Research Topics
| Kathryn WhettenSummaryAffiliation: Duke University Medical Center Country: USA Publications
Research Grants
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Detail Information
Publications
Relationship between trauma and high-risk behavior among HIV-positive men who do not have sex with men (MDSM)Kathryn Whetten
Center for Health Policy and Inequalities Research CHPIR, Duke Global Health Institute DGHI, Sanford Institute of Public Policy, Duke University, Durham, NC, USA
AIDS Care 24:1453-60. 2012..Study findings indicate a need for more in-depth research to examine the role of childhood sexual abuse in shaping adult risk behaviors among MDSM as well as a need to assess for and address childhood sexual abuse in this population...
Trauma, mental health, distrust, and stigma among HIV-positive persons: implications for effective careKathryn Whetten
Center for Health Policy, Law, and Management, Department of Public Policy, Duke University, Durham NC 27708, USA
Psychosom Med 70:531-8. 2008..Traumatic events, mental illness, distrust, and stigma have also been linked with poorer adherence to medication regimens and HIV risk behavior...- Exploring lack of trust in care providers and the government as a barrier to health service useKathryn Whetten
Center for Health Policy, Box 90253, 125 Old Chemistry Bldg, Durham, NC 27708, USA
Am J Public Health 96:716-21. 2006..We examined associations between trust of health care providers and the government and health service use and outcomes... 
Minorities, the poor, and survivors of abuse: HIV-infected patients in the US deep SouthBrian Wells Pence
Health Inequalities Program, Duke University, Center for Health Policy, Duke University, Durham, NC 27708, USA
South Med J 100:1114-22. 2007..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...- Coping strategies and patterns of alcohol and drug use among HIV-infected patients in the United States SoutheastBrian Wells Pence
Health Inequalities Program, Center for Health Policy, Duke University, Durham, NC 27708, USA
AIDS Patient Care STDS 22:869-77. 2008..Those with more lifetime traumatic experiences also reported higher substance use. Interventions that teach adaptive coping strategies may be effective in reducing alcohol and substance use among HIV-positive persons... - Prevalence of childhood sexual abuse and physical trauma in an HIV-positive sample from the deep southKathryn Whetten
Center for Health Policy, Law, and Management, Department of Public Policy, the Health Inequalities Program, Duke University, Durham, NC 27708, USA
Am J Public Health 96:1028-30. 2006..Abuse is related to increases in high-HIV-risk activities. The findings help explain why people engage in such high-risk activities and can provide guidance in designing improved care and prevention messages... - Childhood trauma and health outcomes in HIV-infected patients: an exploration of causal pathwaysBrian Wells Pence
Department of Community and Family Medicine, Duke University, Durham, NC 27705, USA
J Acquir Immune Defic Syndr 59:409-16. 2012..We sought to quantify the association of trauma with negative behavioral and health outcomes and to assess whether those associations were explained by mediation through psychosocial characteristics... - Prevalence and predictors of HIV-related stigma among institutional- and community-based caregivers of orphans and vulnerable children living in five less-wealthy countriesLynne C Messer
Center for Health Policy and Inequalities Research, 2812 Erwin Rd, Suite 403, Duke University Campus Box 90392, Durham, NC 27705, USA
BMC Public Health 10:504. 2010..In light of the paucity of this literature, this paper will describe HIV-related stigma among caregivers of OAC in five less wealthy nations... - Correlates of poor health among orphans and abandoned children in less wealthy countries: the importance of caregiver healthNathan Thielman
Center for Health Policy and Inequalities Research, Duke Global Health Institute, Duke University, Durham, North Carolina, United States of America
PLoS ONE 7:e38109. 2012..We investigated relationships between the health of orphaned and abandoned children (OAC) and child, caregiver, and household characteristics among randomly selected OAC in five countries... - A brief assessment of learning for orphaned and abandoned children in low and middle income countriesKaren O'Donnell
Center for Health Policy, Duke Global Health Institute, Duke University, Durham, NC 27705, USA
AIDS Behav 16:480-90. 2012..The tests can be useful in evaluating variability in vulnerable child outcomes... - The influence of psychosocial characteristics and race/ethnicity on the use, duration, and success of antiretroviral therapyBrian Wells Pence
Health Inequalities Program, Center for Health Policy, Terry Sanford Institute of Public Policy, Duke University, Durham, NC 27708, USA
J Acquir Immune Defic Syndr 47:194-201. 2008..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... - Highly stressed: stressful and traumatic experiences among individuals with HIV/AIDS in the Deep SouthSusan Reif
Center for Health Policy, Duke University, Durham, NC, USA
