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Christina Meade

Associate Professor, Psychiatry and Global Health

(919) 613-6549
christina.meade@duke.edu

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Christina Meade

Summary

Christina S. Meade, PhD is Associate Professor of Psychiatry and Behavioral Sciences at Duke University Medical School and a member of the Duke Global Health Institute, the Duke Institute for Brain Sciences, and the Duke Center for AIDS Research. She received her PhD in Clinical Psychology from Yale University in 2006 and completed a postdoctoral fellowship in drug abuse and brain imaging at Harvard Medical School in 2008. A licensed clinical psychologist, Dr. Meade has extensive patient-oriented behavioral science research experience related to HIV/AIDS, drug addiction, and mental illness, with over 40 peer-reviewed publications in this area.

She has conducted a series of studies examining predictors of HIV risk behavior in adults with substance use and psychiatric disorders, and the relationship between mental health and continued risk behavior in HIV-positive adults. In recent years, she has begun to integrate neuroimaging techniques into her behavioral research to better characterize the effects of HIV infection and drug abuse on brain functioning. Dr. Meade is also interested in the development of evidence-based treatments, including the integration of biomedical and behavioral therapies, for reducing risk behavior among drug users.

She is co-investigator on the Southern Consortium Node of the NIDA Clinical Trials Network, which works closely with community partners and colleagues nationwide in research and dissemination activities designed to improve the treatment of addictions through research and implementation of evidence-based practice. As a member of the HIV and Gender special interest groups, Dr. Meade works on projects examining HIV risk behavior and gender-related disparities among drug users. Given that most people infected or affected by HIV/AIDS live in the developing world, she has initiated collaborations to expand her research on HIV, drug abuse, and mental illness to South Africa.

Teaching

Title Number Level Semester Requirements Fulfilled
Research Methods in Global Health

Introduction to methodological techniques used in global health research, including qualitative field work, quantitative surveys, experimental designs, intervention trials, and program evaluation. Teaches strengths and weaknesses of each method, and how to determine the most appropriate method for specific research questions. Takes a problem-based approach, emphasizing the interdisciplinary nature of global health research. Focuses on how to evaluate published & unpublished research and how to design a global health research project. Skills include: identification of global health problems, conceptualization of a research question, designing a research study, and interpretation of results.

Course Notes:
For students who matriculated at Duke in Fall 2009 or later, this is the only Methods course approved for the GHC. Students who matriculated at Duke prior to Fall 2009 will have had other options to fulfill the GHC Methods requirement.
GLHLTH 371
Was: GLHLTH 163
UG Only SPRING 2016 MAJOR: Core - Research
MINOR: Elective
Research Methods in Global Health

Introduction to methodological techniques used in global health research, including qualitative field work, quantitative surveys, experimental designs, intervention trials, and program evaluation. Teaches strengths and weaknesses of each method, and how to determine the most appropriate method for specific research questions. Takes a problem-based approach, emphasizing the interdisciplinary nature of global health research. Focuses on how to evaluate published & unpublished research and how to design a global health research project. Skills include: identification of global health problems, conceptualization of a research question, designing a research study, and interpretation of results.

Course Notes:
For students who matriculated at Duke in Fall 2009 or later, this is the only Methods course approved for the GHC. Students who matriculated at Duke prior to Fall 2009 will have had other options to fulfill the GHC Methods requirement.
GLHLTH 371
Was: GLHLTH 163
UG Only SPRING 2016 MAJOR: Core - Research
MINOR: Elective
Research Methods in Global Health
Crosslisted as PSY 309

Introduction to methodological techniques used in global health research, including qualitative field work, quantitative surveys, experimental designs, intervention trials, and program evaluation. Teaches strengths and weaknesses of each method, and how to determine the most appropriate method for specific research questions. Takes a problem-based approach, emphasizing the interdisciplinary nature of global health research. Focuses on how to evaluate published & unpublished research and how to design a global health research project. Skills include: identification of global health problems, conceptualization of a research question, designing a research study, and interpretation of results.
Introduction to research methods through examination of a variety of methodological techniques in behavioral and social sciences and relevant to multidisciplinary GH research. Problem-based approach to practice identifying GH questions of interest, ways to operationalize and test them, including strengths and weaknesses of different approaches. Focus on discussing current GH issues, exploring questions and solutions, reading and evaluating published research and interpreting results. Skills include identification of global health problems, awareness of contextual, behavioral, and ethical issues involved, conceptualization of research questions, and designing a research study.

