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Article ; Online: Stigma Surrounding the Use of Medically Assisted Treatment for Opioid Use Disorder.

Witte, Tricia H / Jaiswal, Jessica / Mumba, Mercy N / Mugoya, George C T

2021 Volume 56, Issue 10, Page(s) 1467–1475

Abstract: Purpose: This study sought to determine whether certain factors influenced public stigma toward the use of medication to treat opioid use disorders (MOUD). ...

Abstract	Purpose: This study sought to determine whether certain factors influenced public stigma toward the use of medication to treat opioid use disorders (MOUD).
MeSH term(s)	Analgesics, Opioid/therapeutic use ; Buprenorphine/therapeutic use ; Humans ; Opiate Substitution Treatment ; Opioid-Related Disorders/drug therapy ; Social Stigma
Chemical Substances	Analgesics, Opioid ; Buprenorphine (40D3SCR4GZ)
Language	English
Publishing date	2021-06-11
Publishing country	England
Document type	Journal Article
ZDB-ID	1310358-1
ISSN	1532-2491 ; 1082-6084
ISSN (online)	1532-2491
ISSN	1082-6084
DOI	10.1080/10826084.2021.1936051
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Article: Feasibility and Acceptability of a Group Counseling Intervention for Opioid Use Disorder: An Exploratory Study.

Mugoya, George C T / Mumba, Mercy N / Jaiswal, Jessica / Glenn, Andrea / Potts, Courtney / Smith, Natalia Langner / Butler, Austin / Cook, Ryan M

Journal of psychosocial nursing and mental health services

2022 Volume 60, Issue 6, Page(s) 7–10

Abstract: The goal of the current exploratory study was to examine the feasibility and acceptability of an evidence-based group counseling intervention for individuals with opioid use disorders (OUD) reporting mental health issues and using medications for OUD. ... ...

Abstract	The goal of the current exploratory study was to examine the feasibility and acceptability of an evidence-based group counseling intervention for individuals with opioid use disorders (OUD) reporting mental health issues and using medications for OUD. The intervention combines motivational interviewing and cognitive-behavioral therapy. Qualitative research methodology, specifically focus group interviewing, with seven individuals was used to examine the feasibility and acceptability of the intervention. Qualitative analysis of the focus group yielded four themes:
MeSH term(s)	Comorbidity ; Feasibility Studies ; Humans ; Mental Health Services ; Motivational Interviewing ; Opioid-Related Disorders/drug therapy
Language	English
Publishing date	2022-06-01
Publishing country	United States
Document type	Journal Article
ZDB-ID	225817-1
ISSN	1938-2413 ; 0279-3695
ISSN (online)	1938-2413
ISSN	0279-3695
DOI	10.3928/02793695-20220510-01
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Article ; Online: Gender differences in HIV-related stigma in Kenya.

Mugoya, George C T / Ernst, Kacey

AIDS care

2014 Volume 26, Issue 2, Page(s) 206–213

Abstract: Stigma associated with HIV/AIDS directly and indirectly drives HIV transmission. We examined how factors associated with HIV-related stigma differed by gender, using data from the 2008-2009 Kenya Demographic and Health Survey (KDHS). Descriptive, ... ...

