Social & Behavioral Interventions
Dr. Peter Winch, Director
The SBI Program conducts research and training on the development, implementation and evaluation of social science-based public health interventions to benefit the underserved globally and locally.
Our work is multi-disciplinary. We draw on the theoretical and methodological approaches of medical anthropology, nutritional anthropology, social epidemiology, behavioral psychology, health education, and other social science and public health disciplines. Examples of research and programmatic work conducted by faculty and students in the SBI program include formative research to develop the content of behavior change and community mobilization interventions, systematic reviews, development of new ways to measure factors that affect behavior, qualitative and quantitative evaluations of behavioral and community interventions, and other efforts to reduce individual or population susceptibility to poor health. Faculty and students work with disadvantaged communities in both domestic and international settings. Research by SBI faculty on behavioral and community interventions relates to a range of topics, including:
- Management of sick children outside of health facilities
- Neonatal and maternal health, and maternal mental health
- Vector-borne diseases, water and sanitation
- Environmental Sustainability
- Promotion of exercise and improved diet to reduce rates of obesity, diabetes and other chronic diseases
- Establishment of innovative community-based mental health services and promotion of child development and healthy families in native American communities
- Understanding factors affecting the effectiveness and sustainability of control programs for diarrheal disease, malaria, HIV/AIDS and other health problems, in lower-income settings
- Design and evaluation of economic-strengthening interventions to improve health and well-being in the underserved
SBI Research article of the week
- May 23
Doreen Tuhebwe, Elly Tumushabe, Elli Leontsini, Rhoda K Wanyenze. Pneumonia among children under five in Uganda: symptom recognition and actions taken by caretakers. Afr Health Sci. 2014 Dec;14(4):993-1000. doi: 10.4314/ahs.v14i4.31.
- May 16
Jessica D. Rothstein, Elli Leontsini, Maribel Paredes Olortegui, Pablo Peñataro Yori, Pamela J. Surkan and Margaret Kosek. Determinants of Caregivers' Use and Adoption of Household Water Chlorination: A Qualitative Study with Peri-Urban Communities in the Peruvian Amazon. Am J Trop Med Hyg 2015 93(3): 626-635 doi: 10.4269/ajtmh.14-0654
- May 9
Sabine Gabrysch, Shannon A. McMahon, Katja Siling, Michael G. Kenward, and Oona M. R. Campbell. Autonomy dimensions and care seeking for delivery in Zambia; the prevailing importance of cluster-level measurement. Sci Rep. 2016; 6: 22578. doi: 10.1038/srep22578
- April 4
Haneefa T. Saleema, Pamela J. Surkana, Deanna Kerriganb & Caitlin E. Kennedya. Application of an ecological framework to examine barriers to the adoption of safer conception strategies by HIV-affected couples. AIDS Care. 2016 Feb;28(2):197-204. doi: 10.1080/09540121.2015.1074652. Epub 2015 Aug 19.
- March 28
Chase, Rachel P. BSc; Nevin, Remington L. MD, MPH. Population estimates of undocumented incident traumatic brain injuries among combat-deployed US military personnel. J. Head Trauma Rehabil. 2015;30:E57–64. doi: 10.1097/HTR.0000000000000061
- March 21
Kennedy, Caitlin E.; Fonner, Virginia A.; Armstrong, Kevin A.; O’Reilly, Kevin R.; Sweat, Michael D. Increasing HIV serostatus disclosure in low and middle-income countries: a systematic review of intervention evaluations. AIDS. 2015 Jun;29 Suppl 1:S7-S23. doi: 10.1097/QAD.0000000000000671.
- March 14
Rachel P. Chase, Shannon A. McMahon, Peter J. Winch. Injury careers after blast exposure among combat veterans deployed to Iraq or Afghanistan. Soc Sci Med. 2015 Dec;147:309-16. doi: 10.1016/j.socscimed.2015.11.015. Epub 2015 Nov 17.
