Kamila A. Alexander

Johns Hopkins University

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i-10 index

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Co-Authors

Tiara C. Willie

Johns Hopkins University

Jacquelyn C. Campbell

Johns Hopkins University

Trace Kershaw

Yale University

Phyllis Sharps

Johns Hopkins University

Elizabeth Miller

Children's Hospital of Pittsburgh

Michele R. Decker

Johns Hopkins University

Karen Trister Grace

George Mason University

Nancy Glass

Johns Hopkins University

Jessica L. Zemlak

Marquette University

Nancy Perrin

Johns Hopkins University

Cooperative Institutions

Johns Hopkins University

178

Johns Hopkins Medicine

Yale University

University of Pennsylvania

University of Baltimore

National Institutes of Health

Universidade de São Paulo

Harvard University

Universidade de Ribeirão Preto

University of Maryland, Baltimore

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Associations Between Reproductive Coercion, Partner Violence, and Mental Health Symptoms Among Young Black Women in Baltimore, Maryland

Journal of Interpersonal Violence (2019)

Kamila A. Alexander Tiara C. Willie Raegan McDonald‐Mosley Jacquelyn C. Campbell Elizabeth Miller

This study examined the associations of reproductive coercion (RC) with mental health of Black adolescent and young adult women. We tested RC as a predictor of depression and post-traumatic stress disorder (PTSD) symptoms. We also explored the interaction of exposure to RC and physical and sexual intimate partner violence (IPV) as they relate to depression and PTSD symptoms. A primarily community-based convenience sample of 188 self-identified Black women, aged 18 to 25 years, in Baltimore, Maryland, completed computer-based cross-sectional surveys. Lifetime RC (37.8%) and IPV (48.9%) were prevalent in this sample. Nearly 10% of the young women reported experiencing RC without IPV; 38% of the sample reported experiencing both types of violence. Depression (69%) and PTSD (47.1%) symptoms were more prevalent among women with RC than among women without RC. Adjusted results revealed RC and IPV were independently associated with depression (adjusted odds ratio

Coercion (linguistics)

Sexual coercion

10.1177/0886260519860900

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Citations (40)

Multiple Intimate Partner Violence Experiences: Knowledge, Access, Utilization and Barriers to Utilization of Resources by Women of the African Diaspora

Journal of Health Care for the Poor and Underserved (2015)

Bushra Sabri Julia Huerta Kamila A. Alexander Noelle M. St. Vil Jacquelyn C. Campbell

Objective . This study examined knowledge, access, utilization, and barriers to use of resources among Black women exposed to multiple types of intimate partner violence in Baltimore, Maryland and the U.S. Virgin Islands (USVI). Methods . We analyzed quantitative survey data collected by 163 women recruited from primary care, prenatal or family planning clinics in Baltimore and the USVI. In addition we analyzed qualitative data from in-depth interviews with 11 women. Quantitative data were analyzed using descriptive statistics and qualitative data were analyzed using thematic analysis. Results . A substantial proportion of Black women with multiple types of violence experiences lacked knowledge of, did not have access to, and did not use resources. Barriers to resource use were identified at the individual, relationship, and community levels. Conclusion . There is need for programs to develop awareness, promote access and utilization of resources, and eliminate barriers to resource use among abused Black women.

Thematic Analysis

Qualitative property

Diaspora

10.1353/hpu.2015.0135

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Citations (43)

Sex Workers’ Experiences of Screening for Intimate Partner Violence

JOGN Nursing (2024)

Jessica L. Zemlak Kamila A. Alexander Deborah Wilson Randi Singer Joni S. Williams

Thematic Analysis

10.1016/j.jogn.2024.02.005

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Citations (1)

Framing the Future: Revisiting the Place of Educational Expectations in Status Attainment

Social Forces (2010)

Robert Bozick Kamila A. Alexander Doris R. Entwisle Sarah Dauber Karen Kerr

This study revisits the Wisconsin model of status attainment from a life course developmental perspective. Fixed-effects regression analyses lend strong support to the Wisconsin framework's core proposition that academic performance and significant others' influence shape educational expectations. However, investigating the process of expectation formation back to the elementary grades yields insights not evident when analyses are limited to the high school years: (1. many youth consistently expect to attend college from as early as fourth grade; (2. the expectations of middle- and low-SES youth are less stable, and across years the preponderance of their exposure to socialization influences mitigates against sustained college ambitions; (3. long-term stable expectations are more efficacious in forecasting college enrollment than are changing, volatile expectations. As anticipated in the Wisconsin framework, family- and school-based socialization processes indeed contribute to social reproduction through children's educational expectations, but the process starts much earlier and includes dynamics outside the scope of the original status attainment studies.

