Scholars@Duke
Kathryn Whetten

Kathryn Whetten

Professor in the Sanford School of Public Policy
Sanford School of Public Policy
Box 90392, Durham, NC 27710
120 Rubenstein Hall, Durham, NC 27708

Scholarly Works - Journal articles

Maltreatment, social support, and mental well-being: A longitudinal observation study of youth in five low- and middle-income countries.

Journal article Child abuse & neglect · August 2026 BackgroundAddressing the growing child and adolescent mental health crisis is a global priority, particularly in low- and middle-income countries (LMICs). Although the literature demonstrates that experiencing maltreatment may negatively impact me ... Full text Cite

Organization-level determinants for low secondary traumatic stress in lay counselors delivering trauma-focused cognitive behavioral therapy in Kenya.

Journal article PLOS global public health · January 2026 Eighty percent of the world's youth live in low- and middle-income countries (LMICs), yet access to trauma-focused mental health care in these settings remains limited despite a high burden of mental health disorders and trauma exposure among youth. Task-s ... Full text Cite

Preexposure Prophylaxis to Prevent HIV Acquisition: Perceptions among Sexual and Gender Minority Individuals in North Carolina.

Journal article South Med J · July 2025 OBJECTIVES: Sexual and gender minority (SGM) communities at increased risk of human immunodeficiency virus (HIV) may be underprescribed preexposure prophylaxis (PrEP), but PrEP research on SGM communities other than transgender women and cisgender men who ... Full text Link to item Cite

Prevalence and correlates of workplace violence: descriptive results from the National Transgender Discrimination Survey.

Journal article Occup Environ Med · April 28, 2024 OBJECTIVE: To describe the lifetime prevalence of workplace harassment, physical violence and sexual assault against transgender and non-binary workers targeted due to their gender identity and to identify correlates of this workplace violence. METHODS: Th ... Full text Link to item Cite

Effectiveness of trauma-focused cognitive behavioral therapy compared to psychosocial counseling in reducing HIV risk behaviors, substance use, and mental health problems among orphans and vulnerable children in Zambia: a community-based randomized controlled trial.

Journal article AIDS and behavior · January 2024 Orphans and vulnerable children (OVC) in sub-Saharan Africa are at high risk for HIV infection and transmission. HIV prevention and treatment efforts with OVC are hindered by mental health and substance use problems. This randomized controlled trial compar ... Full text Cite

Uncovering determinants of perceived feasibility of TF-CBT through coincidence analysis.

Journal article Implementation research and practice · January 2024 IntroductionA mental health provider's perception of how well an intervention can be carried out in their context (i.e., feasibility) is an important implementation outcome. This article aims to identify determinants of feasibility of trauma-focus ... Full text Cite

A comparison of assessment tools for childcare centers in high vs. low resource settings.

Journal article Frontiers in public health · January 2024 Studies suggest issues may arise when using childcare setting assessment tools designed for high-resource settings in low-resource settings to assess and improve the quality of care, including placing disproportionate weight on features of the childcare en ... Full text Cite

What processes or key components do teachers attribute to their well-being? A cross-cultural qualitative study of teacher well-being in Cambodia, Kenya, and Qatar

Journal article Psychology in the Schools · December 1, 2023 The study of teacher well-being is critically important. However, teacher well-being studies are lacking in Africa, Asia, and the Middle East, and also generally in low-income countries. This exploratory case study sought to identify teachers' perceptions ... Full text Cite

Addressing discrimination and violence against Lesbian, Gay, Bisexual, Transgender, and Queer (LGBTQ) persons from Brazil: a mobile health intervention.

Journal article BMC public health · October 2023 BackgroundSexual and gender minorities (SGM) experience higher rates of discrimination and violence when compared to cis, heterosexual peers. However, violent crimes and other hate incidents against SGM persons are consistently not reported and pr ... Full text Cite

How Poor Is Your Sample? A Simple Approach for Estimating the Relative Economic Status of Small and Nonrepresentative Samples.

Journal article Glob Health Sci Pract · April 28, 2023 BACKGROUND: Asset-based indices of living standards, or wealth indices, are widely used proxies for economic status; however, such indices are not readily available for small and nonrepresentative samples. METHODS: We describe a simple out-of-sample predic ... Full text Link to item Cite

Implementation science in plain language: The use of nonjargon terms to facilitate collaboration.

Journal article Implementation research and practice · January 2023 BackgroundInterdisciplinary collaboration and stakeholder engagement are key ingredients in implementation science research. However, effective and efficient collaboration can be limited by the complexity of implementation science terms. In this a ... Full text Cite

Factors influencing teacher wellbeing and burnout in schools: A scoping review.

Journal article Work (Reading, Mass.) · January 2023 BackgroundTeacher's wellbeing and mental health play a pivotal role in learning experiences and educational environment. For a better future, we need thriving teachers with strong wellbeing.ObjectiveThe current scoping literature review a ... Full text Cite

The association between urban greenspace and psychological health among young adults in Addis Ababa, Ethiopia.

Journal article Environmental research · December 2022 IntroductionPsychological disorders are emerging as health priorities in Sub-Saharan Africa, specifically Ethiopia. Urban greenspace - parks, trees, and other vegetation integrated into urban form - may facilitate population psychological health, ... Full text Cite

The Dandarah App: An mHealth Platform to Tackle Violence and Discrimination of Sexual and Gender Minority Persons Living in Brazil.

Journal article International journal of environmental research and public health · December 2022 Discrimination and violence are widely experienced by sexual and gender minority (SGM) persons worldwide. More than one SGM person is murdered every day in Brazil because of their sexuality or gender identity, which is the highest reported homicide rate in ... Full text Cite

Reliability, Validity and Measurement Invariance of the WHO’s Quality of Life Scale among Women of Reproductive Age Living with HIV in Ethiopia - a Quasi-Experimental Study

Journal article Applied Research in Quality of Life · August 1, 2021 Despite its widespread global adoption and use, studies have not examined measurement invariance of the 31-question World Health Organization Quality of Life–HIV BREF scale among HIV/AIDS patients. The current study seeks to (a) evaluate the scale’s intern ... Full text Cite

Residential Care Directors’ Perceptions of Desirable Characteristics of Caregivers for Orphaned and Separated Children

Journal article International Journal of Applied Positive Psychology · July 1, 2021 Caring for, raising, and educating orphaned and separated children (OSC) is important work that is critical to the long-term well-being of those children. Despite the importance of caregiving, it can be overwhelming and stressful. Much of the available lit ... Full text Cite

Predictors of HIV Testing among Orphaned Youths in Three East African Countries.

