Healthcare Research

“Women centered HIV care practices that facilitate HIV care retention and viral suppression in the presence of adverse sociocultural factors”

• Differential Role of Psychosocial, Health Care System and Neighborhood Factors on the Retention in HIV Care of Women and Men in the Ryan White Program. Trepka MJ, Sheehan DM, Dawit R, Li T, Fennie KP, Gebrezgi MT, Brock P, Beach MC, Ladner RA. J Int Assoc Provid AIDS Care. 2020 Jan-Dec;19:2325958220950087. doi: 10.1177/2325958220950087. PMID: 32815475; PMCID: PMC7444131.

• Factors Associated with Viral Suppression Among Racial/Ethnic Minority Women in the Miami-Dade County Ryan White Program, 2017. Caleb-Adepoju SO, Dawit R, Gbadamosi SO, Sheehan DM, Fennie KP, Ladner RA, Brock P, Trepka MJ. AIDS Res Hum Retroviruses. 2021 Sep;37(9):631-641. doi: 10.1089/AID.2021.0039. Epub 2021 Jul 14. PMID: 34078113; PMCID: PMC8501466.

• Latent Class Analysis of Syndemic Factors Associated with Sustained Viral Suppression among Ryan White HIV/AIDS Program Clients in Miami, 2017. Dawit R, Trepka MJ, Gbadamosi SO, Fernandez SB, Caleb-Adepoju SO, Brock P, Ladner RA, Sheehan DM. AIDS Behav. 2021 Jul;25(7):2252-2258. doi: 10.1007/s10461-020-03153-0. Epub 2021 Jan 20. PMID: 33471241; PMCID: PMC8169572.

• Development and Validation of a Risk Prediction Tool to Identify People with HIV Infection Likely Not to Achieve Viral Suppression. Gebrezgi MT, Fennie KP, Sheehan DM, Ibrahimou B, Jones SG, Brock P, Ladner RA, Trepka MJ. AIDS Patient Care STDS. 2020 Apr;34(4):157-165. doi: 10.1089/apc.2019.0224. PMID: 32324484; PMCID: PMC7194316.

•  Factors Associated with Geographic Patterns of Poor Sustained Viral Suppression in Miami-Dade County Florida, 2017. Dawit R, Trepka MJ, Duncan DT, Gbadamosi SO, Li T, Pires SF, Ladner RA, Sheehan DM. J Racial Ethn Health Disparities. 2022 Jan 31. doi: 10.1007/s40615-021-01227-w. Epub ahead of print. PMID: 35099764.

• Ramirez-Ortiz D, Fernandez SB, Jean-Gilles M, Flores A, Gonzalez Santander T, Dawit R, Ibarra C, Ward MK, Brock P, Ladner RA, Dévieux J, Trepka MJ. Barriers and facilitators to retention in care and treatment adherence among racially/ethnically diverse women with HIV in South Florida: a qualitative study. Women Health. 2023 Aug 9;63(7):562-576. doi: 10.1080/03630242.2023.2238848. Epub 2023 Jul 24. PMID: 37482891; PMCID: PMC10403283.

• How Patients Experience Respect in Healthcare: Findings from a Qualitative Study Among Multicultural Women Living with HIV. Fernandez SB, Ahmad A, Beach MC, Ward MK, Jean-Gilles M, Ibañez G, Ladner RA, Trepka MJ. BMC Med Ethics. 2024 Mar 27;25(1):39. doi: 10.1186/s12910-024-01015-1. PMID: 38539213; PMCID: PMC10967177.

• Exploring the use of self-management strategies for antiretroviral therapy adherence among women with HIV in the Miami-Dade County Ryan White Program. Gray A, Ward MK, Fernandez SB, Nawfal ES, Gwanzura T, Li T, Sheehan DM, Jean-Gilles M, Beach MC, Ladner RA, Trepka MJ.  J Behav Med. 2024 Apr;47(2):282-294. doi: 10.1007/s10865-023-00459-x. Epub 2023 Nov 9. PMID: 37946027; PMCID: PMC10947905.

“Influence of patient-centered HIV care on retention and viral suppression disparities”

• Perceptions and Current Practices in Patient-Centered Care: A Qualitative Study of Ryan White HIV Providers in South Florida. Knight JM, Ward MK, Fernandez S, Genberg BL, Beach MC, Ladner RA, Trepka MJ. J Int Assoc Provide AIDS Care. 2024 Jan-Dec;23:23259582241244684. doi: 10.1177/23259582241244684. PMID: 38651291; PMCID: PMC11036924.