Abstract	Stigma associated with HIV/AIDS directly and indirectly drives HIV transmission. We examined how factors associated with HIV-related stigma differed by gender, using data from the 2008-2009 Kenya Demographic and Health Survey (KDHS). Descriptive, bivariate and multinomial logistic regression analyses were conducted on selected HIV-related stigma indicators for men and women. Bivariate analyses showed significant gender differences in the overall HIV Stigma index with a higher proportion of women than men presented at the highest stigma level (4.9% vs 2.7%, p < 0.01). Women were more likely to express higher stigmatic attitudes for all components of stigma measured than men. Multivariate analyses showed that HIV-related knowledge had significant inverse dose-response for both men and women. For instance, compared to women in the first HIV-related knowledge quartile, a 1 unit increase in HIV-related knowledge among women at the third HIV-related knowledge quartile was expected to lead to a 63.8% decrease in HIV-related stigma (95% CI [0.21, 0.63]) for women with high stigma, 57.8% decrease for similar women with medium stigma (95% CI [0.33, 0.55]) and 28.4% decrease for those with low stigma (95% CI [0.57, 0.90]). Acceptance with the statement "a husband is justified to hit or beat his wife if she refuses to have sex with him" was a significant risk factor for expression of stigmatising attitudes at all levels for women (High: OR = 1.49, 95% CI [1.02, 2.17]), Medium: OR = 1.47, 95% CI [1.18, 1.82], Low: OR = 1.38, 95% CI [1.10, 1.73]) and men at medium stigma (OR = 2.02, 95% CI [1.38, 2.95]). Other notable gender differences were found in employment, marital status, ethnicity, region of residence, wealth and media exposure. Our results showed that women in the general Kenyan population had higher stigmatic attitudes than men. This was associated with differences in risk factor profile and confirmed previous literature on complexity of social-cultural factors associated with HIV-related stigma.
MeSH term(s)	Adolescent ; Adult ; Age Factors ; Cross-Sectional Studies ; Female ; HIV Infections/epidemiology ; HIV Infections/ethnology ; HIV Infections/psychology ; Health Knowledge, Attitudes, Practice/ethnology ; Humans ; Kenya/epidemiology ; Kenya/ethnology ; Male ; Middle Aged ; Risk Factors ; Sex Factors ; Sexual Behavior/psychology ; Social Stigma ; Socioeconomic Factors
Language	English
Publishing date	2014-02
Publishing country	England
Document type	Comparative Study ; Journal Article
ZDB-ID	1012651-x
ISSN	1360-0451 ; 0954-0121
ISSN (online)	1360-0451
ISSN	0954-0121
DOI	10.1080/09540121.2013.808733
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Article ; Online: HIV Knowledge among African Americans Living with HIV in the Rural South: Implications for Improving HIV Prevention and Care Outcomes.

Aduloju-Ajijola, Natasha / Oyerinde, Ifeoluwa Abosede / Gaul, Zaneta J / Gaskins, Susan / Sutton, Madeline Y / Cody, Shameka L / Johnson, Karen / Mugoya, George C T / Payne-Foster, Pamela

Journal of racial and ethnic health disparities

2023 Volume 11, Issue 1, Page(s) 364–370

Abstract: Purpose: This study examines the HIV knowledge of people living with HIV (PLWH) and its implications for improved healthcare outcomes.: Methods: The study design was a descriptive cross-sectional study, and a total of 41 PLWH were recruited from a ... ...

Abstract	Purpose: This study examines the HIV knowledge of people living with HIV (PLWH) and its implications for improved healthcare outcomes. Methods: The study design was a descriptive cross-sectional study, and a total of 41 PLWH were recruited from a larger faith-based anti-stigma study. Data was collected using a semi-structured self-administered questionnaire and analyzed using SAS. In addition, a literature review was conducted using search engines to gauge existing literature from 2013 to 2022 in areas of HIV knowledge and healthcare outcomes among PLWH. Results: The 41 PLWH enrolled consisted of 51% males and 49% females. Sixteen (39%) were aged ≥ 51 years, 17 (41%) had been living with HIV for > 10 years, 15 (37%) had < high school diploma, and 100% were currently in HIV care. HIV knowledge scores were below average for 20 (49%) of the PLWH. Substantial knowledge deficits were noted in areas of HIV transmission and risk reduction strategies. Lower scores were not significantly associated with the participant's gender, education level, or length of time being HIV-infected. The results of the literature review showed limited research in this area. Conclusions: The study and literature review results show that HIV knowledge and health literacy may contribute to racial disparities in retention in care leading to poor health outcomes. Healthcare providers and health facilities in rural areas should be equipped with culturally tailored HIV educational tools to strengthen ongoing care for PLWH, foster patient-provider relationships, and eliminate internalized stigma detrimental to improved healthcare outcomes among PLWH.
MeSH term(s)	Female ; Humans ; Male ; Black or African American ; Cross-Sectional Studies ; HIV Infections/epidemiology ; Social Stigma ; Health Knowledge, Attitudes, Practice ; Middle Aged ; Rural Population
Language	English
Publishing date	2023-02-01
Publishing country	Switzerland
Document type	Review ; Journal Article
ZDB-ID	2760524-3
ISSN	2196-8837 ; 2197-3792
ISSN (online)	2196-8837
ISSN	2197-3792
DOI	10.1007/s40615-023-01524-6
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Article ; Online: Depression and intimate partner violence among urban Kenyan caregivers of children with disabilities.