Journal article AIDS and behavior · April 2021 In parts of sub-Saharan Africa, where HIV prevalence is high, HIV is a leading cause of death among youths. Orphaned and separated youths are an especially vulnerable group, yet we know little about what influences their testing behavior. We conducted mult ... Full text Cite

Family Composition and Stability for Orphans: A Longitudinal Study of Well-Being in 5 Low- and Middle-Income Countries.

Journal article Int J Public Health · 2021 Objectives: Many orphaned children in low- and middle-income countries live with family. Yet, their household composition and its stability are not well-characterized, nor is impact of stability on longer-term outcomes. Methods: We used the longitudinal, m ... Full text Link to item Cite

'Our life is pointless … ': Exploring discrimination, violence and mental health challenges among sexual and gender minorities from Brazil.

Journal article Global public health · October 2020 Worldwide, Brazil has the highest prevalence of violence and hate crimes against sexual and gender minorities (SGMs) among countries with available data. To explore the impact of this scenario, we conducted a qualitative study with 50 SGMs from Rio de Jane ... Full text Cite

Enjoyment and meaning in daily activities among caregivers of orphaned and separated children in four countries

Journal article Children and Youth Services Review · September 1, 2020 Introduction: There are many orphaned and separated children (OSC) in the world and caregivers play a crucial role in raising them. Frameworks on employee mental health incorporate elements of both enjoyment/difficulties and values (i.e., hedonic and eudai ... Full text Cite

Religion and Caregiving for Orphans and Vulnerable Children: A Qualitative Study of Caregivers Across Four Religious Traditions and Five Global Contexts.

Journal article J Relig Health · June 2020 Studies of caregivers of orphans and vulnerable children (OVC) rarely examine the role religion plays in their lives. We conducted qualitative interviews of 69 caregivers in four countries: Ethiopia, Kenya, Cambodia, and India (Hyderabad and Nagaland), and ... Full text Link to item Cite

Effectiveness of Task-Shifted Trauma-Focused Cognitive Behavioral Therapy for Children Who Experienced Parental Death and Posttraumatic Stress in Kenya and Tanzania: A Randomized Clinical Trial.

Journal article JAMA psychiatry · May 2020 ImportanceApproximately 140 million children worldwide have experienced the death of one or both parents. These children, mostly in low- and middle-income countries, have higher rates of mental health problems than those who have not experienced p ... Full text Cite

Reliability, validity and measurement invariance of the Simplified Medication Adherence Questionnaire (SMAQ) among HIV-positive women in Ethiopia: a quasi-experimental study.

Journal article BMC public health · April 2020 BackgroundAdherence to antiretroviral therapy is critical to the achievement of the third target of the UNAIDS Fast-Track Initiative goals of 2020-2030. Reliable, valid and accurate measurement of adherence are important for correct assessment of ... Full text Cite

Advancing successful implementation of task-shifted mental health care in low-resource settings (BASIC): protocol for a stepped wedge cluster randomized trial.

Journal article BMC Psychiatry · January 8, 2020 BACKGROUND: The mental health treatment gap-the difference between those with mental health need and those who receive treatment-is high in low- and middle-income countries. Task-shifting has been used to address the shortage of mental health professionals ... Full text Open Access Link to item Cite

Public Health, HIV Care and Prevention, Human Rights and Democracy at a Crossroad in Brazil.

Journal article AIDS and behavior · January 2020 On January 2019, Brazil's new far-right president Jair Bolsonaro was sworn into office. Bolsonaro's administration supports downsizing the Brazilian Unified Health System (SUS), while increasing the size of the private health sector. The new administration ... Full text Cite

Barriers and facilitators of child and guardian attendance in task-shifted mental health services in schools in western Kenya.

Journal article Global mental health (Cambridge, England) · January 2020 BackgroundGlobally, nearly 140 million children have experienced the death of one or both parents, and as a result many experience higher rates of mental health problems. Trauma-focused cognitive behavioral therapy (TF-CBT) delivered by lay counse ... Full text Cite

Predictors of mortality in treatment experienced HIV-infected patients in northern Tanzania.

Journal article PLoS One · 2020 BACKGROUND: While factors that drive early mortality among people living with HIV (PLWH) initiating antiretroviral therapy (ART) in sub-Saharan Africa (SSA) have been described, less is known about the predictors of long-term mortality for those with ART e ... Full text Link to item Cite

Mental health and challenges of transgender women: A qualitative study in Brazil and India.

Journal article International journal of transgender health · January 2020 Background: Transgender women from low- and middle-income countries (LMICs) are understudied, their coping strategies and struggles underrecognised. Aims: This study aimed to explore the lived experiences of transgender women fr ... Full text Cite

Examining Health Care Access for Refugee Children and Families in the North Carolina Triangle Area.

Journal article N C Med J · 2020 BACKGROUND Resettled refugees are at increased risk of poor health outcomes due to acculturation challenges, logistical barriers, experiences of trauma, and other barriers to care that are poorly understood. Refugee children may be particularly vulnerable ... Full text Open Access Link to item Cite

Putting virtues in context: engaging the VIA classification of character strengths in caregiving for orphans and vulnerable children across cultures

Journal article Journal of Positive Psychology · November 2, 2019 The VIA Classification of Character Strengths has broken important ground for measuring character strengths across cultures. Because the VIA Classification is a closed system of abstract strengths, however, it is unknown how end-users engage strengths in p ... Full text Open Access Cite

Abortion in Brazil: the case for women's rights, lives, and choices.

Journal article The Lancet. Public health · November 2019 Full text Cite

Sexual and gender minorities rights in Latin America and the Caribbean: a multi-country evaluation.

Journal article BMC international health and human rights · November 2019 BackgroundAlthough the extent of legal inequities experienced by sexual and gender minorities (SGM) has declined during recent decades, this population still enjoys fewer legal protections and benefits than the non-gender-variant, heterosexual pop ... Full text Cite

HIV/AIDS, human rights, and transgender people in Latin America.

Journal article The Lancet. Public health · June 2019 Full text Cite

Caring and thriving: An international qualitative study of caregivers of orphaned and vulnerable children and strategies to sustain positive mental health

Journal article · March 1, 2019 © 2018 Background: Child well-being is associated with caregiver mental health. Research has focused on the absence or presence of mental health problems, such as depression, in caregivers. However, positive mental health – defined as the presence of posit ... Full text Open Access Cite

Factors affecting the psychosocial well-being of orphan and separated children in five low- and middle-income countries: Which is more important, quality of care or care setting?