• A Comparative Analysis of Different HIV Viral Load Suppression Definitions Among Clients Receiving Care in the Miami-Dade Ryan White HIV/AIDS Program. Gbadamosi SO, Trepka MJ, Dawit R, Bursac Z, Raymond A, Ladner RA, Sheehan DM. AIDS Behav. 2022 Nov;26(11):3576-3588. doi: 10.1007/s10461-022-03694-6. Epub 2022 May 10. PMID: 35536517.

• Using Causal Bayesian Networks to Assess the Role of Patient-Centered Care and Psychosocial Factors on Durable HIV Viral Suppression. Trepka MJ, Gong Z, Ward MK, Fennie KP, Sheehan DM, Jean-Gilles M, Devieux J, Ibañez GE, Gwanzura T, Nawfal ES, Gray A, Beach MC, Ladner R, Yoo C.  AIDS Behav. 2024 Apr 4. doi: 10.1007/s10461-024-04310-5. Epub ahead of print. PMID: 38573473; PMCID: PMC11161314.

• How patients experience respect in healthcare: findings from a qualitative study among multicultural women living with HIV. Fernandez SB, Ahmad A, Beach MC, Ward MK, Jean-Gilles M, Ibañez G, Ladner R, Trepka MJ.  BMC Med Ethics. 2024 Mar 27;25(1):39. doi: 10.1186/s12910-024-01015-1. PMID: 38539213; PMCID: PMC10967177.

• Sex differences in psychosocial and demographic factors associated with sustained HIV viral suppression in the Miami-Dade County Ryan White Program, 2017. Ward MK, Fernandez SB, Sheehan DM, Li T, Dawit R, Fennie K, Beach MC, Brock P, Ladner R, Trepka MJ. AIDS Care. 2023 Oct;35(10):1437-1442. doi: 10.1080/09540121.2022.2080800. Epub 2022 May 27. PMID: 35621306; PMCID: PMC9701240.

“Effects of the COVID-19 Public Health Emergency on HIV care access, socioeconomic and psychosocial stressors, and HIV viral suppression among people living with HIV in the Miami-Dade County Ryan White Program”

• HIV care access during the COVID-19 Pandemic as perceived by racial/ethnic minority groups served by the Ryan White Program, Miami-Dade County, Florida. Trepka MJ, Ward MK, Ladner R, Sheehan DM, Li T, Ibarra C, Gbadamosi SO, Ibañez GE, Jean-Gilles M. J Int Assoc Provid AIDS Care. 2022 Jan-Dec;21:23259582221084536. doi: 10.1177/23259582221084536. PMID: 35243926; PMCID: PMC8899832

• Self-reported nonadherence to antiretroviral therapy among Miami-Dade Ryan White Program clients during the COVID-19 pandemic: a cross-sectional study. Ward MK, Aleite S, Sheehan DM, Li T, Gbadamosi SO, Jean-Gilles M, Ladner RA, Trepka MJ. J Assoc Nurses AIDS Care. 2023 Mar-Apr 01;34(2):198-206. doi: 10.1097/JNC.0000000000000382. Epub 2023 Jan 6. PMID: 36607312; PMCID: PMC10062022

“Identifying points of intervention to improve COVID-19 vaccine uptake among racial/ethnic minority groups living with HIV”

• Factors Associated With COVID-19 Vaccination Among Racial/Ethnic Minority Groups With HIV in South Florida. Ramírez-Ortiz D, Jean-Gilles M, Sheehan DM, Ladner R, Li T, Trepka MJ.  J Acquir Immune Defic Syndr. 2024 Apr 1;95(4):329-341. doi: 10.1097/QAI.0000000000003369. PMID: 38133577; PMCID: PMC10922309.

“Optimizing mental health service utilization to enhance HIV care continuum outcomes and improve quality of life: a discrete choice experimental study among individuals with diverse sociocultural experiences” 

The objective of this project is to elucidate the multilevel (i.e., individual, interpersonal, community, and health care system) barriers and facilitators to current screening, referral and utilization of mental health services among clients in the Miami- Dade Ryan White Program using Copeland et al.’s sociocultural adaptation to the Andersen Behavioral Health Services Utilization model, and to identify client preferences for mental health care system delivery using a discrete choice experiment. We will accomplish these objectives with key informant interviews of providers, in-depth interviews of clients and a discrete choice experiment with clients from the Ryan White Program to determine client preferences for mental health services. Additionally, we will have a community advisory board who will inform our study instruments, help us interpret the data, and provide recommendations for adopting findings.