HIV/STI disparities are highest among Black sexual minority men (BSMM) and Black transwomen (BTW)... more HIV/STI disparities are highest among Black sexual minority men (BSMM) and Black transwomen (BTW) in the Deep South. Exploring the prevalence and correlates of rectal douching and enema use could provide insights into risk factors and HIV/STI prevention opportunities among these groups. This study explored the prevalence and correlates of rectal douching and enema using Poisson regression models among 375 BSMM and BTW in Jackson, MS, and Atlanta GA. Approximately 95% reported their gender as male/man; 5.6% self-identified as transwomen. Most reported being single (73.1%) and were unemployed (56.0%); 36.1% were previously diagnosed with HIV. In multivariable models, BSMM and BTW who reported that their typical sexual position during anal sex was "bottom" (aPR = 2.39, 95% CI = 1.48, 3.84) or "versatile" (aPR = 2.46, 95% CI = 1.44, 4.17) had a higher prevalence of rectal douching and enema use than those who reported "top." Deeper understanding of the contexts of rectal douching, enema use, and sexual positioning practices is needed.
International Journal of Clinical Pharmacy, May 30, 2016
Impacts on Practice • Interventions (educational, managerial, environmental, recreational and res... more Impacts on Practice • Interventions (educational, managerial, environmental, recreational and resident-specific) can decrease antipsychotic prescribing in residential care. • Pharmacists should alert managers to high use of antipsychotics, encourage them to implement interventions aimed at appropriate use, educate staff on the risks and benefits of antipsychotic treatment, and conduct/participate in medication reviews. • Future studies should identify the most effective interventions to decrease antipsychotic prescribing in residential care, and encourage their implementation in order to improve patient care.
two-afternoon broadcast, with a total live audience of about 1,000, including a local audience of... more two-afternoon broadcast, with a total live audience of about 1,000, including a local audience of about 100 students participating in programs seeking to recruit underrepresented minorities to health careers. The broadcasts are also disseminated as on-demand webcasts by the
Abstract This lecture followed the AGM of the Faculty of Community Health of the Royal Institute ... more Abstract This lecture followed the AGM of the Faculty of Community Health of the Royal Institute of Public Health & Hygiene and Society of Public Health, 19 October 2000. Public Health (2001) 115, 2–3
... 4, 1995 Family Violence and Depressive Symptomatology Among Incarcerated Women Sandra L. Mart... more ... 4, 1995 Family Violence and Depressive Symptomatology Among Incarcerated Women Sandra L. Martin, 1 Niki U. Cotten, 1 Dorothy C. Browne, 1 Brenda Kurz, 2 and Elizabeth Robertson 3 ... REFERENCES Aber, JL, Allen, JP, Carlson, V., and Cicchetti, D. (1989). ...
This paper describes as a primary prevention strategy, a parent-education program aimed at enhanc... more This paper describes as a primary prevention strategy, a parent-education program aimed at enhancing the parenting skills and knowledge of incarcerated women (the majority of whom were mothers). Data are presented which describe changes in program participants' self-evaluations, parenting attitudes, and expectations of children. Upon completing of the parenting program, few differences were observed for the various pre- and post-test
Objective. Social capital describes the benefits that are derived from personal social relationsh... more Objective. Social capital describes the benefits that are derived from personal social relationships (within families and communities) and social affiliations. This investigation examined the extent to which social capital is associated with positive developmental and behavioral outcomes in high-risk preschool children.Design. A cross-sectional case-control analysis of young children “doing well” and “not doing well” at baseline in four coordinated longitudinal studies.Participants. A total of 667 2- to 5-year-old children (mean age, 4.4 years) and their maternal caregivers who are participating in the Longitudinal Studies of Child Abuse and Neglect Consortium. At recruitment, all children were characterized by unfavorable social or economic circumstances that contributed to the identification of the children as high risk.Measures. Social capital was defined as benefits that accrue from social relationships within communities and families. A social capital index was created by assigning one point to each of the following indicators: 1) two parents or parent-figures in the home; 2) social support of the maternal caregiver; 3) no more than two children in the family; 4) neighborhood support; and 5) regular church attendance. Outcomes were measured with the Child Behavior Checklist, a widely used measure of behavioral/emotional problems, and with the Battelle Developmental Inventory Screening Test, a standardized test that identifies developmental deficits. Children were classified as doing well if their scores on these instruments indicated neither behavioral nor developmental problems.Results. Only 13% of the children were classified as doing well. The individual indicators that best discriminated between levels of child functioning were the most direct measures of social capital—church affiliation, perception of personal social support, and support within the neighborhood. The social capital index was strongly associated with child well-being, more so than any single indicator. The presence of any social capital indicator increased the odds of doing well by 29%; adding any two increased the odds of doing well by 66%.Conclusions. Our findings suggest that social capital may have an impact on children's well-being as early as the preschool years. In these years it seems to be the parents' social capital that confers benefits on their offspring, just as children benefit from their parents' financial and human capital. Social capital may be most crucial for families who have fewer financial and educational resources. Our findings suggest that those interested in the healthy development of children, particularly children most at risk for poor developmental outcomes, must search for new and creative ways of supporting interpersonal relationships and strengthening the communities in which families carry out the daily activities of their lives.