Journal article PloS one · January 2019 As millions of children continue to live without parental care in under-resourced societies in low- and middle-income countries (LMICs), it is important for policymakers and practitioners to understand the specific characteristics within different care set ... Full text Cite

Lay Counselor Perspectives of Providing a Child-Focused Mental Health Intervention for Children: Task-Shifting in the Education and Health Sectors in Kenya.

Journal article Frontiers in psychiatry · January 2019 The global mental health treatment gap has increasingly been addressed using task-shifting; however, very little research has focused on lay counselors' perspectives on the acceptability, feasibility, and appropriateness of mental health interventions in s ... Full text Cite

Organizational network strengthening effects on antiretroviral therapy initiation and adherence.

Journal article Translational behavioral medicine · July 2018 The WHO recommends antiretroviral therapy (ART) initiation immediately after HIV diagnosis. When HIV services are fragmented and poorly coordinated, initiation of ART can be delayed. MEASURE Evaluation conducted an organizational network intervention in Ad ... Full text Cite

A survey of healthcare-seeking practices and related stigma among community- and street-based children in Cambodia.

Journal article International health · May 2018 BackgroundGlobally, street children comprise a growing population of vulnerable children. Understanding how they interact with healthcare systems is fundamental to efforts to improve their health and well-being.MethodsWe surveyed 75 stree ... Full text Cite

Psychometric evaluation of HIV risk behavior assessments using Audio Computer Assisted Self-Interviewing (ACASI) among orphans and vulnerable children in Zambia.

Journal article AIDS care · February 2018 Social desirability bias and underreporting of HIV risk behaviors are significant challenges to the accurate evaluation of HIV prevention programs for orphans and vulnerable children (OVC) in sub-Saharan Africa. Valid and reliable HIV risk behavior instrum ... Full text Cite

State of HIV in the US Deep South

Journal article Journal of Community Health · February 28, 2017 The Southern United States has been disproportionately affected by HIV diagnoses and mortality. To inform efforts to effectively address HIV in the South, this manuscript synthesizes recent data on HIV epidemiology, care financing, and current research lit ... Full text Open Access Link to item Cite

Civic engagement among orphans and non-orphans in five low- and middle-income countries.

Journal article Global Health · October 11, 2016 BACKGROUND: Communities and nations seeking to foster social responsibility in their youth are interested in understanding factors that predict and promote youth involvement in public activities. Orphans and separated children (OSC) are a vulnerable popula ... Full text Open Access Link to item Cite

Test site predicts HIV care linkage and antiretroviral therapy initiation: a prospective 3.5 year cohort study of HIV-positive testers in northern Tanzania.

Journal article BMC Infect Dis · September 20, 2016 BACKGROUND: Linkage to HIV care is crucial to the success of antiretroviral therapy (ART) programs worldwide, loss to follow up at all stages of the care continuum is frequent, and long-term prospective studies of care linkage are currently lacking. METHOD ... Full text Open Access Link to item Cite

Potentially traumatic experiences and sexual health among orphaned and separated adolescents in five low- and middle-income countries.

Journal article AIDS Care · July 2016 Orphans and separated children (OSC) are a vulnerable population whose numbers are increasing, particularly in sub-Saharan Africa and Asia. Over 153 million children worldwide have lost one or both parents, including 17 million orphaned by AIDS, and millio ... Full text Link to item Cite

Hurdles to herd immunity: Distrust of government and vaccine refusal in the US, 2002-2003.

Journal article Vaccine · July 2016 High rates of nonmedical exemptions (NMEs) from required childhood vaccinations have contributed to outbreaks of vaccine-preventable diseases, such as measles and pertussis. Understanding the parental decision to obtain an NME could help health professiona ... Full text Cite

Exploring Factors Associated with Educational Outcomes for Orphan and Abandoned Children in India.

Journal article Global social welfare : research, policy & practice · March 2016 India has more than 25 million orphan and abandoned children (UNICEF, 2012). The burden of care for these OAC is on caregivers that are often ill equipped to meet their needs due to inadequate assets. Previous studies suggest that in communities with limit ... Full text Cite

The differential impact of social relationships on health outcomes for HIV positive men and women

Journal article Research in the Sociology of Health Care · January 1, 2016 Purpose - This chapter examines the associations between gender, social support, and health outcomes for individuals living with HIV disease. We include social integration and social isolation as structural measures of social support as well as perceived s ... Full text Cite

A Review of Recent Literature on Trauma Among Individuals Living with HIV.

Journal article Current HIV/AIDS reports · December 2015 Persons living with HIV (PLWH) report disproportionately high levels of exposure to traumatic events in childhood and adulthood. Traumatic experiences are associated with negative health and behavioral outcomes. Current research in this area seeks to furth ... Full text Cite

A Qualitative Study of Mental Health Problems Among Orphaned Children and Adolescents in Tanzania.

Journal article The Journal of nervous and mental disease · November 2015 Low- and middle-income countries have a high number of orphans, many of whom have unmet mental health needs. Effective mental health interventions are needed; however, it is necessary to understand how mental health symptoms and needs are perceived locally ... Full text Cite

Yoga to Reduce Trauma-Related Distress and Emotional and Behavioral Difficulties Among Children Living in Orphanages in Haiti: A Pilot Study.

Journal article Journal of alternative and complementary medicine (New York, N.Y.) · September 2015 ObjectivesTo measure trauma-related distress and evaluate the feasibility, acceptability, and preliminary efficacy of an 8-week yoga intervention (YI) in reducing trauma-related symptoms and emotional and behavioral difficulties (EBD) among childr ... Full text Cite

Prevalence and Incidence of Traumatic Experiences Among Orphans in Institutional and Family-Based Settings in 5 Low- and Middle-Income Countries: A Longitudinal Study.

Journal article Glob Health Sci Pract · August 25, 2015 BACKGROUND: Policy makers struggling to protect the 153 million orphaned and separated children (OSC) worldwide need evidence-based research on the burden of potentially traumatic events (PTEs) and the relative risk of PTEs across different types of care s ... Full text Link to item Cite

HIV Diagnoses, Prevalence and Outcomes in Nine Southern States.

