2024
Perspectives on Medical School Admission for Black Students Among Premedical Advisers at Historically Black Colleges and Universities
Weiss J, Tiako M, Akingbesote N, Keene D, Balasuriya L, Sharifi M, Genao I, Latimore D. Perspectives on Medical School Admission for Black Students Among Premedical Advisers at Historically Black Colleges and Universities. JAMA Network Open 2024, 7: e2440887. PMID: 39441593, DOI: 10.1001/jamanetworkopen.2024.40887.Peer-Reviewed Original ResearchConceptsMedical school matriculantsMedical schoolsFocus groupsSchool matriculantsQualitative studyPremedical studentsBlack studentsMedical school admissionsPhysician workforceStudent advisementReviewed transcriptsSemistructured interviewsShadowing opportunitiesYears of experienceMain OutcomesBlack physiciansBlack Colleges and UniversitiesTreatment of studentsPurposive samplingCollaborative partnershipsColleges and UniversitiesInductive approachNational effortsClinical opportunitiesPeer involvement
2023
“‘Oh gosh, why go?’ cause they are going to look at me and not hire”: intersectional experiences of black women navigating employment during pregnancy and parenting
Mehra R, Alspaugh A, Dunn J, Franck L, McLemore M, Keene D, Kershaw T, Ickovics J. “‘Oh gosh, why go?’ cause they are going to look at me and not hire”: intersectional experiences of black women navigating employment during pregnancy and parenting. BMC Pregnancy And Childbirth 2023, 23: 17. PMID: 36627577, PMCID: PMC9830615, DOI: 10.1186/s12884-022-05268-9.Peer-Reviewed Original ResearchMeSH KeywordsEmploymentFemaleHumansIntersectional FrameworkParentingParturitionPregnancyPregnant WomenUnited StatesConceptsFamily-friendly workplace policiesIntersectional frameworkPregnancy discriminationLived experienceWorkplace policiesUnited StatesSemi-structured interviewsEconomic marginalizationIntersectional experiencesWomen's experiencesWomen's perspectivesRacial inequitiesSocial identityLabor forceEmployment contextSecure futureQualitative dataHealth equityInterview transcriptsI WannaBlack womenLegal protectionPolicyPregnant women's experiencesEmployment
2022
Housing Insecurity Among Patients With Cancer
Fan Q, Keene DE, Banegas MP, Gehlert S, Gottlieb LM, Yabroff KR, Pollack CE. Housing Insecurity Among Patients With Cancer. Journal Of The National Cancer Institute 2022, 114: 1584-1592. PMID: 36130291, PMCID: PMC9949594, DOI: 10.1093/jnci/djac136.Peer-Reviewed Original ResearchConceptsCancer careSocial determinantsNational Cancer Policy ForumHealth system interventionsCancer control continuumKey social determinantsHousing insecurityTransportation insecurityPatient outcomesHealth disparitiesHealth equitySocioeconomic statusCareHealth carePatientsStable housingControl continuumCancerSystem interventionsHealthOutcomesEquitable accessDeterminantsSeries of webinarsDiagnosisEviction, intimate partner violence and HIV: Expanding concepts and assessing the pathways through which sexual partnership dynamics impact health
Groves AK, Smith PD, Gebrekristos LT, Keene DE, Rosenberg A, Blankenship KM. Eviction, intimate partner violence and HIV: Expanding concepts and assessing the pathways through which sexual partnership dynamics impact health. Social Science & Medicine 2022, 305: 115030. PMID: 35594760, PMCID: PMC9332133, DOI: 10.1016/j.socscimed.2022.115030.Peer-Reviewed Original ResearchConceptsHIV sexual riskSexual partnership dynamicsHIV riskSexual riskLongitudinal cohort studySexual risk factorsIPV victimizationCohort studyNegative health effectsRisk factorsViolence screeningPartnership dynamicsHealth effectsDisproportionate riskPotential mediatorsPolicy-level solutionsIntimate partner violenceIPV perpetrationRiskPartner violence victimizationTwo-thirdsIntimate partner violence (IPV) victimizationBaselineOne-fifthPartner violenceStressors 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
Does rental assistance improve mental health? Insights from a longitudinal cohort study