Parasuicide is an important predictor of future suicide. We collected information on all parasuic... more Parasuicide is an important predictor of future suicide. We collected information on all parasuicides presenting to the emergency department of a general hospital over a 3-month period. We examined detection rates, referral patterns and compared emergency department risk assessments of parasuicide with those of the psychiatric liaison team. We detected 123 parasuicides. One hundred and five (85.4%) were detected in the emergency department. Ninety-five (77.2%) were referred to the liaison psychiatry service. Liaison psychiatric risk assessment agreed with emergency department risk assessment in all cases that emergency doctors judged to be at low risk of suicide. However in cases that emergency doctors judged to be high risk the liaison assessment agreed in only 38.5% of cases. Emergency doctors appear to be appropriately cautious in their assessment of risk. However, parasuicides regularly go undetected in hospital and are not always referred for psychiatric evaluation when detected. More training in the detection, assessment and management of parasuicide is required for emergency doctors.
Child & adolescent social work journal, Apr 1, 2006
ABSTRACT: In response to multiple problems faced by pregnant and parenting teens, many alternativ... more ABSTRACT: In response to multiple problems faced by pregnant and parenting teens, many alternative school-based comprehensive programs have been established throughout the United States. By collecting data from a sample of enrollees of such a school-based ...
This study investigated associations between peer status, peer group social influences, and risk-... more This study investigated associations between peer status, peer group social influences, and risk-taking behaviors in an urban sample of 647 African American seventh-grade students. The highest rates of problem behaviors were seen in the controversial peer status group, or those youth who were both highly liked and highly disliked by other youth. Findings also revealed contrasting patterns of peer group leadership. The more conventional, positive leadership style predicted lower rates, and the less mainstream, unconventional style predicted higher rates of involvement in problem behaviors. Conventional leaders were most likely to be popular status youth, while unconventional leaders were mostly to be both controversial and popular status youth. Controversial status youth were also more likely to be involved in deviant peer groups. Results highlight the importance of controversial status students as key influence agents during early adolescence. We discuss the implications of these results for preventive interventions to reduce adolescent problem behaviors.
Background Black gay, bisexual, and other sexual minority men (BSMM) account for 39.1% of new HIV... more Background Black gay, bisexual, and other sexual minority men (BSMM) account for 39.1% of new HIV infections among men who have sex with men and 78.9% of newly diagnosed cases among Black men. Health care access, health care utilisation and disclosing sexuality to providers are important factors in HIV prevention and treatment. This study explored the associations among sexual orientation disclosure, health care access and health care utilisation among BSMM in the Deep South. Methods:Secondary analysis of existing data of a population-based study in Jackson, Mississippi, and Atlanta, Georgia, was conducted among 386 BSMM. Poisson regression models were used to estimate prevalence ratios (PR) between sexual orientation disclosure to healthcare providers, health care access and health care utilisation. Results:The mean (±s.d.) age of participants was 30.5 ± 11.2 years; 35.3% were previously diagnosed with HIV and 3.7% were newly diagnosed with HIV. Two-thirds (67.2%) self-identified a...
