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angela aidala

Angela A Aidala, Brittney Cavaliere, Samantha Cinnick
CONTEXT: A key component of the improvement of public health infrastructure in the United States revolves around public health workforce development and training. Workforce challenges faced by the public health system have long been recognized, but there are additional challenges facing any region-wide or cross-jurisdictional effort to accurately assess priority workforce training needs and develop training resources to address those needs. These challenges include structural variability of public health organizations; diverse population health contexts; capturing both topic-specific skill sets and foundational competencies among public health workers; and reaching/representing the target population despite suspicion, disinterest, and/or assessment "fatigue" among employees asked to participate in workforce development surveys...
June 7, 2018: Journal of Public Health Management and Practice: JPHMP
Jennifer Cantrell, Ollie Ganz, Vinu Ilakkuvan, Michael Tacelosky, Jennifer Kreslake, Joyce Moon-Howard, Angela Aidala, Donna Vallone, Andrew Anesetti-Rothermel, Thomas R Kirchner
BACKGROUND: In tobacco control and other fields, point-of-sale surveillance of the retail environment is critical for understanding industry marketing of products and informing public health practice. Innovations in mobile technology can improve existing, paper-based surveillance methods, yet few studies describe in detail how to operationalize the use of technology in public health surveillance. OBJECTIVE: The aims of this paper are to share implementation strategies and lessons learned from 2 tobacco, point-of-sale surveillance projects to inform and prepare public health researchers and practitioners to implement new mobile technologies in retail point-of-sale surveillance systems...
July 2015: JMIR Public Health and Surveillance
Claude A Mellins, Shuaib Kauchali, Danielle F Nestadt, Dan Bai, Angela Aidala, Nonhlahla Myeza, Murray H Craib, Jane Kvalsvig, Cheng-Shiun Leu, Justin Knox, Stephen Arpadi, Meera Chhagan, Leslie L Davidson
BACKGROUND: Given the high prevalence of mental health (MH) and substance abuse problems in low-to-middle income countries, the scarcity of MH professionals and the negative impact of psychiatric disorders on caregivers of young children, there is significant need for brief evidence-based screening tools for lay counselors to assist with MH assessment. This study aimed to validate a brief screening tool to assess psychiatric and substance use disorders, the Client Diagnostic Questionnaire (CDQ), in South Africa (SA)...
January 2017: Clinical Psychology & Psychotherapy
Angela A Aidala, Michael G Wilson, Virginia Shubert, David Gogolishvili, Jason Globerman, Sergio Rueda, Anne K Bozack, Maria Caban, Sean B Rourke
BACKGROUND: Accumulating evidence suggests responses to HIV that combine individual-level interventions with those that address structural or contextual factors that influence risks and health outcomes of infection. Housing is such a factor. Housing occupies a strategic position as an intermediate structural factor, linking "upstream" economic, social, and cultural determinants to the more immediate physical and social environments in which everyday life is lived. The importance of housing status for HIV prevention and care has been recognized, but much of this attention has focused on homeless individuals as a special risk group...
January 2016: American Journal of Public Health
Krupa Shah, James M McMahon, Nicole Trabold, Angela A Aidala, Michael Chen, Enrique R Pouget, Janie Simmons, Keith Klostermann
Little is known about the psychosocial factors that might impact the functioning ability of heterosexual men living with HIV. We examined positive and negative coping, social support, and HIV stigma as predictors of physical and global functioning in a cross-sectional sample of 317 HIV-infected adult heterosexual male patients recruited from clinical and social service agencies in New York City. Study participants were primarily minority and low income. Sixty-four percent were African-American, 55% were single, and 90% were 40 years of age or older...
2015: AIDS Care
Kathleen M Malee, Claude A Mellins, Yanling Huo, Katherine Tassiopoulos, Renee Smith, Patricia A Sirois, Susannah M Allison, Deborah Kacanek, Suad Kapetanovic, Paige L Williams, Mitzie L Grant, Daniel Marullo, Angela A Aidala
OBJECTIVE: To evaluate prevalence, incidence, remission, and persistence of psychiatric and substance use disorders among HIV-infected mothers and identify biopsychosocial correlates. METHODS: HIV-infected mothers (n = 1223) of HIV-exposed uninfected children enrolled in a prospective cohort study; HIV-uninfected mothers (n = 128) served as a comparison group. Mothers provided sociodemographic and health information and completed the Client Diagnostic Questionnaire (CDQ)...
April 15, 2014: Journal of Acquired Immune Deficiency Syndromes: JAIDS
Ollie Ganz, Jennifer Cantrell, Joyce Moon-Howard, Angela Aidala, Thomas R Kirchner, Donna Vallone
No abstract text is available yet for this article.
