Publications by authors named "Tiara Willie"

Background: Black cisgender women are disproportionately affected by HIV across the United States (US). Moreover, emerging adults continue to be significantly affected compared to women in older age groups. Yet in 2024, Black cisgender women and emerging adult women comprise a small fraction of HIV pre-exposure prophylaxis (PrEP) users in the US.

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  • The study investigates how PTSD and major depressive disorder (MDD) symptoms affect HIV pre-exposure prophylaxis (PrEP) motivation among women who have survived intimate partner violence (IPV).
  • Researchers analyzed data from 285 women in Baltimore and New Haven, identifying six distinct profiles based on their PTSD and MDD symptoms.
  • The findings suggest that women with very low symptoms of both PTSD and depression were less likely to advance in the PrEP Motivational Cascade compared to those with higher symptoms, indicating that mental health significantly impacts PrEP motivation.
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  • Stigma and lack of social support create obstacles for HIV prevention among cisgender Black women, particularly in the U.S. South, leading to low rates of PrEP initiation and adherence.
  • The study examined experiences with stigma and support among PrEP-naïve and experienced Black women in Mississippi through focus groups and interviews.
  • Findings revealed themes of gendered racism, enacted and anticipated stigma regarding PrEP, strategies to cope with stigma, and the positive impact of social support on PrEP use and adherence.
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  • Many Black women who experience intimate partner violence (IPV) feel that the police and justice system do not help them because of unfair stereotypes.
  • A study talked to 15 Black women about their experiences with the police and how they prefer to seek help after IPV.
  • The women mostly felt fear and distrust towards the police and preferred solutions like talking things out, getting therapy, receiving support for housing, and making sure their children are safe from violence.
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Background: Women exposed to intimate partner violence (IPV) experience multiple social and structural barriers to accessing HIV pre-exposure prophylaxis (PrEP), despite being at increased risk for HIV. In addition, few existing HIV prevention interventions address IPV. A recently developed PrEP decision aid for women has the potential to reach IPV survivors at risk for HIV if it could be integrated into existing domestic violence agencies that prioritize trust and rapport with female IPV survivors.

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Objective: During times of crises, women are at elevated risk for intimate partner violence (IPV), but extant discourse fails to consider how this landscape amplifies disparities for Black women. This study examined the prevalence and associations of COVID-19 pandemic-specific coercive control and COVID-19-related stress among Black women experiencing IPV.

Methods: Fifty-five Black women reporting past-year IPV participated in a prospective cohort study in 2020 and completed surveys on pandemic-specific coercive control, COVID-19-related stress, and sociodemographic characteristics.

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Background: Housing instability is highly prevalent among intimate partner violence (IPV) survivors, and the coupling consequences of structural racism, sexism, classism, and the COVID-19 pandemic, may create more barriers to safe and adequate housing, specifically for Black women IPV survivors. In particular, the consequences of the COVID-19 pandemic had the potential to amplify disadvantages for Black women IPV survivors, yet very little research has acknowledged it. Therefore, the current study sought to assess the experiences of housing insecurity among Black women experiencing intimate partner violence (IPV) while navigating racism, sexism, and classism during the COVID-19 pandemic.

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Intimate partner violence (IPV) can constraint Black women's ability to prioritize and access Human Immunodeficiency Virus (HIV) pre-exposure prophylaxis (PrEP) services. Recent research has called for the development of trauma-informed PrEP implementation programs to improve the delivery of PrEP to Black cisgender women; however, many PrEP-prescribing settings do not reflect this recommendation. The current study sought to identify key components to develop a trauma-informed PrEP implementation program for Black cisgender women and clinical staff.

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Purpose Of Review: Intimate partner violence (IPV) remains a critical challenge to HIV prevention and treatment efforts across the globe. We examined recently published (January 9, 2017-January 9, 2023) integrated behavioral interventions designed to address IPV and HIV across the care continuum.

Recent Findings: Fifteen studies (involving n = 10,947 participants) met the inclusion criteria for this review.

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Posttraumatic stress disorder (PTSD) is a prevalent consequence of physical and sexual intimate partner violence (IPV); however, little is known about the unique contributions of economic IPV. Furthermore, women's economic self-sufficiency may explicate the potential relationship between economic IPV and PTSD symptoms. Guided by the Stress Process Theory and Intersectionality, this study examined associations between economic IPV and women's PTSD symptoms and assessed economic self-sufficiency as a mediator.

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Background: Sexual autonomy is an influential component of sexual health risk reduction frameworks, but a universal assessment of sexual autonomy is currently lacking.

Objectives: This study develops and validates the Women's Sexual Autonomy scale (WSA), a comprehensive measure that captures women's perception of their sexual autonomy.

Design: Forty-one items were initially created based on current research and in consultation with sexual health experts.