Course Notes:
For students who matriculated at Duke in Fall 2009 or later, this is the only Methods course approved for the GHC. Students who matriculated at Duke prior to Fall 2009 will have had other options to fulfill the GHC Methods requirement.
GLHLTH 371
Was: GLHLTH 163
UG Only SPRING 2014 MAJOR: Core - Research
MINOR: Elective
Research Methods in Global Health
Crosslisted as PSY 309

Introduction to methodological techniques used in global health research, including qualitative field work, quantitative surveys, experimental designs, intervention trials, and program evaluation. Teaches strengths and weaknesses of each method, and how to determine the most appropriate method for specific research questions. Takes a problem-based approach, emphasizing the interdisciplinary nature of global health research. Focuses on how to evaluate published & unpublished research and how to design a global health research project. Skills include: identification of global health problems, conceptualization of a research question, designing a research study, and interpretation of results.

Course Notes:
For students who matriculated at Duke in Fall 2009 or later, this is the only Methods course approved for the GHC. Students who matriculated at Duke prior to Fall 2009 will have had other options to fulfill the GHC Methods requirement.
GLHLTH 371
Was: GLHLTH 163
UG Only SPRING 2013 MAJOR: Core - Research
MINOR: Elective

Projects

Recent Publications

*Cordero, D.M., Towe, S.L., Chen, N.-k., Robertson, K.R., Madden, D.J., Huettel, S.A., & Meade, C.S. (accepted 1/9/16). Cocaine dependence does not contribute substantially to white matter abnormalities in HIV infection. Journal of NeuroVirology. PMCID.

*Lion, R.R., Watt, M.H., Wechsberg, W.M., & Meade, C.S. (accepted, 11/22/16). Gender and sex trading among active methamphetamine users in Cape Town, South Africa. Substance Use and Misuse. PMCID.

*Berg, M.K., *Hobkirk, A.L., Joska, J.A., & Meade, C.S. (accepted, 9/6/16). The role of substance use coping in the relation between childhood sexual abuse and depression among methamphetamine users in South Africa. Psychological Trauma: Theory, Research, Practice, and Policy. PMCID.

*Hobkirk, A.L., *Towe, S.L., *Patel, P., & Meade, C.S. (accepted, 7/29/16). Food insecurity is associated with cognitive deficits among HIV-positive, but not HIV-negative, individuals in a United States sample. AIDS and Behavior. PMCID.

*Yechoor, N., *Towe, S.L., Robertson, K.R., Westreich, D.J., Nakasujja, N., & Meade, C.S. (in press). Utility of a brief computerized battery to assess HIV-associated neurocognitive impairment in a resource-limited setting. Journal of NeuroVirology. 2016 May 31 [Epub ahead of print]. PMCID.

Meade, C.S., *Cordero, D.M., *Hobkirk, A.L., *Metra, B.M., Chen, N.-K., & Huettel, S.A. (2016). Compensatory activation in fronto-parietal cortices among HIV-infected persons during a monetary decision-making task. Human Brain Mapping, 37, 2455-2467. PMCID: PMC4913278.

Watt, M.H., *Guidera, K.E., *Hobkirk, A.H., Skinner, D., & Meade, C.S. (in press). Intimate partner violence among men and women who use methamphetamine: a mixed-methods study in South Africa. Drug and Alcohol Review. 2016 June 1 [Epub ahead of print]. PMCID.

*Skalski, L.M., *Towe, S.L., Sikkema, K.J., & Meade, C.S. (in press). The impact of marijuana use on memory in HIV-infected patients: a comprehensive review of the HIV and marijuana literatures. Current Drug Abuse Reviews. 2016 May 2 [Epub ahead of print]. PMCID.

Meade, C.S., Lion, R.R., Cordero, D.M., Watt, M.H., Joska, J.A., Gouse, H., & Burnhams, W. (in press). HIV risk behaviour among methamphetamine users entering substance abuse treatment in Cape Town. AIDS & Behavior. 2016 Feb 12 [Epub ahead of print]. NIHMS #760019. PMCID.

*Hobkirk, A.L., *Towe, S.L., *Lion, R.R., & Meade, C.S. (2015). Primary and secondary HIV prevention among persons with severe mental illness: recent findings. Current HIV/AIDS Reports, 12 406-412. PMCID: PMC4812670.