Journal article Journal of community health · August 2015 A group of nine states in the Southern United States, hereafter referred to as the targeted states, has experienced particularly high HIV diagnosis and case fatality rates. To provide additional information about the HIV burden in this region, we used CDC ... Full text Cite

Gender (in) differences in prevalence and incidence of traumatic experiences among orphaned and separated children living in five low- and middle-income countries.

Journal article Glob Ment Health (Camb) · January 2015 BACKGROUND: Approximately 153 million children worldwide are orphaned and vulnerable to potentially traumatic events (PTEs). Gender differences in PTEs in low- and middle-income countries (LMIC) are not well-understood, although support services and preven ... Full text Link to item Cite

Changes in HIV Outcomes Following Depression Care in a Resource-Limited Setting: Results from a Pilot Study in Bamenda, Cameroon.

Journal article PloS one · January 2015 BackgroundLittle is known about how improved depression care affects HIV-related outcomes in Africa. In a sample of depressed HIV patients in a low income, sub-Saharan country, we explored how implementing measurement-based antidepressant care (MB ... Full text Cite

HIV diagnoses, prevalence and outcomes in nine southern states

Journal article Journal of Community Health · 2015 © 2014, Springer Science+Business Media New York (outside the USA).A group of nine states in the Southern United States, hereafter referred to as the targeted states, has experienced particularly high HIV diagnosis and case fatality rates. To provide addit ... Full text Cite

HIV serostatus disclosure in the treatment cascade: evidence from Northern Tanzania.

Journal article AIDS Care · 2015 HIV serostatus disclosure plays an important role in HIV transmission risk reduction and is positively associated with HIV medication adherence and treatment outcomes. However, to date, no study has quantified the role of disclosure across the HIV treatmen ... Full text Link to item Cite

Treating maladaptive grief and posttraumatic stress symptoms in orphaned children in Tanzania: group-based trauma-focused cognitive-behavioral therapy.

Journal article Journal of traumatic stress · December 2014 This study was designed to test the feasibility and child clinical outcomes for group-based trauma-focused cognitive behavior therapy (TF-CBT) for orphaned children in Tanzania. There were 64 children with at least mild symptoms of grief and/or traumatic s ... Full text Cite

"Notify your partners--it's the law": HIV providers and mandatory disclosure.

Journal article Journal of the International Association of Providers of AIDS Care · July 2014 HIV care providers in the United States must counsel clients about disclosure to sexual partners and report anyone who is suspected of noncompliance. This study compared provider attitudes and practices in relation to counseling clients about mandatory dis ... Full text Cite

"Notify your partners--it's the law": HIV providers and mandatory disclosure.

Journal article Journal of the International Association of Providers of AIDS Care · July 2014 HIV care providers in the United States must counsel clients about disclosure to sexual partners and report anyone who is suspected of noncompliance. This study compared provider attitudes and practices in relation to counseling clients about mandatory dis ... Full text Cite

Feasibility, safety, acceptability, and preliminary efficacy of measurement-based care depression treatment for HIV patients in Bamenda, Cameroon.

Journal article AIDS and behavior · June 2014 Depression affects 18-30 % of HIV-infected patients in Africa and is associated with greater stigma, lower antiretroviral adherence, and faster disease progression. However, the region's health system capacity to effectively identify and treat depression i ... Full text Cite

HIV/AIDS in the Southern USA: A disproportionate epidemic

Journal article AIDS Care Psychological and Socio Medical Aspects of AIDS HIV · March 4, 2014 This research synthesis examined HIV/AIDS surveillance and health care financing data and reviewed relevant research literature to describe HIV epidemiology, outcomes, funding, and contributing factors to the HIV epidemic in the Southern USA with particula ... Full text Cite

Reduced adherence to antiretroviral therapy among HIV-infected Tanzanians seeking cure from the Loliondo healer.

Journal article J Acquir Immune Defic Syndr · March 1, 2014 : The predictors for seeking alternative therapies for HIV-infection in sub-Saharan Africa are unknown. Among a prospective cohort of 442 HIV-infected patients in Moshi, Tanzania, 249 (56%) sought cure from a newly popularized religious healer in Loliondo ... Full text Link to item Cite

Adverse childhood experiences, psychosocial well-being and cognitive development among orphans and abandoned children in five low income countries.

Journal article BMC international health and human rights · March 2014 BackgroundDevelopment policymakers and child-care service providers are committed to improving the educational opportunities of the 153 million orphans worldwide. Nevertheless, the relationship between orphanhood and education outcomes is not well ... Full text Cite

Child and Caregiver Concordance of Potentially Traumatic Events Experienced by Orphaned and Abandoned Children.

Journal article Vulnerable Child Youth Stud · 2014 Exposure to trauma is associated with significant emotional and behavioral difficulties among children (Perepletchikova & Kaufman, 2010). Overall, reports of trauma and violence experienced by children are discrepant from those of their caregivers (Lewis e ... Full text Link to item Cite

Treatment retention and care transitions during and after the scale-up of HIV care and treatment in Northern Tanzania.

Journal article AIDS Care · 2014 Decentralization of HIV care is promoted to improve access to antiretroviral therapy in sub-Saharan Africa. This study describes care transitions among HIV-infected persons in Northern Tanzania during a period of rapid decentralization of HIV care and trea ... Full text Link to item Cite

Depressive symptoms, HIV medication adherence, and HIV clinical outcomes in Tanzania: a prospective, observational study.

Journal article PloS one · January 2014 Depressive symptoms have been shown to independently affect both antiretroviral therapy (ART) adherence and HIV clinical outcomes in high-income countries. We examined the prospective relationship between depressive symptoms and adherence, virologic failur ... Full text Cite

Three-year change in the wellbeing of orphaned and separated children in institutional and family-based care settings in five low- and middle-income countries.

Journal article PLoS One · 2014 BACKGROUND: With more than 2 million children living in group homes, or "institutions", worldwide, the extent to which institution-based caregiving negatively affects development and wellbeing is a central question for international policymakers. METHODS: ... Full text Link to item Cite

Low rates of child testing for HIV persist in a high-risk area of East Africa.

Journal article AIDS Care · 2014 Children in low- and middle-income countries (LMIC) are the least touched by recent successes in the diagnosis and treatment of HIV/AIDS globally. Early treatment is essential for a child's longer and higher quality of life; however, by 2011, only a small ... Full text Link to item Cite

HIV/AIDS in the Southern USA: A Disproportionate Epidemic

Journal article AIDS Care: Psychological and Socio-medical Aspects of AIDS/HIV · 2014 Cite

Trauma History and Depression Predict Incomplete Adherence to Antiretroviral Therapies in a Low Income Country

Journal article Plos One · October 4, 2013 Background:As antiretroviral therapy (ART) for HIV becomes increasingly available in low and middle income countries (LMICs), understanding reasons for lack of adherence is critical to stemming the tide of infections and improving health. Understanding the ... Full text Cite

Factors associated with change in sexual transmission risk behavior over 3 years among HIV-infected patients in Tanzania.

