2022
Stressors on frontline healthcare workers during the COVID-19 pandemic: a focus on moral injury and implications for the future
Adeyemo OO, Tu S, Falako S, Keene D. Stressors on frontline healthcare workers during the COVID-19 pandemic: a focus on moral injury and implications for the future. International Archives Of Occupational And Environmental Health 2022, 95: 1755-1762. PMID: 35482111, PMCID: PMC9048619, DOI: 10.1007/s00420-022-01867-3.Peer-Reviewed Original ResearchMeSH KeywordsCOVID-19Health PersonnelHumansPandemicsQualitative ResearchStress Disorders, Post-TraumaticUnited StatesConceptsHealth care workersFrontline health care workersPatient care assistantsFrontline healthcare workersCOVID-19 pandemicRespiratory therapistsHealthcare workersMoral injuryPatient's familyCare workersQualitative studyCare assistantsHealth systemInjuryPsychological outcomesInitial phasePandemicRiskNegative psychological outcomesFirst waveStressorsPsychological strainMain themesMethodsWeNurses
2021
The Impact of a Pediatric Medical-Legal Partnership on Pediatric Providers: A Qualitative Study
Murillo SN, Rosenthal A, Fenick AM, Keene D. The Impact of a Pediatric Medical-Legal Partnership on Pediatric Providers: A Qualitative Study. Academic Pediatrics 2021, 22: 447-453. PMID: 34271085, DOI: 10.1016/j.acap.2021.06.015.Peer-Reviewed Original ResearchMeSH KeywordsChildConnecticutHealth PersonnelHumansParentsQualitative ResearchSocial Determinants of HealthConceptsHealth-harming legal needsChild healthPediatric providersPatient's familyHealth care providersProvider relationshipAcademic medical centerMedical-legal partnershipsParents/guardiansProvider awarenessProvider interviewsMedical CenterCare providersClinical practiceProvider-family relationshipProviders' perceptionsProvider efficacySocial determinantsProvider behaviorLegal PartnershipsPatientsSDOHPopulation healthHealthLegal careSocial Determination of HIV: Women’s Relationship Work in the Context of Mass Incarceration and Housing Vulnerability
Blankenship KM, Rosenberg A, Keene DE, Dawson AJ, Groves AK, Schlesinger P. Social Determination of HIV: Women’s Relationship Work in the Context of Mass Incarceration and Housing Vulnerability. AIDS And Behavior 2021, 25: 190-201. PMID: 33796957, PMCID: PMC8484381, DOI: 10.1007/s10461-021-03238-4.Peer-Reviewed Original ResearchConceptsRelationship workMass incarcerationHousing vulnerabilitySocial determinationLongitudinal qualitative interviewsHIV-related riskQualitative interviewsSurveillance stateAbductive approachSexual practicesCommitted relationshipSocial determinantsHIV preventionCase studyIncarcerationSexual riskHIV-negative womenNeighborhoodContextNew HavenVulnerabilityWomenHIVStudy periodInterviews
2020
Black Pregnant Women “Get the Most Judgment”: A Qualitative Study of the Experiences of Black Women at the Intersection of Race, Gender, and Pregnancy
Mehra R, Boyd LM, Magriples U, Kershaw TS, Ickovics JR, Keene DE. Black Pregnant Women “Get the Most Judgment”: A Qualitative Study of the Experiences of Black Women at the Intersection of Race, Gender, and Pregnancy. Women's Health Issues 2020, 30: 484-492. PMID: 32900575, PMCID: PMC7704604, DOI: 10.1016/j.whi.2020.08.001.Peer-Reviewed Original ResearchMeSH KeywordsBlack or African AmericanChildConnecticutFemaleHumansJudgmentPregnancyPregnant WomenQualitative ResearchUnited StatesConceptsPoor psychological healthAnti-bias trainingEvidence-based coping strategiesSources of stressPsychological healthCoping strategiesBlack pregnant womenBroader societal discoursesMost judgmentsBiopsychosocial modelSocial supportForm of stereotypesBlack pregnanciesMultiple childrenSocial service providersSupport groupsStigmaSocietal discoursesBlack childrenStereotypesQualitative studyExperienceAdverse consequencesChildrenIntersectionality framework“When you're homeless, they look down on you”: A qualitative, community-based study of homeless individuals with heart failure
Pendyal A, Rosenthal MS, Spatz ES, Cunningham A, Bliesener D, Keene DE. “When you're homeless, they look down on you”: A qualitative, community-based study of homeless individuals with heart failure. Heart & Lung 2020, 50: 80-85. PMID: 32792114, PMCID: PMC7738391, DOI: 10.1016/j.hrtlng.2020.08.001.Peer-Reviewed Original ResearchReducing the Justice Gap and Improving Health through Medical–Legal Partnerships