- March 7
Sarah L Dalglish, Asha George, Jessica C Shearer and Sara Bennett (2015). Epistemic communities in global health and the development of child survival policy: a case study of iCCM. Health Policy Plan. 2015 Dec;30 Suppl 2:ii12-ii25. doi: 10.1093/heapol/czv043.
- February 29
Haneefa T. Saleema, Dorothy Mushi, Saria Hassan, R. Douglas Bruce, Alexis Cooke, Jessie Mbwambo, Barrot H. Lambdin. "Can't you initiate me here?": Challenges to timely initiation on antiretroviral therapy among methadone clients in Dar es Salaam, Tanzania. Int J Drug Policy. 2015 Dec 19. pii: S0955-3959(15)00362-X. doi: 10.1016/j.drugpo.2015.12.009. [Epub ahead of print]. doi:10.1016/j.drugpo.2015.12.009
- February 22
Meghan A. Bohren, Joshua P. Vogel, Erin C. Hunter, Olha Lutsiv, Suprita K. Makh, et al. (2015). The Mistreatment of Women during Childbirth in Health Facilities Globally: A Mixed-Methods Systematic Review. PLoS Med 12(6): e1001847. doi:10.1371/journal.pmed.1001847
- February 15
Rachel P. Chase, Shannon A. McMahon, Peter J. Winch. "Tell Me What You Don't Remember": Care-Seeking Facilitators and Barriers in the Decade Following Repetitive Blast Exposure Among Army Combat Veterans. Mil Med. 2016 Feb;181(2):116-22. doi: 10.7205/MILMED-D-14-00471. PubMed PMID: 26837079.
- February 8
Sarah L Dalglish, Pamela J Surkan, Aïssa Diarra, Abdoutan Harouna and Sara Bennett. Power and pro-poor policies: the case of iCCM in Niger. Health Policy Plan. 2015 Dec;30 Suppl 2:ii84-ii94. doi: 10.1093/heapol/czv064.
- December 28
Lauren Tingey, Rachel Strom, Ranelda Hastings, Anthony Parker, Allison Barlow, Anne Rompalo, Charlotte Gaydos. (2015). Self-Administered Sample Collection for Screening of Sexually Transmitted Infection Among Reservation-Based American Indian Youth. Int J STD AIDS. 2015 Aug;26(9):661-6. PMID: 25228666. doi:10.1177/0956462414552139
- December 21
Stephen Kodish, Nancy Aburto, Mutinta Nseluke Hambayi, Caitlin Kennedy, Joel Gittelsohn. Identifying the Sociocultural Barriers and Facilitating Factors to Nutrition-related Behavior Change: Formative Research for a Stunting Prevention Program in Ntchisi, Malawi. Food Nutr Bull. 2015 Jun;36(2):138-53. doi: 10.1177/0379572115586784.
- December 14
Melissa N. Poulsen, Kristyna R. S. Hulland, Carolyn A. Gulas, Hieu Pham, Sarah L. Dalglish, Rebecca K. Wilkinson and Peter J. Winch. Growing an urban oasis: A qualitative study of the perceived benefits of community gardening in Baltimore. Culture, Agriculture, Food and Environment, 2014; 36(2). DOI: 10.1111/cuag.12035
- December 7
Lauren Tingey, Britta Mullany, Rachel Chambers, Ranelda Hastings, Angelita Lee, Anthony Parker, Allison Barlow & Anne Rompalo (2015). Respecting the Circle of life: One Year Outcomes from a Randomized Controlled Comparison of an HIV Risk Reduction Intervention for American Indian Adolescents. AIDS Care. 2015 Sep;27(9):1087-97. doi: 10.1080/09540121.2015.1028879. Epub 2015 Apr 2.
