PubMed Health⌕ Search

Biomedical subjects

Emma J Brown

Publications and source records attributed to Emma J Brown.

16 recordsLinked to original sources
PubMed2006

Rural African-American women who use cocaine: needs and future aspirations related to their mothering role.

The overall purpose of this ethnographic study was to understand the culture of rural African-American women who use cocaine, with this report focusing on their perceived mothering needs and future aspirations. Three semi-structured interviews and participant observations were conducted over four years with 30 respondents, of which 24 were mothers. Data for this article were derived from the 21 mothers who cared for dependent children. Four mothering-related needs (escape from boredom, others to help mother for them, not having others' children to mother, and having children to "keep them going") and two categories of mothering-related aspirations (child-focused or self-focused) were identified. Given the limited resources in the area, an unexpected finding was the absence of some needs and aspirations. Theoretical explanations for the themes identified as well as those not identified are posited, and practice and research implications are presented.

Adolescent↗
PubMed2006

Place and space: the where and why of drug-use location among rural African American women.

Increasing drug use among rural African American women and its effect on children warrants investigation. This article describes drug-use locations of rural African American women who use cocaine and construct their lives to conceal it from children. During 4 years, a 30-respondent ethnography was conducted. Data from in-depth interviews and field notes were analyzed for recurrent themes and patterns of drug-use location using NVivo. Most respondents with children used most often outside their households. One third (n = 10) used within their households when children were away or in designated spaces off limits to children. More respondents (n = 11) without children at home used in non-designated spaces; in contrast, few respondents (n = 2) with children at home used in non-designated spaces within the household. Most respondents thought they were successful at concealing their cocaine use. Implications for choice of space and place of drug use for themselves and their children are discussed.

Adolescent↗
PubMed2006

Lessons learned from taking data collection to the "hood".

Culturally appropriate measures are needed to analyze the effectiveness of HIV prevention interventions. An effective strategy to ensure the culturally appropriateness of measures is the inclusion of participants from the targeted community via participatory action research. Conducting the research process within the community is one method of maximizing greater community participation. The purpose of this paper is to describe a method of pilot testing an instrument within community settings. Findings presented focus primarily on the process of the method, rather than on a statistical outcome testing of the instrument. The sample was 200 African-American women recruited in networks drawn from two rural and two mid-sized counties in North Florida. Methodological issues encountered and resolved through ongoing process evaluation are presented as lessons learned with recommendations and implications.

Adolescent↗
PubMed2006

Why rural African-American women who use cocaine mistrust women.

Little is known about the social networks of rural African-American women who use drugs, although the social networks of their urban counterparts have been characterized as small, mixed gendered, and distrustful of other women. The purpose of this study was to gain insight into the characteristics of the social networks of rural African-American women, both users and non-users of drugs. Thirty rural women who used cocaine participated in in-depth qualitative interviews. Rural women who used drugs gave several reasons for their mistrust of other women and tended to have small social networks, which included family members and men to the exclusion of non-familial women. The findings of this study have implications for both research and practice.

Adult↗
PubMed2005

A tri-level HIV-prevention educational intervention.

Preventing HIV transmission is a major world health goal. The international nursing shortage and the cost of educational and healthcare require innovative approaches to meet this goal. The initiative described provided HIV education at three levels: to students in an R.N. to BSN program, lay health advisors (LHA's), and participants in a high-risk community. Students completed the traditional community needs assessment and teaching plans. Additionally, they contributed to funding proposals, implemented and evaluated their plan. They prepared LHA's as peer group educators. This was cost-effective and increased credibility in an African-American community. Using tested materials tailored to this population, six LHA's conducted 24 sessions in two months. Of the 168 community participants, 151 completed the pre-and post-test of HIV knowledge. Correct responses increased significantly overall from 81.9% to 88.3 (t = 4.88, df = 150; p = .001). The three items with the greatest change in correct responses related to African American HIV exposure, female condoms, and lubricants. Rationale for the project and recommendations for improvement are included.

