Maria L. Ekstrand, PhD
Associate Professor

Research interests

Primary and secondary HIV prevention with a focus on India. This includes the role of alcohol in sexual risk among vulnerable populations, gender issues, factors involved in the acquisition and maintenance of behavior change, the role of AIDS stigma in HIV prevention, and adherence to antiretroviral therapy and the development of drug resistance.

Current research

Education

•  1980, B.A (Psychology), Summa Cum Laude, Emory University, Atlanta
•  1982, M.S. (Clinical Psychology), Auburn University, Auburn
•  1985, Resident (Clinical Psychology), Univ. of MS School of Medicine
•  1986, Ph.D (Clinical Psychology), Auburn University, Auburn
•  1988, Postdoctoral Fellow (Health Psychology), UCSF Psychiatry

Publications

Articles by Maria L. Ekstrand.

  • Ekstrand ML, Chandy S, Heylen E, Steward W, Singh G. (in press) Developing useful adherence measures for India
  • Steward WT,  Herek GM, Ramakrishna J, Bharat S,  Chandy S, Wrubel J, and Ekstrand ML (2008) HIV-Related Stigma: Adapting a Theoretical Framework for Use in India. Social Science and Medicine
  • Setia, MS, Lindan C, Jerajani HR, Kumta S, Mathur M, A Gogate A,  Kavi AR, Anand VA, Klausner JD, Ekstrand, M. (2006) Men who have sex with men and Transgenders in Mumbai, India – An emerging risk group for STIs and HIV. Indian Journal of Dermatology, Venerology and Leprology  Nov-Dec;72(6):425-31
  • Hernandez AL, Madhivanan P, Stein E, Ekstrand ML , Gregorich  S, Kundu S, Mathur M,  Jerajani HR , Lindan  CP (2006) Sexual Behavior Among Men Who Have Sex With Women, Men, and Hijras in Mumbai, India – Multiple Sexual Risks. AIDS and Behavior. Jul;10(4 Suppl):S5-16
  • Freedman B, Binson D, Ekstrand M, Galvez S, Woods WJ, Grinstead O.  (2006) Uncovering implicit theories of HIV prevention providers: It takes a community.  AIDS Education and Prevention, 18 (3), 216-226.
  • Ekstrand M, Bharat S, Ramakrishna J (2005). International Perspectives: India p 263-268.  In “HIV prevention for people living with HIV” (S. Kalichman Ed), Kluwer Academic Plenum Publishers. NY.
  • Madhivanan P, Lindan C, Hernandez A, Gregorich S, Stein E, Ekstrand M, Setia, M, Kumta S, Mathur M, Gogate A, Jerajani H, (2005). Alcohol use, female sex workers and sexual risk for STI/HIV among men in Mumbai, India. Sex Transm Dis. Nov;32(11):685-690
  • Bryant, EF. & Ekstrand ML (2004) The Hare Krishna Movement: The postcharismatic fate of a religious transplant. Columbia University Press. NY.
  • Ekstrand M, Garbus L, Marseille, E.  (August 2003) HIV/AIDS in India: the UCSF Country AIDS Policy Analysis Project. AIDS Policy Research Center, University of California San Francisco  http://ari.ucsf.edu/policy/policy.htm
  • Ekstrand, ML. Chesney, MA. [2002] Adhering to complex medication regimens.  In "Innovative Approaches to Health Psychology. Prevention and Treatment Lessons from AIDS ".  M.Chesney and M Antoni Eds. American Psychological Association. Washington DC. 283-306
  • Merchan-Hamann E; Ekstrand ML; Hudes ES; Hearst N. [2002] Prevalence of HIV-related risk behaviors among adolescents at public schools in Brasilia.  AIDS and Behavior. Vol. 6(3): 283-293