Denary W, Fenelon A, Schlesinger P, Purtle J, Blankenship KM, Keene DE. Does rental assistance improve mental health? Insights from a longitudinal cohort study. Social Science & Medicine 2021, 282: 114100. PMID: 34144434, PMCID: PMC8299474, DOI: 10.1016/j.socscimed.2021.114100.Peer-Reviewed Original ResearchMeSH KeywordsAdultCross-Sectional StudiesHousingHumansLongitudinal StudiesMental HealthPovertyUnited StatesConceptsRental assistanceUnited StatesHousing costsLow-income individualsUrban developmentMental healthEligible householdsBudgetary constraintsAssistanceFixed-effects analysisPsychological distressHouseholdsFinancial strainLongitudinal dataLongitudinal cohort studyLow-income adultsNew HavenNon-significant decreaseCross-sectional analysisRentersHousingU.S. DepartmentCohort studyMinority stress, psychosocial health, and survival among gay and bisexual men before, during, and after incarceration
Harvey TD, Keene DE, Pachankis JE. Minority stress, psychosocial health, and survival among gay and bisexual men before, during, and after incarceration. Social Science & Medicine 2021, 272: 113735. PMID: 33561571, DOI: 10.1016/j.socscimed.2021.113735.Peer-Reviewed Original ResearchMeSH KeywordsBisexualityHomosexuality, MaleHumansMaleNew York CitySexual and Gender MinoritiesSexual BehaviorUnited StatesConceptsMinority stressBisexual menTerms of raceIdentity management techniquesUnique social stressorsPsychosocial health risksSuch incarcerationHegemonic masculinityDepth interviewsRisk of incarcerationUnited States male populationSexual expressionDominant themesIncarcerationReentry supportPublic health policyNew York CityQualitative studyHealth policyYork CityFirst placePsychosocial healthStigmaExperiencePsychosocial risksEviction, Health Inequity, and the Spread of COVID-19: Housing Policy as a Primary Pandemic Mitigation Strategy
Benfer EA, Vlahov D, Long MY, Walker-Wells E, Pottenger JL, Gonsalves G, Keene D. Eviction, Health Inequity, and the Spread of COVID-19: Housing Policy as a Primary Pandemic Mitigation Strategy. Journal Of Urban Health 2021, 98: 1-12. PMID: 33415697, PMCID: PMC7790520, DOI: 10.1007/s11524-020-00502-1.Peer-Reviewed Original ResearchConceptsNon-Hispanic whitesHealth inequitiesPandemic mitigation strategiesInfection rateCOVID-19COVID-19 infectionCOVID-19 infection ratesRacial health inequitiesNegative health effectsSupportive measuresHealth outcomesLow-income populationsHealth effectsUnprecedented unemployment ratesPandemic control strategiesDecreased abilityCOVID-19 pandemicPublic healthRecent dataCOVID-19 spreadDisproportionate ratesPrevention policiesPreventionDeathRecent studies
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 frameworkUnderstanding 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 presenceQuantifying the Restrictiveness of Local Housing Authority Policies Toward People With Criminal Justice Histories: United States, 2009–2018
Purtle J, Gebrekristos LT, Keene D, Schlesinger P, Niccolai L, Blankenship KM. Quantifying the Restrictiveness of Local Housing Authority Policies Toward People With Criminal Justice Histories: United States, 2009–2018. American Journal Of Public Health 2020, 110: s137-s144. PMID: 31967881, PMCID: PMC6987923, DOI: 10.2105/ajph.2019.305437.Peer-Reviewed Original ResearchMeSH KeywordsCriminal LawHealthcare DisparitiesHumansPublic HousingRacial GroupsResidence CharacteristicsUnited StatesConceptsCriminal justice historyPolicy provisionsAuthority policiesNeighborhood segregationEthnic diversityCity-level measuresEviction of peopleHousing scarcityPublic housingHousing authoritiesPolicy documentsHealth inequitiesUS citiesPolicyContent analysisProvisionPeopleRestrictivenessIdeologyCircumstancesSame stateHousingEvictionSystematic processInequities
2019
Social Networks and Its Impact on Women's Awareness, Interest, and Uptake of HIV Pre-exposure Prophylaxis (PrEP)
Willie TC, Stockman JK, Keene DE, Calabrese SK, Alexander KA, Kershaw TS. Social Networks and Its Impact on Women's Awareness, Interest, and Uptake of HIV Pre-exposure Prophylaxis (PrEP). JAIDS Journal Of Acquired Immune Deficiency Syndromes 2019, 80: 386-393. PMID: 30570528, PMCID: PMC6408934, DOI: 10.1097/qai.0000000000001935.Peer-Reviewed Original ResearchConceptsPotential PrEP usePrEP awarenessPrEP intentionsPrEP useCare engagementIntimate partner violenceHIV pre-exposure prophylaxisPre-exposure prophylaxis (PrEP) usersAppropriate PrEP candidatesCare continuum outcomesPrEP-eligible womenPre-exposure prophylaxisProspective cohort studyPrEP candidatesPrEP careCohort studyContinuum outcomesIPV experiencesPrEP attitudesUS womenSocial network interventionWomen's awarenessFavorable opinionWomenMore altersEviction From Renter-occupied Households and Rates of Sexually Transmitted Infections