March 2015: Tobacco Control
Joshua K Calvert, Angela A Aidala, Josh H West
OBJECTIVE: The purpose of the study was to further elucidate proximal and distal demographic and social predictors of Internet Health Information Seeking Behavior (IHISB) among a cohort of HIV+ individuals through an ecological framework. METHODS: The Community Health Advisory & Information Network (CHAIN) project is an ongoing prospective study of a representative sample of persons living with HIV/AIDS in New York City and the Tri-County region. The study sample was drawn from a two-stage randomized technique with the clients of 43 medical and social service organizations with 693 HIV+ participants...
2013: Open AIDS Journal
David R Holtgrave, Richard J Wolitski, Sherri L Pals, Angela Aidala, Daniel P Kidder, David Vos, Scott Royal, Nkemdiri Iruka, Kate Briddell, Ron Stall, Arturo Valdivia Bendixen
We present a cost-utility analysis based on data from the Housing and Health (H&H) Study of rental assistance for homeless and unstably housed persons living with HIV in Baltimore, Chicago and Los Angeles. As-treated analyses found favorable associations of housing with HIV viral load, emergency room use, and perceived stress (an outcome that can be quantitatively linked to quality of life). We combined these outcome data with information on intervention costs to estimate the cost-per-quality-adjusted-life-year (QALY) saved...
June 2013: AIDS and Behavior
Richard J Wolitski, Daniel P Kidder, Sherri L Pals, Scott Royal, Angela Aidala, Ron Stall, David R Holtgrave, David Harre, Cari Courtenay-Quirk et al.
Homelessness affects HIV risk and health, but little is known about the longitudinal effects of rental assistance on the housing status and health of homeless and unstably housed people living with HIV/AIDS. Homeless/unstably housed people living with HIV/AIDS (N = 630) were randomly assigned to immediate Housing Opportunities for People with AIDS (HOPWA) rental assistance or customary care. Self-reported data, CD4, and HIV viral load were collected at baseline, 6, 12, and 18 months. Results showed that housing status improved in both groups, with greater improvement occurring in the treatment group...
June 2010: AIDS and Behavior
Mark S Friedman, Michael P Marshal, Ron Stall, Daniel P Kidder, Kirk D Henny, Cari Courtenay-Quirk, Richard J Wolitski, Angela Aidala, Scott Royal, David R Holtgrave
Prior research suggests that the interconnections between substance use, HIV risk and lack of adherence to HIV medications are especially strong among homeless individuals. Thus, study of these interconnections warrants public health attention. The objectives of this paper are to describe patterns of alcohol and drug use, associations between substance use and participation in high-risk sex, and associations between substance use and adherence to HIV treatment regimens among a sample of 602 homeless or unstably housed HIV-seropositive individuals who are part of a housing-based intervention--the Housing and Health Study...
June 2009: AIDS Care
Scott W Royal, Daniel P Kidder, Satyendra Patrabansh, Richard J Wolitski, David R Holtgrave, Angela Aidala, Sherri Pals, Ron Stall
The aim of this study is to investigate adherence to highly active antiretroviral therapy (HAART) in persons living with HIV/AIDS (PLWHA) who are homeless or unstably housed. We evaluated homeless or unstably housed PLWHA (n=644) in three US cities were enrolled in the Housing and Health Study. Using baseline data and controlling for gender, race, age, and education, we examined associations between self-reported two- and Seven-day adherence and access to healthcare, mental health, substance use, and attitudes toward HIV medical therapy...
April 2009: AIDS Care
Angela A Aidala, Gunjeong Lee, David M Abramson, Peter Messeri, Anne Siegler
HIV infection has become a chronic condition that for most persons can be effectively managed with regular monitoring and appropriate medical care. However, many HIV positive persons remain unconnected to medical care or have less optimal patterns of health care utilization than recommended by good clinical practice standards. This paper investigates housing status as a contextual factor affecting access and maintenance in appropriate HIV medical care. Data provided from 5,881 interviews conducted from 1994 to 2006 with a representative sample of 1,661 persons living with HIV/AIDS in New York City demonstrated a strong and consistent relationship between housing need and remaining outside of or marginal to HIV medical care...