  • Stall, RD., Hays, RB, Waldo, CR, Ekstrand, ML, McFarland, W. (2000) The gay 90s: A review of research in the 1990s on sexual behavior and HIV risk among men who have sex with men. AIDS, 14, 3,101-114
  • Solomon S, Ganesh AK, Ekstrand ML, Barclay JD, Kumarasamy N, Mandel JS, and Lindan CP. (2000) High HIV seropositivity at an anonymous testing site in Chennai, India:  Client profiles and trends over time. AIDS & Behavior. Vol 4 (1): 71-82
  • The Chennai Working Group. (2000). Treatment Guidelines for HIV Disease in India. East West Books (Madras) Pvt. Ltd., Chennai, India
  • Ekstrand, ML, Stall, RD, Paul, JP, Osmond DH, Coates, TJ. (1999) Gay men report high rates of unprotected anal sex with partners of unknown or discordant HIV status. AIDS, 13, 1525-1533.
  • Acree, M, Ekstrand, ML, Coates, TJ, Stall, RS. (1999) Mode effects in surveys of gay men: A within-individual comparison of responses by mail and by telephone. Journal of Sex Research, 36, 67-75.
  • DeCarlo, P; Binson, D; Ekstrand, ML; Haynes-Sanstad, K. (1998) Good questions, Better Answers: A formative research handbook for California HIV prevention programs.
  • Merati, TP, Ekstrand, ML, Hudes, ES, Suarmiartha, E, Mandel, J (1997) Traditional Balinese youth groups as a venue for prevention of AIDS and other sexually transmitted diseases. AIDS, 11, S111-S119
  • Hoff, C.; Kegeles, S.; Acree M.; Stall, R.; Paul, J.; Ekstrand, M.; Coates, T,J. (1997) "Looking for Men in All the Wrong Places...: HIV Prevention Small-Group Programs Do Not Reach High Risk Gay Men." AIDS  11(6):829-830.
  • Hays RB, Paul J, Ekstrand M, Kegeles SM, Stall R, Coates TJ. (1997). Actual versus perceived HIV status, sexual behaviors and predictors of unprotected sex among young gay and bisexual men who identify as HIV-negative, HIV-positive and untested.  AIDS. Oct;11(12):1495-502.
  • Hoff, C.; Stall, R.; Paul, J.; Acree, M.; Daigle, D.; Phillips, K.; Kegeles, S.; Jinich, S.; Ekstrand, M.; Coates, T.J. (1997) "Differences in Sexual Behavior among HIV Discordant and Concordant Gay Men in Primary Relationships." Journal of Acquired Immune Deficiency Syndromes and Human Retrovirology, 14:72-78.
  • Hoff CC, Coates TJ, Barrett DC, Collette L, Ekstrand M. (1996) Differences between gay men in primary relationships and single men: implications for prevention.  AIDS Educ Prev. Dec;8(6):546-59.
    Stall, R.; Hoff, C.; Coates, T.; Paul, J.; Phillips, K.; Ekstrand, M.; Kegeles, S.; Catania, J.; Daigle, D.; Diaz, R. (1996) "Decisions to Get HIV Tested and Accept Antiretroviral Therapies Among Gay/Bisexual Men: Implications for Secondary Prevention Efforts." Journal of AIDS and Human Retroviruses, 11:151-160.
  • Stall, RD and Ekstrand, ML (1995)  The quantitative/qualitative debate over “relapse” behavior:  Comment.  AIDS Care, 6 (5), 619-624.
  • Ekstrand, M.L.; Coates, T.J.; Guydish, J.; Hauck, W.; Collette, L.; and Hulley, S. (1994).  Are Bisexual Men in San Francisco a Common Vector For HIV Transmission to Heterosexuals?: The San Francisco Men's Health Study. American Journal of Public Health, 84, 915-919
  • Barrett D, Chesney M, Burack J, Stall R, Ekstrand M, Coates TJ. (1994). Depressive symptoms and CD4 lymphocyte decline among HIV-infected men. JAMA 271, 1743
