and correlates of HIV risk behaviors among drug abusers.” Subst Use Misuse 45, no. 14 (December 2010): 2444–69. https://doi.org/10.3109/10826084.2010.490928.
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  - Kershaw, Trace S., Kathleen A. Ethier, Linda M. Niccolai, Jessica B. Lewis, Stephanie Milan, Christina Meade, and Jeannette R. Ickovics. “Let's stay together: relationship dissolution and sexually transmitted diseases among parenting and non-parenting adolescents.” J Behav Med 33, no. 6 (December 2010): 454–65. https://doi.org/10.1007/s10865-010-9276-6.
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  - Meade, Christina S., Anya S. Drabkin, Nathan B. Hansen, Patrick A. Wilson, Arlene Kochman, and Kathleen J. Sikkema. “Reductions in alcohol and cocaine use following a group coping intervention for HIV-positive adults with childhood sexual abuse histories.” Addiction 105, no. 11 (November 2010): 1942–51. https://doi.org/10.1111/j.1360-0443.2010.03075.x.
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  - Meade, Christina S., Roger D. Weiss, Garrett M. Fitzmaurice, Sabrina A. Poole, Geetha A. Subramaniam, Ashwin A. Patkar, Hilary S. Connery, and George E. Woody. “HIV risk behavior in treatment-seeking opioid-dependent youth: results from a NIDA clinical trials network multisite study.” J Acquir Immune Defic Syndr 55, no. 1 (September 2010): 65–72. https://doi.org/10.1097/QAI.0b013e3181d916db.
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  - Meade, Christina S., Jianping Wang, Xiuyun Lin, Hao Wu, and Paul J. Poppen. “Stress and coping in HIV-positive former plasma/blood donors in China: a test of cognitive appraisal theory.” Aids Behav 14, no. 2 (April 2010): 328–38. https://doi.org/10.1007/s10461-008-9494-x.
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  - Sikkema, Kathleen J., Melissa H. Watt, Anya S. Drabkin, Christina S. Meade, Nathan B. Hansen, and Brian W. Pence. “Mental health treatment to reduce HIV transmission risk behavior: a positive prevention model.” Aids Behav 14, no. 2 (April 2010): 252–62. https://doi.org/10.1007/s10461-009-9650-y.
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  - Safren, Steven A., Lara Traeger, Margie R. Skeer, Conall O’Cleirigh, Christina S. Meade, Charles Covahey, and Kenneth H. Mayer. “Testing a social-cognitive model of HIV transmission risk behaviors in HIV-infected MSM with and without depression.” Health Psychol 29, no. 2 (March 2010): 215–21. https://doi.org/10.1037/a0017859.
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  - Copersino, Marc L., Christina S. Meade, George E. Bigelow, and Robert K. Brooner. “Measurement of self-reported HIV risk behaviors in injection drug users: comparison of standard versus timeline follow-back administration procedures.” J Subst Abuse Treat 38, no. 1 (January 2010): 60–65. https://doi.org/10.1016/j.jsat.2009.06.004.
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  - Meade, Christina S., Scott E. Lukas, Leah J. McDonald, Garrett M. Fitzmaurice, Jessica A. Eldridge, Nancy Merrill, and Roger D. Weiss. “A randomized trial of transcutaneous electric acupoint stimulation as adjunctive treatment for opioid detoxification.” J Subst Abuse Treat 38, no. 1 (January 2010): 12–21. https://doi.org/10.1016/j.jsat.2009.05.010.
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  - Meade, Christina S., Leah J. McDonald, and Roger D. Weiss. “HIV risk behavior in opioid dependent adults seeking detoxification treatment: an exploratory comparison of heroin and oxycodone users.” Am J Addict 18, no. 4 (July 2009): 289–93. https://doi.org/10.1080/10550490902925821.
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  - Meade, Christina S., Leah J. McDonald, Fiona S. Graff, Garrett M. Fitzmaurice, Margaret L. Griffin, and Roger D. Weiss. “A prospective study examining the effects of gender and sexual/physical abuse on mood outcomes in patients with co-occurring bipolar I and substance use disorders.” Bipolar Disord 11, no. 4 (June 2009): 425–33. https://doi.org/10.1111/j.1399-5618.2009.00682.x.
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  - Meade, Christina S., Nathan B. Hansen, Arlene Kochman, and Kathleen J. Sikkema. “Utilization of medical treatments and adherence to antiretroviral therapy among HIV-positive adults with histories of childhood sexual abuse.” Aids Patient Care Stds 23, no. 4 (April 2009): 259–66. https://doi.org/10.1089/apc.2008.0210.