Few studies examine whether early sexual experience is associated with subsequent illegal drug us... more Few studies examine whether early sexual experience is associated with subsequent illegal drug use among adolescents. A sample of 7,372 African-American students who had not used illegal drugs before the age of 14 were identified in the dataset of the 2001 Historically Black Colleges and Universities (HBCU) Substance Use Survey. Using self-reported ages of onset, discrete-time survival models estimated the hazard of illegal drug use onset after age 13 subsequent to first sexual intercourse. Early sex was modestly associated with subsequent illegal drug initiation, particularly among females. Drug prevention services should be provided to youth engaged in early sexual activity.
Introduction-As part of an evaluation of two first-grade, universal preventive interventions whos... more Introduction-As part of an evaluation of two first-grade, universal preventive interventions whose proximal targets were early learning and behavior, we investigated the influence of depressed mood, the interventions, and their interaction on survival to the first tobacco cigarette smoked through age 19. One intervention focused on improving teacher behavior management and instructional skills (Classroom-Centered, CC) as a means of improving student behavior and learning and the other on the family-school partnership (FSP). Variation in the relationship between depressed mood and first cigarette smoked by gender and grade was also examined. Methods-Self-reports of smoking behavior and depressed mood were collected on an annual basis from grade 6 through age 19. The present analyses were restricted to the 563 youth who had never smoked by grade 6, or 83% of the original sample of first grade participants. Discrete-time survival analysis was used to examine the effects of depressed mood and the interventions on survival to the first tobacco cigarette smoked.
The purpose of this investigation was to determine if the Aban Aya Youth Project, a culturally gr... more The purpose of this investigation was to determine if the Aban Aya Youth Project, a culturally grounded intervention, produced differences in changes over time in core intervening variables (i.e., communal value orientation, empathy, violence avoidance efficacy beliefs) and whether these variables mediated intervention effects on the development of youth violent behavior. Fifth grade cohorts at 12 schools were randomly assigned to one of two intervention conditions or an attention placebo control condition and followed longitudinally through eighth grade. A total of 668 students (49% male) participated in the study. Mediation analyses suggested that both program conditions (as compared to the control condition) led to steeper increases over time in empathy which, in turn were related to reductions in the likelihood of violent behavior over time. No other significant program effects were detected, although changes over time in violence avoidance efficacy were associated with reduced likelihood of violent behavior. Findings are discussed in terms of theory development, program development and points of refinement of the Aban Aya Youth Project and implications for future research.
The purpose of this study was to examine the role of self-esteem as a mediator of the effects of ... more The purpose of this study was to examine the role of self-esteem as a mediator of the effects of stressors and social resources on mothers' postpartum depressive symptoms. Data were collected during in-home interviews with 738 women 1 to 2 months postpartum. Forty-two percent of the women had high depressive symptoms. Self-esteem mediated the effects of everyday stressors and the quality of primary intimate relationships on depressive symptoms. However, everyday stressors also exhibited direct effects. Mothers with low self-esteem were 39 times more likely to have high depressive symptoms than those with high self-esteem. Interventions to decrease postpartum mothers' chronic stressors and to improve the quality of their primary intimate relationships may enhance their self-esteem, which in turn may decrease the likelihood of high depressive symptoms.
This study explores the relationship between mothers" approval of corporal punishment and the deg... more This study explores the relationship between mothers" approval of corporal punishment and the degree to which they themselves were subjected to violence as children. Considered as additional contributing factors are: (1) whether the mothers as children were punished by their own parents, (2) whether they perceived such punishment as unfair, and (3) the degree of parental nurture they experienced as children. The sample consisted of 330 new mothers whose mother and father both lived in the home when they were 14 years of age. Respondents were interviewed at home one to two months following their infants" discharge from the hospital. After controlling for race and income, no relationship was found between approval of corporal punishment and the violence to which mothers were subjected as children. However, significant associations were found between such approval and: (1) whether mothers were punished by their parents, and (2) maternal (but not paternal) nurture. Perceptions that parental punishment was unfair failed to contribute to such approval. Altogether, parental factors in mothers" childhoods, excluding race and income, accounted for 8.9~o of the variance in approval of corporal punishment.