November 2007: AIDS and Behavior
Angela A Aidala, Esther Sumartojo
Housing/lack of housing and HIV are powerfully linked. Housing occupies an important place in the causal chains linking poverty and inequality, and HIV risk and outcomes of infection. The articles in this Special Supplement of AIDS and Behavior confirm the impact of homelessness, and poor or unstable housing, on HIV/AIDS, and challenge scientists to test and policy makers to implement the promise of housing as an innovative response to the epidemic. In order to influence the development of policies on housing to benefit at-risk or HIV-infected persons, however, proponents must justify why this association exists, and how housing can help end the epidemic as well as improve the care and health of persons living with HIV/AIDS...
November 2007: AIDS and Behavior
David R Holtgrave, Kate Briddell, Eugene Little, Arturo Valdivia Bendixen, Myrna Hooper, Daniel P Kidder, Richard J Wolitski, David Harre, Scott Royal, Angela Aidala
The Housing and Health study examines the effects of permanent supportive housing for homeless and unstably housed persons living with HIV. While promising as an HIV prevention intervention, providing housing may be more expensive to deliver than some other HIV prevention services. Economic evaluation is needed to determine if investment in permanent supportive housing would be cost-saving or cost-effective. Here we ask -- what is the per client cost of delivering the intervention, and how many HIV transmissions have to be averted in order to exceed the threshold needed to claim cost-savings or cost-effectiveness to society? Standard methods of cost and threshold analysis were employed...
November 2007: AIDS and Behavior
Daniel P Kidder, Richard J Wolitski, Scott Royal, Angela Aidala, Cari Courtenay-Quirk, David R Holtgrave, David Harre, Esther Sumartojo, Ron Stall
Homelessness and unstable housing have been associated with HIV risk behavior and poorer health among persons living with HIV/AIDS (PLWHA), yet prior research has not tested causal associations. This paper describes the challenges, methods, and baseline sample of the Housing and Health Study, a longitudinal, multi-site, randomized controlled trial investigating the effects of providing immediate rental housing assistance to PLWHA who were homeless or at severe risk of homelessness. Primary outcomes included HIV disease progression, medical care access and utilization, treatment adherence, mental and physical health, and risks of transmitting HIV...
November 2007: AIDS and Behavior
Angela A Aidala, Gunjeong Lee, Joyce Moon Howard, Maria Caban, David Abramson, Peter Messeri
This study examines patterns of sexual behavior, sexual relating, and sexual risk among HIV-positive men sexually active with women. A total of 278 HIV-positive men were interviewed every 6-12 months between 1994 and 2002 and reported considerable variability in sexual behaviors over time. Many were not sexually active at all for months at a time; many continued to have multiple female and at times male partners. Over one-third of the cohort had one or more periods when they had engaged in unprotected sex with a female partner who was HIV-negative or status unknown (unsafe sex)...
July 2006: Journal of Urban Health: Bulletin of the New York Academy of Medicine
Angela A Aidala, Gunjeong Lee, Samantha Garbers, Mary Ann Chiasson
As an ever-increasing number of people infected with HIV are living longer, healthier lives, concerns about continued transmission are growing along with an awareness of the need to develop "prevention for positives." This study of HIV-positive adults in New York City is the first examination of patterns of sexual behavior in a large, representative cohort of HIV-infected individuals followed over an extended time period. A total of 968 HIV-positive adults were interviewed every 6-12 months between 1994 and 2002 and reported considerable variability in sexual behaviors over time...
February 2006: AIDS Education and Prevention: Official Publication of the International Society for AIDS Education
Angela Aidala, Jay E Cross, Ron Stall, David Harre, Esther Sumartojo
This paper examines housing as a contextual factor affecting drug and sexual risk behaviors among HIV positive people using pooled interview data from 2149 clients presenting for services at 16 medical and social service agencies participating in a multi-site evaluation study. The odds of recent drug use, needle use or sex exchange at the baseline interview was 2-4 times as high among the homeless and unstably housed compared to persons with stable housing. Follow-up data collected 6-9 months after baseline showed that change in housing status was associated with change in risk behaviors...
September 2005: AIDS and Behavior
Justin Starren, Christopher Tsai, Suzanne Bakken, Angela Aidala, Philip C Morin, Charlyn Hilliman, Ruth S Weinstock, Robin Goland, Jeanne Teresi, Steven Shea
Home telehealth involves the use of video conferencing or remote monitoring equipment in patients' homes. The installation of hardware and training of patients has historically been performed by nurses, typically RNs. This article examines the experience of RNs as telehealth installers in the Informatics for Diabetes Education and Telemedicine (IDEATel) project, where RNs were responsible for the installation of the Home Telemedicine Units (HTUs) and for training patients in the use of the HTUs, blood pressure cuffs, and fingerstick glucose meters...
July 2005: Computers, Informatics, Nursing: CIN
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