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  - Meade, Christina S., Trace S. Kershaw, Nathan B. Hansen, and Kathleen J. Sikkema. “Long-term correlates of childhood abuse among adults with severe mental illness: adult victimization, substance abuse, and HIV sexual risk behavior.” Aids Behav 13, no. 2 (April 2009): 207–16. https://doi.org/10.1007/s10461-007-9326-4.
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  - Jaffee, William B., Margaret L. Griffin, Robert Gallop, Christina S. Meade, Fiona Graff, Rachel E. Bender, and Roger D. Weiss. “Depression precipitated by alcohol use in patients with co-occurring bipolar and substance use disorders.” J Clin Psychiatry 70, no. 2 (February 2009): 171–76. https://doi.org/10.4088/jcp.08m04011.
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  - Sikkema, Kathleen J., Nathan B. Hansen, Christina S. Meade, Arlene Kochman, and Ashley M. Fox. “Psychosocial predictors of sexual HIV transmission risk behavior among HIV-positive adults with a sexual abuse history in childhood.” Arch Sex Behav 38, no. 1 (February 2009): 121–34. https://doi.org/10.1007/s10508-007-9238-4.
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  - Meade, Christina S., Trace S. Kershaw, and Jeannette R. Ickovics. “The intergenerational cycle of teenage motherhood: an ecological approach.” Health Psychol 27, no. 4 (July 2008): 419–29. https://doi.org/10.1037/0278-6133.27.4.419.
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  - Meade, Christina S., Fiona S. Graff, Margaret L. Griffin, and Roger D. Weiss. “HIV risk behavior among patients with co-occurring bipolar and substance use disorders: associations with mania and drug abuse.” Drug Alcohol Depend 92, no. 1–3 (January 1, 2008): 296–300. https://doi.org/10.1016/j.drugalcdep.2007.07.013.
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  - Meade, Christina S., and Kathleen J. Sikkema. “Psychiatric and psychosocial correlates of sexual risk behavior among adults with severe mental illness.” Community Ment Health J 43, no. 2 (April 2007): 153–69. https://doi.org/10.1007/s10597-006-9071-6.
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  - Meade, C. S., and R. D. Weiss. “Substance abuse as a risk factor for HIV sexual risk behavior among persons with severe mental illness: Review of evidence and exploration of mechanisms.” Clinical Psychology: Science and Practice 14, no. 1 (March 1, 2007): 23–33. https://doi.org/10.1111/j.1468-2850.2007.00059.x.
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  - Sikkema, Kathleen J., Nathan B. Hansen, Arlene Kochman, Nalini Tarakeshwar, Sharon Neufeld, Christina S. Meade, and Ashley M. Fox. “Outcomes from a group intervention for coping with HIV/AIDS and childhood sexual abuse: reductions in traumatic stress.” Aids Behav 11, no. 1 (January 2007): 49–60. https://doi.org/10.1007/s10461-006-9149-8.
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  - Ickovics, Jeannette R., Christina S. Meade, Trace S. Kershaw, Stephanie Milan, Jessica B. Lewis, and Kathleen A. Ethier. “Urban teens: Trauma, posttraumatic growth, and emotional distress among female adolescents.” J Consult Clin Psychol 74, no. 5 (October 2006): 841–50. https://doi.org/10.1037/0022-006X.74.5.841.
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  - Sikkema, Kathleen J., Nathan B. Hansen, Musie Ghebremichael, Arlene Kochman, Nalini Tarakeshwar, Christina S. Meade, and Heping Zhang. “A randomized controlled trial of a coping group intervention for adults with HIV who are AIDS bereaved: longitudinal effects on grief.” Health Psychol 25, no. 5 (September 2006): 563–70. https://doi.org/10.1037/0278-6133.25.5.563.
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  - Meade, Christina S. “Sexual risk behavior among persons dually diagnosed with severe mental illness and substance use disorder.” Journal of Substance Abuse Treatment 30, no. 2 (March 2006): 147–57. https://doi.org/10.1016/j.jsat.2005.11.005.
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  - Kloos, Bret, Steven M. Gross, Katharine J. Meese, Christina S. Meade, Jhan D. Doughty, Dietra D. Hawkins, Susan O. Zimmerman, David L. Snow, and Kathleen J. Sikkema. “Negotiating risk: knowledge and use of HIV prevention by persons with serious mental illness living in supportive housing.” Am J Community Psychol 36, no. 3–4 (December 2005): 357–72. https://doi.org/10.1007/s10464-005-8631-1.
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  - Meade, Christina S., and Kathleen J. Sikkema. “Voluntary HIV testing among adults with severe mental illness: frequency and associated factors.” Aids Behav 9, no. 4 (December 2005): 465–73. https://doi.org/10.1007/s10461-005-9033-y.
