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

Meade, Christina S., et al. “Methamphetamine use is associated with childhood sexual abuse and HIV sexual risk behaviors among patrons of alcohol-serving venues in Cape Town, South Africa.Drug Alcohol Depend, vol. 126, no. 1–2, Nov. 2012, pp. 232–39. Pubmed, doi:10.1016/j.drugalcdep.2012.05.024. Full Text

Meade, C. S., et al. “Methamphetamine use is associated with sexual abuse and HIV sexual risk behaviours among patrons of alcohol serving venues in Cape Town, South Africa.” Journal of the International Aids Society, vol. 15, JOHN WILEY & SONS LTD, Oct. 2012, pp. 89–90.

Watt, Melissa H., et al. “Posttraumatic stress disorder symptoms mediate the relationship between traumatic experiences and drinking behavior among women attending alcohol-serving venues in a South African township.J Stud Alcohol Drugs, vol. 73, no. 4, July 2012, pp. 549–58. Pubmed, doi:10.15288/jsad.2012.73.549. Full Text

Meade, Christina S., et al. “The relationship of manic episodes and drug abuse to sexual risk behavior in patients with co-occurring bipolar and substance use disorders: a 15-month prospective analysis.Aids Behav, vol. 15, no. 8, Nov. 2011, pp. 1829–33. Pubmed, doi:10.1007/s10461-010-9814-9. Full Text

Puffer, Eve S., et al. “Individual- and family-level psychosocial correlates of HIV risk behavior among youth in rural Kenya.Aids Behav, vol. 15, no. 6, Aug. 2011, pp. 1264–74. Pubmed, doi:10.1007/s10461-010-9823-8. Full Text

Sikkema, Kathleen J., et al. “Mental health and HIV sexual risk behavior among patrons of alcohol serving venues in Cape Town, South Africa.J Acquir Immune Defic Syndr, vol. 57, no. 3, July 2011, pp. 230–37. Pubmed, doi:10.1097/QAI.0b013e3182167e7a. Full Text

Meade, Christina S., et al. “fMRI brain activation during a delay discounting task in HIV-positive adults with and without cocaine dependence.Psychiatry Res, vol. 192, no. 3, June 2011, pp. 167–75. Pubmed, doi:10.1016/j.pscychresns.2010.12.011. Full Text

Meade, Christina S., et al. “Neurocognitive impairment and medication adherence in HIV patients with and without cocaine dependence.J Behav Med, vol. 34, no. 2, Apr. 2011, pp. 128–38. Pubmed, doi:10.1007/s10865-010-9293-5. Full Text

Brooks, Audrey, et al. “Gender differences in the rates and correlates of HIV risk behaviors among drug abusers.Subst Use Misuse, vol. 45, no. 14, Dec. 2010, pp. 2444–69. Pubmed, doi:10.3109/10826084.2010.490928. Full Text

Kershaw, Trace S., et al. “Let's stay together: relationship dissolution and sexually transmitted diseases among parenting and non-parenting adolescents.J Behav Med, vol. 33, no. 6, Dec. 2010, pp. 454–65. Pubmed, doi:10.1007/s10865-010-9276-6. Full Text