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 , PhD, Social Welfare Policy Senior Research Scientist Chapel Hill Center Chapel Hill, N. Carolina
Phone: (919) 265-2612 Fax: (919) 265-2659 Email: hallfors@pire.org
Denise Hallfors is a Senior Research Scientist at PIRE. Her current areas of expertise include Health Policy, HIV prevention, adolescent orphans and HIV in sub-Saharan Africa, young adult sexuality and union formation, and substance abuse program/policy evaluation. Dr. Hallfors holds a Masters in Psychiatric Nursing from Arizona State University, and a Ph.D. in Social Welfare Policy from the Heller School at Brandeis University, where she was an NIMH Health Services Research Fellow, specializing in the economics of health and mental health policy.
Dr. Hallfors is currently the Principal Investigator (PI) on an NIH-funded randomized controlled trial in rural Zimbabwe to test whether maintaining adolescent orphan girls in school prevents HIV risk behaviors. She is also a Co-Investigator and Senior Advisor on a similar study in western Kenya. Both studies have been well implemented with high subject retention despite turbulent political and economic conditions. Findings from the Zimbabwe study indicate that school support significantly increased years of schooling, cut the risk of child marriage in half, and improved quality of life. Additional analyses found the intervention to be cost effective. Dr. Hallfors also serves as a co-Investigator on an NICHD Add Health study (PI: Carolyn Halpern) to examine sexual trajectories from adolescence to young adulthood. Dr. Hallfors is focusing specifically on race and gender differences in marriage and cohabitation patterns.
Prieviously, Dr. Hallfors was the PI of a large NIDA-funded randomized controlled trial of Reconnecting Youth, a school-based program for high risk high school students. This and other work has shaped her interest in environmental, contextual, and structural interventions to prevent youth risk behaviors. A proponent of independent real world tests of interventions, she conducted a feasibility study of the Suicide Screening Program in 10 Reconnecting Youth high schools and proposed adaptations for a better fit within the school context. She also led a NIDA-funded R01 examining pathways to HIV and other STIs among U.S. adolescents and young adults using data from the National Longitudinal Study of Adolescent Health. Sixteen peer reviewed papers were published from that study, including seminal papers on the temporal pathways between adolescent depression and sexual and drug use behaviors, and the paradox of racial HIV/STD disparities.
Dr. Hallfors has also led two studies funded by the Robert Wood Johnson Foundation to examine the diffusion of evidence-based drug and alcohol prevention programs in schools. She won a FIRST Award from NIDA in 1996 to evaluate the impact of community substance abuse prevention programs on youth by meta-analyzing school surveys. She won the 2003 Douglas S. Leathar Award from the editors of Health Education Research: Theory and Practice for her innovative policy publication on this topic. She was lead author on a Zimbabwe study paper that was selected as a "Paper of the Year" by the American Journal of Public Health for 2011. She served for four years on the Board of Directors of the Society for Prevention Research and she currently serves as a staff member of the PIRE Board of Directors. Before joining PIRE, Dr. Hallfors was a Research Associate Professor in the School of Public Health, Department of Maternal and Child Health (MCH), UNC-Chapel Hill, where she taught core graduate courses in evaluation. She is currently an Adjunct Professor in the MCH Department.
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Last Modified: 2/27/2013
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Published Literature
- Mapping structural influences on sex and HIV education in church and secular schools in Zimbabwe, Evaluation & the Health Professions (2012). Author(s): Mpofu, E.; Mutepfa, M. M.; and Hallfors, D. D
- Prevention HIV by providing support for orphan girls to stay in school: Does religion matter?, Ethnicity & Health (2012). Author(s): Hallfors, D. D.; Cho, H.; Iritani, B. J.; Mapfumo, J.; Mpofu, E.; Luseno, W. K.; and January, J.
- Process and outcome evaluation of a community intervention for orphan adolescents in Western Kenya, Journal of Community Health (2012). Author(s): Hallfors, D.; Cho, H.; Mbai, I.; Milimo, B.; and Itindi, J.
- Keeping adolescent orphans in school to prevent human immunodeficiency virus infection: Evidence from a randomized controlled trial in Kenya, Journal of Adolescent Health (2011). Author(s): Cho, H.; Hallfors, D.; Halpern, C.T.; Mbai, II; Itindi, J.; Milimo, B.W.; and Iritani, B.J.
- Keeping Adolescent Orphans in School to Prevent Human Immunodeficiency Virus Infection: Evidence From a Randomized Controlled Trial in Kenya, Journal of Adolescent Health (2011). Author(s): Cho, H.; Hallfors, D. D.; Mbai, II; Itindi, J.; Milimo, B. W.; Halpern, C. T.; and Iritani, B. J.
- Supporting adolescent orphan girls to stay in school as HIV risk prevention: Evidence from a randomized controlled trial in Zimbabwe, American Journal of Public Health (2011). Author(s): Hallfors, D.; Iritani, B.; Cho, H.; Rusakaniko, S.; Mapfumo, J.; and Halpern, C.