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  - Meade, Christina S., and Kathleen J. Sikkema. “HIV risk behavior among adults with severe mental illness: a systematic review.” Clin Psychol Rev 25, no. 4 (June 2005): 433–57. https://doi.org/10.1016/j.cpr.2005.02.001.
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  - Kershaw, T. S., K. A. Ethier, S. Milan, J. B. Lewis, L. M. Niccolai, C. Meade, and J. R. Ickovics. “The influence of pregnancy, sexually transmitted diseases, and human immunodeficiency virus perceived susceptibility patterns on sexual risk reduction for adolescent females.” Journal of Community Psychology 33, no. 3 (May 1, 2005): 313–31. https://doi.org/10.1002/jcop.20056.
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  - Sikkema, Kathleen J., Nathan B. Hansen, Christina S. Meade, Arlene Kochman, and Rachel S. Lee. “Improvements in health-related quality of life following a group intervention for coping with AIDS-bereavement among HIV-infected men and women.” Qual Life Res 14, no. 4 (May 2005): 991–1005. https://doi.org/10.1007/s11136-004-2959-0.
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  - Meade, Christina S., and Jeannette R. Ickovics. “Systematic review of sexual risk among pregnant and mothering teens in the USA: pregnancy as an opportunity for integrated prevention of STD and repeat pregnancy.” Social Science & Medicine (1982) 60, no. 4 (February 2005): 661–78. https://doi.org/10.1016/j.socscimed.2004.06.015.
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  - Milan, Stephanie, Jeannette R. Ickovics, Trace Kershaw, Jessica Lewis, Christina Meade, and Kathleen Ethier. “Prevalence, course, and predictors of emotional distress in pregnant and parenting adolescents.” J Consult Clin Psychol 72, no. 2 (April 2004): 328–40. https://doi.org/10.1037/0022-006X.72.2.328.
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  - Niccolai, Linda M., Kathleen A. Ethier, Trace S. Kershaw, Jessica B. Lewis, Christina S. Meade, and Jeannette R. Ickovics. “New sex partner acquisition and sexually transmitted disease risk among adolescent females.” J Adolesc Health 34, no. 3 (March 2004): 216–23. https://doi.org/10.1016/S1054-139X(03)00250-7.
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  - Kershaw, Trace S., Linda M. Niccolai, Jeannette R. Ickovics, Jessica B. Lewis, Christina S. Meade, and Kathleen A. Ethier. “Short and long-term impact of adolescent pregnancy on postpartum contraceptive use: implications for prevention of repeat pregnancy.” J Adolesc Health 33, no. 5 (November 2003): 359–68. https://doi.org/10.1016/s1054-139x(03)00138-1.
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  - Prinstein, Mitchell J., Christina S. Meade, and Geoffrey L. Cohen. “Adolescent oral sex, peer popularity, and perceptions of best friends' sexual behavior.” Journal of Pediatric Psychology 28, no. 4 (June 2003): 243–49. https://doi.org/10.1093/jpepsy/jsg012.
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  - Ickovics, Jeannette R., and Christina S. Meade. “Adherence to antiretroviral therapy among patients with HIV: a critical link between behavioral and biomedical sciences.” Journal of Acquired Immune Deficiency Syndromes (1999) 31 Suppl 3 (December 2002): S98-102. https://doi.org/10.1097/00126334-200212153-00002.
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  - Ickovics, J. R., and C. S. Meade. “Adherence to HAART among patients with HIV: breakthroughs and barriers.” Aids Care 14, no. 3 (June 2002): 309–18. https://doi.org/10.1080/09540120220123685.
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- Book Sections
  - Miles, M. S., D. Holditch-Davis, C. Pedersen, J. J.Eron, and T. Schwartz. “Emotional distress in african american women with hiv.” In HIV: Issues with Mental Health and Illness, 35–50, 2014. https://doi.org/10.4324/9781315785509.
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  - Sikkema, Kathleen J., Christina S. Meade, Jhan D. Doughty-Berry, Susan O. Zimmerman, Bret Kloos, and David L. Snow. “Community-level HIV prevention for persons with severe mental illness living in supportive housing programs: a pilot intervention study.,” 33:121–35, 2007. https://doi.org/10.1300/J005v33n01_10.
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- Conference Papers
  - Hobkirk, Andrea L., Sheri L. Towe, Puja Patel, and Christina S. Meade. “FOOD INSECURITY IS ASSOCIATED WITH NEUROCOGNITIVE IMPAIRMENT AMONG INDIVIDUALS LIVING WITH HIV.” In Annals of Behavioral Medicine, 50:S246–S246. OXFORD UNIV PRESS INC, 2016.
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