- November 30
Larissa Jennings, Fred M. Ssewamala & Proscovia Nabunya. Effect of savings-led economic empowerment on HIV preventive practices among orphaned adolescents in rural Uganda: results from the Suubi-Maka randomized experiment. AIDS Care. 2015 Nov 7:1-10. [Epub ahead of print] doi: 10.1080/09540121.2015.1109585
- November 23
Larissa Jennings, Fred M. Ssewamala & Proscovia Nabunya. Effect of savings-led economic empowerment on HIV preventive practices among orphaned adolescents in rural Uganda: results from the Suubi-Maka randomized experiment. AIDS Care. 2015 Nov 7:1-10. [Epub ahead of print] doi:10.1080/09540121.2015.1109585
- November 16
Melissa N. Poulsen, Marie L. Spiker, and Peter J. Winch. Conceptualizing community buy-in and its application to urban farming. Journal of Agriculture, Food Systems, and Community Development, 2014; 5(1):161-178. doi: 10.5304/jafscd.2014.051.014
- November 9
Lauren Tingeya, Britta Mullany, Rachel Chambers, Ranelda Hastings, Allison Barlow & Anne Rompalo (2015). The Respecting the Circle of Life Trial for American Indian Adolescents: Rationale, Design, Methods and Baseline Characteristics. AIDS Care. 27 (7), 885-891. PMID: 25714127 doi:10.1080/09540121.2015.1015481
- November 2
Larissa Jenningsa, Deborah Shoreb, Nancy Strohmingerc, Burgundi Allisond. Entrepreneurial development for U.S. minority homeless and unstably housed youth: A qualitative inquiry on value, barriers, and impact on health. Children and Youth Services Review 2015; 49: 39-47. doi:10.1016/j.childyouth.2014.12.018
- October 26
Haneefa T. Saleema, Pamela J. Surkan, Deanna Kerrigan & Caitlin E. Kennedy. Application of an ecological framework to examine barriers to the adoption of safer conception strategies by HIV-affected couples. AIDS Care. 2015 Aug 19:1-8. [Epub ahead of print] doi:10.1080/09540121.2015.1074652
- October 19
Katherine Wingert, Drew A. Zachary, Monica Fox, Joel Gittelsohn, Pamela J. Surkan. Child as change agent: The potential of children’s influence to increase healthy food purchasing. Appetite. 2014 Oct;81:330-6. doi: 10.1016/j.appet.2014.06.104. Epub 2014 Jul 1.
- October 12
Azal Ahmadi. Recreating Virginity in Iran: Hymenoplasty as a Form of Resistance. Med Anthropol Q. 2015 Feb 27. doi: 10.1111/maq.12202. [Epub ahead of print].
- October 5
Angela C. B. Trude, Anna Kharmats, Brittany Jock, Debra Liu, Katherine Lee, Paula Andrea Martins, Marla Pardilla, Jaqueline Swartz & Joel Gittelsohn. Patterns of food consumption are associated with obesity, self-reported diabetes and cardiovascular disease in five American Indian communities. Ecol Food Nutr. 2015;54(5):437-54. Epub 2015 Jun 2. doi: 10.1080/03670244.2014.922070
- September 28
Julie A Denison, Harry Banda, Alexis C Dennis, Catherine Packer, Namakau Nyambe, Randy M Stalter, Jonathan K Mwansa, Patrick Katayamoyo, and Donna R McCarraher. "The sky is the limit": adhering to antiretroviral therapy and HIV self-management from the perspectives of adolescents living with HIV and their adult caregivers. J Int AIDS Soc. 2015; 18(1): 19358. doi: 10.7448/IAS.18.1.19358
- September 21
Mohammad Karamouzian, Zohre Foroozanfar, Azal Ahmadi, Ali Akbar Haghdoost, Joanna Vogeld & Farzaneh Zolala. How sex work becomes an option: Experiences of female sex workers in Kerman, Iran. Cult Health Sex. 2015 Aug 28:1-13. [Epub ahead of print] doi:10.1080/13691058.2015.1059487
- September 14
Allison Barlow, Britta Mullany, Nicole Neault, Novalene Goklish, Trudy Billy, Ranelda Hastings, Sherilynn LorenzoCrystal Kee, Kristin Lake, Cleve Redmond, Alice Carter, John T. Walkup. Paraprofessional-delivered home-visiting intervention for American Indian teen mothers and children: 3-year outcomes from a randomized controlled trial. Am J Psychiatry. 2015 Feb 1;172(2):154-62. doi: 10.1176/appi.ajp.2014.14030332. Epub 2014 Oct 31. PMID: 25321149
- September 7
Ahyoung Shin, Pamela J. Surkan, Anastasia J. Coutinho, Sonali R. Suratkar, Rebecca K. Campbell, Megan Rowan, Sangita Sharma, Lauren A. Dennisuk, Micaela Karlsen, Anthony Gass, Joel Gittelsohn. Impact of Baltimore Healthy Eating Zones: An environmental intervention to reduce obesity and obesity-related factors among African-American youth. Health Education and Behavior, 2015 Apr;42(1 Suppl):97S-105S. doi: 10.1177/1090198115571362. PMID: 25829124
- August 17
Jessica D. Rothstein, Elli Leontsini, Maribel Paredes Olortegui, Pablo Peñataro Yori, Pamela J. Surkan and Margaret Kosek. Use and Adoption of Household Water Chlorination: A Qualitative Study with Peri-urban Communities in the Peruvian Amazon. American Journal of Tropical Medicine and Hygiene. Published online July 14, 2015 , doi: 10.4269/ajtmh.14-0654.
