Sarah M Murray
Biographic Data
| ID | 128741 |
|---|---|
| NAME | Sarah M Murray |
| GIVEN NAMES | Sarah M |
| FAMILY NAME | Murray |
| SIGNATURE | MURRAY S M |
| AFFILIATIONS | Johns Hopkins University |
| ORCID | 0000-0002-4976-9713 |
| VERIFIED | Yes |
| TOTAL WORKS | 64 |
| TOTAL CITATIONS | 19 |
| AUTHOR COUNT | 64 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2015 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 3 |
Hidden heterogeneity in HIV prevention for men who have sex with men in the US
Pre-Covid-19 Sexuality-Based Stigma Predicts Mid-Pandemic Anxiety Increases in a Cohort of Sexual Minority Men in the United States
BACKGROUND: The COVID-19 pandemic severely impacted mental health, including that of gay, bisexual, and other sexual minority men (SMM). Few studies in the US have assessed stigma's role in shaping the mental health of historically marginalized populations during crises. METHODS: = 572), we examined the association between sexuality-based stigma (stigma from family and friends, anticipated healthcare stigma, general social stigma) in the precedin…
The Role of Healthcare-Related Experiences in Willingness and Preference for Long-Acting Injectable PrEP (LAI-PrEP) Among Transfeminine People in the United States
Transgender women and transfeminine people (TWTFP) experience disproportionately high HIV prevalence, low HIV pre-exposure prophylaxis (PrEP) coverage, and negative healthcare experiences. Long-acting injectable PrEP (LAI-PrEP) and daily oral-PrEP are delivered under different healthcare interaction protocols. We examined the role of healthcare-related experiences on willingness and preference for LAI-PrEP among a U.S. nationwide sample of sexual…
Posttraumatic stress disorder symptomology among gay, bisexual, and other sexually minoritized cisgender men in the United States
In the United States, posttraumatic stress disorder (PTSD) disparities among sexually minoritized men (SMM) are well-documented, but diverse PTSD symptom manifestations and related vulnerabilities in this group are understudied. From October 2020 to January 2021, we collected cross-sectional demographic, HIV status, sexual behavior, and mental health data from 6,319 trauma-exposed SMM in the American Men’s Internet Survey. We used latent class an…
Mental health interventions in public health emergencies
The COVID-19 pandemic showed the significant impact of epidemics on mental health and illustrated gaps in public health and epidemic response systems’ ability to respond to mental health and psychosocial needs. This study sought to identify the most and least helpful mental health and psychosocial support (MHPSS) strategies and elements for intervention in epidemics. An online survey with open ended questions was circulated via professional netwo…
Cognitive interviewing for understanding and adaptation of mental health screening instruments among people living with HIV in rakai, Uganda
Background Mental health is conceptualized differently across cultures, making exploration of the understandability of screening tools for the purpose of adaptation critical. Methods In Uganda, we used cognitive interviewing to understand comprehension of and make adaptations to three scales for measuring psychological distress: the Thinking Too Much (TTM) Questionnaire, the Patient Health Questionnaire 9 (PHQ-9), and the Hopkins Symptoms Checkli…
The mental health impact on women of engaging men in health interventions in low- and middle-income countries
The field of women’s health, specifically maternal and child health, have recently pushed for male partners to be included in interventions. Currently, there are gaps in understanding how engaging men in these interventions might impact women’s mental wellbeing. The objective of this systematic review was to examine the evidence of the mental health impact on women of engaging male partners in health interventions in low and -middle-income countr…
Baby Friendly Spaces
Poor maternal mental health has been shown to impact child health and development. Yet, there is a gap in research on integrated maternal and child care models in humanitarian settings. Action Against Hunger developed the Baby Friendly Spaces (BFS) program which bridges this gap by delivering evidence-based psychosocial support for young children under 2 years and their mothers. This multi-method study was conducted in Nguenyyiel refugee camp (Et…
Okweraliikirira and Okwenyamira
Mpox stigma during the 2022 outbreak among men who have sex with men in the United States
Mpox emerged on the global scale in 2022 and predominately affected gay, bisexual, and other men who have sex with men (GBMSM). Stigma related to mpox is a potential harm for individuals experiencing multiple levels of marginalization who may already be discriminated against in family, healthcare, and other social domains. To understand perceived mpox stigma among cisgender GBMSM in the United States (US), we conducted a study within the American…
Investigating mental health disparities in rural sexual and gender minority adults