Keene DE, Murillo S, Benfer EA, Rosenthal A, Fenick AM. Reducing the Justice Gap and Improving Health through Medical–Legal Partnerships. Journal Of Legal Medicine 2020, 40: 229-245. PMID: 33137278, DOI: 10.1080/01947648.2020.1816233.Peer-Reviewed Original ResearchConceptsMedical-legal partnershipsJustice gapLegal needsLegal servicesLegal Services CorporationCivil legal problemsAdvance health equityLegal systemLegal adviceLegal rightsLegal determinantsLegal problemsLegal PartnershipsLegal accessAffordability concernsService CorporationQualitative interviewsHealth equityOngoing relationshipFoster trustU.S. householdsImproving HealthPartnershipLawyersJusticeUnderstanding Entrustment Decision-Making by Surgical Program Directors
Ahle SL, Gielissen K, Keene DE, Blasberg JD. Understanding Entrustment Decision-Making by Surgical Program Directors. Journal Of Surgical Research 2020, 249: 74-81. PMID: 31926399, DOI: 10.1016/j.jss.2019.12.001.Peer-Reviewed Original ResearchConceptsNetwork of facultyCognitive competenciesTrainee supervisorsSurgical program directorsTraining programTrainee performanceReflexive trustTrainee competenceCompetenceTaskClinical tasksEntrustment decisionsTraineesInductive approachTrainingCritical themesOperating roomQualitative analysisNovel themesTrustCompetenciesPurposive samplingInterviewsProgram directorsPhysical presence
2019
Clinical management of Type II Diabetes among the unstably housed: a qualitative study of primary care physicians
Henry ML, Lichtman JH, Hanlon K, Keene DE. Clinical management of Type II Diabetes among the unstably housed: a qualitative study of primary care physicians. Family Practice 2019, 37: 418-423. PMID: 31781768, PMCID: PMC7377290, DOI: 10.1093/fampra/cmz085.Peer-Reviewed Original ResearchConceptsType II diabetesPrimary care cliniciansStandard of careII diabetesCare cliniciansDiabetes managementClinical settingPrimary care physiciansOptimal diabetes managementCare physiciansDiabetes patientsType II diabetes managementClinical managementIndividualized carePatient housingUS adultsClinical decisionPatient healthDiabetesPatientsCliniciansCareClinical adjustmentsParticipantsQualitative study“You Never Know What Could Happen”: Women’s Perspectives of Pre-Exposure Prophylaxis in the Context of Recent Intimate Partner Violence
Willie TC, Keene DE, Kershaw TS, Stockman JK. “You Never Know What Could Happen”: Women’s Perspectives of Pre-Exposure Prophylaxis in the Context of Recent Intimate Partner Violence. Women's Health Issues 2019, 30: 41-48. PMID: 31537431, PMCID: PMC6919558, DOI: 10.1016/j.whi.2019.08.001.Peer-Reviewed Original ResearchConceptsHuman immunodeficiency virus (HIV) infectionPrEP care continuumImmunodeficiency virus infectionIntimate partner violenceCare continuumVirus infectionSexual risk reduction strategiesPre-exposure prophylaxis (PrEP) usersSignificant public health issueMale partner reactionsSeasons of riskPre-exposure prophylaxisProspective cohort studyPublic health issueWomen's decisionsRecent intimate partner violenceSexual intimate partner violencePrEP careCohort studyPartner violenceRisk reduction strategiesHealth issuesWomenPrEPPartner reactions
2018
Transfer is not a transition – voices of Jamaican adolescents with HIV and their health care providers
DeSouza F, Paintsil E, Brown T, Pierre R, Keene D, Kim N, Christie C. Transfer is not a transition – voices of Jamaican adolescents with HIV and their health care providers. AIDS Care 2018, 31: 293-297. PMID: 30345791, PMCID: PMC7224964, DOI: 10.1080/09540121.2018.1533226.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentChildFemaleHealth PersonnelHIV InfectionsHumansInterviews as TopicJamaicaMaleQualitative ResearchTransition to Adult CareYoung AdultConceptsHealth care providersResource-limited settingsPediatric clinicCare providersAdult-centered servicesInductive content analytic approachAntiretroviral therapyAdult careBetter outcomesHIVContent analytic approachClinicJamaican adolescentsAdolescentsSemi-structured interviewsProvidersTherapyCareMinority Resident Physicians’ Views on the Role of Race/Ethnicity in Their Training Experiences in the Workplace
Osseo-Asare A, Balasuriya L, Huot SJ, Keene D, Berg D, Nunez-Smith M, Genao I, Latimore D, Boatright D. Minority Resident Physicians’ Views on the Role of Race/Ethnicity in Their Training Experiences in the Workplace. JAMA Network Open 2018, 1: e182723. PMID: 30646179, PMCID: PMC6324489, DOI: 10.1001/jamanetworkopen.2018.2723.Peer-Reviewed Original ResearchDrug Treatment Accessed through the Criminal Justice System: Participants’ Perspectives and Uses
