Lakshmi Goparaju

ORCID: 0000-0003-1027-1931
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About
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Research Areas
  • HIV/AIDS Research and Interventions
  • HIV, Drug Use, Sexual Risk
  • Adolescent Sexual and Reproductive Health
  • Sex work and related issues
  • LGBTQ Health, Identity, and Policy
  • HIV-related health complications and treatments
  • Maternal Mental Health During Pregnancy and Postpartum
  • HIV Research and Treatment
  • Complementary and Alternative Medicine Studies
  • Cervical Cancer and HPV Research
  • Breast Implant and Reconstruction
  • Cancer survivorship and care
  • HIV/AIDS drug development and treatment
  • Cardiac Health and Mental Health
  • Food Security and Health in Diverse Populations
  • SARS-CoV-2 and COVID-19 Research
  • HIV/AIDS Impact and Responses
  • Pharmaceutical studies and practices
  • Mental Health Treatment and Access
  • Vaccine Coverage and Hesitancy
  • Sexual function and dysfunction studies
  • Cardiovascular Disease and Adiposity
  • Impact of Technology on Adolescents
  • Poverty, Education, and Child Welfare
  • Intimate Partner and Family Violence

Georgetown University Medical Center
2011-2025

Georgetown University
2015-2025

Weatherford College
2022

Creative Commons
2020

Georgetown-Howard Universities Center for Clinical and Translational Science
2018

SUNY Downstate Health Sciences University
2010-2014

Hektoen Institute
2014

Montefiore Medical Center
2014

State University of New York
2010

Pre-Exposure Prophylaxis (PrEP) use has remained low among US women while significantly increasing men who have sex with men. Besides lack of awareness, face several social and structural barriers in gaining access to using PrEP.Four focus group discussions 20 HIV-negative live the Washington DC metropolitan area.The expressed concerns about PrEP use. They were afraid that stigma related "HIV medicines" could affect as well. are worried family friends may question their reasons for taking...

10.4172/2155-6113.1000730 article EN cc-by Journal of AIDS & Clinical Research 2017-01-01

Among women in the United States, non-Latina black South have disproportionately high rates of new HIV infections but low use pre-exposure prophylaxis (PrEP). Effective strategies to identify factors associated with PrEP eligibility could facilitate improved screening, offering, and uptake among US at risk HIV.We applied 2014 CDC criteria for at-risk HIV-negative enrolled Southern sites (Atlanta, Chapel Hill, Birmingham/Jackson, Miami) Women's Interagency Study from 2015 estimate assess...

10.1097/qai.0000000000001950 article EN JAIDS Journal of Acquired Immune Deficiency Syndromes 2019-01-16

Adherence to antiretroviral therapy (ART) is imperative for viral suppression and reducing HIV transmission, but many people living with report difficultly sustaining long-term adherence. Long-acting injectable (LAI) ART has the potential transform treatment prevention. However, little LAI ART-related behavioral research occurred among women, particularly outside of clinical trials.

10.1097/qai.0000000000002337 article EN JAIDS Journal of Acquired Immune Deficiency Syndromes 2020-03-06

Methadone maintenance is associated with improved adherence to antiretroviral therapies among HIV-positive illicit drug users; however, little information exists on whether different abuse treatment modalities. Using longitudinal data from the Women's Interagency HIV Study, we evaluated relationship between modality and therapies. In prospective analyses, individuals who reported accessing any program were more likely report regimens ≥ 95% of time (AOR = 1.39, CI 1.01–1.92). Involvement in...

10.1080/00952990701877052 article EN The American Journal of Drug and Alcohol Abuse 2008-01-01

Self-managing HIV/AIDS presents challenges for anyone infected. These may be further complicated older HIV-infected African American women who acquired the disease at younger ages and now have co-morbidities. Little is known regarding how women's age identity, social responsibilities, co-morbidities, romantic relationship status influence their HIV self-management. Five focus groups were conducted in Washington DC, with HIV-positive aged 52-65. Topics included co-morbidity self-management,...

10.1089/apc.2014.0024 article EN AIDS Patient Care and STDs 2014-06-17

Medications for antiretroviral therapy (ART) and preexposure prophylaxis (PrEP) are currently daily pill regimens, which pose barriers to long-term adherence. Long-acting injectable (LAI) modalities have been developed ART PrEP, but minimal LAI-focused research has occurred among women. Thus, little is known about how women's history of injection medical or nonmedical purposes may influence their interest in LAI. We conducted 89 in-depth interviews at 6 sites (New York, NY; Chicago, IL; San...

10.1089/apc.2020.0164 article EN AIDS Patient Care and STDs 2021-01-01

To compare sexual problems among HIV-positive and HIV-negative women describe clinical psychosocial factors associated with these problems.