This study presents a critical opportunity to better understand how minority stress contributes to adverse mental health outcomes among populations that remain underrepresented in research and programs in 2024. Results will be used to create more targeted, acceptable, and impactful intervention content and strategies that mitigate stigma, promote mental health, and prevent suicidal behaviors among rural SGM adults
Characteristics Associated with HIV Testing Frequency Among Gay and Bisexual Cisgender Men Who Have Sex with Men in the United States
Longitudinal Investigation of Stigma and Psychosocial Outcomes Among Women Exposed to Sexual Violence in the Democratic Republic of Congo
Current studies suggest relationships between sexual violence, stigma, and psychosocial functioning but cannot disentangle temporal relationships. We used longitudinal data from the Democratic Republic of Congo to fit models estimating whether stigma predicted the long-term psychosocial well-being of sexual-violence-exposed women who participated in a cognitive processing therapy trial. We found that felt stigma predicted depression and anxiety (…
Measurement of Sexual Behavior Stigma in Cisgender Mexican Sexual Minority Men
We used data from the 2018 and 2019 cycles of the American Men’s Internet Survey (AMIS) and the Encuesta de Sexo Entre Hombres (ESEH) (2017) to investigate measurement invariance of a sexual behavior stigma scale among Mexican gay, bisexual, and other sexual minority men (SMM). Employing both a two- and three-group multiple group confirmatory factor analysis (MGCFA), we established configural invariance of the scale, suggesting a uniform factor p…
Applying Mixed Methods to Enhance Health Equity in Research on Dementia and Cognitive Impairment
Objectives The NIA health disparities research framework details a life course approach that considers multilevel environmental, sociocultural, behavioral, and biological factors. Mixed methods are well-suited to study complex problems like structural racism, combining the benefits of generalizability with contextualization. Methods We draw on experience as faculty in the Mixed Methods Research Training Program for the Health Sciences to introduc…
Association between homelessness and PrEP uptake among men who have sex with men
Drug Use-Related Discrimination in Healthcare Settings and Subsequent Emergency Department Utilization in a Prospective Cohort Study of People With a History of Injection Drug Use
BACKGROUND: People with a history of injection drug use face discrimination in healthcare settings that may impede their use of routine care, leading to greater reliance on the emergency department (ED) for addressing health concerns. The relationship between discrimination in healthcare settings and subsequent ED utilization has not been established in this population. METHODS: This analysis used longitudinal data collected between January 2014 …
Exploring pregnancy‐related stigma experiences among adolescents in rural Uganda
INTRODUCTION: Pregnant adolescents face multiple adverse experiences that vary by context due to pregnancy-related stigma. We explored experiences of pregnancy-related stigma and psychosocial issues among adolescents living in rural eastern Uganda. METHODS: We conducted in-depth semi-structured interviews with 15 adolescents (15-19 years old) who were pregnant (>3 months) or had recently given birth (<3 months) at Tororo District Hospital in Ugan…
Intersectional stigma and resilience among female sex workers in Namibia
Engaging husbands in a digital mental health intervention to provide tailored counseling for women experiencing postpartum depression
Postpartum depression (PPD) is a common experience among mothers worldwide. Family members, especially husbands, can play an integral role in supporting and helping mothers recover from PPD. However, husbands are typically not included in interventions to address postpartum depression among women. This study explored husbands’ perspectives on engaging in a counseling intervention augmented with a digital health component for the treatment of PPD.…
Sexual behavior stigma among cisgender gay, bisexual, and other men who have sex with men in nine NHBS cities across the United States
In the United States (US), sexuality-based stigma continues to undermine HIV prevention and care efforts. We assessed sexual behavior stigma burden across family, healthcare, and social domains and determined associations with HIV-related outcomes among cisgender gay, bisexual, and other men who have sex with men (MSM) in nine US metropolitan statistical areas. MSM ( N = 4,086) recruited at places of MSM social congregation via venue-based, time-…
Psychosocial impacts of Baby Friendly Spaces for Rohingya refugee mothers in Bangladesh
Feasible adjustments to implementation can improve program delivery to increase impact on maternal distress and well-being. Although results should be interpreted with caution, study design limitations are common in pragmatic, field-based research
Access to healthcare among transgender women living with and without HIV in the United States