- August 10
Kendra N Williams, Amanda L Northcross & Jay P Graham. Health impacts of household energy use: indicators of exposure to air pollution and other risks. Bull World Health Organ. 2015; 93: 507-508. doi: 10.2471/BLT.14.144923.
- August 3
Asha George, Kerry Scotta, Surekha Garimella, Shinjini Mondal, Rajani Ved, Kabir Sheikh. Anchoring contextual analysis in health policy and systems research: A narrative review of contextual factors influencing health committees in low and middle income countries. Soc Sci Med. 2015 May;133:159-67. doi: 10.1016/j.socscimed.2015.03.049
- July 27
Catherine Campbell, Kerry Scott, Zivai Mupambireyi, Mercy Nhamo, Constance Nyamukapa, Morten Skovdal and Simon Gregson. Community resistance to a peer education programme in Zimbabwe. BMC Health Services Research 2014, 14:574 doi:10.1186/s12913-014-0574-5
- July 20
Larissa Jennings, Muzi Na, Megan Cherewick, Michelle Hindin, Britta Mullany and Saifuddin Ahmed. Women's empowerment and male involvement in antenatal care: analyses of Demographic and Health Surveys (DHS) in selected African countries. BMC Pregnancy Childbirth. 2014 Aug 30;14:297. doi: 10.1186/1471-2393-14-297.
- July 13
Meghan A Bohren, Erin C Hunter, Heather M Munthe-Kaas, João Paulo Souza, Joshua P Voge and A Metin Gülmezoglu. Facilitators and barriers to facility-based delivery in low- and middle-income countries: a qualitative evidence synthesis. BMC Reprod Health. 2014;11:71. doi: 10.1186/1742-4755-11-71
- July 6
Erin C. Hunter, Jennifer A. Callaghan-Koru, Abdullah Al Mahmud, Rashed Shah, Azadeh Farzin, Elizabeth A. Cristofalo, Sadika Akhter, Abdullah H. Baqui. Newborn care practices in rural Bangladesh: Implications for the adaptation of kangaroo mother care for community-based interventions, Social Science & Medicine, Volume 122, December 2014, Pages 21-30. doi: 10.1016/j.socscimed.2014.10.006. Epub 2014 Oct 2.
