Christina S. Meade

Christina S. Meade

Associate Professor in Psychiatry and Behavioral Sciences

External Address: 
905 W. Main Street, Suite 24-E, Durham, NC 27701
Internal Office Address: 
905 W. Main Street, Box 102848, Durham, NC 27710


Dr. Meade’s domestic research program focuses on predictors of HIV risk behavior in adults with substance use and psychiatric disorders, and the relationship between neuropsychiatric conditions and continued risk behavior in HIV-positive adults. She is particularly interested in how drug addiction and HIV infection impact executive functions, such as decision making, that lead individuals to engage in risky behaviors. Many of her current projects incorporate MRI to isolate the effects of addiction and HIV on both brain function and structure. Dr. Meade is also interested in the development of evidence-based treatments to improve cognitive functioning and reduce risk behaviors among drug users.

Given that most people infected or affected by HIV/AIDS live in Sub-Saharan Africa, Dr. Meade’s international research program is based in South Africa. The Western Cape has experienced a dramatic increase in methamphetamine use since the early 2000s, and there is concern that it may further fuel the HIV epidemic in this country. Current projects focus on characterizing drug addiction and HIV risk behaviors in this understudied group, both in in community and treatment settings, and ultimately increasing uptake of HIV services to improve health outcomes and reduce the continued spread of HIV.

Education & Training

  • Ph.D., Yale University 2006

Bell, Ryan P., et al. “Structural connectome differences in HIV infection: brain network segregation associated with nadir CD4 cell count.J Neurovirol, vol. 24, no. 4, Aug. 2018, pp. 454–63. Pubmed, doi:10.1007/s13365-018-0634-4. Full Text

Khatiwoda, Prasana, et al. “Facilitators and Barriers to Naloxone Kit Use Among Opioid-Dependent Patients Enrolled in Medication Assisted Therapy Clinics in North Carolina.N C Med J, vol. 79, no. 3, May 2018, pp. 149–55. Pubmed, doi:10.18043/ncm.79.3.149. Full Text

Skalski, Linda M., et al. “Memory Impairment in HIV-Infected Individuals with Early and Late Initiation of Regular Marijuana Use.Aids Behav, vol. 22, no. 5, May 2018, pp. 1596–605. Pubmed, doi:10.1007/s10461-017-1898-z. Full Text

Meade, Christina S., et al. “Cocaine and HIV are independently associated with neural activation in response to gain and loss valuation during economic risky choice.Addict Biol, vol. 23, no. 2, Mar. 2018, pp. 796–809. Pubmed, doi:10.1111/adb.12529. Full Text

Meade, Christina S., et al. “Cocaine dependence modulates the effect of HIV infection on brain activation during intertemporal decision making.Drug Alcohol Depend, vol. 178, Sept. 2017, pp. 443–51. Pubmed, doi:10.1016/j.drugalcdep.2017.05.043. Full Text

Berg, Martha K., et al. “The role of substance use coping in the relation between childhood sexual abuse and depression among methamphetamine users in South Africa.Psychol Trauma, vol. 9, no. 4, July 2017, pp. 493–99. Pubmed, doi:10.1037/tra0000207. Full Text

Towe, Sheri L., et al. “The Acceptability and Potential Utility of Cognitive Training to Improve Working Memory in Persons Living With HIV: A Preliminary Randomized Trial.J Assoc Nurses Aids Care, vol. 28, no. 4, July 2017, pp. 633–43. Pubmed, doi:10.1016/j.jana.2017.03.007. Full Text

Cordero, Daniella M., et al. “Cocaine dependence does not contribute substantially to white matter abnormalities in HIV infection.J Neurovirol, vol. 23, no. 3, June 2017, pp. 441–50. Pubmed, doi:10.1007/s13365-017-0512-5. Full Text Open Access Copy

Lion, Ryan R., et al. “Gender and Sex Trading Among Active Methamphetamine Users in Cape Town, South Africa.Subst Use Misuse, vol. 52, no. 6, May 2017, pp. 773–84. Pubmed, doi:10.1080/10826084.2016.1264964. Full Text

Hobkirk, Andréa L., et al. “Food Insecurity Is Associated with Cognitive Deficits Among HIV-Positive, But Not HIV-Negative, Individuals in a United States Sample.Aids Behav, vol. 21, no. 3, Mar. 2017, pp. 783–91. Pubmed, doi:10.1007/s10461-016-1514-7. Full Text