Adult↗
PubMed2005

Perceptions of HIV risks and prevention strategies by rural and small city African Americans who use cocaine: views from the inside.

HIV/AIDS disproportionately affects African Americans, yet knowledge gaps exist regarding their views of risks and effective prevention strategies. This focus group study of rural and small city African Americans who use drugs sought to assess these perceptions. Common views of HIV risks included drug use, physical appearance as an indicator of HIV status, intentional transmission, having multiple partners, unprotected sex, bisexuality, and unfounded trust. Trading sex for drugs and unprotected sex when high were seen as drug use/HIV risk links, while HIV education and condom use were identified as ways to decrease risk. Perceptions of effective strategies included community-based programs, gender specific groups, providing food or other incentives, and making the program fun. Healthcare professionals and parents were viewed as the best people to promote HIV prevention. Based on the findings, effective intervention for this target group should encompass ethnocentric community-based strategies that focus on HIV education, condom use skills, and drug risk reduction.

Adolescent↗
PubMed2004

Synthesis and characterisation of cis-dioxomolybdenum(VI) complexes of N-substituted 3-hydroxy-2-pyridinones.

The butoxy- and methoxy-derivatives (HLc, and HLb, respectively) of 1-[(ethoxycarbonyl)methyl]-3-hydroxy-2-(1H)-pyridinone, HLa, were synthesized by transesterification and the mononuclear complexes [MoO2(L(a-c))2] were obtained by the reaction of the ligands with molybdenyl acetylacetonate. The three complexes were fully characterized by (1)H and (13)C NMR spectroscopy, mass spectrometry and elemental analyses. A variable temperature NMR study showed that the N-substituents do not have a significant influence on the racemisation process of the complexes. The comparison of the crystal structure of [MoO2(Lb)2] with [MoO2(La)2] confirmed that an additional methylene group does not affect the immediate coordination environment of the molybdenum centre. The methoxy-derivative HLb was also found to produce a dinuclear complex of composition [(MoO2(Lb)O)2], the structure of which was determined by X-ray diffraction.

Journal Article↗
PubMed2004

"A 28-day program ain't helping the crack smoker"--perceptions of effective drug abuse prevention interventions by north central Florida African Americans who use cocaine.

CONTEXT: Cocaine is a major problem in the rural South, but knowledge is limited regarding the impact on African American populations. PURPOSE: This study of 18-39-year-old black drug users assessed perceptions of contributing factors to drug use and possible interventions. METHODS: The study design was qualitative-descriptive, utilizing 4 focus groups with 5 rural women and 14 small-city residents. FINDINGS: Some respondents perceived that drug use initiation and continuation were due to themes of (1) loss, (2) peer pressure, (3) personal problems and dealing with pain, (4) desire for fun or to "feel good," and (5) drugs and drug-related messages within their environments. Common themes of effective strategies to stop drug use were (1) the necessity of wanting to quit, (2) the importance of help or support from family and friends, and (3) the need for resources, such as a job, car, and housing. Some respondents agreed on 3 human resources: (1) family, (2) ex-users, and (3) churches. Strategies to increase attendance at drug prevention programs included (1) making the program fun/enjoyable, (2) having mixed gender programs, (3) providing food/money, and (4) having the programs in their community. Recurrent themes were the lack of drug prevention intervention programs available to respondents and the failure of traditional programs of the majority culture to adequately meet their needs. CONCLUSION: Effective drug prevention programs for southern African Americans who use cocaine must be community based, personalized, and culturally relevant.

Adolescent↗
PubMed2003

"Bottoming out?" Among rural African American women who use cocaine.

