Http Dx Doi Org 10 1521 Aeap 15 1 5 66 23615, May 31, 2005
Abstract Psychosocial predictors of sexual risk taking were investigated in a community sample of... more Abstract Psychosocial predictors of sexual risk taking were investigated in a community sample of 502 HIV-positive and HIV-negative African American men enrolled in the African American Health Project. Poisson regression analyses were used to estimate the relative ...
Journal of Health Care for the Poor and Underserved, 2000
A community-based survey of 507 African Americans aged 60 and older from South Central Los Angele... more A community-based survey of 507 African Americans aged 60 and older from South Central Los Angeles was conducted to estimate the prevalence of frailty and describe the correlation between frailty, social support from family and church, and use of community services. Persons were considered frail if they met criteria for any of four conditions: functional impairment, depression, urinary incontinence, falls. Sixty-seven percent met criteria for frailty. Analyses revealed that frail elderly were significantly less likely to report feeling very close to family. Family contact, feeling that church was important, and receiving church support were similar for the frail and nonfrail. Frail elderly were more likely to use community services. These findings suggest that frail elderly in this population may not receive more support from family and church than nonfrail elderly. There is a need for caution when assuming families and churches in urban African American communities are able to support the most vulnerable elderly.
ABSTRACT African American elderly are underrepresented in health research. This paper highlights ... more ABSTRACT African American elderly are underrepresented in health research. This paper highlights recruitment information derived from focus groups with African American elderly conducted through the Drew-RAND Center on Health and Aging. We believe this information can aid in the recruitment and retention of African American elders into health research. Our recommendations include: (1) being sensitive to population concerns, (2) building working relationships with community 'gatekeepers,' (3) establishing relations with the elderly African American community, (4) being aware of the impact of staff's demographic characteristics on the population, (5) providing transportation, and (6) addressing safety concerns. These procedures enabled us to recruit, and retain, over 5 years, a population of 500 elderly African Americans in Los Angeles.
Women's health issues : official publication of the Jacobs Institute of Women's Health, 2011
Experiences of past and current gender-based violence are common among HIV-positive women in the ... more Experiences of past and current gender-based violence are common among HIV-positive women in the United States, who are predominantly from ethnic minority groups. However, culturally congruent, feasible interventions for HIV-positive women who have experienced past and/or current violence are not widely available. The Office on Women's Health Gender Forum has made several recommendations for responding to the National HIV/AIDS Strategy Implementation Plan, including recommendations to incorporate gender-based violence prevention into a comprehensive, gender-responsive national strategy. This paper draws on an example of a community-based project for HIV-positive women, the Healing Our Women Project, to illustrate how violence prevention can be achieved within peer-led and community-based programming. Strong community partnerships, responsiveness to community needs and local cultural norms, a trained workforce, and culturally competent care are programmatic cornerstones of gende...
Psychological Trauma: Theory, Research, Practice, and Policy, 2014
The Healing Our Women Program, an 11-week integrated trauma/HIV intervention designed for HIV-pos... more The Healing Our Women Program, an 11-week integrated trauma/HIV intervention designed for HIV-positive women with child sexual abuse histories, has been found to reduce psychological distress in treatment groups compared to wait-list controls (Chin et al., 2004; Wyatt et al., 2011). This study examines the characteristics of participants who improved vs. those who did not improve among participants who received the active intervention (N=78) at post, three-, and six-month follow-up. Logistic regression analyses conducted post-intervention and at three- and six-month followups examined demographic characteristics, treatment attendance, AIDS diagnosis, and total trauma burden as possible predictors of improvement. Results indicated that at post-test, total trauma burden was significantly associated with improvement. At three-month follow-up, none of the variables discriminated the groups. At six-month follow-up, total trauma burden was again significantly related to improvement. The results suggest that the intervention is most appropriate for women with high trauma burdens. Future HIV interventions should go beyond the "one size fits all"…
From child sexual abuse to adult sexual risk: Trauma, revictimization, and intervention., 2004
APA PsycNET Our Apologies! - The following features are not available with your current Browser c... more APA PsycNET Our Apologies! - The following features are not available with your current Browser configuration. - alerts user that their session is about to expire - display, print, save, export, and email selected records - get My ...
Psychological trauma : theory, research, practice and policy, 2015
This study examined the utility of a lifetime cumulative adversities and trauma model in predicti... more This study examined the utility of a lifetime cumulative adversities and trauma model in predicting the severity of mental health symptoms of depression, anxiety, and posttraumatic stress disorder. We also tested whether ethnicity and gender moderate the effects of this stress exposure construct on mental health using multigroup structural equation modeling. A sample of 500 low-socioeconomic status African American and Latino men and women with histories of adversities and trauma were recruited and assessed with a standard battery of self-report measures of stress and mental health. Multiple-group structural equation models indicated good overall model fit. As hypothesized, experiences of discrimination, childhood family adversities, childhood sexual abuse, other childhood trauma, and chronic stresses all loaded on the latent cumulative burden of adversities and trauma construct (CBAT). The CBAT stress exposure index in turn predicted the mental health status latent variable. Althou...