Journal article PLoS One · 2013 BACKGROUND: The reduction of HIV transmission risk behaviors among those infected with HIV remains a major global health priority. Psychosocial characteristics have proven to be important correlates of sexual transmission risk behaviors in high-income coun ... Full text Link to item Cite

Trauma history and depression predict incomplete adherence to antiretroviral therapies in a low income country.

Journal article PLoS One · 2013 BACKGROUND: As antiretroviral therapy (ART) for HIV becomes increasingly available in low and middle income countries (LMICs), understanding reasons for lack of adherence is critical to stemming the tide of infections and improving health. Understanding th ... Full text Link to item Cite

Validity of an interviewer-administered patient health questionnaire-9 to screen for depression in HIV-infected patients in Cameroon.

Journal article Journal of affective disorders · December 2012 BackgroundIn high-income countries, depression is prevalent in HIV patients and is associated with lower medication adherence and clinical outcomes. Emerging evidence from low-income countries supports similar relationships. Yet little research ha ... Full text Cite

In-home mental health treatment for individuals with HIV.

Journal article AIDS Patient Care STDS · November 2012 Mental health problems are highly prevalent among individuals with HIV and are consistently associated with negative health outcomes. However, mental illness often remains untreated due to significant psychosocial and physical barriers to treatment partici ... Full text Link to item Cite

Religious coping and quality of life among individuals living with schizophrenia.

Journal article Psychiatr Serv · October 1, 2012 OBJECTIVE This study investigated the relationship between positive and negative religious coping and quality of life among outpatients with schizophrenia. METHODS Interviews were conducted with 63 adults in the southeastern United States. Religious coping ... Full text Link to item Cite

Childhood trauma and health outcomes in HIV-infected patients: an exploration of causal pathways.

Journal article J Acquir Immune Defic Syndr · April 1, 2012 OBJECTIVE: Traumatic life histories are highly prevalent in people living with HIV/AIDS and predict sexual risk behaviors, medication adherence, and all-cause mortality. Yet the causal pathways explaining these relationships remain poorly understood. We so ... Full text Link to item Cite

A brief assessment of learning for orphaned and abandoned children in low and middle income countries.

Journal article AIDS Behav · February 2012 Assessment of children's learning and performance in low and middle income countries has been critiqued as lacking a gold standard, an appropriate norm reference group, and demonstrated applicability of assessment tasks to the context. This study was desig ... Full text Link to item Cite

Prevalence of psychological trauma and association with current health and functioning in a sample of HIV-infected and HIV-uninfected Tanzanian adults.

Journal article PLoS One · 2012 BACKGROUND: In high income nations, traumatic life experiences such as childhood sexual abuse are much more common in people living with HIV/AIDS (PLWHA) than the general population, and trauma is associated with worse current health and functioning. Virtu ... Full text Link to item Cite

Relationship between trauma and high-risk behavior among HIV-positive men who do not have sex with men (MDSM).

Journal article AIDS care · January 2012 The incidence of heterosexual HIV transmission continues to increase in the USA. However, little is known about factors that influence high-risk behavior among men who do not have sex with men (MDSM). This study examines the association of childhood sexual ... Full text Cite

Spirituality and religion in outpatients with schizophrenia: a multi-site comparative study of Switzerland, Canada, and the United States.

Journal article Int J Psychiatry Med · 2012 OBJECTIVE: To assess the importance of spirituality and religious coping among outpatients with a DSM-IV diagnosis of schizophrenia or schizoaffective disorder living in three countries. METHOD: A total of 276 outpatients (92 from Geneva, Switzerland, 121 ... Full text Link to item Cite

Correlates of poor health among orphans and abandoned children in less wealthy countries: the importance of caregiver health.

Journal article PLoS One · 2012 BACKGROUND: More than 153 million children worldwide have been orphaned by the loss of one or both parents, and millions more have been abandoned. We investigated relationships between the health of orphaned and abandoned children (OAC) and child, caregive ... Full text Open Access Link to item Cite

More than the loss of a parent: potentially traumatic events among orphaned and abandoned children.

Journal article J Trauma Stress · April 2011 This study examines rates of potentially traumatic events and associated anxiety and emotional/behavioral difficulties among 1,258 orphaned and abandoned children in 5 low- and middle-income countries. The study quantifies the types of events the children ... Full text Link to item Cite

Highly stressed: stressful and traumatic experiences among individuals with HIV/AIDS in the Deep South.

Journal article AIDS Care · February 2011 A history of traumatic and/or stressful experiences is prevalent among HIV-infected individuals and has been consistently associated with poorer health outcomes. However, little is known about incident stressful experiences and the factors that predict the ... Full text Link to item Cite

Child work and labour among orphaned and abandoned children in five low and middle income countries.

Journal article BMC Int Health Hum Rights · January 13, 2011 BACKGROUND: The care and protection of the estimated 143,000,000 orphaned and abandoned children (OAC) worldwide is of great importance to global policy makers and child service providers in low and middle income countries (LMICs), yet little is known abou ... Full text Open Access Link to item Cite

Religious, spiritual, and traditional beliefs and practices and the ethics of mental health research in less wealthy countries.

Journal article Int J Psychiatry Med · 2011 This discussion article contributes to ethics reform by introducing the contribution of religious, spiritual, and traditional beliefs and practices to both subject vulnerability and patient improvement. A growing body of evidence suggests that religious, s ... Full text Link to item Cite

Prevalence and predictors of HIV-related stigma among institutional- and community-based caregivers of orphans and vulnerable children living in five less-wealthy countries.

Journal article BMC Public Health · August 19, 2010 BACKGROUND: In the face of the HIV/AIDS epidemic that has contributed to the dramatic increase in orphans and abandoned children (OAC) worldwide, caregiver attitudes about HIV, and HIV-related stigma, are two attributes that may affect caregiving. Little r ... Full text Open Access Link to item Cite

HIV-stigma and attributes of institutional- and community-based caregivers of orphans and vulnerable children living in five less-wealthy countries.

