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Article ; Online: Intersectional Mentorship in Academic Medicine: A Conceptual Review.

Sevelius, Jae M / Harris, Orlando O / Bowleg, Lisa

International journal of environmental research and public health

2024 Volume 21, Issue 4

Abstract: Academic medical institutions seek to recruit and retain a diverse workforce to foster equitable, supportive environments in which early-stage investigators, especially those who are underrepresented in medicine, can thrive. Intersectionality is a ... ...

Abstract	Academic medical institutions seek to recruit and retain a diverse workforce to foster equitable, supportive environments in which early-stage investigators, especially those who are underrepresented in medicine, can thrive. Intersectionality is a critical theoretical framework rooted in Black feminist activism and scholarship that elucidates how power and privilege are differentially structured for groups at different intersectional sociodemographic positions. As a dynamic method of analyzing multiple axes of power and inequality, intersectionality has the potential to offer a critical lens through which to view the mentor-mentee relationship. In this article, we seek to elaborate upon and extend the concept of intersectional mentoring, elucidate its essential components, and explore its application in the context of mentoring early-stage investigators in academic medicine. We propose that intersectional mentorship requires an orientation toward deep cultural humility, lifetime learning about the impact of systemic oppressions on present-day opportunities and experiences of mentees, and changing systems that perpetuate inequities by centering praxis-the application of principles of intersectionality through action to transform power dynamics in academic culture and institutions. Intersectional mentorship can help build a more equitable and representative workforce to advance intersectionally relevant and innovative approaches to achieving health equity.
MeSH term(s)	Mentors ; Humans ; Academic Medical Centers ; Mentoring
Language	English
Publishing date	2024-04-19
Publishing country	Switzerland
Document type	Journal Article ; Review ; Research Support, N.I.H., Extramural
ZDB-ID	2175195-X
ISSN	1660-4601 ; 1661-7827
ISSN (online)	1660-4601
ISSN	1661-7827
DOI	10.3390/ijerph21040503
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Survival now versus survival later: immediate and delayed HIV risk assessment among young Jamaican men who have transactional sex with men.

Harris, Orlando O

Culture, health & sexuality

2018 Volume 21, Issue 8, Page(s) 883–897

Abstract: This study explored the experiences of young Jamaican men who have sex with men who engaged in transactional sex as a result of homelessness, family neglect or limited financial resources. It further examined the circumstances that affect their immediate ...

Abstract	This study explored the experiences of young Jamaican men who have sex with men who engaged in transactional sex as a result of homelessness, family neglect or limited financial resources. It further examined the circumstances that affect their immediate or delayed decisions around sexual risk and increased vulnerability for HIV infection. Barriers experienced when accessing condoms, healthcare, HIV testing and other prevention services are also described. Twenty in-depth interviews and one focus group with 10 participants in various parishes in Jamaica were conducted. Findings from this study reveal how stigma and discrimination in the form of pervasive homophobia-influenced participation in the street economy via transactional sex. Socio-structural factors at family and commity level led to diminished social/economic prospects, which extended into adulthood. Sexual decision making was based on immediate needs for protection, food or shelter; concerns about acquiring HIV were considered only after meeting those immediate needs. Future HIV prevention strategies must take seriously the socio-structural factors that influence HIV risk behaviours among young men who have sex with men in Jamaica.
MeSH term(s)	Adult ; Focus Groups ; HIV Infections/prevention & control ; Homeless Persons ; Homophobia/psychology ; Homosexuality, Male/psychology ; Humans ; Interviews as Topic ; Jamaica ; Male ; Poverty ; Risk Assessment ; Sex Work ; Sexual Behavior ; Social Stigma ; Surveys and Questionnaires ; Unsafe Sex/psychology ; Young Adult
Language	English
Publishing date	2018-11-16
Publishing country	England
Document type	Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't ; Research Support, U.S. Gov't, Non-P.H.S.
ZDB-ID	2023577-X
ISSN	1464-5351 ; 1369-1058
ISSN (online)	1464-5351
ISSN	1369-1058
DOI	10.1080/13691058.2018.1524079
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Article ; Online: Health Coaching Across the Stages of Vaccine Readiness and Action: A Practical Guide for Public Health Nurses.