*Gouse, H., Joska, J.A., *Lion, R.R., Watt, M.H., Burnhams, W., Carrico, A.W., & Meade, C.S. (in press). HIV sero-prevalence among methamphetamine users seeking substance abuse treatment in Cape Town. Drug and Alcohol Review. 2015 Dec 14 [Epub ahead of print]. PMCID: PMC4907883.

Hatch-Maillette, M.A., Beadnell, B., Campbell, A.N.C., Meade, C.S., Tross, S., & Calsyn, D.A. (in press). Heterosexual anal sex among men and women in substance abuse treatment: secondary analysis of two gender-specific HIV-prevention trials. The Journal of Sex Research. 2016 Jan 28 [Epub ahead of print]. PMCID.

*Hobkirk, A.L., Watt, M.H., Myers, B., Skinner, D., & Meade, C.S. (2016). A qualitative study of methamphetamine initiation in Cape Town, South Africa. International Journal of Drug Policy, 30, 99-106. PMCID: PMC4829462.

*Towe, S.T., *Hobkirk, A.L., *Ye, D.G., & Meade, C.S. (2015). Adaptation of the Monetary Choice Questionnaire to accommodate extreme monetary discounting in cocaine users. Psychology of Addictive Behaviors, 29, 1048-1055. NIHMS #692893. PMCID: PMC4701623.

Hobkirk, A.L., Towe, S.L., *Lion, R.R., & Meade, C.S. (2015). Primary and secondary HIV prevention among persons with severe mental illness: recent findings. Current HIV/AIDS Reports, 12 406-412.

Meade, C.S., Towe, S.L., Watt, M.H., Lion, R.R., Myers, B., Skinner, D., Kimani, S., & Pieterse, D. (2015). Addiction and treatment experiences among active methamphetamine users recruited from a township community in Cape Town, South Africa: a mixed-methods study. Drug and Alcohol Dependence, 152, 79-86. PMCID: PMC4498803.

Watt, M.H., Myers, B., Towe, S.L., & Meade, C.S. (2015). The mental health experiences and needs of methamphetamine users in Cape Town: A mixed methods study. South African Medical Journal, 105, 685-688. PMCID: PMC4677279.

Meade, C.S., Towe, S.L., Skalski, L.M., & Robertson, K.R. (2015). Independent effects of HIV infection and cocaine dependence on neurocognitive impairment in a community sample living in the southern United States. Drug and Alcohol Dependence, 149, 128-135. PMCID: PMC4361251.

Hobkirk, A.L., Watt, M.H., Green, K.T., Beckham, J.C., Skinner, D., & Meade, C.S. (in press). Mediators of interpersonal violence and drug addiction severity among methamphetamine users in Cape Town, South Africa. Addictive Behaviors.

Watt, M.H., Kimani, S.M., Skinner, D., & Meade, C.S. (in press). "Nothing is free": a qualitative study of sex trading among methamphetamine users in Cape Town, South African. Archives of Sexual Behavior.

Meade, C.S., Towe, S.L., Watt, M.H., Hobkirk, A., Skinner, D., Myers, B., Kimani, S.M., & Pieterse, D. (in press). HIV testing behaviors and attitudes among community recruited methamphetamine users in a South African township. AIDS & Behavior. 2014 May 24. [Epub ahead of print].

Kimani, S.M., Watt, M.H., Merli, M.G., Skinner, D., Myers, B., Pieterse, D., MacFarlane, J.C., & Meade, C.S. (2014). Respondent driven sampling is an effective method for engaging methamphetamine users in HIV prevention research in South Africa. Drug and Alcohol Dependence, 143, 134-140. NIHMS #618559.

Watt, M.H., Meade, C.S., Kimani, S., MacFarlane, J.C., Choi, K.W., Skinner, D., Pieterse, D., Kalichman, S.C., & Sikkema, K.J. (2014). The impact of methamphetamine ("tik") on a peri-urban community in Cape Town, South Africa. International Journal of Drug Policy, 25, 219-225. NIHMS #54103. PMCID: PMC3961551.

Mathews, E.J., *Puffer, E.S., Meade, C.S., & Broverman, S.A. (2014). Effective components of a school-based HIV prevention program following national dissemination in rural Kenya. East African Medical Journal, 91, 152-160.

Skalski, L.S., Sikkema, K.J, Heckman, T.G., & Meade, C.S. (in press). Coping styles and illicit drug use in older adults with HIV/AIDS. Psychology of Addictive Behavior. Epub 2013 Feb 25. NIHMSID: 519759. NIHMS #519759.

