Angela Wangari Walter

Angela Wangari Walter
University of Massachusetts Lowell | UML · Public Health

PhD MPH MSW

About

26
Publications
1,369
Reads
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127
Citations
Introduction
I am a health services researcher and implementation scientist with training in social and behavioral health sciences. My research has focused on preventing and treating alcohol and other drug use disorders (AUD) and co-occurring conditions including mental illness and HIV/AIDS. In addition, I conduct research aimed at improving the quality of care and health outcomes for women.

Publications

Publications (26)
Article
Full-text available
The HIV/AIDS epidemic disproportionately affects Black and African American women in the United States. This study examined the extent of HIV related knowledge, HIV testing decision-making, and perceptions of alcohol use as a risk factor for HIV among Black and African American women in urban and suburban communities. Seven focus groups were conduc...
Article
Full-text available
Background: Improving the health of women before pregnancy and throughout a woman's lifespan could mitigate disparities and improve the health and wellbeing of women, infants and children. The preconception period is important for reducing health risks associated with poor maternal, perinatal and neonatal outcomes, and eliminating racial and ethni...
Article
Objective: To evaluate changes in health and health care utilization outcomes for Latinx adults with substance use and mental disorders receiving integrated behavioral and primary health care. Design: Study sample included enrollees who completed baseline, 6-month and 12-month assessments (n = 107). Study outcomes were depression symptom severity,...
Article
This study examines facilitators and barriers that influence family engagement and retention of children in mental healthcare from the parent and caregiver perspective. Researchers recruited and interviewed parents and caregivers (n=18) from urban community health and early childcare centers. The study team analyzed the data and identified barriers...
Article
Children with medical complexity have high health service utilization and health expenditures that can impose significant financial burdens. This study examined these issues for families with children enrolled in US private health plans. Using IBM Watson/Truven Analytics℠ MarketScan® commercial claims and encounters data (2012–2014), we analyzed th...
Article
Children with disabilities utilize more health-care services and incur higher costs than other children do. Medicaid Buy-In programs for children with disabilities have the potential to increase access to benefits while reducing out-of-pocket costs for families whose income exceeds Medicaid eligibility. This study sought to understand how parents a...
Article
Full-text available
Fishing industry workers are at high risk for work-related musculoskeletal disorders (MSDs) and injuries. Prescription opioids used to treat pain injuries may put these workers at increased risk for developing substance disorders. Using a Community-Based Participatory Research approach, formative research was conducted to inform the eventual develo...
Article
Social work is uniquely poised to lead in the development and implementation of multilevel strategies to both address substance use disorders (SUDs) and tackle existing inequities in SUD treatment. It is critical that there be an explicit focus on context, racial justice, and community empowerment in educational efforts designed to train graduate s...
Article
Objectives: Racial and ethnic minorities have high rates of incarceration and persons entering the criminal justice system have disproportionate rates of mental health and substance use disorders Justice involved individuals do not receive adequate treatment resulting in greater risk of recidivism and relapse. This study examines the facilitators a...
Article
Background and objectives: Mental illness in children increases the risk of developing mental health disorders in adulthood, and reduces physical and emotional well-being across the life course. The Mental Health Parity and Addiction Equity Act (MHPAEA, 2008) aimed to improve access to mental health treatment by requiring employer-sponsored health...
Article
Leadership sets the tone in organizations. Even with a positive view on race by leaders, powerful hidden biases and blind spots continue to persist among professionals and their organizations. Few models for organizational change are geared towards addressing institutional racism. Interpersonal and institutional cultural responsiveness can improve...
Article
Full-text available
Drug use is associated with increased sexual risk behaviors. We examined whether decreases in drug use risk are associated with reduction in HIV-related sex risk behaviors among adults. Data was from a cohort of participants (n=574) identified by drug use screening in a randomized trial of brief intervention for drug use in an urban primary care se...
Article
The HIV/AIDS epidemic continues to disproportionately affect racial and ethnic minority groups and women in the United States. Prevention research suggests that reduced alcohol use and increased HIV testing are associated with lower incidence of HIV transmission among high-risk populations. Multivariable logistic regression analyses of the 2009 Nat...
Conference Paper
Background: Research suggests that individuals with chronic illness have unmet need for and limited access to oral health care. Further research demonstrates that there is a higher unmet need for oral health care among people who are HIV positive. For people living with HIV/AIDS, unmet oral health needs could negatively impact adherence to HIV trea...
Conference Paper
Background: Despite gains in HIV prevention and treatment in the last three decades, the HIV/AIDS epidemic continues to disproportionately affect Black/African American women in the United States. To date, there is limited research on the impact of community residence on HIV transmission among Black/African American women. Methods: Primary data w...
Conference Paper
Background: Research shows that drug and alcohol use are associated with HIV risky behaviors. Prevention research suggests that HIV prevention and outreach services are associated with reduced HIV risk behaviors among high-risk populations. However, despite the high incidence and prevalence of HIV infection among women in recent years, there is lim...
Article
Full-text available
We examined the association between methamphetamine (meth) use and dental problems in a large sample of HIV-positive adults. We gathered data from 2,178 interviews across 14 sites of the U.S. Health Resources and Services Administration HIV/AIDS Bureau's Special Projects of National Significance Innovations in Oral Health Care Initiative from May 2...
Article
Full-text available
We identified factors associated with retention in oral health care for people living with HIV/AIDS (PLWHA) and the impact of care retention on oral health-related outcomes. We collected interview, laboratory value, clinic visit, and service utilization data from 1,237 HIV-positive patients entering dental care from May 2007 to August 2009, with at...
Article
We identified factors associated with improved self-reported health status in a sample of people living with HIV/AIDS (PLWHA) following enrollment in oral health care. Data were collected from 1,499 enrollees in the Health Resources and Services Administration HIV/AIDS Bureau's Special Projects of National Significance Innovations in Oral Health Ca...
Conference Paper
Existing HIV prevention research suggests that specific types of HIV prevention and outreach services are associated with reduced needle-sharing activity among injection drug users (IDUs). This study expands on this research by conducting a detailed examination of all HIV prevention services received by a sample of 223 Latino IDUs who shared needle...
Article
This cross-sectional study explored baseline differences between Medicaid covered and uninsured clients (n=368) in the Project La Voz, a community outreach program targeting Latino substance users. Independent variables included client demographics, health status and health service use; the dependent variable was Medicaid coverage vs. uninsured. Bi...
Conference Paper
The increased number of women reporting heroin use is a public health concern, due to increased injection-related AIDS cases among women, low birth weight and neonatal mortality among pregnant heroin users. Approximately 80-90% of women using heroin are of reproductive age. MMT has been recommended for opiate dependent pregnant women in the medical...

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Projects

Projects (3)
Project
The project is examining organizational contexts that influence adoption of tobacco assessment and treatment interventions; and identifying strategies to facilitate implementation of tobacco use assessment and treatment in community cancer care settings.
Project
This study is evaluating implementation outcomes and clinical effectiveness of a preconception care intervention, the Gabby System, for Black and African American women receiving care in 6 Healthy Start programs and 6 federally qualified community health centers.
Project
This HRSA-SPNS initiative is supporting 12 demonstration sites across the U.S. to develop and implement bundled interventions that engage and retain Black Women with HIV in care and treatment. We are examining implementation processes and assessing outcomes of bundled interventions to inform the replication of interventions to Ending the Epidemic (EtHE).