Harris, Orlando O / Taylor, Kelly D / Maher, Andrew / Willard-Grace, Rachel

American journal of public health

2022 Volume 112, Issue S3, Page(s) S245–S249

MeSH term(s)	Health Personnel ; Humans ; Mentoring ; Nurses ; Nurses, Public Health ; Vaccines
Chemical Substances	Vaccines
Language	English
Publishing date	2022-06-09
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't ; Research Support, N.I.H., Extramural
ZDB-ID	121100-6
ISSN	1541-0048 ; 0090-0036 ; 0002-9572
ISSN (online)	1541-0048
ISSN	0090-0036 ; 0002-9572
DOI	10.2105/AJPH.2022.306774
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Article ; Online: Barriers and facilitators to the transplant process among patients living with polycystic kidney disease: a qualitative Approach.

Smith, Juliana / Harris, Orlando O / Adey, Deborah / Park, Meyeon

BMC nephrology

2023 Volume 24, Issue 1, Page(s) 119

Abstract: Background: Kidney transplant is the gold standard for renal replacement therapy in patients with autosomal dominant polycystic kidney disease (ADPKD), which is the fourth leading cause of kidney failure. Despite the medical and economic benefits of ... ...

Abstract	Background: Kidney transplant is the gold standard for renal replacement therapy in patients with autosomal dominant polycystic kidney disease (ADPKD), which is the fourth leading cause of kidney failure. Despite the medical and economic benefits of preemptive kidney transplant over dialysis before transplant, only 9-21% of qualifying patients receive preemptive transplants. Given the low rates of preemptive transplant, the aim of this study was to determine perceived facilitators and barriers to preemptive transplant among ADPKD patients using a qualitative approach. Methods: Data were collected between July 2021 and January 2022 from virtual individual semi-structured interviews of 16 adult participants with ADPKD. Qualitative analysis of the recorded interviews was conducted to generate themes. Results: Our findings revealed two themes specific for facilitators to preemptive transplant (social support and patient agency) and three themes specific to barriers for preemptive transplant (inadequate social support, gaps in knowledge, and institutional and systemic policies). The results also include various subthemes and the application of these themes to the social ecological model. Conclusions: These findings suggest that increasing social support and patient agency, such as through patient navigator programs and encouraging effective communication between health care providers and patients, can facilitate the transplant process. Increasing dissemination of transplant knowledge from institutions and systems to patients through paired kidney exchange education and live donor outreach can also increase timely access to preemptive kidney transplants for patients with ADPKD. Our findings are limited by our single site study in the US, which may not apply to individuals experiencing different social, cultural, and health access conditions.
MeSH term(s)	Adult ; Humans ; Polycystic Kidney, Autosomal Dominant/complications ; Renal Dialysis/adverse effects ; Polycystic Kidney Diseases/complications ; Kidney Transplantation/adverse effects ; Renal Replacement Therapy/adverse effects ; Kidney Failure, Chronic/etiology
Language	English
Publishing date	2023-05-01
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2041348-8
ISSN	1471-2369 ; 1471-2369
ISSN (online)	1471-2369
ISSN	1471-2369
DOI	10.1186/s12882-023-03174-6
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Article ; Online: Achieving Racial and Ethnic Equity in COVID-19 Vaccination: From Individual Readiness to Health System Readiness.

Grumbach, Kevin / Carson, Mariam / Harris, Orlando O

JAMA health forum

2021 Volume 2, Issue 7, Page(s) e211724

MeSH term(s)	COVID-19/epidemiology ; COVID-19 Vaccines/therapeutic use ; Ethnicity ; Humans ; Racial Groups ; Vaccination
Chemical Substances	COVID-19 Vaccines
Language	English
Publishing date	2021-07-02
Publishing country	United States
Document type	Journal Article ; Research Support, N.I.H., Extramural
ISSN	2689-0186
ISSN (online)	2689-0186
DOI	10.1001/jamahealthforum.2021.1724
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Article ; Online: Challenges and opportunities for medical referrals at a mobile community health clinic serving sexual and gender minorities in rural South Carolina: a qualitative approach.

Joudeh, Layla / Heavner, Smith F / Johnstone, Ethan / Propst, Shantara K / Harris, Orlando O

BMC health services research

2023 Volume 23, Issue 1, Page(s) 168

Abstract: Background: Sexual and gender minorities (SGM) in the Southern United States face challenges in accessing sexual and gender affirming health care. Alternative care models, like inclusive mobile clinics, help mitigate barriers to care for SGM. There is ... ...