HIV/STI disparities are highest among Black sexual minority men (BSMM) and Black transwomen (BTW)... more HIV/STI disparities are highest among Black sexual minority men (BSMM) and Black transwomen (BTW) in the Deep South. Exploring the prevalence and correlates of rectal douching and enema use could provide insights into risk factors and HIV/STI prevention opportunities among these groups. This study explored the prevalence and correlates of rectal douching and enema using Poisson regression models among 375 BSMM and BTW in Jackson, MS, and Atlanta GA. Approximately 95% reported their gender as male/man; 5.6% self-identified as transwomen. Most reported being single (73.1%) and were unemployed (56.0%); 36.1% were previously diagnosed with HIV. In multivariable models, BSMM and BTW who reported that their typical sexual position during anal sex was "bottom" (aPR = 2.39, 95% CI = 1.48, 3.84) or "versatile" (aPR = 2.46, 95% CI = 1.44, 4.17) had a higher prevalence of rectal douching and enema use than those who reported "top." Deeper understanding of the contexts of rectal douching, enema use, and sexual positioning practices is needed.
International Journal of Clinical Pharmacy, May 30, 2016
Impacts on Practice • Interventions (educational, managerial, environmental, recreational and res... more Impacts on Practice • Interventions (educational, managerial, environmental, recreational and resident-specific) can decrease antipsychotic prescribing in residential care. • Pharmacists should alert managers to high use of antipsychotics, encourage them to implement interventions aimed at appropriate use, educate staff on the risks and benefits of antipsychotic treatment, and conduct/participate in medication reviews. • Future studies should identify the most effective interventions to decrease antipsychotic prescribing in residential care, and encourage their implementation in order to improve patient care.
two-afternoon broadcast, with a total live audience of about 1,000, including a local audience of... more two-afternoon broadcast, with a total live audience of about 1,000, including a local audience of about 100 students participating in programs seeking to recruit underrepresented minorities to health careers. The broadcasts are also disseminated as on-demand webcasts by the
Abstract This lecture followed the AGM of the Faculty of Community Health of the Royal Institute ... more Abstract This lecture followed the AGM of the Faculty of Community Health of the Royal Institute of Public Health & Hygiene and Society of Public Health, 19 October 2000. Public Health (2001) 115, 2–3
... 4, 1995 Family Violence and Depressive Symptomatology Among Incarcerated Women Sandra L. Mart... more ... 4, 1995 Family Violence and Depressive Symptomatology Among Incarcerated Women Sandra L. Martin, 1 Niki U. Cotten, 1 Dorothy C. Browne, 1 Brenda Kurz, 2 and Elizabeth Robertson 3 ... REFERENCES Aber, JL, Allen, JP, Carlson, V., and Cicchetti, D. (1989). ...
This paper describes as a primary prevention strategy, a parent-education program aimed at enhanc... more This paper describes as a primary prevention strategy, a parent-education program aimed at enhancing the parenting skills and knowledge of incarcerated women (the majority of whom were mothers). Data are presented which describe changes in program participants' self-evaluations, parenting attitudes, and expectations of children. Upon completing of the parenting program, few differences were observed for the various pre- and post-test
Objective. Social capital describes the benefits that are derived from personal social relationsh... more Objective. Social capital describes the benefits that are derived from personal social relationships (within families and communities) and social affiliations. This investigation examined the extent to which social capital is associated with positive developmental and behavioral outcomes in high-risk preschool children.Design. A cross-sectional case-control analysis of young children “doing well” and “not doing well” at baseline in four coordinated longitudinal studies.Participants. A total of 667 2- to 5-year-old children (mean age, 4.4 years) and their maternal caregivers who are participating in the Longitudinal Studies of Child Abuse and Neglect Consortium. At recruitment, all children were characterized by unfavorable social or economic circumstances that contributed to the identification of the children as high risk.Measures. Social capital was defined as benefits that accrue from social relationships within communities and families. A social capital index was created by assigning one point to each of the following indicators: 1) two parents or parent-figures in the home; 2) social support of the maternal caregiver; 3) no more than two children in the family; 4) neighborhood support; and 5) regular church attendance. Outcomes were measured with the Child Behavior Checklist, a widely used measure of behavioral/emotional problems, and with the Battelle Developmental Inventory Screening Test, a standardized test that identifies developmental deficits. Children were classified as doing well if their scores on these instruments indicated neither behavioral nor developmental problems.Results. Only 13% of the children were classified as doing well. The individual indicators that best discriminated between levels of child functioning were the most direct measures of social capital—church affiliation, perception of personal social support, and support within the neighborhood. The social capital index was strongly associated with child well-being, more so than any single indicator. The presence of any social capital indicator increased the odds of doing well by 29%; adding any two increased the odds of doing well by 66%.Conclusions. Our findings suggest that social capital may have an impact on children's well-being as early as the preschool years. In these years it seems to be the parents' social capital that confers benefits on their offspring, just as children benefit from their parents' financial and human capital. Social capital may be most crucial for families who have fewer financial and educational resources. Our findings suggest that those interested in the healthy development of children, particularly children most at risk for poor developmental outcomes, must search for new and creative ways of supporting interpersonal relationships and strengthening the communities in which families carry out the daily activities of their lives.
