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J Sex Res ; : 1-20, 2020 Jan 04.
Artigo em Inglês | MEDLINE | ID: mdl-31902238


Gender-based violence (GBV) against women and girls is pervasive and has negative consequences for sexual and reproductive health (SRH). In this systematic review of reviews, we aimed to synthesize research about the SRH outcomes of GBV for adolescent girls and young women in low- and middle-income countries (LMICs). GBV exposures were child abuse, female genital mutilation/cutting, child marriage, intimate partner violence (IPV), and non-partner sexual violence. PsycINFO, PubMed, and Scopus searches were supplemented with expert consultations, reference-list searches, and targeted organizational website searches. Reviews had to contain samples of girls and young women ages 10-24, although inclusion criteria were expanded post-hoc to capture adolescent-adult combined samples. Twenty-seven reviews were quality-rated. Study-level data were extracted from the 10 highest quality reviews (62 unique studies, 100 samples). Reviews were mostly from Africa and Asia and published between 2011 and 2015. We found consistent associations between GBV and number of sexual partners, gynecological conditions (e.g., sexually transmitted infections [STIs]), unwanted/unplanned pregnancy, and abortion. Some types of IPV also were associated with greater use of contraception/STI prevention. Addressing GBV is essential to improve SRH for girls and women in LMICs.

Ethn Dis ; 29(Suppl 2): 365-370, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31308607


The Collaborative Action on Child Equity (CACE) pursued child-focused program and policy research through the Morehouse School of Medicine's Transdisciplinary Collaborative Center (TCC). CACE engaged with partners representing 13 states in the United States to implement the Smart and Secure Children Parent Leadership Program (SSC) and to develop local child-focused Policy Action Plans. The objectives of SSC are to support the development of parental agency and leadership in order to achieve positive health and academic readiness among school-aged children. Of the 13 partners, 9 were able to successfully implement SSC, with more than 350 parent-peer learners completing the program. Additionally, several partners were able to successfully develop Policy Action Plans. We discuss our efforts to bring SSC to scale in a national replication effort and to build policy development, implementation and evaluation capacity in organizations serving children and families. We highlight lessons learned in this replication effort and consider their implications for revisions to our training protocols, recruitment and implementation strategies, methods for providing technical assistance and evaluation models. SSC has demonstrated encouraging efficacy results, was developed using community-based participatory research methods and, as such, the lessons learned are critical for how we engage diverse communities to advance positive child development and academic success.

Am J Orthopsychiatry ; 87(5): 520-530, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-28394156


Integration of behavioral health and primary care services is a promising approach for reducing health disparities. The growing national emphasis on care coordination has mobilized efforts to integrate behavioral health and primary care services across the United States. These efforts align with broader health care system goals of improving health care quality, health equity, utilization efficiency, and patient outcomes. Drawing from our work on a multiyear integrated care initiative (Integrated Care Leadership Program; ICLP) and an implementation science heuristic for organizational readiness (Readiness = Motivation x General Capacity and Innovation-Specific Capacity; R = MC2), this article describes the development and implementation of a tool to assess organizational readiness for integrated care, referred to as the Readiness for Integrated Care Questionnaire (RICQ). The tool was piloted with 11 health care practices that serve vulnerable, underprivileged populations. Initial results from the RICQ revealed that participating practices were generally high in motivation, innovation-specific capacities, and general capacities at the start of ICLP. Additionally, analyses indicated that practices particularly needed support with increasing staff capacities (general knowledge and skills), improving access to and use of resources, and simplifying the steps in integrating care so the effort appears less daunting and difficult to health care team members. We discuss insights from the initial use of RICQ and practical implications of the new tool for driving integrated care efforts that can contribute to health equity. (PsycINFO Database Record

Prestação Integrada de Cuidados de Saúde/organização & administração , Pesquisas sobre Serviços de Saúde/métodos , Serviços de Saúde Mental/organização & administração , Atenção Primária à Saúde/organização & administração , Humanos
J Clin Psychol Med Settings ; 24(3-4): 182-186, 2017 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-27628200


People suffering from mental illness experience poor physical health outcomes, including an average life expectancy of 25 years less than the rest of the population. Stigma is a frequent barrier to accessing behavioral health services. Health equity refers to the opportunity for all people to experience optimal health; the social determinants of health can enable or impede health equity. Recommendations from the U.S. government and the World Health Organization support mental health promotion while recognizing barriers that preclude health equity. The United States Preventive Services Task Force recently recommended screening all adults for depression. The Satcher Health Leadership Institute at the Morehouse School of Medicine (SHLI/MSM) is committed to developing leaders who will help to reduce health disparities as the nation moves toward health equity. The SHLI/MSM Integrated Care Leadership Program (ICLP) provides clinical and administrative healthcare professionals with knowledge and training to develop culturally-sensitive integrated care practices. Integrating behavioral health and primary care improves quality of life and lowers health system costs.

Prestação Integrada de Cuidados de Saúde/organização & administração , Equidade em Saúde/organização & administração , Promoção da Saúde/organização & administração , Transtornos Mentais/terapia , Adulto , Assistência à Saúde Culturalmente Competente/organização & administração , Transtorno Depressivo/psicologia , Transtorno Depressivo/terapia , Acesso aos Serviços de Saúde/organização & administração , Humanos , Liderança , Programas de Rastreamento/organização & administração , Transtornos Mentais/psicologia , Atenção Primária à Saúde/organização & administração , Qualidade de Vida/psicologia , Estados Unidos
J Health Care Poor Underserved ; 24(3): 1247-56, 2013 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-23974395


A person is infected with human immunodeficiency virus (HIV) every nine and half minutes in the United States. Moreover, one in five people infected with HIV in the United States does not know their status. While African Americans make up just 14% of the United States population, they constitute 44% of new HIV infections each year in the United States.4 This study examined the relationship between level of education and HIV testing among African Americans. A sample of 3,254 African American men and women between 18-84 years of age was isolated from the 2008 National Health Interview Survey and analyzed. The results revealed that African Americans with greater educational attainment (high school diploma or greater) are more likely to report having been tested for HIV than those who have not graduated from high school.

Afro-Americanos/psicologia , Soropositividade para HIV/diagnóstico , Aceitação pelo Paciente de Cuidados de Saúde , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Escolaridade , Feminino , Serviços de Saúde/estatística & dados numéricos , Inquéritos Epidemiológicos , Humanos , Masculino , Pessoa de Meia-Idade , Estados Unidos , Adulto Jovem