CONTEXT: Studies have explored the spiraling-down effect of losing individual, familial, and social resources among African Americans who use drugs, but there is a gap in knowledge about this "bottoming-out" phenomenon among rural African American women. PURPOSE: The study was conducted to better understand the phenomenon of bottoming out among rural African American women who use cocaine. METHODS: Using an ethnographic approach, researchers drew on multiple qualitative and quantitative data collection methods. Data derived from qualitative interviews, field notes, and demographic profiles describe the phenomenon or lack thereof of bottoming out among 25 southeastern rural African American women who use cocaine. Data collection took place in a rural county of north Florida with a population between 11,000 and 15,000. Twenty-five African American females 18 years or older who used either powder or crack cocaine at the time of enrollment and resided in the rural county participated in the study. FINDINGS: Respondents used 6 major strategies that delayed or prevented them from bottoming out: (1) taking advantage of their social environment and community ties, (2) utilizing various sources of income, (3) accessing family resources, (4) maintaining some degree of discipline over spending for drugs, (5) maintaining routine drug use locations, and (6) renting cheap housing and/or house pooling. CONCLUSION: Unlike studies of similar populations in urban settings, most respondents continued to work after numerous years of drug use, tended not to lose legal custody of their children, maintained a support system of nonusers as well as users over time, and securred food, clothing, and shelter for themselves and in many instances their children using legal or illegal means.

Adolescent↗
PubMed2002

Recruitment feasibility and HIV prevention intervention acceptability among rural north Florida blacks.

PROBLEM: There has been limited HIV prevention intervention among Southeastern rural Blacks residing in Florida. The prevalence of HIV/AIDS among this population increasingly supports the need for HIV prevention intervention. METHODS: The primary focus of this article is the process and outcome evaluations of the feasibility of recruiting rural Blacks to accept and participate in HIV prevention intervention and HIV testing and return for their test results. The interventions were conducted over a 5-month period. FINDINGS: One hundred rural residents participated in the HIV prevention intervention, which was well received except for completing the preintervention and postintervention surveys. Thirty-nine percent of the adult participants consented to OraSure HIV testing, and 75% of those tested returned for their results. CONCLUSION: Community-based HIV prevention intervention, including condom demonstration, can successfully be conducted with rural populations. Rural Blacks will participate in HIV testing using OraSure.

Adolescent↗
PubMed2002

HIV prevention among people with developmental disabilities.

This investigation sought to determine the effect of HIV/AIDS on people with developmental disabilities. Inquiries about contributing factors and HIV prevention needs also were made. In this qualitative descriptive study, two focus groups were conducted with individuals from the target population, as well as service providers. Each focus group was held in a conference room of a community-based organization located in Philadelphia on a weekday evening. Sixteen adults participated in the focus groups. Seven were members of the target population, and 9 were services providers. Focused topics were developed to guide the group discussion. Participants identified several contributing factors and barriers associated with risk behavior and HIV risk in this population. Recommendations for HIV prevention needs and strategies also were generated. The results of this formative inquiry indicated there is a need for development of specific HIV intervention strategies for this vulnerable and often overlooked population. Clinical and research implications are proposed.

Acquired Immunodeficiency Syndrome↗
PubMedDate not supplied

Risk behavior, perceptions of HIV risk, and risk-reduction behavior among a small group of rural African American women who use drugs.

HIV/AIDS is a health crisis for African Americans. African American women are exposed to HIV primarily through sexual behavior, which is an increased risk for women who use drugs. The study design was a mixed method consisting of an ethnography with ongoing participant observation and in-depth interviews and a questionnaire. The purpose of the questionnaire component was to explore drug use, sexual behavior, health history, and perceptions. The questionnaire was administered at months 6 and 18. Data for this report were derived from the first questionnaire with 30 respondents. The majority of respondents (82.7%) used polysubstances consisting of cocaine, marijuana, and alcohol. Between 33% and 50% exchanged sex for drugs or money, with less than half ever using condoms. About 37% perceived that they had no risk of acquiring HIV, whereas 52% perceived a 25% chance. The pattern of HIV testing in which 33% of the women were tested 10 times or more was unexpected because of the low perception of risk. The principal conclusion was that there is great need to intervene with prevention efforts targeting rural women who use drugs in an attempt to curb increasing rates of sexually transmitted infections including HIV.