Abstract	Background: Sexual and gender minorities (SGM) in the Southern United States face challenges in accessing sexual and gender affirming health care. Alternative care models, like inclusive mobile clinics, help mitigate barriers to care for SGM. There is limited data in the literature on the experience of medical referral processes for SGM individuals accessing services from mobile health clinics. Aims and objectives: The purpose of this study is to describe the medical referral experiences of SGM clients and their providers at a mobile health clinic in the Southern United States. Methods: We recruited English-speaking individuals who provided care or received care from the mobile health clinic in South Carolina between June 2019 and August 2020. Participants completed a brief demographic survey and a virtual in-depth, semi-structured individual interview. Data analysis was conducted using an iterative process to generate codes, categories, and themes. Data collection and analysis were terminated once thematic saturation was achieved. Results: The findings from this study indicated that the mobile health clinic had an inconsistent referral process that was largely dependent on providers' knowledge. Furthermore, clients and providers expressed individual barriers to the referral process, such as financial barriers, and opportunities to improve the referral process, such as an opt-in follow-up from the mobile clinic and increased mobile clinic resources. Conclusion: The findings in this study underscore the importance of having mobile clinics create a structured referral process that all medical providers are familiar with, and the value of hiring patient navigators that can support and refer clients to care that goes beyond the mobile health clinic setting.
MeSH term(s)	Humans ; Mobile Health Units ; South Carolina ; Public Health ; Gender Identity ; Sexual and Gender Minorities ; Referral and Consultation
Language	English
Publishing date	2023-02-17
Publishing country	England
Document type	Journal Article
ZDB-ID	2050434-2
ISSN	1472-6963 ; 1472-6963
ISSN (online)	1472-6963
ISSN	1472-6963
DOI	10.1186/s12913-023-09141-z
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Article ; Online: Do precipitation anomalies influence short-term mobility in sub-saharan Africa? An observational study from 23 countries.

Epstein, Adrienne / Harris, Orlando O / Benmarhnia, Tarik / Camlin, Carol S / Weiser, Sheri D

BMC public health

2023 Volume 23, Issue 1, Page(s) 377

Abstract: Background: Precipitation anomalies are associated with a number of poor health outcomes. One potential consequence of precipitation extremes is human geographic mobility. We evaluated the associations between precipitation anomalies (droughts and heavy ...

Abstract	Background: Precipitation anomalies are associated with a number of poor health outcomes. One potential consequence of precipitation extremes is human geographic mobility. We evaluated the associations between precipitation anomalies (droughts and heavy rains) and short-term mobility in 23 sub-Saharan African countries by linking satellite data on precipitation to cross-sectional representative surveys. Methods: Using data from 23 Demographic and Health Surveys from 2011 to 2017, we estimated the associations between deviations in long-term rainfall trends and short-term mobility among 294,539 women and 136,415 men over 15 years of age. We fit multivariable logistic regression models to assess potential non-linear relationships between rainfall deviations and short-term mobility, adjusting for survey month and socio-demographic covariates, and stratified by participant gender. Furthermore, we assessed whether these associations differed by marital status. Results: Rainfall deviations were associated with short-term mobility among women, but not men. The relationship between rainfall deviations and mobility among women was U-shaped, such that women had increased marginal probabilities of mobility in instances of both lower and heavier precipitation. Differences between married and unmarried women were also revealed: among married women, we found positive associations between both rainfall deviation extremes (drought and heavy rains) and mobility; however, among unmarried women, there was only a positive association for heavy rains. Conclusion: Precipitation anomalies were associated with short-term mobility among women, which may be in turn associated with poor health outcomes. More research with longitudinal data is needed to elaborate the associations between weather shocks, mobility, and downstream health impacts.
MeSH term(s)	Humans ; Female ; Cross-Sectional Studies ; Africa South of the Sahara ; Marital Status ; Marriage ; Surveys and Questionnaires
Language	English
Publishing date	2023-02-22
Publishing country	England
Document type	Observational Study ; Journal Article ; Research Support, N.I.H., Extramural
ZDB-ID	2041338-5
ISSN	1471-2458 ; 1471-2458
ISSN (online)	1471-2458
ISSN	1471-2458
DOI	10.1186/s12889-023-15264-z
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Article ; Online: Climate Change, Public Health, Health Policy, and Nurses Training.

Harris, Orlando O / Bialous, Stella Aguinaga / Muench, Ulrike / Chapman, Susan / Dawson-Rose, Carol

American journal of public health

2022 Volume 112, Issue S3, Page(s) S321–S327

Abstract: There are few educational programs in the United States that have a primary focus on preparing nurses to engage in all levels of public health, health policy, and climate change. The United Nations sustainability development goals (SDG) and ... ...