Journal article BMC Public Health · 2010 BACKGROUND: In the face of the HIV/AIDS epidemic that has contributed to the dramatic increase in orphans and abandoned children (OAC) worldwide, caregiver attitudes about HIV, and HIV-related stigma, are two attributes that may affect caregiving. Little r ... Link to item Cite

A comparison of the wellbeing of orphans and abandoned children ages 6-12 in institutional and community-based care settings in 5 less wealthy nations.

Journal article PLoS One · December 18, 2009 BACKGROUND: Leaders are struggling to care for the estimated 143,000,000 orphans and millions more abandoned children worldwide. Global policy makers are advocating that institution-living orphans and abandoned children (OAC) be moved as quickly as possibl ... Full text Open Access Link to item Cite

Overload: impact of incident stressful events on antiretroviral medication adherence and virologic failure in a longitudinal, multisite human immunodeficiency virus cohort study.

Journal article Psychosom Med · November 2009 OBJECTIVE: To examine the influence of incident stressful experiences on antiretroviral medication adherence and treatment outcomes. Past trauma history predicts poorer medication adherence and health outcomes. Human immunodeficiency virus (HIV)-infected i ... Full text Link to item Cite

Triply-diagnosed patients in the HIV/AIDS Treatment Adherence, Health Outcomes and Cost Study: patterns of home care use.

Journal article AIDS care · November 2008 Although AIDS is a chronic illness, little is known about the patterns and correlates of long-term care use among triply diagnosed HIV patients. We examined nursing and home care use among 1,045 participants in the HIV/AIDS Treatment Adherence, Health Outc ... Full text Cite

Coping strategies and patterns of alcohol and drug use among HIV-infected patients in the United States Southeast.

Journal article AIDS Patient Care STDS · November 2008 Alcohol and drug use are common among HIV-infected patients and are important determinants of secondary transmission risk and medication adherence. As part of the Coping with HIV/AIDS in the Southeast (CHASE) Study, 611 HIV-infected patients were consecuti ... Full text Link to item Cite

Trauma, anxiety and reported health among HIV-positive persons in Tanzania and the US Deep South.

Journal article AIDS care · November 2008 Little research has been conducted in less wealthy nations to evaluate the prevalence of severe life traumas in general population groups and the impact of such traumas. Previous studies in wealthy nations have found that experiencing severe traumas can ca ... Full text Cite

Trauma, mental health, distrust, and stigma among HIV-positive persons: implications for effective care.

Journal article Psychosomatic medicine · June 2008 Individuals living with HIV often have complicated histories, including negative experiences such as traumatic events, mental illness, and stigma. As the medical community in the United States adapts to managing HIV as a chronic disease, understanding fact ... Full text Cite

The influence of psychosocial characteristics and race/ethnicity on the use, duration, and success of antiretroviral therapy.

Journal article J Acquir Immune Defic Syndr · February 1, 2008 BACKGROUND: Expanded access to antiretroviral therapy (ART) has produced dramatic reductions in HIV-associated morbidity and mortality. Disparities in access to and benefit from ART have been observed by race, gender, and mental health status, however. MET ... Full text Link to item Cite

An integrated, multidimensional treatment model for individuals living with HIV, mental illness, and substance abuse.

Journal article Health Soc Work · November 2007 The challenge of providing effective treatment services for the growing population of HIV-positive individuals who are also dually diagnosed with substance use and mental disorders has only recently been recognized as an important public health concern aff ... Full text Link to item Cite

Relation of lifetime trauma and depressive symptoms to mortality in HIV.

Journal article Am J Psychiatry · November 2007 OBJECTIVE: In an era of highly active antiretroviral therapies, the authors needed to confirm previous findings showing that stress and depression have an impact on HIV disease progression. The goal of the current study was to examine the effects of lifeti ... Full text Link to item Cite

Minorities, the poor, and survivors of abuse: HIV-infected patients in the US deep South.

Journal article South Med J · November 2007 BACKGROUND: The HIV/AIDS epidemic in the U.S. South is undergoing a marked shift toward a greater proportion of new HIV/AIDS cases in women, African-Americans, and through heterosexual transmission. METHODS: Using consecutive sampling, 611 participants wer ... Full text Link to item Cite

Childhood abuse and initial presentation for HIV care: an opportunity for early intervention.

Journal article AIDS Care · October 2007 An alarmingly high prevalence of childhood sexual and physical abuse has been observed in HIV-infected men and women, with rates several times higher than observed in the general population. Childhood abuse history has been associated with worse antiretrov ... Full text Link to item Cite

Trends in HIV testing and differences between planned and actual testing in the United States, 2000-2005.

Journal article Archives of internal medicine · October 2007 BackgroundIncreasing the rates of human immunodeficiency virus (HIV) testing among groups not traditionally perceived as being at high risk has been advanced as a primary strategy in the effort to combat the HIV epidemic.MethodsWe conduct ... Full text Cite

Predictors of AIDS-related morbidity and mortality in a southern U.S. Cohort.

Journal article AIDS Patient Care STDS · September 2007 Advances in the treatment of HIV and associated opportunistic infections (OIs) have led to dramatic reductions in HIV-related morbidity and mortality in the United States, but not all patients have benefited equally. A longitudinal analysis of the Coping w ... Full text Link to item Cite

Association of race and gender with use of antiretroviral therapy among HIV-infected individuals in the Southeastern United States.

Journal article South Med J · August 2007 BACKGROUND: Women and minorities continue to account for a higher proportion of AIDS incidence and mortality than their male and white counterparts. This study examined whether race and gender were associated with antiretroviral use among HIV-infected indi ... Full text Link to item Cite

Black sexuality, social construction, and research targeting 'The Down Low' ('The DL').

Journal article Annals of epidemiology · March 2007 PurposeThe purpose of this commentary is to explain how social constructions of black sexuality are relevant to research targeting black sexual behavior and the ostensibly new and race-specific phenomenon known as "the Down Low" (the DL). The term ... Full text Cite

Reif et al. respond [2]

Journal article American Journal of Public Health · March 1, 2007 Full text Cite

Lifetime Trauma and Depressive Symptoms Predict Mortality in HIV

Journal article American Journal of Psychiatry · 2007 Cite

Prevalence of DSM-IV-defined mood, anxiety, and substance use disorders in an HIV clinic in the Southeastern United States.

Journal article Journal of acquired immune deficiency syndromes (1999) · July 2006 BackgroundMood and anxiety disorders, particularly depression, and substance abuse (SA) commonly co-occur with HIV infection. Appropriate policy and program planning require accurate prevalence estimates. Yet most estimates are based on screening ... Full text Cite

Prevalence of childhood sexual abuse and physical trauma in an HIV-positive sample from the deep south.