AIDS Care 23:152-62. 2011.... - In-home mental health treatment for individuals with HIVSusan S Reif
Center for Health Policy and Inequalities Research, Duke University, Charlotte, North Carolina 28207, USA
AIDS Patient Care STDS 26:655-61. 2012..Findings from the CHAMP Study suggest that the use of in-home mental health treatment may be beneficial in engaging and treating HIV-positive individuals with comorbid mental health disorders... - An integrated, multidimensional treatment model for individuals living with HIV, mental illness, and substance abuseStephanie Bouis
Department of Psychiatry, Duke University Medical Center, Durham, NC, USA
Health Soc Work 32:268-78. 2007..This treatment intervention was associated with positive outcomes in the integrated treatment study and can be adapted for use in a variety of psychiatric or medical treatment settings... - Association of race and gender with use of antiretroviral therapy among HIV-infected individuals in the Southeastern United StatesSusan Reif
Center for Health Policy, Duke University, Durham, NC, USA
South Med J 100:775-81. 2007..This study examined whether race and gender were associated with antiretroviral use among HIV-infected individuals in the southeastern US... - A brief mental health and substance abuse screener for persons with HIVKathryn Whetten
Health Inequalities Program, Duke University, Durham, NC 27708, USA
AIDS Patient Care STDS 19:89-99. 2005..The screener is not a diagnostic instrument and has limited value in predicting specific psychiatric diagnoses... - Characteristics of HIV-infected adults in the Deep South and their utilization of mental health services: A rural vs. urban comparisonSusan Reif
Health Inequalities Program, Duke University, Durham, NC 27708, USA
AIDS Care 18:S10-7. 2006..Due to differences in characteristics and mental health services use by degree of rurality, efforts are needed to assess and address the specific mental health and other needs of HIV-infected individuals in rural areas... - More than the loss of a parent: potentially traumatic events among orphaned and abandoned childrenKathryn Whetten
Center for Health Policy and Inequalities Research, Duke University, Durham, NC 27705, USA
J Trauma Stress 24:174-82. 2011.... - Barriers to antiretroviral adherence: the importance of depression, abuse, and other traumatic eventsMichael Mugavero
Department of Medicine, Division of Infectious Diseases and International Health, Health Inequalities Program, Duke University, Durham, North Carolina, USA
AIDS Patient Care STDS 20:418-28. 2006.... - Prevalence of psychological trauma and association with current health and functioning in a sample of HIV-infected and HIV-uninfected Tanzanian adultsBRIAN W PENCE
Center for Health Policy and Inequalities Research, Duke Global Health Institute, Department of Community and Family Medicine, Duke University, Durham, North Carolina, United States of America
PLoS ONE 7:e36304. 2012..Virtually no data exist on the prevalence or consequences of trauma for PLWHA in low income nations... - Trends in HIV testing and differences between planned and actual testing in the United States, 2000-2005Jan Ostermann
Health Inequalities Program, Center for Health Policy, Box 90253 Duke University, Durham, NC 27708, USA
Arch Intern Med 167:2128-35. 2007..Increasing 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... - Prevalence of DSM-IV-defined mood, anxiety, and substance use disorders in an HIV clinic in the Southeastern United StatesBrian Wells Pence
Center for Health Policy, Duke University, Durham, NC 27708, USA
J Acquir Immune Defic Syndr 42:298-306. 2006..Appropriate policy and program planning require accurate prevalence estimates. Yet most estimates are based on screening instruments, which are likely to overstate true prevalence... - Costs of care for people living with combined HIV/AIDS, chronic mental illness, and substance abuse disordersChristopher J Conover
Center for Health Policy, Duke University, Durham, NC, USA
AIDS Care 21:1547-59. 2009..Realized access is good for many triply diagnosed patients, but remains suboptimal overall. Deficiencies in HIV care are unevenly distributed, tending to concentrate on already disadvantaged populations... - A comparison of the wellbeing of orphans and abandoned children ages 6-12 in institutional and community-based care settings in 5 less wealthy nationsKathryn Whetten
Center for Health Policy, Duke Global Health Institute, Duke University, Durham, North Carolina, United States of America
PLoS ONE 4:e8169. 2009..This analysis tests the hypothesis that institutional care for OAC aged 6-12 is associated with worse health and wellbeing than community residential care using conservative two-tail tests... - HIV Infection and AIDS in the Deep SouthSusan Reif
Terry Sanford Institute of Public Policy, Duke University, Box 90253, Durham, NC 27708, USA
Am J Public Health 96:970-3. 2006..Further research is needed to determine the cause of the disproportionate rise in AIDS incidence and to develop effective means of preventing HIV infection and providing care of those infected in this region... - Gender differences in knowledge and perceptions of HIV resources among individuals living with HIV in the SoutheastKathryn Whetten