Parasuicide is an important predictor of future suicide. We collected information on all parasuic... more Parasuicide is an important predictor of future suicide. We collected information on all parasuicides presenting to the emergency department of a general hospital over a 3-month period. We examined detection rates, referral patterns and compared emergency department risk assessments of parasuicide with those of the psychiatric liaison team. We detected 123 parasuicides. One hundred and five (85.4%) were detected in the emergency department. Ninety-five (77.2%) were referred to the liaison psychiatry service. Liaison psychiatric risk assessment agreed with emergency department risk assessment in all cases that emergency doctors judged to be at low risk of suicide. However in cases that emergency doctors judged to be high risk the liaison assessment agreed in only 38.5% of cases. Emergency doctors appear to be appropriately cautious in their assessment of risk. However, parasuicides regularly go undetected in hospital and are not always referred for psychiatric evaluation when detected. More training in the detection, assessment and management of parasuicide is required for emergency doctors.
Child & adolescent social work journal, Apr 1, 2006
ABSTRACT: In response to multiple problems faced by pregnant and parenting teens, many alternativ... more ABSTRACT: In response to multiple problems faced by pregnant and parenting teens, many alternative school-based comprehensive programs have been established throughout the United States. By collecting data from a sample of enrollees of such a school-based ...
This study investigated associations between peer status, peer group social influences, and risk-... more This study investigated associations between peer status, peer group social influences, and risk-taking behaviors in an urban sample of 647 African American seventh-grade students. The highest rates of problem behaviors were seen in the controversial peer status group, or those youth who were both highly liked and highly disliked by other youth. Findings also revealed contrasting patterns of peer group leadership. The more conventional, positive leadership style predicted lower rates, and the less mainstream, unconventional style predicted higher rates of involvement in problem behaviors. Conventional leaders were most likely to be popular status youth, while unconventional leaders were mostly to be both controversial and popular status youth. Controversial status youth were also more likely to be involved in deviant peer groups. Results highlight the importance of controversial status students as key influence agents during early adolescence. We discuss the implications of these results for preventive interventions to reduce adolescent problem behaviors.
Background Black gay, bisexual, and other sexual minority men (BSMM) account for 39.1% of new HIV... more Background Black gay, bisexual, and other sexual minority men (BSMM) account for 39.1% of new HIV infections among men who have sex with men and 78.9% of newly diagnosed cases among Black men. Health care access, health care utilisation and disclosing sexuality to providers are important factors in HIV prevention and treatment. This study explored the associations among sexual orientation disclosure, health care access and health care utilisation among BSMM in the Deep South. Methods:Secondary analysis of existing data of a population-based study in Jackson, Mississippi, and Atlanta, Georgia, was conducted among 386 BSMM. Poisson regression models were used to estimate prevalence ratios (PR) between sexual orientation disclosure to healthcare providers, health care access and health care utilisation. Results:The mean (±s.d.) age of participants was 30.5 ± 11.2 years; 35.3% were previously diagnosed with HIV and 3.7% were newly diagnosed with HIV. Two-thirds (67.2%) self-identified a...
