NAU publications by CHER
Faculty & staff publications
NAU faculty and staff have the opportunity to publish their findings and knowledge as authors. CHER has many researchers that have been cited multiple times in major publications for their great work. The Center for Health Equity Research has accumulated all faculty publications into one, easy to navigate database.
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Tippens, Julie A; Hatton-Bowers, Holly; Honomichl, Ryan; Wheeler, Lorey A; Miamidian, Helen M; Bash, Kirstie L; Smith, Michelle Howell C; Nyaoro, Dulo; Byrd, Joshua J; Packard, Samuel E; Teufel-Shone, Nicolette I Psychological distress prevalence and associated stressors and supports among urban-displaced Congolese adults in Kenya Journal Article American Journal of Orthopsychiatry, 91 (5), pp. 626–634, 2021. @article{Tippens2021, title = {Psychological distress prevalence and associated stressors and supports among urban-displaced Congolese adults in Kenya}, author = {Julie A. Tippens and Holly Hatton-Bowers and Ryan Honomichl and Lorey A. Wheeler and Helen M. Miamidian and Kirstie L. Bash and Michelle C. Howell Smith and Dulo Nyaoro and Joshua J Byrd and Samuel E. Packard and Nicolette I. Teufel-Shone}, url = {https://doi.org/10.1037/ort0000564}, doi = {10.1037/ort0000564}, year = {2021}, date = {2021-07-01}, journal = {American Journal of Orthopsychiatry}, volume = {91}, number = {5}, pages = {626–634}, abstract = {There is limited understanding of the prevalence of psychological distress and associated stressors and supports among displaced adults in low- and middle-income first asylum countries. Method: This article reports the findings of a cross-sectional study. We recruited 245 Congolese adults (18–80 years) residing in Nairobi, Kenya using snowball sampling. Data were collected using an interviewer-administered questionnaire consisting of sociodemographic characteristics, the Self-Reporting Questionnaire (SRQ-20), and a locally developed stressors and supports survey. We used multivariable logistic regression to examine associations among sociodemographic, stressor, and support variables and the likelihood of experiencing psychological distress. Results: More than half of the participants (52.8%) reported symptoms indicative of psychological distress. Factors associated with increased psychological distress included perceiving to have a useful role in one’s family or community, AOR = 1.85; 95% CI [1.1.17, 3.11], p = .012, feeling confused or not knowing what to do, AOR = 2.13; 95% CI [1.20, 4.6], p = .014, and feeling afraid to leave home for medical/health care to help with an illness, AOR = 1.57; 95% CI [1.17, 2.15], p < .01. Additionally, ethnic Banyamulenge Congolese adults without legal refugee status had an increased likelihood of experiencing psychological distress, AOR = .07; 95% CI [0, .74], p = .035. Conclusion: Future research is warranted to understand how to implement targeted mental health and psychosocial support (MHPSS) to improve urban-displaced adults’ sense of safety and belonging. Our findings suggest that legal refugee status is an important structural determinant of mental health, which should be considered in MHPSS practice and policy.}, keywords = {}, pubstate = {published}, tppubtype = {article} } There is limited understanding of the prevalence of psychological distress and associated stressors and supports among displaced adults in low- and middle-income first asylum countries. Method: This article reports the findings of a cross-sectional study. We recruited 245 Congolese adults (18–80 years) residing in Nairobi, Kenya using snowball sampling. Data were collected using an interviewer-administered questionnaire consisting of sociodemographic characteristics, the Self-Reporting Questionnaire (SRQ-20), and a locally developed stressors and supports survey. We used multivariable logistic regression to examine associations among sociodemographic, stressor, and support variables and the likelihood of experiencing psychological distress. Results: More than half of the participants (52.8%) reported symptoms indicative of psychological distress. Factors associated with increased psychological distress included perceiving to have a useful role in one’s family or community, AOR = 1.85; 95% CI [1.1.17, 3.11], p = .012, feeling confused or not knowing what to do, AOR = 2.13; 95% CI [1.20, 4.6], p = .014, and feeling afraid to leave home for medical/health care to help with an illness, AOR = 1.57; 95% CI [1.17, 2.15], p < .01. Additionally, ethnic Banyamulenge Congolese adults without legal refugee status had an increased likelihood of experiencing psychological distress, AOR = .07; 95% CI [0, .74], p = .035. Conclusion: Future research is warranted to understand how to implement targeted mental health and psychosocial support (MHPSS) to improve urban-displaced adults’ sense of safety and belonging. Our findings suggest that legal refugee status is an important structural determinant of mental health, which should be considered in MHPSS practice and policy. |