  • Ekstrand ML. Stall RD, Kegeles SM, Hays RB, DeMayo MJ, Coates TJ.  (1993) Safer sex among gay men: What’s the ultimate goal? AIDS, vol.7., p. 281-282.
  • Burack, J.H.; Barrett, D.C.; Stall, R.S.; Chesney, M.A.; Ekstrand, M.L.; Coates, T.C. [1993] Depressive symptoms and CD4 lymphocyte decline among HIV-infected men. JAMA, 270, 2568-2573.
  • Shafer, MA, Ekstrand, ML, Hilton J, Keogh J, Gee L, DiGiorgio-Haag L, Schachter J, Shalwitz J (1993) Relationship between sexual, drug use behaviors and the occurrence of STDs among high risk male youth, STD, 20, 307-313.
  • Ekstrand, ML. (1992) Safer sex maintenance among gay men:  Are we making any progress? AIDS, Vol. 6.
  • Stall, RS,. Cohen M, Dowsett G. Ekstrand ML, van Griensven G, Hart G, Kelly J. (1992) Maintenance of HIV risk reduction among gay-identified men. in J. Mann, M. Tarantola and T. Netter (Eds) AIDS in the World.
  • Götestam, KO; Coates TJ; Ekstrand ML. (1992) Handedness, dyslexia, and twinning in homosexual men. International J. of Neuroscience, 63,179-186.
  • Samuel, M.; Guydish, J.; Ekstrand, M.; Coates, T.; Winkelstein, W. (1991) Changes in sexual practices over five years of follow up among heterosexual men in San Francisco.  Journal of Acquired Immune Deficiency Syndrome, vol. 4, 896-900.
  • Ekstrand, M.L. (1990) Sexual behaviors in the age of AIDS.  SYVA Monitor, Spring.
  • Stall, R.D., Ekstrand, M.L., McKusick, L., Pollack, L., Coates, T.J.  (1990)  Relapse from safer sex: The next challenge for AIDS prevention efforts. Journal of Acquired Immune Deficiency Syndrome, 1181-1187.
  • Ekstrand, M.L. & Coates, T.J. (1990) Maintenance of safer sexual behaviors and predictors of risky sex: The San Francisco Men's Health Study. American Journal of Public Health, 80, 973-977.
  • Ekstrand, M.L. (1990) Risky sex relapse among gay men: How can we best meet the challenge? WorldAIDS, issue # 9, Panos Institute, London, Great Britain.
  • Ekstrand, M.L., Stall, R.D., Frutchey, C., Christen, P. (1990) Averting disaster: Addressing relapse and ongoing AIDS prevention programs for self-identified gay and bisexual men of all colors.  Policy paper published by the San Francisco AIDS Foundation.
  • Stall, R.D. & Ekstrand, M.L. (1989)  Implications of relapse from safe sex  Focus, February, p. 3.
  • Catania, J., Coates, T., Kegeles, S., Ekstrand, M., Guydish, J., & Bye, L.  (1989) Implications of the AIDS risk reduction model for the gay community: The importance of perceived sexual enjoyment and help-seeking behaviors. In V. Mays, G. Albee, et al. (Eds)  Psychological Approaches to the Prevention of AIDS. Beverly Hills: Sage Publishing.
  • Guydish, J. & Ekstrand, M.L. (1989)  HIV spectrum disease: A research update for counselors. In Craig Kain (Ed) No longer immune: A counselor's guide to AIDS. Association for Counseling and Development, Alexandria, VA.

Affiliations

  • Adjunct Associate Professor, UC Berkeley School of Public Health

Contact

Center for AIDS Prevention Studies
Department of Medicine
School of Medicine
50 Beale Street, Suite1300
San Francisco , CA 94105
Phone: (415) 597-9160
Fax: (415) 597-9213
E-mail: Maria.Ekstrand@ucsf.edu
Website: www.caps.ucsf.edu