Research Topics
| B W PenceSummaryAffiliation: Yale University Country: USA Publications
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Detail Information
Publications
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...- Measuring fatigue in people living with HIV/AIDS: psychometric characteristics of the HIV-related fatigue scaleB W Pence
Sanford Institute of Public Policy, Duke University, Durham, NC, USA
AIDS Care 20:829-37. 2008..30 to 0.68 across the 8 SF-36 subscales with most >0.40). The HRFS is a promising tool to help facilitate research on the prevalence, etiology and consequences of fatigue in people living with HIV... - 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... 
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...- The impact of mental health and traumatic life experiences on antiretroviral treatment outcomes for people living with HIV/AIDSBrian Wells Pence
Department of Community and Family Medicine, Duke Global Health Institute, and Center for Health Policy, Duke University, Durham, NC, USA
J Antimicrob Chemother 63:636-40. 2009.... - 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... - Chronicity and remission of fatigue in patients with established HIV infectionBrian Wells Pence
Health Inequalities Program, Center for Health Policy, Duke Clinical Research Institute, Duke University School of Medicine, Durham, North Carolina 27705, USA
AIDS Patient Care STDS 23:239-44. 2009..In summary, fatigue intensity and related functional limitations were persistent, stable, and unlikely to remit over 15 months of follow-up in this sample of patients with established HIV infection... - Prevalence estimation and validation of new instruments in psychiatric research: an application of latent class analysis and sensitivity analysisBrian Wells Pence
Department of Community and Family Medicine, Duke Global Health Institute, Duke University, Durham, NC, 27705, USA
Psychol Assess 21:235-9. 2009..LCA and SA can assist investigators in relaxing the unrealistic assumption of perfect RSs in reporting prevalence and validation study results... - The effect of community nurses and health volunteers on child mortality: the Navrongo Community Health and Family Planning ProjectBrian Wells Pence
Center for Health Policy, Health Inequalities Program, Duke University, Durham, NC 27708 0253, USA
Scand J Public Health 35:599-608. 2007..Despite effective treatments and preventive measures for the major causes of child illness and death in less wealthy nations, child mortality remains high in resource-poor settings due in part to ineffective health service delivery models... - Psychiatric illness and virologic response in patients initiating highly active antiretroviral therapyBrian Wells Pence
Center for Health Policy, Duke University, Durham, NC 27708 0253, USA
J Acquir Immune Defic Syndr 44:159-66. 2007..MI/SA consistently predict poorer antiretroviral adherence, suggesting that affected patients should be at higher risk of poor virologic and immunologic response to highly active antiretroviral therapy (HAART)... - 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... 
Incident stressful and traumatic life events and human immunodeficiency virus sexual transmission risk behaviors in a longitudinal, multisite cohort studyBrian Wells Pence
Department of Community and Family Medicine, Duke University, Durham, NC 27705, USA
Psychosom Med 72:720-6. 2010....- Trauma, stressful life events and depression predict HIV-related fatigueJ Leserman
University of North Carolina at Chapel Hill, NC, USA
AIDS Care 20:1258-65. 2008..Although stress and trauma have been related to fatigue in other populations, this is the first study to examine the effects of traumatic and recent stressful life events on fatigue in an HIV-infected sample... - Depression, sexually transmitted infection, and sexual risk behavior among young adults in the United StatesMaria R Khan
Department of Epidemiology, School of Public Health, The University of North Carolina at Chapel Hill, NC, USA
Arch Pediatr Adolesc Med 163:644-52. 2009..To measure associations among depression, sexual risk behaviors, and sexually transmitted infection (STI) among white and black youth in the United States... - Does distance affect utilization of substance abuse and mental health services in the presence of transportation services?R Whetten
Duke University, Durham, NC 27708, USA
AIDS Care 18:S27-34. 2006..Such options may need to be considered when trying to treat geographically dispersed individuals so that efficiencies in treatment can be attained... - Demographic and illness-related variables associated with HIV-related fatigueJames L Harmon
Duke University School of Nursing, Durham, North Carolina, USA
J Assoc Nurses AIDS Care 19:90-7. 2008..These must be better understood to develop interventions to successfully ameliorate HIV-related fatigue... - Physiological correlates of HIV-related fatigueJulie Barroso
Duke University School of Nursing, Durham, NC 27710, USA
Clin Nurs Res 17:5-19. 2008..It is possible that fatigue suffered by seropositive people is better predicted by other variables, which must be better understood to develop interventions to successfully ameliorate HIV-related fatigue... - Improving health outcomes among individuals with HIV, mental illness, and substance use disorders in the SoutheastK Whetten
Center for Health Policy, Law, and Management, Department of Public Policy, Duke University, Durham, NC 27708, USA
AIDS Care 18:S18-26. 2006..This integrated treatment model offers an option for treating HIV-infected individuals with mental health and substance use disorders that can be adapted for use in a variety of psychiatric and medical treatment settings... - 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... - Daytime sleepiness, nighttime sleep quality, stressful life events, and HIV-related fatigueNaima Salahuddin
Duke University School of Nursing, Durham, North Carolina, USA
J Assoc Nurses AIDS Care 20:6-13. 2009..Further research is needed to better elucidate these relationships... - Prevalence and comorbidity of psychiatric diagnoses based on reference standard in an HIV+ patient populationBradley N Gaynes
Department of Psychiatry, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599 7160, USA
Psychosom Med 70:505-11. 2008..Among those persons with psychiatric illness, psychiatric comorbidity (multiple simultaneous diagnoses) is associated with increased psychiatric severity and higher HIV risk behaviors... - 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... - Predictors of AIDS-related morbidity and mortality in a southern U.S. CohortMichael J Mugavero
Department of Medicine, Division of Infectious Diseases, University of Alabama at Birmingham, Birmingham, Alabama, USA
AIDS Patient Care STDS 21:681-90. 2007..97, p = 0.04), who had lower baseline CD4 counts (HR = 0.48 per 100 cells/mm(3), p < 0.01), and who spent less time on antiretroviral therapy during follow-up (HR = 0.47, p = 0.02) were more likely to experience an HIV-related event... - Sexual health experiences of adolescents in three Ghanaian townsEvam Kofi Glover
Research and Evaluation Unit, Planned Parenthood Association of Ghana, Accra
Int Fam Plan Perspect 29:32-40. 2003..CONCLUSIONS: Adolescent reproductive health programs should be targeted to the needs of specific groups...