Mugoya, George C T / Mumba, Mercy N / Hooper, Lisa M / Witte, Tricia / Youngblood, Madelyn

Journal of psychiatric and mental health nursing

2019 Volume 27, Issue 1, Page(s) 41–53

Abstract: WHAT IS KNOWN ON THE SUBJECT?: Caregivers of children with disabilities are at increased risk of experiencing interpersonal violence and its consequences; however, there is limited research targeting this population. This problem is understudied in Sub- ... ...

Abstract	WHAT IS KNOWN ON THE SUBJECT?: Caregivers of children with disabilities are at increased risk of experiencing interpersonal violence and its consequences; however, there is limited research targeting this population. This problem is understudied in Sub-Saharan Africa. WHAT THIS PAPER ADDS TO EXISTING KNOWLEDGE?: Study examines intimate partner violence and depression among men and women caregivers of children with disabilities. Study findings showed that while a higher proportion of women caregivers of children with disabilities than men reported experiencing intimate partner violence and were at increased risk depression, the differences were not statistically significant. Participants reporting any form of violence (i.e. psychological aggression or physical assault) were at increased risk for depression, with those experiencing a combination of physical assault and psychological aggression having the highest risk for depression. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: Professionals working families of individuals with disabilities should be cognizant of the added stress and comorbid factors associated with caring for a child with a disability. Future research should examine whether there is a causal relationship between intimate partner violence and depression among caregivers of children with disabilities and compare this relationship with the general population. ABSTRACT: Introduction Mental health correlates of intimate partner violence (IPV) victimization are well documented. However, caregivers of children with disabilities (CCWDs) are underrepresented in empirical investigations and may have an increased risk of experiencing IPV and its consequences. This is particularly important in Sub-Saharan Africa where this problem is understudied. Method The present study estimated the prevalence of IPV victimization and examined the association between IPV and depression in a sample of CCWDs living in Nairobi, Kenya. Results Nearly half (49.8%) of the participants experienced some form of IPV and more than half (51.8%) were at risk of depression. Participants reporting psychological and physical violence were 1.76 and 4.81 times more likely to be at risk for depression, respectively. Those experiencing a combination of physical and psychological violence were 4.85 times more likely to be at risk for depression. Discussion Both men and women CCWDs are at an increased risk for IPV and depression. Social-cultural factors are also important in the prediction of depression risk and should be taken into account when working with CCWDs. Implications Mental health professionals should be cognizant of the added stress of being a CCWD, and the link between CCWDs and comorbid mental health outcomes.
MeSH term(s)	Adult ; Caregivers/statistics & numerical data ; Child ; Depression/epidemiology ; Disabled Children/statistics & numerical data ; Family ; Female ; Humans ; Intimate Partner Violence/statistics & numerical data ; Kenya/epidemiology ; Male
Language	English
Publishing date	2019-10-16
Publishing country	England
Document type	Journal Article
ZDB-ID	1328479-4
ISSN	1365-2850 ; 1351-0126
ISSN (online)	1365-2850
ISSN	1351-0126
DOI	10.1111/jpm.12550
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Article ; Online: Sociocultural and Victimization Factors That Impact Attitudes Toward Intimate Partner Violence Among Kenyan Women.

Mugoya, George C T / Witte, Tricia H / Ernst, Kacey C

Journal of interpersonal violence

2015 Volume 30, Issue 16, Page(s) 2851–2871

Abstract: This study investigates the association between acceptance of intimate partner violence (IPV) and reported IPV victimization among Kenyan women, taking into consideration select sociocultural factors that may also influence acceptance of IPV. Data from a ...