Rosenberg A, Heimer R, Keene DE, Groves AK, Blankenship KM. Drug Treatment Accessed through the Criminal Justice System: Participants’ Perspectives and Uses. Journal Of Urban Health 2018, 96: 390-399. PMID: 30191511, PMCID: PMC6565777, DOI: 10.1007/s11524-018-0308-9.Peer-Reviewed Original ResearchConceptsCriminal justice systemJustice systemCriminal justice system involvementJustice system involvementJustice-involved populationsPolicy goalsLongitudinal interviewsDrug offensesCommunity supervisionDiversionary programsWider lensParticipants' perspectivesLife challengesMore effective systemsDrug problemsInterviewsOwn goalsPerspectiveSubstance useTreatment programParticipantsPeopleNew HavenEffective systemJusticeMaximizing Home Equity or Preventing Home Loss: Reverse Mortgage Decision Making and Racial Inequality
Keene DE, Sarnak A, Coyle C. Maximizing Home Equity or Preventing Home Loss: Reverse Mortgage Decision Making and Racial Inequality. The Gerontologist 2018, 59: 242-250. PMID: 29522185, DOI: 10.1093/geront/gnx209.Peer-Reviewed Original ResearchConceptsSocial inequalitiesOlder homeownersHome equityMortgage decisionsUnequal landscapeHousing needsRacial inequalityDichotomous schemaEconomic opportunitiesReverse mortgage loansDepth interviewsHome lossThematic coding schemeUS homeownersReverse mortgagesHomeownersEquityStrategic toolInequalityResearch designReverse mortgage borrowersLast resortMortgage loansDiverse sampleMortgagesLinks between social environment and health care utilization and costs
Brault MA, Brewster AL, Bradley EH, Keene D, Tan AX, Curry LA. Links between social environment and health care utilization and costs. Journal Of Gerontological Social Work 2018, 61: 203-220. PMID: 29381112, DOI: 10.1080/01634372.2018.1433737.Peer-Reviewed Original Research
2017
“That wasn't really a place to worry about diabetes”: Housing access and diabetes self-management among low-income adults
Keene DE, Guo M, Murillo S. “That wasn't really a place to worry about diabetes”: Housing access and diabetes self-management among low-income adults. Social Science & Medicine 2017, 197: 71-77. PMID: 29222997, PMCID: PMC5771430, DOI: 10.1016/j.socscimed.2017.11.051.Peer-Reviewed Original ResearchA qualitative analysis of multi-level barriers to HIV testing among women in Lebanon
Clark KA, Keene DE, Pachankis JE, Fattal O, Rizk N, Khoshnood K. A qualitative analysis of multi-level barriers to HIV testing among women in Lebanon. Culture Health & Sexuality 2017, 19: 996-1010. PMID: 28276925, DOI: 10.1080/13691058.2017.1282045.Peer-Reviewed Original ResearchConceptsNon-governmental organizationsCulture of sexNorth Africa (MENA) regionSocial ecological modelSemi-structured interviewsSexual health educationMulti-level barriersKey informantsMiddle EastSexual healthcare providersSexual health interventionsAfrica regionLebanonQualitative analysisFinancial barriersProvider attitudesHigh-risk populationInsurance policiesTheory frameworkMultiple levelsWomenPrimary findingsHIV testingHIV casesPolicy
2016
“You Can’t Just Walk Down the Street and Meet Someone”: The Intersection of Social–Sexual Networking Technology, Stigma, and Health Among Gay and Bisexual Men in the Small City
Hughto J, Pachankis JE, Eldahan AI, Keene DE. “You Can’t Just Walk Down the Street and Meet Someone”: The Intersection of Social–Sexual Networking Technology, Stigma, and Health Among Gay and Bisexual Men in the Small City. American Journal Of Men's Health 2016, 11: 726-736. PMID: 27885147, PMCID: PMC5393935, DOI: 10.1177/1557988316679563.Peer-Reviewed Original ResearchConceptsSmall citiesBisexual menGay communityHealth of gaySexual minority stigmaGay spacesSocial networking technologiesProduction of healthCommunity visibilityDiverse gayGaySemistructured interviewsCitySexual riskLittle researchParticipants' useCommunityPhysical spaceStigmaArticleIntersectionNetworking technologiesSexual partnersTechnology usePsychosocial benefits
2015
Reactivity to a Spouse’s Interpersonal Suffering in Late Life Marriage
Mitchell HR, Levy BR, Keene DE, Monin JK. Reactivity to a Spouse’s Interpersonal Suffering in Late Life Marriage. Journal Of Aging And Health 2015, 27: 939-961. PMID: 25659746, PMCID: PMC4520739, DOI: 10.1177/0898264315569456.Peer-Reviewed Original ResearchConceptsInterpersonal sufferingPartners' sufferingBereavement-related distressOlder adult spousesWord Count softwareSpouses of individualsSystolic BP reactivityLate-life marriageSocial wordsInterpersonal contentLinguistic InquiryContent variablesExploratory qualitative analysisOlder husbandsDistressSpousesBP reactivityQualitative resultsSufferingQualitative analysis