Health Inequalities Program, Duke University Center for Health Policy, Law and Management, Durham, NC 27708, USA
South Med J 97:342-9. 2004..CONCLUSIONS: These findings indicate a need for outreach services that are designed to address the specific needs of older African-American women, and women in general... - Validity of an interviewer-administered patient health questionnaire-9 to screen for depression in HIV-infected patients in CameroonBRIAN W PENCE
Department of Community and Family Medicine, Duke University, Durham, NC 27705, USA
J Affect Disord 143:208-13. 2012..Emerging evidence from low-income countries supports similar relationships. Yet little research has validated rapid depression screening tools integrated into routine HIV clinical care... - Substance abuse and symptoms of mental illness among HIV-positive persons in the SoutheastKathryn Whetten
Department of Public Policy, Duke University, Durham, NC, USA
South Med J 98:9-14. 2005..Antiretroviral therapies will not reach their potential for slowing the HIV/AIDS epidemic and prolonging survival if comorbidities that influence patient behavior are not addressed... - Religious coping and quality of life among individuals living with schizophreniaJennifer A Nolan
Social Science Research Institute, P O Box 93412, Bryan Center, Duke University, Durham, NC 27708, USA
Psychiatr Serv 63:1051-4. 2012..This study investigated the relationship between positive and negative religious coping and quality of life among outpatients with schizophrenia... - Religious, spiritual, and traditional beliefs and practices and the ethics of mental health research in less wealthy countriesJennifer A Nolan
Center for Child and Family Policy, Social Science Research Institute, Duke University, Durham, North Carolina 27708, USA
Int J Psychiatry Med 42:267-77. 2011.... - Is anybody out there? Integrating HIV services in rural regionsTrang Quyen Nguyen
Sanford Institute of Public Policy, Duke University, Durham, NC 27708, USA
Public Health Rep 118:3-9. 2003.... - How trauma, recent stressful events, and PTSD affect functional health status and health utilization in HIV-infected patients in the southJane Leserman
Department of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599 7160, USA
Psychosom Med 67:500-7. 2005.... - Utilization of mental health and substance abuse care for people living with HIV/AIDS, chronic mental illness, and substance abuse disordersMarcia R Weaver
Department of Health Services, University of Washington, Seattle, WA, USA
J Acquir Immune Defic Syndr 47:449-58. 2008.... - Relation of lifetime trauma and depressive symptoms to mortality in HIVJane Leserman
Department of Psychiatry and Medicine, CB 7160, Medical School Wing C, Rm 233, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599 7160, USA
Am J Psychiatry 164:1707-13. 2007..The authors hypothesized that these psychosocial variables would predict significantly faster HIV-specific and all-cause mortality... - Validation of a brief screening instrument for substance abuse and mental illness in HIV-positive patientsBrian Wells Pence
Department of Epidemiology, School of Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-7160, USA
J Acquir Immune Defic Syndr 40:434-44. 2005..It missed few cases and was easily incorporated into a busy clinical setting. Persons screening positive require a more rigorous confirmatory psychiatric evaluation... - Overview: HIV/AIDS in the deep south region of the United StatesKathryn Whetten
AIDS Care 18:S1-5. 2006
Research Grants
- Coping With HIV/AIDS in TanzaniaKathryn Whetten; Fiscal Year: 2009..A policy related report will be disseminated to national and international leaders. ..
- HIV/AIDS and Orphan CareKathryn Whetten; Fiscal Year: 2009..These documents will advise policy makers, programmers, and researchers on the caregiving and cultural characteristics that need consideration when planning for the care of orphaned children. ..
- HIV/AIDS and Orphan CareKathryn Whetten; Fiscal Year: 2007..These documents will advise policy makers, programmers, and researchers on the caregiving and cultural characteristics that need consideration when planning for the care of orphaned children. ..
- Coping With HIV/AIDS in TanzaniaKathryn Whetten; Fiscal Year: 2007..A policy related report will be disseminated to national and international leaders. ..
- From Intervention Development to ServicesKathryn Whetten; Fiscal Year: 2006..abstract_text> ..
- Secondary Analysis of Existing Alcohol & HIV/AIDS DataKathryn Whetten; Fiscal Year: 2006..abstract_text> ..
- COPING WITH HIV/AIDS IN THE RURAL SOUTHEASTKathryn Whetten; Fiscal Year: 2004..A research survey company, Battelle, will be hired to perform all data collection, including recruiting and interviewing of subjects. The data analysis will result in a minimum of 12 peer reviewed journal articles. ..
- HIV/AIDS and Orphan CareKathryn Whetten; Fiscal Year: 2010..The study is conducted over four years in six culturally diverse study sites in Cambodia, Ethiopia, India (Nagaland and Hyderabad), Kenya, and Tanzania. ..