Abstract	This study investigates the association between acceptance of intimate partner violence (IPV) and reported IPV victimization among Kenyan women, taking into consideration select sociocultural factors that may also influence acceptance of IPV. Data from a nationally representative, cross-sectional, household survey conducted between November 2008 and February 2009 in Kenya were analyzed. Hierarchical multiple regression was conducted to estimate the effect of select sociodemographic characteristics and reported IPV victimization on acceptance of IPV. The results showed that while both sociodemographic characteristics and reported IPV victimization were significantly associated with IPV acceptance, sociocultural factors had a greater impact. Programs aimed at empowering women and culturally competent IPV prevention strategies may be the key elements to reducing IPV.
MeSH term(s)	Adult ; Attitude ; Crime Victims/psychology ; Crime Victims/statistics & numerical data ; Cross-Sectional Studies ; Female ; Humans ; Intimate Partner Violence/psychology ; Intimate Partner Violence/statistics & numerical data ; Kenya ; Sex Offenses ; Spouse Abuse/psychology ; Spouse Abuse/statistics & numerical data
Language	English
Publishing date	2015-10
Publishing country	United States
Document type	Journal Article
ZDB-ID	2028900-5
ISSN	1552-6518 ; 0886-2605
ISSN (online)	1552-6518
ISSN	0886-2605
DOI	10.1177/0886260514554287
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Article: Engagement of African Americans with Rapid HIV Testing and HIV Care.

Dalmida, Safiya George / McDougall, Graham J / Mugoya, George C T / Payne Foster, Pamela / Plyman, Makenzie / Burrage, Joe

HIV/AIDS research and treatment : open journal

2017 Volume 2018, Page(s) S38–S51

Abstract: Introduction/background: African Americans and Blacks experience the greatest human immunodeficiency virus (HIV) burden of any racial group in the US and globally. A number of challenges contribute to the higher rates of HIV infection among African ... ...

Abstract	Introduction/background: African Americans and Blacks experience the greatest human immunodeficiency virus (HIV) burden of any racial group in the US and globally. A number of challenges contribute to the higher rates of HIV infection among African Americans, including a lack of awareness of HIV status. African Americans account for nearly 50% of the newly estimated HIV/acquired immunodeficiency syndrome (AIDS) diagnoses, with the majority being tested only after developing symptoms of AIDS. Moreover, African Americans are more likely to postpone medical care after finding out that they are HIV positive. Purpose: The aim of this study was to describe African Americans' likelihood of using salivary rapid testing (SRT) methods and entry into healthcare if HIV positive. Methods/design: Focus groups were conducted among 38 African Americans. The purpose of this study was to (1) describe personal factors, social resources, socio-demographic factors, cognitive appraisal, and health and coping behaviors which predict or influence the likelihood of African Americans' participation in SRT and, if positive, subsequent entry into healthcare and (2) to evaluate HIV Testing Survey items and modify them to be culturally and linguistically appropriate. A modified Comprehensive Health Seeking and Coping Paradigm guided the study (CHSCP). Results: Of the 38 African American adults who participated in the study, 16 were female between the ages of 18-49 and the mean age was 23 years and there were 22 males, aged between 18-49 and the mean age was 29.5 years. Eight themes emerged from the data: Implications: Identifying the factors that influence the likelihood of HIV testing uptake can provide information on which to base development of interventions to facilitate HIV testing and earlier linkage to healthcare.
Language	English
Publishing date	2017-09-22
Publishing country	United States
Document type	Journal Article
ISSN	2377-8377
ISSN	2377-8377
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Article ; Online: Associations Among Depressive Symptoms, Wellness, Patient Involvement, Provider Cultural Competency, and Treatment Nonadherence: A Pilot Study Among Community Patients Seen at a University Medical Center.