Socialization

Framing (construction)

Status attainment

Educational Attainment

Life course approach

10.1353/sof.2010.0033

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Citations (218)

From HIV to COVID-19: Focusing on and Engaging Adolescents and Young Adults During the Pandemic

American Journal of Public Health (2020)

Stephanie M. DeLong Julie A. Denison Peng Yang Allison L. Agwu Kamila A. Alexander

From HIV to COVID-19: Focusing on and Engaging Adolescents and Young Adults During the Pandemic Stephanie M. DeLong PhD, MPH, Julie A. Denison PhD, MHS, Cui Yang PhD, MA, Allison Agwu MD, ScM, Kamila A. Alexander PhD, MPH, RN, Michelle R. Kaufman PhD, MA, and Renata Arrington-Sanders MD, MPH, ScM Affiliation Stephanie M. DeLong is with the Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD. Julie A. Denison is with the Department of International Health, Johns Hopkins Bloomberg School of Public Health. Cui Yang and Michelle R. Kaufman are with the Department of Health, Behavior, and Society, Johns Hopkins Bloomberg School of Public Health. Allison Agwu is with Pediatric and Adult Infectious Diseases, Johns Hopkins School of Medicine, Baltimore, MD. Kamila A. Alexander is with Johns Hopkins School of Nursing, Baltimore, MD. Renata Arrington-Sanders is with the Division of Adolescent Medicine, Johns Hopkins School of Medicine.CopyRightCorrespondence should be sent to Stephanie M. DeLong, Johns Hopkins Bloomberg School of Public Health, Department of Epidemiology, 615 N Wolfe St W6508, Baltimore, MD 21205 (e-mail: sdelong2@jh.edu). Reprints can be ordered at http://www.ajph.org by clicking the "Reprints" link.CONTRIBUTORSAll authors contributed equally to this editorial. https://doi.org/10.2105/AJPH.2020.305915 Accepted: August 04, 2020 Published Online: October 07, 2020

Pandemic

10.2105/ajph.2020.305915

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Citations (11)

Navigating Discrimination in Healthcare: Impact on Well-Being Among Black Queer Young Women Survivors of Violence in Baltimore, MD

Journal of Adolescent Health (2025)

DaJaneil McCree Amanda Billiter Julie Huynh Kamila A. Alexander

10.1016/j.jadohealth.2024.11.115

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Citations (0)

Recently released Black men’s perceptions of the impact of incarceration on sexual partnering

Culture Health & Sexuality (2017)

Julie Fields Kelly M. King Kamila A. Alexander Katherine Clegg Smith Susan G. Sherman

Evidence suggests that men with recent histories of incarceration are more likely to engage in high-risk sexual activity, however there is limited research exploring how having been recently released from prison might impact men's sexual risk behaviours or sexual partnering. This qualitative study explores the ways in which exposure to incarceration impacts the dynamics of sexual partnering among recently released Black men in Baltimore, USA. In-depth interviews were conducted with 19 recently released Black men between 21-45 years of age living in the city. Data were analysed using a combination of inductive and deductive approaches. Participants reported that women living in the neighbourhoods to which they returned found recently released men to be highly desirable sexual partners because they offered increased potential for sexual gratification, were perceived as healthier than other sexual partners in their communities and represented opportunities for attaining financial stability and the potential for establishing romantic partnerships. As a result, men reported they had more opportunities for sex and more power to negotiate sex with women. Recently released Black men's perceptions of their own sexual desirability among women raise important implications regarding power in the sexual relationships of recently released men that may increase HIV- and sexually transmitted infection-related risk for recently released men and their sexual partners.