Adolescent↗
PubMedDate not supplied

HIV prevention outreach in black communities of three rural north Florida counties.

Literature to guide HIV prevention outreach for southeastern rural blacks is limited despite the increasing prevalence of HIV infection in this population. Three men and one woman conducted HIV prevention outreach in three north Florida rural counties in teams of two. The workers received five days of training in additional homework assignments. The workers used HIV/AIDS outreach surveys to guide their 10- to 15-minute outreach visits. Five hundred seventy-four outreach contacts with blacks were made between January and June 2001 (329 in County 1, 176 in County 2, and 69 in County 3) with 347 women and 227 men. Eighty-four percent of the persons contacted accepted literature, 47.5% accepted male condoms, and 31.9% accepted female condoms. More women (99.4%) were knowledgeable about HIV/AIDS than men (92.5%), and they reported taking precautions against infection more often than men (98% vs. 90.3%). Many blacks in rural north Florida were receptive to an HIV prevention outreach program that provided information, literature, and condoms on the street and in homes. These findings suggest that HIV prevention outreach should be expanded to reach more rural blacks, who are increasingly at risk for HIV infection.

Adolescent↗
PubMedDate not supplied

The chinese version of the decisional balance scale: further validation.

BACKGROUND: Although the Decisional Balance Scale (DBS) has been established to have sound psychometric properties, the reliability and validity of this instrument have not been evaluated in different populations. OBJECTIVES: The aim of this study was to conduct psychometric validations for the Chinese version of the DBS (CDBS). METHODS: This research project was designed as a descriptive cross-sectional study. The CDBS was administered to children in Grades 5-9 (ages 11-17 years, n = 952) recruited from elementary and junior high schools in northern Taiwan. A random cluster sampling method was used. RESULTS: The pros and cons subscales were supported by Cronbach's alpha coefficients of .88 and .85, respectively. Item-to-subtotal correlation coefficients for the subscales were above .48. The results from confirmatory factor analysis, used to assess the construct validity of the CDBS, indicated that the two-factor structure was the best fit for the CDBS when it was used with Taiwanese adolescents (comparative fit index = .96). The contrasted group approach affirmed the construct validity of the pros and the cons of the CDBS. The validity and reliability of the CDBS were supported by the psychometric test results of this study. DISCUSSION: The CDBS is congruent with the culture of Taiwanese adolescents. However, to expand the usefulness of this tool across cultures, the CDBS should continue to be tested with other Chinese-speaking populations and settings.

Adolescent↗
PubMedDate not supplied

Reducing HIV sexual risk among African American women who use drugs: hearing their voices.

A pilot study was conducted to understand women's realities, perspectives, and perceived needs regarding the interaction between substance use, types of sexual relationships, and the challenges and barriers they pose to practicing safer sex. An additional purpose was to examine this population's willingness to participate in the program and receptiveness to the components of proposed interventions. Data were collected in this descriptive, exploratory study by the use of one focus group. Twelve African American women between 20 and 55 years of age who had previous drug detoxification experience participated in a 3-hour focus group. All participants were sexually active as well as current users of illicit substances, and all but one had traded sex for money, drugs, or alcohol. The focus group interview was guided by a semistructured questionnaire. Participants were recruited by counselors in detoxification units. Each unit counselor was asked to randomly select a third of their residents, explain and read the purpose of the focus group, and get the residents' verbal consent to participate. The women discussed their sexual behaviors and drug use that increased their risk for acquiring HIV. They provided insight about the effects of different drugs on one's sexual behavior, motivation for sex, and reasons for unsafe sex and made recommendations for HIV prevention intervention. Participants agreed that safer sex and healthy living intervention would be most beneficial if placed within the context of a detoxification program. The juxtaposition of increased sexual risk behavior and the potential to acquire and transmit HIV infection suggests the urgency of intervening with African American women who are substance abusers.

Adult↗