Hooper, Lisa M / Huffman, Lauren E / Higginbotham, John C / Mugoya, George C T / Smith, Annie K / Dumas, Tia N

Community mental health journal

2017 Volume 54, Issue 2, Page(s) 138–148

Abstract: Treatment nonadherence is a pernicious problem associated with increasing rates of chronic diseases, escalating healthcare costs, and rising mortality in some patients. Although researchers have suggested numerous factors related to treatment ... ...

Abstract	Treatment nonadherence is a pernicious problem associated with increasing rates of chronic diseases, escalating healthcare costs, and rising mortality in some patients. Although researchers have suggested numerous factors related to treatment nonadherence, several understudied aspects warrant attention, such as primary-care settings, provider cultural competence, and patient involvement. Adding to the research base, the present pilot study examined 88 primarily Black American and White American community patients from a large university medical center in the southern part of the United States. The study explored two research questions: (a) To what extent are there associations among depressive symptoms, wellness, patient involvement, cultural competency, and treatment nonadherence in a racially diverse community patient population? And (b) to what extent do the study exploratory variables and background characteristics predict treatment nonadherence, both separately and jointly? Depressive symptoms, the patient's perception of a provider's cultural competence, and marital/partnered status were found to be statistically significantly associated with treatment nonadherence, but not entirely in the directions expected.
MeSH term(s)	Academic Medical Centers ; Adult ; Cross-Sectional Studies ; Cultural Competency/psychology ; Depression/psychology ; Emotional Adjustment/physiology ; Female ; Humans ; Male ; Mental Disorders/psychology ; Mental Disorders/therapy ; Patient Compliance/psychology ; Patient Participation/psychology ; Pilot Projects
Language	English
Publishing date	2017-04-05
Publishing country	United States
Document type	Journal Article
ZDB-ID	215855-3
ISSN	1573-2789 ; 0010-3853
ISSN (online)	1573-2789
ISSN	0010-3853
DOI	10.1007/s10597-017-0133-8
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Article ; Online: Depression and Intimate Partner Violence Among African American Women Living in Impoverished Inner-City Neighborhoods.

Mugoya, George C T / Witte, Tricia / Bolland, Anneliese / Tomek, Sara / Hooper, Lisa M / Bolland, John / George Dalmida, Safiya

Journal of interpersonal violence

2017 Volume 35, Issue 3-4, Page(s) 899–923

Abstract: Mental health correlates of intimate partner violence (IPV) victimization including negative physical and mental health outcomes are well documented. However, certain subgroups of African American women, such as those living in impoverished, urban ... ...

Abstract	Mental health correlates of intimate partner violence (IPV) victimization including negative physical and mental health outcomes are well documented. However, certain subgroups of African American women, such as those living in impoverished, urban communities, are underrepresented in most studies and may experience IPV at higher rates. Furthermore, the circumstances of this women including poverty makes them at risk to IPV and its consequences. The present study estimated the prevalence of IPV victimization and its association with depression in a sample of low-income African American women participating in the Mobile Youth and Poverty Study. Participants in this study were caregivers of adolescents living in extremely impoverished conditions and were part of the Mobile Youth Survey, a community-based, longitudinal, multiple cohort survey conducted between the years 1998 and 2011. Data for the current study were collected between the years 2001 and 2010. The dependent variable was depressive symptoms as measured by the Center for Epidemiological Studies-Depression Scale (CES-D). The independent variable was IPV measured using a subsample of items from the Conflict Tactics Scale. Nearly three quarters (73.6%,
MeSH term(s)	Adolescent ; Adult ; African Americans/psychology ; Cities ; Cohort Studies ; Crime Victims/psychology ; Depression/psychology ; Female ; Humans ; Intimate Partner Violence/psychology ; Middle Aged ; Poverty/psychology ; Prevalence ; Residence Characteristics ; Sexual Partners/psychology ; Socioeconomic Factors ; Surveys and Questionnaires
Language	English
Publishing date	2017-02-13
Publishing country	United States
Document type	Journal Article
ZDB-ID	2028900-5
ISSN	1552-6518 ; 0886-2605
ISSN (online)	1552-6518
ISSN	0886-2605
DOI	10.1177/0886260517691519
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