Http Dx Doi Org 10 1521 Aeap 15 1 5 66 23615, May 31, 2005
Abstract Psychosocial predictors of sexual risk taking were investigated in a community sample of... more Abstract Psychosocial predictors of sexual risk taking were investigated in a community sample of 502 HIV-positive and HIV-negative African American men enrolled in the African American Health Project. Poisson regression analyses were used to estimate the relative ...
Journal of Health Care for the Poor and Underserved, 2000
A community-based survey of 507 African Americans aged 60 and older from South Central Los Angele... more A community-based survey of 507 African Americans aged 60 and older from South Central Los Angeles was conducted to estimate the prevalence of frailty and describe the correlation between frailty, social support from family and church, and use of community services. Persons were considered frail if they met criteria for any of four conditions: functional impairment, depression, urinary incontinence, falls. Sixty-seven percent met criteria for frailty. Analyses revealed that frail elderly were significantly less likely to report feeling very close to family. Family contact, feeling that church was important, and receiving church support were similar for the frail and nonfrail. Frail elderly were more likely to use community services. These findings suggest that frail elderly in this population may not receive more support from family and church than nonfrail elderly. There is a need for caution when assuming families and churches in urban African American communities are able to support the most vulnerable elderly.
ABSTRACT African American elderly are underrepresented in health research. This paper highlights ... more ABSTRACT African American elderly are underrepresented in health research. This paper highlights recruitment information derived from focus groups with African American elderly conducted through the Drew-RAND Center on Health and Aging. We believe this information can aid in the recruitment and retention of African American elders into health research. Our recommendations include: (1) being sensitive to population concerns, (2) building working relationships with community 'gatekeepers,' (3) establishing relations with the elderly African American community, (4) being aware of the impact of staff's demographic characteristics on the population, (5) providing transportation, and (6) addressing safety concerns. These procedures enabled us to recruit, and retain, over 5 years, a population of 500 elderly African Americans in Los Angeles.
Women's health issues : official publication of the Jacobs Institute of Women's Health, 2011
Experiences of past and current gender-based violence are common among HIV-positive women in the ... more Experiences of past and current gender-based violence are common among HIV-positive women in the United States, who are predominantly from ethnic minority groups. However, culturally congruent, feasible interventions for HIV-positive women who have experienced past and/or current violence are not widely available. The Office on Women's Health Gender Forum has made several recommendations for responding to the National HIV/AIDS Strategy Implementation Plan, including recommendations to incorporate gender-based violence prevention into a comprehensive, gender-responsive national strategy. This paper draws on an example of a community-based project for HIV-positive women, the Healing Our Women Project, to illustrate how violence prevention can be achieved within peer-led and community-based programming. Strong community partnerships, responsiveness to community needs and local cultural norms, a trained workforce, and culturally competent care are programmatic cornerstones of gende...
Psychological Trauma: Theory, Research, Practice, and Policy, 2014
The Healing Our Women Program, an 11-week integrated trauma/HIV intervention designed for HIV-pos... more The Healing Our Women Program, an 11-week integrated trauma/HIV intervention designed for HIV-positive women with child sexual abuse histories, has been found to reduce psychological distress in treatment groups compared to wait-list controls (Chin et al., 2004; Wyatt et al., 2011). This study examines the characteristics of participants who improved vs. those who did not improve among participants who received the active intervention (N=78) at post, three-, and six-month follow-up. Logistic regression analyses conducted post-intervention and at three- and six-month followups examined demographic characteristics, treatment attendance, AIDS diagnosis, and total trauma burden as possible predictors of improvement. Results indicated that at post-test, total trauma burden was significantly associated with improvement. At three-month follow-up, none of the variables discriminated the groups. At six-month follow-up, total trauma burden was again significantly related to improvement. The results suggest that the intervention is most appropriate for women with high trauma burdens. Future HIV interventions should go beyond the "one size fits all"…
From child sexual abuse to adult sexual risk: Trauma, revictimization, and intervention., 2004
APA PsycNET Our Apologies! - The following features are not available with your current Browser c... more APA PsycNET Our Apologies! - The following features are not available with your current Browser configuration. - alerts user that their session is about to expire - display, print, save, export, and email selected records - get My ...
Psychological trauma : theory, research, practice and policy, 2015
This study examined the utility of a lifetime cumulative adversities and trauma model in predicti... more This study examined the utility of a lifetime cumulative adversities and trauma model in predicting the severity of mental health symptoms of depression, anxiety, and posttraumatic stress disorder. We also tested whether ethnicity and gender moderate the effects of this stress exposure construct on mental health using multigroup structural equation modeling. A sample of 500 low-socioeconomic status African American and Latino men and women with histories of adversities and trauma were recruited and assessed with a standard battery of self-report measures of stress and mental health. Multiple-group structural equation models indicated good overall model fit. As hypothesized, experiences of discrimination, childhood family adversities, childhood sexual abuse, other childhood trauma, and chronic stresses all loaded on the latent cumulative burden of adversities and trauma construct (CBAT). The CBAT stress exposure index in turn predicted the mental health status latent variable. Althou...
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Papers by Hector F. Myers