Alexander C Tsai

Summary

Affiliation: Massachusetts General Hospital
Country: USA

Publications

  1. pmc Internalized stigma, social distance, and disclosure of HIV seropositivity in rural Uganda
    Alexander C Tsai
    Chester M Pierce, MD Division of Global Psychiatry, Department of Psychiatry, Massachusetts General Hospital MGH, Boston, MA, USA
    Ann Behav Med 46:285-94. 2013
  2. pmc Does effective depression treatment alone reduce secondary HIV transmission risk? Equivocal findings from a randomized controlled trial
    Alexander C Tsai
    Chester M Pierce, MD Division of Global Psychiatry, Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA
    AIDS Behav 17:2765-72. 2013
  3. pmc How does antiretroviral treatment attenuate the stigma of HIV? Evidence from a cohort study in rural Uganda
    Alexander C Tsai
    Chester M Pierce, MD Division of Global Psychiatry, Department of Psychiatry, Massachusetts General Hospital MGH, Center for Global Health, Room 1529 E3, 100 Cambridge Street, 15th Floor, Boston, MA, 02114, USA
    AIDS Behav 17:2725-31. 2013
  4. pmc Eleven-year outcomes from an integrated residency program to train research psychiatrists
    Alexander C Tsai
    Center for Global Health, Massachusetts General Hospital, Boston, MA 02114, USA
    Acad Med 88:983-8. 2013
  5. pmc A typology of structural approaches to HIV prevention: a commentary on Roberts and Matthews
    Alexander C Tsai
    Center for Global Health, Massachusetts General Hospital, Boston, MA 02114, United States
    Soc Sci Med 75:1562-7; discussion 1568-71. 2012
  6. pmc GPS-measured distance to clinic, but not self-reported transportation factors, are associated with missed HIV clinic visits in rural Uganda
    Mark J Siedner
    Massachusetts General Hospital Center for Global Health, Boston, Massachusetts 02114, USA
    AIDS 27:1503-8. 2013
  7. pmc Evidence for the reliability and validity of the internalized AIDS-related stigma scale in rural Uganda
    Alexander C Tsai
    Center for Global Health, Massachusetts General Hospital, Room 1529 E3, 100 Cambridge Street, 15th Floor, Boston, MA 02114, USA
    AIDS Behav 17:427-33. 2013
  8. pmc Food insecurity, depression and the modifying role of social support among people living with HIV/AIDS in rural Uganda
    Alexander C Tsai
    Robert Wood Johnson Health and Society Scholars Program, Harvard University, MA, USA
    Soc Sci Med 74:2012-9. 2012
  9. pmc No association found between traditional healer use and delayed antiretroviral initiation in rural Uganda
    RUSSELL H HORWITZ
    Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA
    AIDS Behav 17:260-5. 2013
  10. pmc Sexual relationship power and malnutrition among HIV-positive women in rural Uganda
    Mark J Siedner
    Department of Infectious Disease, Massachusetts General Hospital, Harvard Medical School, Boston, 02114, USA
    AIDS Behav 16:1542-8. 2012