- June 29
Kwame S. Sakyi, Pamela J. Surkan, Eric Fombonne, Aude Chollet, Maria Melchior. Childhood friendships and psychological difficulties in young adulthood: an 18-year follow-up study. Eur Child Adolesc Psychiatry. 2014 Oct 15. doi: 10.1007/s00787-014-0626-8
- June 22
Lisa Wexler, Michael Chandler, Joseph P. Gone, Mary Cwik, Laurence J. Kirmayer, Teresa LaFromboise, Teresa Brockie, Victoria O’Keefe, John Walkup, and James Allen. Advancing suicide prevention research with rural American Indian and Alaska Native populations. Am J Public Health. 2015 May;105(5):891-9. doi: 10.2105/AJPH.2014.302517
- June 15
Erica H. Layer , Caitlin E. Kennedy, Sarah W. Beckham, Jessie K. Mbwambo, Samuel Likindikoki, Wendy W. Davis, Deanna L. Kerrigan, Heena Brahmbhatt, the LTC Tanzania Collaborative Study Team. Multi-level factors affecting entry into and engagement in the HIV continuum of care in Iringa, Tanzania. PLoS One. 2014 Aug 13;9(8): e104961. doi: 10.1371/journal.pone.0104961
- June 8
Larissa Jennings. Do men need empowering too? A systematic review of entrepreneurial education and microenterprise development on health disparities among inner-city black male youth. J Urban Health. 2014 Oct;9 (5):836-50. doi: 10.1007/s11524-014-9898-z.
- June 1
Elizabeth D. Ballard, Rashelle J. Musci, Lauren Tingey, Novalene Goklish, Francene Larzelere-Hinton, Allison Barlow, and Mary Cwik. Latent class analysis of substance use and aggressive behavior in reservation-based American Indian youth who attempted suicide. Am Indian Alsk Native Ment Health Res. 2015;22(1):77-94. doi: 10.5820/aian.2201.2015.77.
Rebecca Fielding-Miller, Zandile Mnisi, Darrin Adams, Stefan Baral, and Caitlin Kennedy. “There is hunger in my community”: a qualitative study of food security as a cyclical force in sex work in Swaziland. BMC Public Health. 2014; 14: 79. doi: 10.1186/1471-2458-14-79
- May 18
Virginia A. Fonner, Deanna Kerrigan, Zandile Mnisi, Sosthenes Ketende, Caitlin E. Kennedy, and Stefan Baral. Social Cohesion, Social Participation, and HIV Related Risk among Female Sex Workers in Swaziland. PLoS One. 2014; 9(1): e87527. doi: 10.1371/journal.pone.0087527
- May 11
Larissa Jennings, Adetayo Omoni, Adekunle Akerele, Yisa Ibrahim Y, Ekpenyong Ekanem. Disparities in mobile phone use and maternal health service utilization in Nigeria: a population-based survey. International Journal of Medical Informatics 2015; 84: 341-48.
- May 4
Elli Leontsini, Peter J Winch. Increasing handwashing with soap: emotional drivers or social norms? Lancet Glob Health. 2014 Mar;2(3):e118-9. doi:10.1016/S2214-109X(14)70030-0.
- April 27
Anna Y Kharmats, Jessica C Jones-Smith, Yun Sang Cheah, Nadine Budd, Laura Flamm, Alison Cuccia, Yeeli Mui, Angela Trude, and Joel Gittelsohn. Relation between the Supplemental Nutritional Assistance Program cycle and dietary quality in low-income African Americans in Baltimore, Maryland. Am J Clin Nutr 2014;99:1006–14. doi: 10.3945/ajcn.113.075994.
- April 20
Sarah W. Beckham, Catherine R. Shembilu, Heena Brahmbhatt, Peter J. Winch, Chris Beyrer and Deanna L. Kerrigan. Female sex workers' experiences with intended pregnancy and antenatal care services in southern Tanzania. Stud Fam Plann 2015; 46(1): 55-71.
- April 13
Pamela J Surkan, Anna K Ettinger, Rebecca S Hock, Saifuddin Ahmed, Donna M Strobino and Cynthia S Minkovitz. Early maternal depressive symptoms and child growth trajectories: a longitudinal analysis of a nationally representative US birth cohort. BMC Pediatrics 2014, 14:185. doi:10.1186/1471-2431-14-185.
- April 6
Kathryn R Millar, Jennifer McCutcheon, Eugenie H Coakley, William Brieger, Mohammed A Ibrahim, Zainab Mohammed, Amos Bassi and William Sambisa. Patterns and predictors of malaria care-seeking, diagnostic testing, and artemisinin-based combination therapy for children under five with fever in Northern Nigeria: a cross-sectional study. Malaria Journal 2014, 13:447. doi:10.1186/1475-2875-13-447