- Supporting Adolescent Orphan Girls to Stay in School as HIV Risk Prevention: Evidence From a Randomized Controlled Trial in Zimbabwe, American Journal of Public Health (2011). Author(s): Hallfors, D.; Cho, H.; Rusakaniko, S.; Iritani, B.; Mapfumo, J.; and Halpern, C.
- The Influence of "No Child Left Behind'' Legislation on Drug Prevention in US Schools, Evaluation Review (2009). Author(s): Cho, H.; Hallfors,D.D.; Iritani, B.; and Hartman, S.
- Evaluating group-based interventions when control participants are ungrouped, Multivariate Behavioral Research (2008). Author(s): Bauer D.; Sterba, S. K.; and Hallfors,D.D.
- Program characteristics and organizational factors affecting the implementation of a school-based indicated prevention program, Health Education Research (2008). Author(s): Thaker, S.; Steckler, A.; Sanchez, V.; Khatapoush, S.; Rose, J.; and Hallfors,D.D.
- Crystal methamphetamine use among young adults in the USA, Addiction (2007). Author(s): Iritani, B. J.; Hallfors,D.D.; and Bauer, D.J.
- Early initiation of substance use and subsequent risk factors related to suicide among urban high school students, Addictive Behaviors (2007). Author(s): Cho, H.; Hallfors,D.D.; and Iritani, B. J.
- Fidelity of implementation in a treatment effectiveness trial of Reconnecting Youth, Health Education Research (2007). Author(s): Sanchez, V.; Steckler, A.; Nitirat, P.; Hallfors, D.; Cho, H.; and Brodish, P.
- Gene-environment contributions to young adult sexual partnering, Archives of Sexual Behavior (2007). Author(s): Halpern C.T.; Kaestle, C. E.; Guo, G.; and Hallfors,D.D.
- Moving behavioral science from efficacy to effectiveness, International Journal of Behavioral Consultation and Therapy (2007). Author(s): Hallfors, D.; and Cho, H.
- Perceived physical maturity, age of romantic partner, and adolescent risk behavior, Prevention Science (2007). Author(s): Halpern C.T.; Kaestle, C. E.; and Hallfors,D.D.
- Racial and gender differences in adolescent sexual attitudes and longitudinal associations with coital debut, Journal of Adolescent Health (2007). Author(s): Cuffee, J. J.; Hallfors,D.D.; and Waller, M.W.
- Sexual and drug behavior patterns and HIV and STD racial disparities: the need for new directions, American Journal of Public Health (2007). Author(s): Hallfors,D.D.; Iritani, B. J.; Miller, W.C.; and Bauer, D.J.
- Sexual behavior and drug use among Asian and Latino adolescents: Association with immigrant status, Journal of Immigrant and Minority Health (2007). Author(s): Hussey, J.M.; Hallfors,D.D.; Waller, M.W.; Iritani, B. J.; Halpern, C.T.; and Bauer, D. J.
- Adolescent predictors of emerging adult sexual patterns, Journal of Adolescent Health (2006). Author(s): Halpern, C.T.; Waller, M.W.; Spriggs, A.; and Hallfors,D.D.
- Comparison of self-reported and test-identified chlamydial infections among young adults in the United States of America, Sexual Health (2006). Author(s): Iritani, B. J.; Ford, C.A.; Miller, W.C.; Hallfors,D.D.; and Halpern, C.
- Efficacy vs effectiveness trial results of an indicated "Model" Substance Abuse Program: Implications for public health, American Journal of Public Health (2006). Author(s): Hallfors, D.; Cho, H.; Sanchez, V.; Khatapoush, S.; Kim, H. M.; and Bauer, D.
- Feasibility of screening adolescents for suicide risk in "Real World" high school settings, American Journal of Public Health (2006). Author(s): Hallfors D.; Brodish P.H.; Khatapoush S.; Sanchez V.; Cho H.; and Iritani, B.
- Gender differences in associations between depressive symptoms and patterns of substance use and risky sexual behavior among a nationally representative sample of U.S. adolescents, Archives of Women's Mental Health (2006). Author(s): Waller, M.W.; Hallfors,D.D.; Halpern, C.; Iritani, B. J.; Ford, C. A.; and Guo, G.
- Genetic contribution to suicidal behaviors and associated risk factors among adolescents in the U.S, Prevention Science (2006). Author(s): Hyunsan Cho; Guang Guo; Bonita Iritani; and Denise Hallfors
- Hallfors and Steckler respond, American Journal of Public Health (2006). Author(s): Steckler, Allan; and Hallfors, Denise
- Identifying high school students at risk for substance abuse and other behavioral problems: Implications for prevention, Substance Use and Misuse (2006). Author(s): Hallfors, D.; Cho, H.; Brodish, P.; Flewelling, R.; and Khatapoush, S.