Journal article Am J Public Health · June 2006 We examined prevalence and predictors of trauma among HIV-infected persons in the Deep South using data from the Coping with HIV/AIDS in the Southeast (CHASE) study. Over 50% of CHASE participants were abused during their lives, with approximately 30% expe ... Full text Link to item Cite

Barriers to antiretroviral adherence: the importance of depression, abuse, and other traumatic events.

Journal article AIDS Patient Care STDS · June 2006 Among HIV-infected persons, high-level adherence to antiretroviral medications (>90%-95%) is associated with improved immunologic, virologic, and clinical outcomes, and is necessary to prevent the emergence of viral resistance. This study examines whether ... Full text Link to item Cite

HIV Infection and AIDS in the Deep South.

Journal article American journal of public health · June 2006 We examine epidemiological and demographic data documenting the HIV/AIDS epidemic in the Deep South region of the United States. These data document substantial increases in AIDS cases in the Deep South from 2000 to 2003. In contrast, other US regions are ... Full text Cite

Association of unmet needs for support services with medication use and adherence among HIV-infected individuals in the southeastern United States.

Journal article AIDS care · May 2006 Unmet needs for services, such as housing and psychiatric treatment, are relatively common among HIV-infected individuals; however, the effects of different types of unmet needs on health-care outcomes are not well understood. This study describes unmet ps ... Full text Cite

Exploring lack of trust in care providers and the government as a barrier to health service use.

Journal article Am J Public Health · April 2006 OBJECTIVES: We examined associations between trust of health care providers and the government and health service use and outcomes. METHODS: Interviews with a sample of 611 HIV-positive individuals included an attitudinal assessment measuring beliefs conce ... Full text Link to item Cite

HIV and AIDS in the Deep South

Journal article American Journal of Public Health · 2006 Cite

Characteristics of HIV-infected adults in the Deep South and their utilization of mental health services: A rural vs. urban comparison.

Journal article AIDS care · January 2006 Insufficient utilization of mental health services has been described among HIV-infected individuals in urban areas; however, little is known about utilization of mental health services among rural-living HIV-infected individuals. This article examines use ... Full text Cite

Does distance affect utilization of substance abuse and mental health services in the presence of transportation services?

Journal article AIDS care · January 2006 Long travel times have been identified as a significant barrier to accessing mental health and other critical services. This study examines whether distance to treatment was a barrier to receiving outpatient mental health and substance abuse care for HIV-p ... Full text Cite

Improving health outcomes among individuals with HIV, mental illness, and substance use disorders in the Southeast.

Journal article AIDS Care · 2006 Providing behavioral treatment for mental health and substance use disorders among HIV-infected individuals is critical because these disorders have been associated with negative outcomes such as poorer medication adherence. This study examines the effecti ... Full text Link to item Cite

Exploring Trust as a Barrier to Health Service Use

Journal article American Journal of Public Health · 2006 Cite

Prevalence of Childhood Sexual Abuse in a Southern HIV-Positive Cohort

Journal article American Journal of Public Health · 2006 Objective: This study describes the prevalence and predictors of sexual and physical trauma among HIV-infected persons in the Deep South. Methods: Prevalence of sexual and physical abuse was evaluated in a sample of 611 HIV-positive individuals. Intervie ... Cite

Validation of a brief screening instrument for substance abuse and mental illness in HIV-positive patients.

Journal article Journal of acquired immune deficiency syndromes (1999) · December 2005 BackgroundSubstance abuse (SA) and mental illness (MI) commonly co-occur with HIV infection in the United States and have important implications for clinical management of HIV/AIDS. Yet SA/MI often go untreated due in part to a lack of practical, ... Full text Cite

A brief mental health and substance abuse screener for persons with HIV.

Journal article AIDS Patient Care STDS · February 2005 Mental illness and substance abuse are common among HIV-infected individuals and are associated with negative outcomes, including poor medication adherence. Therefore, quick and effective methods for detecting these co-occurring disorders are necessary for ... Full text Link to item Cite

Utilizing the Clinical Social Work Model to Foster Collaboration among HIV-Providers in North Carolina

Journal article Journal of HIV/AIDS and Social Services: Practice, Policy and Research · 2005 This article demonstrates one effort to examine the applicability of client behavioral change models to medical provider and case manager behavioral change. The clinical social work model is used to explain the behavioral change process when providers wer ... Cite

Substance abuse and symptoms of mental illness among HIV-positive persons in the Southeast.

Journal article South Med J · January 2005 OBJECTIVES: Mental illness and substance abuse have been consistently associated with poor HIV-medication adherence and other negative health outcomes. METHODS: A brief mental health and substance use screening instrument was administered to 1,362 HIV-infe ... Full text Link to item Cite

How trauma, recent stressful events, and PTSD affect functional health status and health utilization in HIV-infected patients in the south.

Journal article Psychosom Med · 2005 OBJECTIVE: In addition to biological markers of human immunodeficiency virus (HIV) disease progression, physical functioning, and utilization of health care may also be important indicators of health status in HIV-infected patients. There is insufficient u ... Full text Link to item Cite

Utilizing the clinical social work model to foster collaboration among HIV providers in North Carolina

Journal article Journal of HIV AIDS and Social Services · January 1, 2005 This article demonstrates one effort to examine the applicability of client behavioral change models to medical provider and case manager behavioral change. The clinical social work model is used to explain the behavioral change process when providers were ... Full text Cite

Do United States-based Medicaid spend-down programmes make public sense for persons with HIV/AIDS?

Journal article AIDS care · August 2004 Medicaid is a US government insurance programme designed primarily for poor individuals, with expenditures that rose more than 13% in 2002. Thirty-five states have programmes allowing individuals to incur medical expenses at a rate that would make them poo ... Full text Cite

Gender differences in knowledge and perceptions of HIV resources among individuals living with HIV in the Southeast.

Journal article Southern medical journal · April 2004 ObjectivesAncillary services have been associated with beneficial health utilization outcomes among individuals infected with the human immunodeficiency virus (HIV), including greater retention in medical care and greater likelihood of antiretrovi ... Full text Cite

Knowledge and Perceptions of HIV Resources among Women

Journal article Southern Medical Journal · 2004 Cite

Adherence in people living with HIV/AIDS, mental illness, and chemical dependency: a review of the literature.