Marhefka, Stephanie L; Fuhrmann, Hollie J; Gilliam, Patricia; Lopez, Bernice; Baldwin, Julie A AIDS and Behavior, 16 (7), pp. 1961-1969, 2012. @article{Marhefka2012, title = {Interest in, concerns about, and preferences for potential video-group delivery of an effective behavioral intervention among women living with HIV}, author = {Stephanie L Marhefka and Hollie J Fuhrmann and Patricia Gilliam and Bernice Lopez and Julie A Baldwin}, url = {https://www.ncbi.nlm.nih.gov/pubmed/21947780}, doi = {10.1007/s10461-011-0040-x}, year = {2012}, date = {2012-10-01}, journal = {AIDS and Behavior}, volume = {16}, number = {7}, pages = {1961-1969}, abstract = {Novel strategies are needed to expand access to effective behavioral interventions for HIV prevention. Delivering effective group-based interventions to people living with HIV using video-conferencing technology is an innovative approach that may address this need, but has not been explored. Twenty-seven women living with HIV (WLH) who had just completed Healthy Relationships, a group-based behavioral program for WLH, participated in focus groups to share their thoughts about potentially participating in Healthy Relationships via a video-conferencing group. Overall, WLH supported the idea of video-group delivery of the program. They had numerous questions about logistics, expressed concerns about safety and confidentiality, and indicated a preference for accessing video-groups via special video-phones versus computers. Findings warrant further research into the feasibility, acceptability, and effectiveness of video-group delivery of HIV prevention interventions and suggest important considerations for researchers and practitioners who may employ video-conferencing for intervention delivery.}, keywords = {}, pubstate = {published}, tppubtype = {article} } Novel strategies are needed to expand access to effective behavioral interventions for HIV prevention. Delivering effective group-based interventions to people living with HIV using video-conferencing technology is an innovative approach that may address this need, but has not been explored. Twenty-seven women living with HIV (WLH) who had just completed Healthy Relationships, a group-based behavioral program for WLH, participated in focus groups to share their thoughts about potentially participating in Healthy Relationships via a video-conferencing group. Overall, WLH supported the idea of video-group delivery of the program. They had numerous questions about logistics, expressed concerns about safety and confidentiality, and indicated a preference for accessing video-groups via special video-phones versus computers. Findings warrant further research into the feasibility, acceptability, and effectiveness of video-group delivery of HIV prevention interventions and suggest important considerations for researchers and practitioners who may employ video-conferencing for intervention delivery. |
2021 |
Tippens, Julie A; Hatton-Bowers, Holly; Honomichl, Ryan; Wheeler, Lorey A; Miamidian, Helen M; Bash, Kirstie L; Smith, Michelle Howell C; Nyaoro, Dulo; Byrd, Joshua J; Packard, Samuel E; Teufel-Shone, Nicolette I Psychological distress prevalence and associated stressors and supports among urban-displaced Congolese adults in Kenya Journal Article American Journal of Orthopsychiatry, 91 (5), pp. 626–634, 2021. @article{Tippens2021, title = {Psychological distress prevalence and associated stressors and supports among urban-displaced Congolese adults in Kenya}, author = {Julie A. Tippens and Holly Hatton-Bowers and Ryan Honomichl and Lorey A. Wheeler and Helen M. Miamidian and Kirstie L. Bash and Michelle C. Howell Smith and Dulo Nyaoro and Joshua J Byrd and Samuel E. Packard and Nicolette I. Teufel-Shone}, url = {https://doi.org/10.1037/ort0000564}, doi = {10.1037/ort0000564}, year = {2021}, date = {2021-07-01}, journal = {American Journal of Orthopsychiatry}, volume = {91}, number = {5}, pages = {626–634}, abstract = {There is limited understanding of the prevalence of psychological distress and associated stressors and supports among displaced adults in low- and middle-income first asylum countries. Method: This article reports the findings of a cross-sectional study. We recruited 245 Congolese adults (18–80 years) residing in Nairobi, Kenya using snowball sampling. Data were collected using an interviewer-administered questionnaire consisting of sociodemographic characteristics, the Self-Reporting Questionnaire (SRQ-20), and a locally developed stressors and supports survey. We used multivariable logistic regression to examine associations among sociodemographic, stressor, and support variables and the likelihood of experiencing psychological distress. Results: More than half of the participants (52.8%) reported symptoms indicative of psychological distress. Factors associated with increased psychological distress included perceiving to have a useful role in one’s family or community, AOR = 1.85; 95% CI [1.1.17, 3.11], p = .012, feeling confused or not knowing what to do, AOR = 2.13; 95% CI [1.20, 4.6], p = .014, and feeling afraid to leave home for medical/health care to help with an illness, AOR = 1.57; 95% CI [1.17, 2.15], p < .01. Additionally, ethnic Banyamulenge Congolese adults without legal refugee status had an increased likelihood of experiencing psychological distress, AOR = .07; 95% CI [0, .74], p = .035. Conclusion: Future research is warranted to understand how to implement targeted mental health and psychosocial support (MHPSS) to improve urban-displaced adults’ sense of safety and belonging. Our findings suggest that legal refugee status is an important structural determinant of mental health, which should be considered in MHPSS practice and policy.