Abstract	There are few educational programs in the United States that have a primary focus on preparing nurses to engage in all levels of public health, health policy, and climate change. The United Nations sustainability development goals (SDG) and the
MeSH term(s)	Climate Change ; Health Policy ; Health Promotion ; Humans ; Public Health ; Sustainable Development ; United States
Language	English
Publishing date	2022-06-09
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	121100-6
ISSN	1541-0048 ; 0090-0036 ; 0002-9572
ISSN (online)	1541-0048
ISSN	0090-0036 ; 0002-9572
DOI	10.2105/AJPH.2022.306826
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Article ; Online: "I Kept It to Myself": Young Jamaican Men Who Have Sex with Men's Experiences with Childhood Sexual Abuse and Sexual Assault.

Harris, Orlando O / Dunn, Leith Lorraine

Archives of sexual behavior

2018 Volume 48, Issue 4, Page(s) 1227–1238

Abstract: The prevalence of HIV is exceptionally high among Jamaican men who have sex with men (JMSM) compared to similar populations within the Caribbean. A noticeable gap in the literature is the impact of childhood sexual abuse (CSA) and sexual assault on the ... ...

Abstract	The prevalence of HIV is exceptionally high among Jamaican men who have sex with men (JMSM) compared to similar populations within the Caribbean. A noticeable gap in the literature is the impact of childhood sexual abuse (CSA) and sexual assault on the state of the epidemic among this population. This study focused on JMSM's experiences with CSA and sexual assault and how these domains relate to HIV prevention. We analyzed qualitative data from 20 semi-structured in-depth interviews and focus group discussions with 10 men. Common themes emerged that highlight the patterns and nature of the abuse, the characteristics of the perpetrators, and the ways in which participants engage agency and resiliency as a basis to reclaim personal power. These findings serve as a catalyst for understanding how experiences with CSA and sexual assault affect the lives of young JMSM; how those experiences may impact attitudes and behaviors regarding HIV testing, engagement in care; and have implications for shaping legal policy, clinical, and mental health services for JMSM survivors.
MeSH term(s)	Adolescent ; Adult ; Adult Survivors of Child Abuse/psychology ; Female ; Homosexuality, Male/psychology ; Humans ; Jamaica ; Male ; Sexual and Gender Minorities/psychology ; Young Adult
Language	English
Publishing date	2018-06-27
Publishing country	United States
Document type	Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't ; Research Support, U.S. Gov't, Non-P.H.S.
ZDB-ID	184221-3
ISSN	1573-2800 ; 0004-0002
ISSN (online)	1573-2800
ISSN	0004-0002
DOI	10.1007/s10508-018-1219-2
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Article ; Online: Beyond Homophobia: How Do Jamaican Men Who Have Sex with Men Build Communities, Affirm Identity, and Mitigate Homophobia?

Harris, Orlando O / Jarrett, Sharlene

The Journal of the Association of Nurses in AIDS Care : JANAC

2018 Volume 29, Issue 5, Page(s) 749–761

Abstract: Jamaican men who have sex with men (MSM) have experienced widespread stigma and discrimination. Much of the research on Jamaican MSM has focused on HIV risk behaviors. We examined the social and romantic relationships of Jamaican MSM and how these ... ...

Abstract	Jamaican men who have sex with men (MSM) have experienced widespread stigma and discrimination. Much of the research on Jamaican MSM has focused on HIV risk behaviors. We examined the social and romantic relationships of Jamaican MSM and how these factors fostered a sense of community in an antihomosexual environment. Qualitative in-depth interviews were conducted with 30 MSM ages 18 to 29 years. Women and familial matriarchal figures were more likely to accept someone identified as homosexual and provide protection against homophobia. Jamaican MSM affirmed their identity by providing emotional support and safe spaces, which aided in building a sense of community. Relationships with friends and intimate partners were a source of love and validation as opposed to simply sexual gratification. The social and romantic relationships of Jamaican MSM transcended the social boundaries of homophobia, affirmed sexual identity and orientation, and served as facilitators across most general societal and cultural interactions.
MeSH term(s)	Adolescent ; Adult ; African Continental Ancestry Group/psychology ; Discrimination (Psychology) ; Homophobia/ethnology ; Homophobia/psychology ; Homosexuality, Male/ethnology ; Homosexuality, Male/psychology ; Humans ; Interviews as Topic ; Jamaica ; Male ; Qualitative Research ; Social Identification ; Social Stigma ; Social Support ; Young Adult
Language	English
Publishing date	2018-03-14
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't ; Research Support, U.S. Gov't, Non-P.H.S.
ZDB-ID	1159376-3
ISSN	1552-6917 ; 1055-3290
ISSN (online)	1552-6917
ISSN	1055-3290
DOI	10.1016/j.jana.2018.03.003
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