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Background: To investigate housing experiences during the COVID-19 pandemic among Black women experiencing intimate partner violence (IPV) who are also navigating racism, sexism, and classism.

Methods: From January to April 2021, we conducted in-depth interviews with 50 Black women experiencing IPV in the United States. Guided by intersectionality, a hybrid thematic and interpretive phenomenological analytic approach was used to identify sociostructural factors shaping housing insecurity.

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Women experiencing reproductive coercion (RC) report more unintended pregnancies and mental health symptoms that can influence contraceptive use patterns. We examined associations between RC and contraceptive use among intimate partner violence (IPV) exposed women aged 18-35 ( = 283). We tested depression, post-traumatic stress disorder (PTSD), and co-morbid depression and PTSD as effect modifiers.

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Black women are disproportionately affected by HIV in the U.S. PrEP could decrease the risk of acquiring HIV.

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Objective: To examine distinct patterns of IPV perpetration and examined gender equitable attitudes as a correlate of these patterns among men from six countries in Asia and the Pacific.

Design: 2011-12 UN Multi-country Study on Men and Violence cross-sectional study.

Setting: Households in Bangladesh, Cambodia, China, Indonesia, Sri Lanka and Papua New Guinea.

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Background: Black cisgender women in the U.S. South bear a disproportionate burden of HIV compared to cisgender women in other racial and ethnic groups and in any other part of the US.

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Integrating pregnancy and HIV prevention services would make reproductive health care settings an optimal venue for the promotion and delivery of preexposure prophylaxis (PrEP) to cisgender women. However, these settings have been slow to adopt PrEP. Planned parenthood clinicians and leaders possess critical insight that can help accelerate PrEP implementation in reproductive health care settings and elements of the Consolidated Framework for Implementation Research (i.

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Introduction: HIV pre-exposure prophylaxis (PrEP) is an effective HIV prevention method for women experiencing intimate partner violence (IPV). This study aimed to examine (1) relationships between physical, sexual, and psychological IPV and women's PrEP communication with a health care provider and domestic violence advocate; and (2) how IPV-specific medical mistrust modifies the association between IPV and PrEP communication.

Methods: Data were from 2 studies conducted in Connecticut and Baltimore, MD on adult women experiencing IPV (N = 272).

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Pre-exposure prophylaxis is an effective women-controlled HIV prevention strategy but women experiencing intimate partner violencefear partners' interference and subsequent violence could limit its utility. This study explores provider perceptions of safety planning strategies to prevent escalating violence, mitigate partner interference, and promote daily oral PrEP adherence. We conducted interviews (N = 36) with healthcare providers (n = 18) and IPV service providers (n = 18) in Baltimore and New Haven.

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Background: Survivors of intimate partner violence are at elevated risk for HIV acquisition, yet there is limited research on the best strategies to optimize biomedical HIV prevention, such as pre-exposure prophylaxis among this population. Domestic violence agencies are critical collaborating partners and function as potential entry points into HIV prevention services for survivors; however, limited knowledge regarding HIV prevention has been an important barrier to advocate-led discussions. This study aimed to develop, implement, and evaluate an HIV prevention intervention for domestic violence advocates.

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Background: Pre-exposure prophylaxis (PrEP) has the potential to reduce transmission of HIV among Black cisgender women in the Southern United States (U.S.); however, national data suggests that PrEP initiation is lowest in the South and among Black women compared to other U.

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Article Synopsis
  • Housing instability is a significant issue for survivors of intimate partner violence (IPV), contributing to various levels of stress, and eviction policies play a crucial role in this scenario.
  • This study analyzed data from 6,577 IPV survivors to see how state eviction defense policies affect their biopsychosocial stress, including headaches, sleep issues, safety concerns, and PTSD symptoms.
  • Results indicated that states with eviction defense policies led to fewer reported stress-related issues, particularly among non-Hispanic Black survivors and male survivors, highlighting the need for protective housing policies for IPV victims.
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Intimate partner violence (IPV) relates to HIV susceptibility and acquisition. Existing research examined barriers to pre-exposure prophylaxis (PrEP) uptake among women but few studies assess uptake and delivery among IPV service providers, along with provider-, clinic-, and structural-level barriers. We conducted 34 semi-structured interviews with PrEP-eligible cisgender heterosexual women experiencing IPV, Reproductive Health providers, PrEP providers, and IPV service providers in Northeast US.

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HIV incidence among African American (AA) young men who have sex with men (YMSM) has remained stable even though they made up the largest number of new HIV diagnoses among men who have sex with men (MSM) in 2017. HIV spreads at increased rates in dense sexual networks. Identifying the location of risk behaviors "activity spaces" could inform geographically circumscribed HIV prevention interventions.

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