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

Watt, Melissa H., et al. “The impact of methamphetamine ("tik") on a peri-urban community in Cape Town, South Africa.Int J Drug Policy, vol. 25, no. 2, Mar. 2014, pp. 219–25. Pubmed, doi:10.1016/j.drugpo.2013.10.007. Full Text

Sikkema, K. J., et al. “Community-level hiv prevention for persons with severe mental illness living in supportive housing programs: A pilot intervention study.” Hiv: Issues With Mental Health and Illness, 2014, pp. 121–36. Scival, doi:10.4324/9781315785509. Full Text

Meade, Christina S., et al. “Concurrent substance abuse is associated with sexual risk behavior among adults seeking treatment for prescription opioid dependence.Am J Addict, vol. 23, no. 1, Jan. 2014, pp. 27–33. Pubmed, doi:10.1111/j.1521-0391.2013.12057.x. Full Text

Skalski, Linda M., et al. “Coping styles and illicit drug use in older adults with HIV/AIDS.Psychol Addict Behav, vol. 27, no. 4, Dec. 2013, pp. 1050–58. Pubmed, doi:10.1037/a0031044. Full Text

Calsyn, Donald A., et al. “Gender differences in heterosexual anal sex practices among women and men in substance abuse treatment.Aids Behav, vol. 17, no. 7, Sept. 2013, pp. 2450–58. Pubmed, doi:10.1007/s10461-012-0387-7. Full Text

Drabkin, Anya S., et al. “Risk patterns preceding diagnosis among newly HIV-diagnosed men who have sex with men in New York City.Aids Patient Care Stds, vol. 27, no. 6, June 2013, pp. 333–41. Pubmed, doi:10.1089/apc.2012.0313. Full Text

Sikkema, Kathleen J., et al. “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.J Consult Clin Psychol, vol. 81, no. 2, Apr. 2013, pp. 274–83. Pubmed, doi:10.1037/a0030144. Full Text

Brooks, Audrey J., et al. “Racial/ethnic differences in the rates and correlates of HIV risk behaviors among drug abusers.Am J Addict, vol. 22, no. 2, Mar. 2013, pp. 136–47. Pubmed, doi:10.1111/j.1521-0391.2013.00303.x. Full Text

Puffer, Eve S., et al. “Changes in religious coping and relapse to drug use among opioid-dependent patients following inpatient detoxification.J Relig Health, vol. 51, no. 4, Dec. 2012, pp. 1226–38. Pubmed, doi:10.1007/s10943-010-9418-8. Full Text

Meade, Christina S., et al. “Bipolar disorder is associated with HIV transmission risk behavior among patients in treatment for HIV.Aids Behav, vol. 16, no. 8, Nov. 2012, pp. 2267–71. Pubmed, doi:10.1007/s10461-012-0203-4. Full Text