Niccolai LM, Blankenship KM, Keene DE. Eviction From Renter-occupied Households and Rates of Sexually Transmitted Infections. Sexually Transmitted Diseases 2019, 46: 63-68. PMID: 30148755, PMCID: PMC6289707, DOI: 10.1097/olq.0000000000000904.Peer-Reviewed Original ResearchConceptsMedian ratePredictors of STIRates of chlamydiaNumerous health outcomesTertile categoriesPotential confoundersSTI ratesSTI riskCounty-level associationsHealth outcomesInfection rateSimilar associationChlamydiaConfidence intervalsGonorrheaHigh rateLow-income individualsDescriptive statisticsHousing instabilityAssociation
2018
Maximizing 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
2016
“There's a Difference—I Own This”: Negotiating Social and Financial Services under Threat of Mortgage Foreclosure
Baker A, Keene DE. “There's a Difference—I Own This”: Negotiating Social and Financial Services under Threat of Mortgage Foreclosure. Social Work 2016, 61: 321-330. PMID: 29664259, DOI: 10.1093/sw/sww049.Peer-Reviewed Original ResearchConceptsSocial workersSocial work agenciesSocial service institutionsAsymmetrical power relationshipsCommunities of colorSocial service needsRisk of foreclosurePercent of homeownersNational housing marketThreat of defaultSense of matteringWork agenciesLegal aidDepth interviewsPower relationshipsForeclosure crisisHousing marketService institutionsHousehold budgetingGreat RecessionMortgage foreclosuresFinancial servicesService needsHomeownersForeclosure
2015
Cultural reflexivity in health research and practice.
Aronowitz R, Deener A, Keene D, Schnittker J, Tach L. Cultural reflexivity in health research and practice. American Journal Of Public Health 2015, 105 Suppl 3: s403-8. PMID: 25905833, PMCID: PMC4455490, DOI: 10.2105/ajph.2015.302551.Peer-Reviewed Original ResearchConceptsCultural reflexivityOwn social practicesUnequal power dynamicsCultural misrecognitionPublic health movementHealth researchSocial practicesPower dynamicsCultural discoursesCultural changeSocial conditionsHealth movementMisrecognitionHealth inequalitiesReflexivityHealth disparitiesHighlight instancesObjective knowledgeMultiple disciplinesPracticePotential consequencesDiscourseResearchAuthoritiesInequality"When you're in a crisis like that, you don't want people to know": mortgage strain, stigma, and mental health.
Keene DE, Cowan SK, Baker AC. "When you're in a crisis like that, you don't want people to know": mortgage strain, stigma, and mental health. American Journal Of Public Health 2015, 105: 1008-12. PMID: 25790383, PMCID: PMC4386521, DOI: 10.2105/ajph.2014.302400.Peer-Reviewed Original ResearchConceptsMental healthStressful life eventsMeaning of homeownershipExperiences of stigmatizationPoor mental healthConcealable stigmaMobile African AmericansEmotional distressLife eventsParticipants' depressionSocial supportNortheastern US citySocial isolationSemistructured interviewsStigmatizationStigmaHealth consequencesParticipantsDepressionAmerican homeownersShameAnxietyDistress
2014
Getting sick and falling behind: health and the risk of mortgage default and home foreclosure
Houle JN, Keene DE. Getting sick and falling behind: health and the risk of mortgage default and home foreclosure. Journal Of Epidemiology & Community Health 2014, 69: 382. PMID: 25430548, DOI: 10.1136/jech-2014-204637.Peer-Reviewed Original ResearchConceptsMortgage defaultChronic conditionsOnset of illnessRisk of defaultHealth limitationsPoor health outcomesYouth 1979 dataMiddle-aged adultsLogistic regression modelsOlder middle-aged adultsMortgage distressForeclosure riskPolicy perspectiveHealth outcomesHealth statusHealth insuranceForeclosureHome foreclosuresFamily incomeDefaultNational Longitudinal StudyLongitudinal studySurvey wavesRiskRegression modelsFragile health and fragile wealth: Mortgage strain among African American homeowners
Keene DE, Lynch JF, Baker AC. Fragile health and fragile wealth: Mortgage strain among African American homeowners. Social Science & Medicine 2014, 118: 119-126. PMID: 25112566, DOI: 10.1016/j.socscimed.2014.07.063.Peer-Reviewed Original ResearchConceptsPoor healthWorking-class African AmericansAfrican American experienceHealth-related eventsConsequences of illnessOngoing historyAmerican experienceRacial inequalityRacial discriminationFragile healthYounger ageDisproportionate burdenHealth inequalitiesAfrican AmericansAmerican homeownersIllnessRisk of foreclosureHealthLived experienceDisabilityRecent studiesRiskParticipantsDownstream consequencesHistory