}, keywords = {}, pubstate = {published}, tppubtype = {article} } There is limited understanding of the prevalence of psychological distress and associated stressors and supports among displaced adults in low- and middle-income first asylum countries. Method: This article reports the findings of a cross-sectional study. We recruited 245 Congolese adults (18–80 years) residing in Nairobi, Kenya using snowball sampling. Data were collected using an interviewer-administered questionnaire consisting of sociodemographic characteristics, the Self-Reporting Questionnaire (SRQ-20), and a locally developed stressors and supports survey. We used multivariable logistic regression to examine associations among sociodemographic, stressor, and support variables and the likelihood of experiencing psychological distress. Results: More than half of the participants (52.8%) reported symptoms indicative of psychological distress. Factors associated with increased psychological distress included perceiving to have a useful role in one’s family or community, AOR = 1.85; 95% CI [1.1.17, 3.11], p = .012, feeling confused or not knowing what to do, AOR = 2.13; 95% CI [1.20, 4.6], p = .014, and feeling afraid to leave home for medical/health care to help with an illness, AOR = 1.57; 95% CI [1.17, 2.15], p < .01. Additionally, ethnic Banyamulenge Congolese adults without legal refugee status had an increased likelihood of experiencing psychological distress, AOR = .07; 95% CI [0, .74], p = .035. Conclusion: Future research is warranted to understand how to implement targeted mental health and psychosocial support (MHPSS) to improve urban-displaced adults’ sense of safety and belonging. Our findings suggest that legal refugee status is an important structural determinant of mental health, which should be considered in MHPSS practice and policy. |
2012 |
Marhefka, Stephanie L; Fuhrmann, Hollie J; Gilliam, Patricia; Lopez, Bernice; Baldwin, Julie A AIDS and Behavior, 16 (7), pp. 1961-1969, 2012. @article{Marhefka2012, title = {Interest in, concerns about, and preferences for potential video-group delivery of an effective behavioral intervention among women living with HIV}, author = {Stephanie L Marhefka and Hollie J Fuhrmann and Patricia Gilliam and Bernice Lopez and Julie A Baldwin}, url = {https://www.ncbi.nlm.nih.gov/pubmed/21947780}, doi = {10.1007/s10461-011-0040-x}, year = {2012}, date = {2012-10-01}, journal = {AIDS and Behavior}, volume = {16}, number = {7}, pages = {1961-1969}, abstract = {Novel strategies are needed to expand access to effective behavioral interventions for HIV prevention. Delivering effective group-based interventions to people living with HIV using video-conferencing technology is an innovative approach that may address this need, but has not been explored. Twenty-seven women living with HIV (WLH) who had just completed Healthy Relationships, a group-based behavioral program for WLH, participated in focus groups to share their thoughts about potentially participating in Healthy Relationships via a video-conferencing group. Overall, WLH supported the idea of video-group delivery of the program. They had numerous questions about logistics, expressed concerns about safety and confidentiality, and indicated a preference for accessing video-groups via special video-phones versus computers. Findings warrant further research into the feasibility, acceptability, and effectiveness of video-group delivery of HIV prevention interventions and suggest important considerations for researchers and practitioners who may employ video-conferencing for intervention delivery.}, keywords = {}, pubstate = {published}, tppubtype = {article} } Novel strategies are needed to expand access to effective behavioral interventions for HIV prevention. Delivering effective group-based interventions to people living with HIV using video-conferencing technology is an innovative approach that may address this need, but has not been explored. Twenty-seven women living with HIV (WLH) who had just completed Healthy Relationships, a group-based behavioral program for WLH, participated in focus groups to share their thoughts about potentially participating in Healthy Relationships via a video-conferencing group. Overall, WLH supported the idea of video-group delivery of the program. They had numerous questions about logistics, expressed concerns about safety and confidentiality, and indicated a preference for accessing video-groups via special video-phones versus computers. Findings warrant further research into the feasibility, acceptability, and effectiveness of video-group delivery of HIV prevention interventions and suggest important considerations for researchers and practitioners who may employ video-conferencing for intervention delivery. |