Calsyn, D.A., Hatch-Maillette, M.A., Meade, C.S., Tross, S., Campbell, A.N.C., & Beadnell, B. (2013). Gender differences in heterosexual anal sex practices among women and men in substance abuse treatment. AIDS & Behavior, 17, 245-2458.

Meade, C.S., Bevilacqua, L.S., Moore, E.D., Griffin, M.L., Gardin, J.D.III, Potter, J.S. Hatch-Maillette, M., & Weiss, R.D. (2014). Concurrent substance abuse is associated with sexual risk behavior among adults seeking treatment for prescription opioid dependence. The American Journal on Addictions, 23, 27-33. NIHMS #519759.

Drabkin, A.S., Sikkema, K.J., Wilson, P.A., Meade, C.S., Hansen, N.B., Delorenzo, A., Kochman, A., Watt, M.H., Aunon, F.M., MacFarlane, J.C., Ranby, K.W., & Mayer, G. (2013). Behavior and characteristics of newly HIV-diagnosed men who have sex with men in New York City. AIDS Patient Care and STDs. 27, 333-341. PMCID: PMC3701313.

Mathews, E.J., *Puffer, E.S., Meade, C.S., & Broverman, S.A. (in press). Effective components of a school-based HIV prevention program following national dissemination in rural Kenya. East African Medical Journal.

Watt, M.H., Meade, C.S, Kimani, S., MacFarlane, J.C., Choi, K.W., Skinner, D., Pieterse, D., Kalichman, S.C., & Sikkema, K.J. (2013). The impact of methamphetamine ("tik") on a peri-urban community in Cape Town, South Africa. International Journal of Drug Policy. Epub 2013 Oct 26.

Brooks, A., Lokhnygina, Y., Meade, C.S., Potter, J.S., Calysn, D., & Greenfield, S. (2013). Ethnic differences in the rates and correlates of HIV risk behaviors among drug abusers. The American Journal on Addictions, 22, 136-147.

Calsyn, D.A., Hatch-Maillette, M.A., Meade, C.S., Tross, S., Campbell, A.N.C., & Beadnell, B. (in press). Gender differences in heterosexual anal sex practices among women and men in substance abuse treatment. AIDS & Behavior.

Meade, C.S., Bevilacqua, L.S., Moore, E.D., Griffin, M.L., Gardin, J.D.III, Potter, J.S. Hatch-Maillette, M., & Weiss, R.D. (in press). Concurrent substance abuse is associated with sexual risk behavior among adults seeking treatment for prescription opioid dependence. The American Journal on Addictions.

Drabkin, A.S., Sikkema, K.J., Wilson, P.A., Meade, C.S., Hansen, N.B., Delorenzo, A., Kochman, A., Watt, M.H., Aunon, F.M., MacFarlane, J.C., Ranby, K.W., & Mayer, G. (in press). Behavior and characteristics of newly HIV-diagnosed men who have sex with men in New York City. AIDS Patient Care and STDs.

Watt, M.H., Ranby, K.W., Meade, C.S., Sikkema, K.J., MacFarlane, J.C., Skinner, D., Pieterse, D., & Kalichman, S.C. (2012). PTSD symptoms mediate the relationship between traumatic experiences and drinking behavior among women attending alcohol-serving venues in a South African township. Journal of Studies on Alcohol and Drugs, 73, 549-558.

Meade, C.S., Bevilacqua, L.A., & Key, M.D. (2012). Bipolar disorder is associated with HIV transmission risk behavior among patients in treatment for HIV. AIDS and Behavior, 16, 2267-71.

Meade, C.S., Watt, M.H., Sikkema, K.J., Deng, L.X., Skinner, D., Pieterse, D. & Kalichman, S.C. (2012). Methamphetamine use is associated with HIV risk among patrons of alcohol serving venues in Cape Town, South Africa. Drug and Alcohol Dependence, 126, 232-9.

Sikkema, K.J., Ranby, K.W., Meade, C.S., Hansen, N.B., Wilson, P.A., & Kochman, A. (in press). Reductions in traumatic stress following a coping intervention were mediated by decreases in avoidant coping for people living with HIV/AIDS and childhood sexual abuse. Journal of Consulting and Clinical Psychology.

Skalski, L.S., Sikkema, K.J, Heckman, T.G., & Meade, C.S. (in press). Coping styles and illicit drug use in older adults with HIV/AIDS. Psychology of Addictive Behavior.