Detail Information

Publications22

  1. pmc Internalized stigma, social distance, and disclosure of HIV seropositivity in rural Uganda
    Alexander C Tsai
    Chester M Pierce, MD Division of Global Psychiatry, Department of Psychiatry, Massachusetts General Hospital MGH, Boston, MA, USA
    Ann Behav Med 46:285-94. 2013
    ..HIV is highly stigmatized, compromising both treatment and prevention in resource-limited settings...
  2. pmc Does effective depression treatment alone reduce secondary HIV transmission risk? Equivocal findings from a randomized controlled trial
    Alexander C Tsai
    Chester M Pierce, MD Division of Global Psychiatry, Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA
    AIDS Behav 17:2765-72. 2013
    ..Mental health interventions may need to combine depression treatment with specific skills training in order to achieve durable impacts on HIV prevention outcomes...
  3. pmc How does antiretroviral treatment attenuate the stigma of HIV? Evidence from a cohort study in rural Uganda
    Alexander C Tsai
    Chester M Pierce, MD Division of Global Psychiatry, Department of Psychiatry, Massachusetts General Hospital MGH, Center for Global Health, Room 1529 E3, 100 Cambridge Street, 15th Floor, Boston, MA, 02114, USA
    AIDS Behav 17:2725-31. 2013
    ..3; P = 0.03), and appeared to be driven by ART-induced improvements in HIV symptom burden, physical and psychological wellbeing, and depression symptom severity...
  4. pmc Eleven-year outcomes from an integrated residency program to train research psychiatrists
    Alexander C Tsai
    Center for Global Health, Massachusetts General Hospital, Boston, MA 02114, USA
    Acad Med 88:983-8. 2013
    ..More widespread adoption of similar educational models may help to address the critical shortage of research psychiatrists. ..
  5. pmc A typology of structural approaches to HIV prevention: a commentary on Roberts and Matthews
    Alexander C Tsai
    Center for Global Health, Massachusetts General Hospital, Boston, MA 02114, United States
    Soc Sci Med 75:1562-7; discussion 1568-71. 2012
    ....
  6. pmc GPS-measured distance to clinic, but not self-reported transportation factors, are associated with missed HIV clinic visits in rural Uganda
    Mark J Siedner
    Massachusetts General Hospital Center for Global Health, Boston, Massachusetts 02114, USA
    AIDS 27:1503-8. 2013
    ..Studies of the association between transportation barriers and HIV-related health outcomes have shown both positive and negative effects, possibly because a reliable, validated measure of transportation barriers has not been identified...
  7. pmc Evidence for the reliability and validity of the internalized AIDS-related stigma scale in rural Uganda
    Alexander C Tsai
    Center for Global Health, Massachusetts General Hospital, Room 1529 E3, 100 Cambridge Street, 15th Floor, Boston, MA 02114, USA
    AIDS Behav 17:427-33. 2013
    ..Taken together, these findings suggest that the Internalized AIDS-Related Stigma Scale may be a useful tool for socio-behavioral HIV research...
  8. pmc Food insecurity, depression and the modifying role of social support among people living with HIV/AIDS in rural Uganda
    Alexander C Tsai
    Robert Wood Johnson Health and Society Scholars Program, Harvard University, MA, USA
    Soc Sci Med 74:2012-9. 2012
    ..Interventions aimed at improving food security and strengthening instrumental social support may have synergistic beneficial effects on both mental health and HIV outcomes among PLWHA in resource-limited settings...
  9. pmc No association found between traditional healer use and delayed antiretroviral initiation in rural Uganda
    RUSSELL H HORWITZ
    Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA
    AIDS Behav 17:260-5. 2013
    ..These findings suggest that TH/SC use does not delay initiation of ART...
  10. pmc Sexual relationship power and malnutrition among HIV-positive women in rural Uganda
    Mark J Siedner
    Department of Infectious Disease, Massachusetts General Hospital, Harvard Medical School, Boston, 02114, USA
    AIDS Behav 16:1542-8. 2012
    ..Targeted interventions to improve intimate partner relationship equality should be explored to improve health status among women living with HIV in rural Africa...
  11. doi request reprint Reversal of the Kynurenine Pathway of Tryptophan Catabolism May Improve Depression in ART-Treated HIV-Infected Ugandans
    Priscilla Martinez
    Norwegian Center for Addiction Research, University of Oslo, Oslo, Norway Alcohol Research Group, School of Public Health, University of California, Berkeley, CA Center for Global Health, Massachusetts General Hospital, Boston, MA Division of Global Psychiatry, Department of Psychiatry, Massachusetts General Hospital, Boston, MA Mbarara University of Science and Technology, Mbarara, Uganda University of California at San Francisco, San Francisco, CA Division of HIV AIDS, San Francisco General Hospital, University of California San Francisco, CA Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA Department of Global Health and Population, Harvard School of Public Health, Boston, MA and Ragon Institute of Massachusetts General Hospital, MIT and Harvard, Boston, MA
    J Acquir Immune Defic Syndr 65:456-62. 2014
    ....
  12. doi request reprint Treatment as long-term prevention: sustained reduction in HIV sexual transmission risk with use of antiretroviral therapy in rural Uganda
    Mark J Siedner
    aMassachusetts General Hospital, Center for Global Health, Boston, Massachusetts, USA bMbarara University of Science and Technology, Mbarara, Uganda cChester M Pierce MD Division of Global Psychiatry, Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts, USA dUniversity of California, San Francisco, California, USA eRagon Institute of Massachusetts General Hospital MIT and Harvard, and Harvard Medical School, Boston, Massachusetts, USA
    AIDS 28:267-71. 2014
    ..We sought to measure the frequency and correlates of periods of transmission risk among individuals taking ART during multiple years of observation in rural, southwestern Uganda...
  13. pmc Rethinking the "pre" in pre-therapy counseling: no benefit of additional visits prior to therapy on adherence or viremia in Ugandans initiating ARVs
    Mark J Siedner
    Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, United States of America
    PLoS ONE 7:e39894. 2012
    ..We sought to assess for a benefit of adherence counseling visits prior to ARV initiation versus adherence counseling during the early treatment period...
  14. doi request reprint Longitudinal assessment of associations between food insecurity, antiretroviral adherence and HIV treatment outcomes in rural Uganda
    Sheri D Weiser
    aDivision of HIV AIDS, San Francisco General Hospital, University of California, San Francisco UCSF, San Francisco bDepartment of Health Policy and Management, Fielding School of Public Health, University of California, Los Angeles, Los Angeles, California cDepartment of Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina dMassachusetts General Hospital Center for Global Health, Boston, Massachusetts, USA eMbarara University of Science and Technology Mbarara, Uganda fUnited Nations World Food Programme, Rome, Italy gDepartment of Epidemiology and Biostatistics, UCSF, San Francisco, California hRagon Institute of MGH, MIT and Harvard University iDepartment of Global Health and Social Equity, Harvard Medical School jDepartment of Global Health and Populations, Harvard School of Public Health, Boston, Massachusetts, USA
    AIDS 28:115-20. 2014
    ..We undertook a longitudinal study in rural Uganda to estimate the associations between food insecurity and HIV treatment outcomes...
  15. pmc The social context of food insecurity among persons living with HIV/AIDS in rural Uganda
    Alexander C Tsai
    Robert Wood Johnson Health and Society Scholars Program, Harvard University, Cambridge, MA, United States
    Soc Sci Med 73:1717-24. 2011
    ..These findings also indicate that structural interventions to improve social support and/or decrease HIV-related stigma may also improve the food security of PLWHA...
  16. pmc Impact of HIV-related stigma on treatment adherence: systematic review and meta-synthesis
    Ingrid T Katz
    Connors Center for Women s Health and Gender Biology, Brigham and Women s Hospital, Boston, MA, United States Center for Global Health, Massachusetts General Hospital, Boston, MA, United States Harvard Medical School, Boston, MA, United States
    J Int AIDS Soc 16:18640. 2013
    ..We therefore undertook this review to systematically assess the relationship between HIV-related stigma and ART adherence...
  17. pmc Scope of global health training in U.S. obstetrics and gynecology residency programs
    Kristin J Hung
    Department of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, The Chester M Pierce, MD Division of Global Psychiatry, Department of Psychiatry, The Center for Global Health, and the Divisions of Pulmonary and Critical Care, General Medicine, and Infectious Diseases, Department of Medicine, Massachusetts General Hospital, Harvard Medical School, The Division of Infectious Disease, Department of Medicine, Brigham and Women s Hospital, Harvard Medical School, and the Department of Global Health and Population, Harvard School of Public Health, Boston, Massachusetts the Department of Obstetrics and Gynecology, University of Michigan Health System, Ann Arbor, Michigan and Mbarara University of Science and Technology, Mbarara, Uganda
    Obstet Gynecol 122:1101-9. 2013
    ..To enumerate global health training activities in U.S. obstetrics and gynecology residency programs and to examine the worldwide distribution of programmatic activity relative to the maternal and perinatal disease burden...
  18. pmc Reliability and validity of instruments for assessing perinatal depression in African settings: systematic review and meta-analysis
    Alexander C Tsai
    Center for Global Health, Massachusetts General Hospital, Boston, Massachusetts, United States of America Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts, United States of America Harvard Medical School, Boston, Massachusetts, United States of America
    PLoS ONE 8:e82521. 2013
    ..We systematically reviewed the evidence on the reliability and validity of instruments to assess perinatal depression in African settings...
  19. pmc A qualitative analysis of factors influencing HPV vaccine uptake in Soweto, South Africa among adolescents and their caregivers
    Ingrid T Katz
    Brigham and Women s Hospital, Boston, Massachusetts, United States of America Harvard Medical School, Boston, Massachusetts, United States of America Massachusetts General Hospital Center for Global Health, Boston, Massachusetts, United States of America
    PLoS ONE 8:e72094. 2013
    ..Given the importance of psycho-social forces in vaccine uptake, we sought to elucidate factors influencing HPV vaccination among a sample of low-income South African adolescents receiving the vaccine for the first time in Soweto...
  20. pmc Harnessing poverty alleviation to reduce the stigma of HIV in Sub-Saharan Africa
    Alexander C Tsai
    Chester M Pierce, MD Division of Global Psychiatry, Massachusetts General Hospital, Boston, Massachusetts, United States of America Harvard Medical School, Boston, Massachusetts, United States of America Center for Global Health, Massachusetts General Hospital, Boston, Massachusetts, United States of America
    PLoS Med 10:e1001557. 2013
    ..Alexander Tsai and colleagues highlight the complex relationship between poverty and HIV stigma in sub-Saharan Africa, and discuss possible ways to break the cycle. Please see later in the article for the Editors' Summary. ..
  21. doi request reprint Households with young children and use of freely distributed bednets in rural Madagascar
    Paul J Krezanoski
    Department of Medicine, Massachusetts General Hospital, Boston, MA, USA
    Int Health 6:29-34. 2014
    ..Malaria infections are the leading cause of death for children in Madagascar. Insecticide-treated bednets offer effective prevention, but it is unclear how well free bednet distribution programs reach young children...
  22. pmc Prevalence and correlates of forced sex perpetration and victimization in Botswana and Swaziland
    Alexander C Tsai
    Department of Psychiatry, University of California, San Francisco, USA
    Am J Public Health 101:1068-74. 2011
    ..We sought to identify correlates of forced sex perpetration among men and victimization among women in Botswana and Swaziland...