10.1097/qai.0b013e3181d01b14 article EN JAIDS Journal of Acquired Immune Deficiency Syndromes 2010-03-18

The objective was to assess study retention and attendance for two recruitment waves of participants in the Women's Interagency HIV Study (WIHS).The WIHS, a prospective at six clinical centers United States, has experienced phases participant recruitment. In phase one, women were screened enrolled same time, two, separate visits. Compliance with follow-up evaluated by examining semiannual visit attendance.After 10 visits, rate original recruits (enrolled 1994-1995) 83% HIV-infected 69%...

10.1089/jwh.2008.1337 article EN Journal of Women s Health 2009-09-29

Objective: Depression is common among HIV-infected women, predicts treatment nonadherence, and consequently may impact vertical transmission of HIV. We report findings from a study evaluating preconception, pregnancy, postpartum depressive symptoms in vs. at-risk, HIV-uninfected women. Methods: examined the prevalence predictors elevated perinatal (i.e., pregnancy and/or postpartum) using Center for Epidemiological Studies-Depression (CES-D) scale score ≥16 139 105 women (62% African...

10.1089/jwh.2010.2485 article EN Journal of Women s Health 2011-07-06

Objectives:The latest advancement in HIV prevention, Pre-Exposure Prophylaxis (PrEP), could reduce incidence among women.However, PrEP uptake has remained low US women since its approval 2012, while use increased men who have sex with men.This study addresses women's knowledge, attitudes and potential behaviors regarding PrEP.While HIV-negative are the users of antiretroviral (ARV) medications for PrEP, HIV-positive used ARVs contribute immensely to our understanding complexities related...

10.4172/2155-6113.1000522 article EN Journal of AIDS & Clinical Research 2015-01-01

Background: HIV-stigma can influence engagement in care and viral suppression rates among persons living with HIV (PLWH). Understanding HIV-provider level stigma its associated factors may aid development of interventions to improve care. Methods: We assessed HIV-related stigma, provider knowledge, practices beliefs healthcare providers using an online survey tool. Generalized linear modeling was used determine score. Results: Among 436 participants, the mean age 42.3 (SD 12.3), 70% female,...

10.1177/23259582221114797 article EN cc-by-nc Journal of the International Association of Providers of AIDS Care (JIAPAC) 2022-01-01

To determine prevalence and predictors of complementary alternative medicine (CAM) use disclosure to health care providers whether CAM is associated with highly active antiretroviral therapy (HAART) adherence among HIV-infected women, we analyzed longitudinal data collected between October 1994 March 2002 from CAM-using women enrolled in the Women's Interagency HIV Study. Repeated measures Poisson regression models were constructed evaluate associations selected association HAART adherence....

10.1089/apc.2009.0134 article EN AIDS Patient Care and STDs 2009-10-12

HIV chronicity has resulted in increased life expectancy for many African American women who acquired the disease during epidemic’s peak years. As these live longer and age, their social support needs may increase. Five focus groups were conducted Washington, DC with 23 HIV-positive aged 52-65 to explore women’s perceptions about how aging affects needs. Participants recruited from longitudinal Women’s Interagency Study (WIHS) participant pool. A constant comparison approach was applied data...

10.1353/hpu.2017.0030 article EN Journal of Health Care for the Poor and Underserved 2017-01-01

We examined the associations between depressive symptoms and sexual identity behavior among women with or at risk for HIV.We analyzed longitudinal data from 1811 participants in Women's Interagency HIV Study (WIHS) 1994 to 2013 Brooklyn Bronx, New York; Chicago, Illinois; Washington, DC; Los Angeles San Francisco, California, by comparing baseline ongoing behavior. controlled age, socioeconomic status, violence history, substance use.In separate analyses, bisexual who reported having sex...

10.2105/ajph.2014.302259 article EN American Journal of Public Health 2014-10-16

Background: Communication inequalities can affect health-seeking behaviors yet the relationship between Internet use and overall health is inconclusive. Communication-related vary by race/ethnicity SES but existing research primarily includes middle-class Whites. We therefore examined communication-related inequalities—measured daily use—and health-related quality of life (QOL) using a nationwide prospective cohort study in United States that consists low income, minority women.Methods: QOL...

10.1080/10810730.2019.1630524 article EN Journal of Health Communication 2019-04-03

Background Many women with HIV (WWH) have suboptimal adherence to oral antiretroviral therapy (ART) due multilevel barriers care access and retention. A long-acting injectable (LAI) version of ART was approved by the US Food Drug Administration in January 2021 has potential overcome many these eliminating need for daily pill taking. However, it may not be optimal all WWH. It is critical develop tools that facilitate patient-provider shared decision making about versus LAI modalities promote...

10.2196/35646 article EN cc-by JMIR Research Protocols 2022-07-30
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