Few studies examine whether early sexual experience is associated with subsequent illegal drug us... more Few studies examine whether early sexual experience is associated with subsequent illegal drug use among adolescents. A sample of 7,372 African-American students who had not used illegal drugs before the age of 14 were identified in the dataset of the 2001 Historically Black Colleges and Universities (HBCU) Substance Use Survey. Using self-reported ages of onset, discrete-time survival models estimated the hazard of illegal drug use onset after age 13 subsequent to first sexual intercourse. Early sex was modestly associated with subsequent illegal drug initiation, particularly among females. Drug prevention services should be provided to youth engaged in early sexual activity.
Introduction-As part of an evaluation of two first-grade, universal preventive interventions whos... more Introduction-As part of an evaluation of two first-grade, universal preventive interventions whose proximal targets were early learning and behavior, we investigated the influence of depressed mood, the interventions, and their interaction on survival to the first tobacco cigarette smoked through age 19. One intervention focused on improving teacher behavior management and instructional skills (Classroom-Centered, CC) as a means of improving student behavior and learning and the other on the family-school partnership (FSP). Variation in the relationship between depressed mood and first cigarette smoked by gender and grade was also examined. Methods-Self-reports of smoking behavior and depressed mood were collected on an annual basis from grade 6 through age 19. The present analyses were restricted to the 563 youth who had never smoked by grade 6, or 83% of the original sample of first grade participants. Discrete-time survival analysis was used to examine the effects of depressed mood and the interventions on survival to the first tobacco cigarette smoked.
The purpose of this investigation was to determine if the Aban Aya Youth Project, a culturally gr... more The purpose of this investigation was to determine if the Aban Aya Youth Project, a culturally grounded intervention, produced differences in changes over time in core intervening variables (i.e., communal value orientation, empathy, violence avoidance efficacy beliefs) and whether these variables mediated intervention effects on the development of youth violent behavior. Fifth grade cohorts at 12 schools were randomly assigned to one of two intervention conditions or an attention placebo control condition and followed longitudinally through eighth grade. A total of 668 students (49% male) participated in the study. Mediation analyses suggested that both program conditions (as compared to the control condition) led to steeper increases over time in empathy which, in turn were related to reductions in the likelihood of violent behavior over time. No other significant program effects were detected, although changes over time in violence avoidance efficacy were associated with reduced likelihood of violent behavior. Findings are discussed in terms of theory development, program development and points of refinement of the Aban Aya Youth Project and implications for future research.
The purpose of this study was to examine the role of self-esteem as a mediator of the effects of ... more The purpose of this study was to examine the role of self-esteem as a mediator of the effects of stressors and social resources on mothers' postpartum depressive symptoms. Data were collected during in-home interviews with 738 women 1 to 2 months postpartum. Forty-two percent of the women had high depressive symptoms. Self-esteem mediated the effects of everyday stressors and the quality of primary intimate relationships on depressive symptoms. However, everyday stressors also exhibited direct effects. Mothers with low self-esteem were 39 times more likely to have high depressive symptoms than those with high self-esteem. Interventions to decrease postpartum mothers' chronic stressors and to improve the quality of their primary intimate relationships may enhance their self-esteem, which in turn may decrease the likelihood of high depressive symptoms.
This study explores the relationship between mothers" approval of corporal punishment and the deg... more This study explores the relationship between mothers" approval of corporal punishment and the degree to which they themselves were subjected to violence as children. Considered as additional contributing factors are: (1) whether the mothers as children were punished by their own parents, (2) whether they perceived such punishment as unfair, and (3) the degree of parental nurture they experienced as children. The sample consisted of 330 new mothers whose mother and father both lived in the home when they were 14 years of age. Respondents were interviewed at home one to two months following their infants" discharge from the hospital. After controlling for race and income, no relationship was found between approval of corporal punishment and the violence to which mothers were subjected as children. However, significant associations were found between such approval and: (1) whether mothers were punished by their parents, and (2) maternal (but not paternal) nurture. Perceptions that parental punishment was unfair failed to contribute to such approval. Altogether, parental factors in mothers" childhoods, excluding race and income, accounted for 8.9~o of the variance in approval of corporal punishment.
Uploads
Papers by Dorothy Browne