Journal article AIDS care · January 2004 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 ... Full text Cite

A Brief Mental Health and Substance Abuse Screener For Persons with HIV

Journal article AIDS Patient Care and STDS · 2004 Cite

Development and validation of the Client Diagnostic Questionnaire (CDQ): A mental health screening tool for use in HIV/AIDS service settings

Journal article Psychology Health and Medicine · January 1, 2004 This study examines the validity, feasibility, and utility of the Client Diagnostic Questionnaire (CDQ), a brief diagnostic screening tool designed for use by non-mental health professionals and designed specifically to assess the range of psychiatric diso ... Full text Cite

Measuring HIV services integration activities

Journal article Journal of HIV AIDS and Social Services · January 1, 2003 Despite efforts for more than four decades to better integrate the delivery of health and human services, particularly for individuals with problems that cross service sectors, such as HIV, our understanding remains limited as to what successful services i ... Full text Cite

Is anybody out there? Integrating HIV services in rural regions.

Journal article Public health reports (Washington, D.C. : 1974) · January 2003 As the HIV epidemic has changed nationally, the parallel change in the Southern states has been a disproportionate increase in HIV infection among people of color and among women. Due to the limited and disjointed health care and social service resources i ... Full text Cite

A longitudinal evaluation of patients' perceptions of Parkinson's disease.

Journal article Gerontologist · December 2002 PURPOSE: Parkinson's disease (PD) is a chronic progressive neurological disorder that frequently results in nearly total disability. This study examined changes over 3 years in patients' experiences living with PD, and explored how participants' health per ... Full text Link to item Cite

If there's a will, is there a way? Integrating HIV and mental health services in rural areas

Journal article AIDS and Public Policy Journal · December 1, 2002 In North Carolina, more than 50,000 of the 84,000 people with serious mental illness who need services from the community-based health system or the public mental health system are not served. In the 1990s, federal authorities investigated the state's Medi ... Cite

The impact of ancillary services on primary care use and outcomes for HIV/AIDS patients with public insurance coverage.

Journal article AIDS care · August 2002 To better understand the impact of ancillary services on access to primary care, utilization of health services, costs and health status of HIV/AIDS patients, we studied adult HIV/AIDS patients eligible for public insurance for low-income people (Medicaid) ... Full text Cite

Longitudinal evaluation of economic and physical impact of Parkinson's disease.

Journal article Parkinsonism Relat Disord · September 2001 The cost of parkinsonism and Parkinson's disease (PD) is largely unknown although clinical experience suggests that the impact of this disease is substantial. Longitudinal data is presented for health status, disease symptoms, functional status, and financ ... Full text Link to item Cite

"Financial Burden of Chronic Neurological Disorders to Patients and Their Families: What Providers Need to Know"

Journal article Neurology Report. Special Topic Issue: Quality of Life · 2000 Cite

"Liability, Risk Perceptions, and Precautions at Bars"

Journal article The Journal of Law and Economics · 2000 Open Access Cite

Liability, risk perceptions, and precautions at bars

Journal article Journal of Law and Economics · January 1, 2000 Are state laws, regulatory practices, and allocation of public resources for enforcement reflected in perceptions by bar owners/managers that they will be cited or sued if they fail to exercise care? Among policies, which ones have the greatest impact on r ... Full text Cite

"Compensation for Birth-Related Injury: No-Fault Programs Compared With Tort System"

Journal article Archives of Pediatrics and Adolescent Medicine · 1999 Cite

"A Survey of Beliefs about Managed Care"

Journal article North Carolina Medical Journal · 1999 Cite

A comprehensive assessment of the cost of multiple sclerosis in the United States.

Journal article Mult Scler · October 1998 Comprehensive data on the costs of multiple sclerosis is sparse. We conducted a survey of 606 persons with MS who were members of the National Multiple Sclerosis Society to obtain data on their cost of personal health services, other services, equipment, a ... Full text Link to item Cite

The influence of obstetric no-fault compensation on obstetricians' practice patterns.

Journal article American journal of obstetrics and gynecology · September 1998 ObjectivesThe objectives were to determine level of satisfaction among obstetricians with the no-fault insurance programs in Florida and Virginia and to study any reported practice patterns attributable to implementation of no-fault compensation.< ... Full text Cite

No-fault system of compensation for obstetric injury: winners and losers.

Journal article Obstetrics and gynecology · March 1998 ObjectiveTo determine whether Florida's implementation of a no-fault system for birth-related neurologic injuries reduced lawsuits and total spending associated with such injuries, and whether no-fault was more efficient than tort in distributing ... Full text Cite

Hospital pharmacy decisions, cost containment, and the use of cost-effectiveness analysis.

Journal article Social science & medicine (1982) · August 1997 The key hypothesis of the study was that hospital pharmacies under the pressure of managed care would be more likely to adopt process innovations to assure less costly and more cost-effective provision of care. We conducted a survey of 103 hospitals and an ... Full text Cite

The burden of Parkinson's disease on society, family, and the individual.

Journal article J Am Geriatr Soc · July 1997 OBJECTIVE: To examine the burden of Parkinson's Disease (PD) on society, family, and the individual. SETTING: In-home interviews in Central North Carolina. DESIGN: A cross-sectional, descriptive study. PARTICIPANTS: A total of 109 people with PD. MEASURES: ... Full text Link to item Cite

Effects of the threat of medical malpractice litigation and other factors on birth outcomes.

Journal article Medical care · July 1995 Most major health reform proposals include reform of medical malpractice. A major objective of the current medical malpractice system is to improve quality of care. The authors examine the effect of variations in the threat of medical malpractice, measured ... Full text Cite

Obstetricians’ prior malpractice experience and patients' satisfaction with care

Journal article Obstetrical and Gynecological Survey · January 1, 1995 Full text Cite

Malpractice, patient satisfaction, and physician-patient communication [1]

Journal article Journal of the American Medical Association · 1995 Cite

The relationship between malpractice claims history and subsequent obstetric care.

Journal article JAMA · November 1994 ObjectiveTo determine the relationship between prior malpractice claims experience and the quality of clinical obstetric care.DesignHistorical cohort study of obstetricians, classified by their prior malpractice claims experience, with bl ... Full text Cite

Obstetricians' prior malpractice experience and patients' satisfaction with care.

Journal article JAMA · November 1994 ObjectiveTo examine the relationship between prior physician malpractice experience and patients' satisfaction with care.DesignWomen were interviewed using a questionnaire that contained structured and open-ended questions.Participant ... Full text Cite