- Evaluation of a high school peer group intervention for at-risk youth, Journal of Abnormal Child Psychology (2005). Author(s): Cho H.; Hallfors D.D.; and Sanchez V.
- Which comes first in adolescence-sex and drugs or depression?, American Journal of Preventive Medicine (2005). Author(s): Hallfors D.D.; Waller M.W.; Bauer D.; Ford C.A.; and Halpern C.T.
- "Sending the wrong message": Did medical marijuana legalization in California change attitudes about and use of marijuana?, Journal of Drug Issues (2004). Author(s): Khatapoush, Shereen; and Hallfors, Denise
- Adolescent depression and suicide risk: association with sex and drug behavior, American Journal of Preventive Medicine (2004). Author(s): Hallfors, D.; Waller, M.W.; Ford, C.A.; Halpern, C.T.; Brodish, P.H.; and Iritani, B.
- Implementation of evidence-based prevention substance use curricula by school level: Findings from North Carolina public school districts, Journal of School Health (2004). Author(s): Pankratz, M.; and Hallfors, D.
- Implications of racial and gender differences in patterns of adolescent risk behavior for HIV and other sexually transmitted diseases, Perspectives on Sexual and Reproductive Health (2004). Author(s): Halpern, C.T.; Hallfors, D.; Bauer, D.J.; Iritani, B.; Waller, M.; and Cho, H.
- Medical Marijuana: Sending the wrong message?, Journal of Drug Issues (2004). Author(s): Khatapoush, S.; and Hallfors, D.
- Fighting back against substance abuse: Are community coalitions winning?, American Journal of Preventive Medicine (2002). Author(s): Hallfors, D.; Cho, H.; Livert, D.; and Kadushin, C.
- How are community coalitions 'Fighting Back' against substance abuse, and are they winning?, American Journal of Preventive Medicine (2002). Author(s): Hallfors, D.; Cho, H.; Livert, D.; and Kadushin, C.
- Local and State School-Based Substance Use Surveys:Availability, content, and quality, Evaluation Review (2002). Author(s): Hallfors, D.; and Iritani, B.
- Measuring perceptions of innovation adoption: the diffusion of a federal drug prevention policy, Health Educ Res (2002). Author(s): Pankratz, M.; Hallfors, D.; and Cho, H.
- Risk behaviors: HIV/AIDS and its impact on adolescents, in Encyclopedia of Education (2002). Author(s): Hallfors, D.; Halpern C.T.; and Iritani, B.
- Strengthening the role of two key institutions in the prevention of adolescent substance abuse, Journal of Adolescent Health (2002). Author(s): Hallfors, Denise; and Van Dorn, Richard A.
- Substance abuse, in Macmillan Psychology Reference Series, Vol. 1 (2002). Author(s): Hallfors, D.; and Frame, L.
- Truancy, grade point average, and sexual activity: A meta-analysis of risk indicators for youth substance use, Journal of School Health (2002). Author(s): Hallfors, Denise; Vevea, Jack L.; Iritani, Bonia; Cho, Hyunsan; Khatapoush, Shereen; and Saxe, Leonard
- Will the 'principles of effectiveness' improve prevention practice? Early findings from a diffusion study, Health Education Research (2002). Author(s): Hallfors, D.; and Godette, D.
- Getting results: Developing safe and healthy kids, update 2, in Assessing the effectiveness of classroom-based prevention programs (2001). Author(s): Hallfors, D.; Sussman, S.; and Sporer, A.
- A comparison of paper vs computer-assisted self interview for school alcohol, tobacco, and other drug surveys, Evaluation and Program Planning (2000). Author(s): Hallfors, Denise; Watson, Kim; Khatapoush, Shereen; Kadushin, Charles; and Saxe, Leonard
- An examination of psychotropic drug treatment for children with serious emotional disturbances, Journal of Emotional and Behavioral Disorders (1998). Author(s): Hallfors, D.; Fallon, T.; and Watson, K.
- Think globally, act locally: Assessing the impact of community-based substance abuse prevention, Evaluation and Program Planning (1997). Author(s): Saxe, L.; Reber, E.; Hallfors, D.; and Kadushin, C.
- Developing an effective, standardized client information system for child mental health treatment centers, in The 8th Annual Research Conference Proceedings, A System of Care for Children's Mental Health:Expanding the Research Base (1996). Author(s): Hallfors, D.; Leach, M.; and Alwon, F.
- Review of Extra ordinary human-computer interaction: Interfaces for users with disabilities, Social Science Computer Review (1996). Author(s): Hallfors, D.
- Stability of Frailty in the Social HMO: Implications for Payment and Practice, Health Care Financ Rev (1994). Author(s): Hallfors, D.; Leutz, W.; Capitman, J.; and Ritter, G.
- The dependence potential of short half-life benzodiazepines: a meta-analysis, Am J Public Health (1993). Author(s): Hallfors,D.D.; and Saxe, L.
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