Marguerita Lightfoot

University of California, San Francisco

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Mary Jane Rotheram‐Borus

University of California, Los Angeles

Mallory O. Johnson

University of California, San Francisco

Norweeta G. Milburn

Birmingham Women’s and Children’s NHS Foundation Trust

Stephen F. Morin

University of California, San Francisco

W. Scott Comulada

University of California, Los Angeles

Lance S. Weinhardt

University of Wisconsin–Milwaukee

Margaret A. Chesney

University of California, San Francisco

Ilan H. Meyer

Williams (United States)

Diane Santa Maria

The University of Texas Health Science Center at Houston

Phillip L. Hammack

University of California, Santa Cruz

Cooperative Institutions

University of California, San Francisco

105

University of California, Los Angeles

San Francisco AIDS Foundation

Columbia University

University of California System

University of California, Berkeley

Johns Hopkins University

San Francisco General Hospital

New York Psychoanalytic Society and Institute

San Francisco Department of Public Health

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Effectiveness of School-Based Teen Pregnancy Prevention Programs in the USA: a Systematic Review and Meta-Analysis

Prevention Science (2018)

Elliot Marseille Ali Mirzazadeh M. Antonia Biggs Amanda P. Miller Hacsi Horváth

10.1007/s11121-017-0861-6

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Citations (53)

Psychological Distress, Felt Stigma, and HIV Prevention in a National Probability Sample of Sexual Minority Men

LGBT Health (2020)

Evan A. Krueger Ian W. Holloway Marguerita Lightfoot Andy Lin Phillip L. Hammack

Purpose: We assessed how psychological distress and felt stigma (perceived sexual minority stigma in one's community) are associated with key HIV prevention outcomes in a U.S. national probability sample of sexually active, HIV-negative sexual minority men. Methods: Using data from the Generations study (2017–2018, N = 285), the present study assessed the effects of psychological distress and felt stigma and their interaction on three HIV prevention outcomes: testing for HIV as per Centers for Disease Control and Prevention guidelines (once or more in the past year), use of latex barriers (e.g., condoms), and familiarity with pre-exposure prophylaxis (PrEP). Results: In main effects models, neither psychological distress nor felt stigma was associated with any of the screening and prevention outcomes. However, the interaction between psychological distress and felt stigma was associated with each outcome. Specifically, at higher levels of felt stigma, greater psychological distress was associated with lower odds of HIV testing (exponentiated coefficient = 0.93, confidence interval [95% CI] 0.87–1.00), use of latex barriers (exponentiated coefficient = 0.92, 95% CI 0.86–0.99), and familiarity with PrEP (exponentiated coefficient = 0.90, 95% CI 0.82–0.98). Conclusion: These findings highlight the importance of felt stigma in shaping the association between psychological distress and engagement in HIV screening and prevention and offer important considerations for future HIV prevention research and interventions.

Stigma

Psychological Distress

10.1089/lgbt.2019.0280

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Citations (27)

Table of Contents

Journal of Pediatric Health Care (2023)

Donna Hallas Regena Spratling Lauren Arrigoni Claire Boogaard Jessica Strohm-Farber

Table (database)

10.1016/s0891-5245(23)00250-x

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Citations (0)

AIDS and Behavior (2000)

Marguerita Lightfoot Leah Robin Mary Jane Rotheram‐Borus Debra A. Murphy Marie M. Diaz

Serostatus

Health psychology

Unsafe Sex

10.1023/a:1009516701965

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Citations (6)

AIDS Risk Behaviors among American and Australian Homeless Youth

Journal of Social Issues (2007)

Norweeta G. Milburn Judith A. Stein Eric Rice Mary Jane Rotheram‐Borus Shelley Mallett

We examined HIV/AIDS risk behaviors among homeless youth in cross‐national data collected in Melbourne, Australia (n= 398), and Los Angeles, California (n= 498). Using structural equation modeling, we found that the Australian youth reported greater involvement in AIDS risk behaviors than the American youth and the Australian youth were more involved in intervening risk factors that promote risk behaviors and less involved with protective factors that reduce risk behaviors. Youth reporting the highest rates of delinquent behaviors also had peers engaging in delinquent acts, used alcohol and marijuana, and were more likely to utilize social services. These findings underscore the importance of having a service sector that is able to adequately address the needs of homeless youth .

Positive Youth Development

10.1111/j.1540-4560.2007.00523.x

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Citations (31)

Primary Care as a Protective Factor: A Vision to Transform Health Care Delivery and Overcome Disparities in Health

The Permanente Journal (2024)

Edward L. Machtinger Alicia F. Lieberman Christina Bethell Marguerita Lightfoot

Health Care Delivery

Factor (programming language)

10.7812/tpp/23.109

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Citations (2)

Psychological Distress, Substance Use, and Adjustment among Parents Living with HIV

The Journal of the American Board of Family Medicine (2005)

Risë B. Goldstein Mallory O. Johnson M. J. Rotheram-Borus Sheri B. Kirshenbaum Rogério M. Pinto

Background: Being a parent, especially a custodial parent, living with HIV was anticipated to increase psychological distress and challenges to self-care. Methods: Mental health symptoms, substance use, and health care utilization were assessed among 3818 HIV-infected adults, including custodial parents, noncustodial parents, and nonparents, in 4 AIDS epicenters. Results: Custodial parents demonstrated significantly poorer medication adherence and attendance at medical appointments but were similar to nonparents and noncustodial parents in mental health symptoms and treatment utilization for mental health and substance use problems. Noncustodial parents demonstrated the highest levels of recent substance use and substance abuse treatment. Other markers of risk, such as African American ethnicity, lack of current employment income, and injection drug use moderated many of the apparent psychosocial disadvantages exhibited by parents. Conclusions: Interventions specific to the psychosocial stressors facing families living with HIV are needed.