Gratification

10.1080/13691058.2017.1325009

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Citations (4)

Health Beliefs and Preventive Behaviors Among Adults During the Early COVID-19 Pandemic in the United States: a Latent Class Analysis

Prevention Science (2021)

Emily Smail Kristin E. Schneider Stephanie M. DeLong Kalai Willis Renata Arrington‐Sanders

The objectives of this study are to (1) characterize patterns of preventive behaviors 3 months after the COVID-19 pandemic was declared a national emergency in the USA and (2) identify how health beliefs (e.g., perceived risk of infection, perceived risk of death upon infection, and perceived effectiveness of CDC-recommended preventive behaviors) and sociodemographic characteristics are associated with preventive behaviors. Data were obtained from two waves of the Understanding America Study (UAS) conducted in March (wave 1) and May to June of 2020 (wave 2) (n = 4445); UAS is a nationally representative panel of US adults. We conducted a latent class analysis (LCA) using wave 2 data to identify our outcome, patterns of 10 COVID-preventive behaviors (e.g., wearing a facemask, handwashing, social distancing), and then used a three-step regression (R3STEP) to test associations between the likelihood of class membership with (1) health beliefs and sociodemographic characteristics (age, sex, race/ethnicity, and educational attainment) in bivariate models and (2) health beliefs adjusted for sociodemographic characteristics in multivariate models. The LCA identified a three-class model of preventive behaviors characterized by high likelihood of engagement in the set of preventive behaviors ("high"), low likelihood of the preventive behaviors ("low"), or engagement in some behaviors ("mixed"). Respondents of older age (i.e., age 50 or older) and those with higher levels of educational attainment (i.e., a 4-year college degree or higher) were less likely to be in the low engagement versus the mixed engagement class compared to those who are younger (18–29) and have lower levels of educational attainment (i.e., high school), respectively. Women (compared to men) and respondents who were Black and/or Hispanic/Latinx (compared to White) were more likely to be in the high (vs. mixed) engagement class. In separate models adjusted for sociodemographic characteristics, respondents with a high perceived risk of infection, high perceived risk of death, and high perceived effectiveness of COVID-preventive behaviors were statistically significantly less likely to be in the low engagement relative to the mixed engagement class. Engagement in COVID-preventive behaviors varies by sociodemographic characteristics (i.e., age, sex, race/ethnicity and educational attainment) and health beliefs (i.e., perceived risk of infection, perceived risk of death, and perceived effectiveness of CDC-recommended behaviors). Our findings highlight the potential utility of using health beliefs to inform targeted prevention efforts to help reduce the spread of COVID-19 and future pandemics.

Health psychology

Pandemic

2019-20 coronavirus outbreak

Health behavior

10.1007/s11121-021-01273-0

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Citations (34)

Social inequalities associated with the onset of tuberculosis in disease-prone territories in a city from northeastern Brazil

The Journal of Infection in Developing Countries (2021)

Hamilton Leandro Pinto de Andrade Luíz Henrique Arroyo Melina Yamamura Antônio Carlos Vieira Ramos Juliane de Almeida Crispim

Introduction: Tuberculosis remains a major health problem worldwide, killing thousand adults and children every year mainly in developing countries as Brazil. The disease is socially determined, caused mainly by inequalities as overcrowding, bad conditions of housing, unemployment, and limited access to health care. The aim of this study was to identify the social inequalities associated with the onset of tuberculosis in disease-prone territories in a city from the Northeast. Methodology: This was an ecological study, which has gathered patients diagnosed with tuberculosis through secondary data source in a city from the northeast of Brazil. The GAMLSS statistical model has been applied considering as response variable the count of Tuberculosis cases and the independent variable, the social conditions. The double Poisson distribution was considered in the analysis. The best model fitted was selected according the Akaike information criterion value. For all tests, the p value < 0.05 was considered as statistically significant. Results: 460 patients with diagnosis of tuberculosis were identified, which represents an incidence of 36.3 cases/100,000 in males and 20.7 cases/100,000 in females. Regarding social inequality associated with tuberculosis, income (households with per capita income between 1/8 and 3 minimum wages), gender and age (Proportion of males under 15 years of age) were associated with the disease. Conclusions: The findings evidenced the social determinants associated with tuberculosis, with a greater occurrence of the disease in areas with mostly male children and low-income families, these issues must be managed within and beyond the health sector, which is mandatory for the Tuberculosis elimination.

Overcrowding

10.3855/jidc.13143

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Citations (2)

Promoting an Anti-Racist Approach to Address Illegal Sexual Behavior Among Black Young People in the United States

Archives of Sexual Behavior (2022)

Rebecca L. Fix Charvonne N. Holliday Nworu Kamila A. Alexander Terrinieka W. Powell

10.1007/s10508-022-02466-6

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Citations (3)