A5078358162- HIV/AIDS Research and Interventions
- Adolescent Sexual and Reproductive Health
- HIV, Drug Use, Sexual Risk
- Global Maternal and Child Health
- Sex work and related issues
- LGBTQ Health, Identity, and Policy
- Food Security and Health in Diverse Populations
- Intimate Partner and Family Violence
- Maternal and fetal healthcare
- Reproductive Health and Contraception
- Maternal and Perinatal Health Interventions
- Homelessness and Social Issues
- HIV-related health complications and treatments
- HIV/AIDS Impact and Responses
- Mental Health Treatment and Access
- Reproductive Health and Technologies
- Pharmacological Effects and Toxicity Studies
- Poverty, Education, and Child Welfare
- Maternal Mental Health During Pregnancy and Postpartum
- HIV Research and Treatment
- Pain Mechanisms and Treatments
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Child Nutrition and Water Access
- Healthcare Policy and Management
- Ureteral procedures and complications
Koç University
2022-2025
University of Alabama at Birmingham
2016-2025
Center for Global Health
2020-2025
Baldwin Wallace University
2025
Women's College Hospital
2025
Johns Hopkins University
2016-2025
Indiana University Bloomington
2025
University of Alabama
2022-2023
Institute for Reproductive Health
2023
Harvard University
2022
We present a conceptual framework that highlights how unique dimensions of individual-level HIV-related stigma (perceived community stigma, experienced internalized and anticipated stigma) might differently affect the health those living with HIV. is recognized as barrier to both HIV prevention engagement in care, but little known about mechanisms through which leads worse behaviors or outcomes. Our posits that, context intersectional structural stigmas, operate interpersonal factors, mental...
HIV/AIDS stigma is a common thread in the narratives of pregnant women affected by globally and may be associated with refusal HIV testing. We conducted cross-sectional study attending antenatal clinics Kenya (N = 1525). Women completed an interview measures subsequently information on their acceptance testing was obtained from medical records. Associations were examined using multivariate logistic regression. Rates anticipated high—32% break-up relationship, 45% losing friends. who male...
Internalization of HIV-related stigma may inhibit a person's ability to manage HIV disease through adherence treatment regimens. Studies, mainly with white men, have suggested an association between internalized and suboptimal antiretroviral therapy (ART). However, there is scarcity research women different racial/ethnic backgrounds on mediating mechanisms in the ART adherence.The Women's Interagency Study (WIHS) multicenter cohort study. Women living complete interviewer-administered...
Context Although abortion is common in the United States, women who have abortions report significant social stigma. Currently, there no standard measure for individual‐level stigma, and little known about demographic characteristics associated with it . Methods To create a of an initial item pool was generated using story content analysis refined cognitive interviews. In 2011, final used to assess stigma among 627 at 13 U.S. Planned Parenthood health centers reported previous abortion....
Abstract Although policies and programs exist to promote safe motherhood in sub-Saharan Africa, maternal health has not improved may be deteriorating some countries. Part of the explanation adverse effects HIV/AIDS on maternity care. We conducted a study Kisumu, Kenya explore how fears related affect women's uptake workers' provision labor delivery services. In-depth qualitative interviews with 17 workers, 14 pregnant or postpartum women, four male partners two traditional birth attendants;...
Introduction Within healthcare settings, HIV‐related stigma is a recognized barrier to access of HIV prevention and treatment services yet, few efforts have been made scale‐up reduction programs in service delivery. This part due the lack brief, simple, standardized tool for measuring among all levels health facility staff that works across diverse prevalence, language settings. In response, an international consortium led by Health Policy Project, has developed field tested measurement use...
We investigated whether internalized HIV-related stigma predicts adherence to antiretroviral therapy (ART) longitudinally in women living with HIV the United States, and depression symptoms mediate relationship between suboptimal ART adherence.Observational longitudinal study utilizing data from Women's Interagency Study cohort.A measure of was added battery measures 2013. For current analyses, participants' first assessment assessments other variables at that time were used as baseline...
'Intersectional stigma' is a concept that has emerged to characterize the convergence of multiple stigmatized identities within person or group, and address their joint effects on health wellbeing. While enquiry into intersections race, class, gender serves as historical theoretical basis for intersectional stigma, there little consensus how best analyze design interventions this complex phenomenon. The purpose paper highlight existing stigma literature, identify gaps in our methods studying...
More than half of rural Kenyan women experience intimate partner violence (IPV) in their lifetime. Beyond physical consequences, IPV indirectly worsens maternal health because pregnant avoid antenatal care or HIV testing when they fear violent reprisal from partners. To develop an intervention to mitigate towards women, we conducted qualitative research Kenya. Through eight focus group discussions, four with and male partners, in-depth interviews service providers, explored the social...
Background Childbirth with a skilled attendant is crucial for preventing maternal mortality and an important opportunity prevention of mother-to-child transmission HIV. The Maternity in Migori AIDS Stigma Study (MAMAS Study) prospective mixed-methods investigation conducted high HIV prevalence area rural Kenya, which we examined the role women's perceptions HIV-related stigma during pregnancy their subsequent utilization maternity services. Methods Findings From 2007–2009, 1,777 pregnant...
Women's ability to safely disclose their HIV-positive status male partners is essential for uptake and continued use of prevention mother-to-child transmission (PMTCT) services. However, little known about the acceptability potential approaches facilitating partner disclosure. To lay groundwork developing an intervention, we conducted formative qualitative research elicit feedback on three safe HIV disclosure pregnant women in rural Kenya.This included in-depth interviews with HIV-infected...