Stressor

Attendance

Psychological Distress

10.3122/jabfm.18.5.362

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Citations (15)

Acceptability and Feasibility of Peer-to-Peer Text Messaging Among Adolescents to Increase Clinic Visits and Sexually Transmitted Infection Testing: Interrupted Times-Series Analysis (Preprint)

Marguerita Lightfoot Joi Jackson-Morgan Lance M. Pollack Ayanna Bennett

BACKGROUND Adolescents are disproportionately affected by sexually transmitted infections (STIs), including HIV. Many youths with asymptomatic STI or related symptoms do not seek treatment and may not be screened if accessing the health care system for other reasons. OBJECTIVE We examined intervention completion and changes in the number of new patients, the number of STI or HIV tests, and the sexual risk profile of patients over time to determine the feasibility and acceptability of a peer-driven text messaging strategy to connect youth to STI and HIV services. METHODS The intervention enlisted consecutive patients at an adolescent medicine clinic to send a text message to 5 peers they believed were sexually active and lived in the clinic’s service area. The intervention was evaluated using an interrupted time-series design in which baseline clinic service levels were documented during a 35-week lead-in period, followed by a 20-week intervention implementation period, and a 16-week period of continued clinic observation. Clinic and patient data were obtained through chart abstraction from intake forms that occurred during the entire study period. Analyses conducted in 2015 used a generalized linear mixed model. RESULTS Of the 153 patients approached to participate, 100 agreed to send SMS text messages. Most (n=55, 55%) reported no concerns with sending the text message. No adverse events or negative outcomes were reported. Adolescent STI testing, positive test results, and reported risk behavior increased post intervention, although this was not statistically significant, likely because of the small sample size. CONCLUSIONS Given low youth uptake of health care services, and STI/HIV screening, in particular, new strategies are needed to address access barriers. Common approaches for reaching youth are resource-intensive and often miss those not connected to school or community programs. The peer-based text messaging strategy showed promise for both increasing the number of youths accessing health services and finding youths engaging in sexual risk behaviors and most in need of sexual health screening and services.

Short Message Service

Text Messaging

Interrupted time series

10.2196/preprints.32416

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Citations (0)

Developmental, Ethnic, and Gender Differences in Ethnic Identity among Adolescents

Journal of Adolescent Research (1998)

Mary Jane Rotheram‐Borus Marguerita Lightfoot Anna Izabella Prado Moraes Steve Dopkins Jean LaCour

Students' ratings of five components of ethnic identity were examined: their ethnic self-label, reference group, ethnically related attitudes (ethnic pride, separatistfeeling, stereotyping of ethnic groups), values, and social expectations. Each component was examined among 32S African American, Latino, Filipino, and Anglo adolescents at an integrated, ethnically balanced high school. The independence of the dimensions of ethnic identity were indicated by modest and nonsignificant correlations among the components of ethnic identity, as well as a three-factor solution among the measures of ethnic identity. The correlations among the components of ethnic identity and the factor structure were similar among students in the upper grades (l1th and 12th) and in the lower grades (9th and IOth). Ethnic pride increased with grade level and was lowestfor Anglo and Asian students. Girls were more similar to the norns of their ethnic gPoup than were boys. The importance of multifactorand contextuallyassessed indices ofe fhnic identity is discussed.

Pride

Ethnically diverse

Independence

10.1177/0743554898134006

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Citations (36)

Sources of Influence on the College Goals, Sexual Behavior, and Childbearing Attitudes of Latina Girls in Alternative High Schools

Oxford University Press eBooks (2008)

Laura F. Romo Claudia Kouyoumdjian Marguerita Lightfoot

Abstract Research studies have revealed that educational goals and academic motivation are linked to adolescents' sexual behavior and attitudes. Teenage pregnancy and early parenthood diminishes the chances that adolescents will succeed in school. This chapter aims to identify several sources of influence on the educational goals of this vulnerable student population to be able to suggest ways to increase the girls' expectancies to succeed in school, thus, creating a positive impact on their academic achievements and sexual health decisions as well. Two influences that are discussed in detail are the influence of perceived peer and parental attitudes towards early childbearing. Also, the data that examines the educational goals of low-achieving girls attending an alternative school facilitates an investigation on the intersection of the alternative school culture and home culture and its impact on adolescent childbearing attitudes and academic motivation.

10.1093/acprof:oso/9780195326819.003.0005

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Citations (3)