Gender minority stress was associated with increased barriers to healthcare access among TW in the US, regardless of HIV status. Resilience factors did not mediate this effect. Interventions aiming to increase healthcare access among TW can be aided by efforts to mitigate drivers of gender minority stress and improve patient experiences in healthcare facilities
First-hand accounts of structural stigma toward people who use opioids on Reddit
Individual & joint associations of sexual stigma and mental distress with PrEP uptake, adherence and persistence among US gay and bisexual men
Coming-of-age in a coming-of-age
Podcasting collectives – groups of independent producer-hosts invested in shared resources and “sound-rich storytelling” – emerged between 2014 and 2018. The models of four U.S.-based collectives demonstrate an industry in transition and the evolving place of self, community, and publicity in contemporary soundwork. This article uses intimate soundwork and collective individualism as frames for understanding how some podcasters negotiate the tens…
Hidden
Audience research in media and cultural studies has developed alongside a moral economy of fandom, like and love that risks casting intense suspicion upon dislike and disengagement. An inquiry into audiences’ dislikes, though, will at times tell us a great deal about their expectations of, hopes for, and preferred uses of the media. Building on a discussion of the largely Bourdieu-ian framing in media and cultural studies literature of dislike as…
Postdigital cultural studies
What should a postdigital cultural studies look like? Identifying economies of attention is central to the study of media and culture. Calling for renewed focus on attention as power, this article pairs three long-established lessons of cultural studies with three examples of contemporary digital immersion: deepfakes and manipulated media; algorithmic culture; and, the digital afterlife industry. In doing so, the critical questions that drive cul…
Conducting Digital Intervention Research among Immigrant Survivors of Intimate Partner Violence
A qualitative exploration of mechanisms of intimate partner violence reduction for Zambian couples receiving the Common Elements Treatment Approach (Ceta) intervention
First-hand accounts of structural stigma toward people who use opioids on Reddit
Impact of Sources of Strengths on Coping and Safety of Immigrant Survivors of Intimate Partner Violence
Intimate partner violence (IPV) is a national and international public health and human rights concern. Immigrant women are disproportionately affected by IPV that includes homicides. This study explored the perspectives of survivors of IPV, who are immigrants to the United States, regarding their sources of strength that enhance their safety and promote coping in abusive relationships. Data for this qualitative study were collected from ethnical…
Executive function and attention-deficit/hyperactivity disorder in Ugandan children with perinatal HIV exposure
Our results demonstrate structural validity of the ADHD measure with this population, strong associations between ADHD symptom severity and poorer executive function, and higher levels of executive function problems in perinatally HIV-exposed Ugandan children with ADHD. These findings suggest that ADHD may be an important neurocognitive disorder associated with executive function problems among children in sub-Saharan African settings where perin…
Hidden
Audience research in media and cultural studies has developed alongside a moral economy of fandom, like and love that risks casting intense suspicion upon dislike and disengagement. An inquiry into audiences’ dislikes, though, will at times tell us a great deal about their expectations of, hopes for, and preferred uses of the media. Building on a discussion of the largely Bourdieu-ian framing in media and cultural studies literature of dislike as…
Association of caregiver quality of care with neurocognitive outcomes in HIV-affected children aged 2–5 years in Uganda
Children affected by HIV are at increased risk of developmental and neuropsychological disturbances due to direct effects of HIV on the brain and direct effects associated with living in poverty. Caregivers can play an important role, through quality caregiving, in mitigating the negative effect of these stressors. This study used baseline data from an ongoing caregiver training intervention trial to evaluate the association between quality of ca…
Socio-demographic correlates of depression and anxiety among female caregivers living with HIV in rural Uganda
Women living with HIV are at increased risk for psychosocial distress, especially among social and economically disadvantaged women living in rural areas. Little is known about how social support and wealth impacts the mental health of women caring for young children in low- and middle-income countries. The purpose of this paper was to assess demographic, socio-economic, and social support correlates of depression and anxiety in HIV-infected+ fem…
The ethics of mental health survey research in low- and middle- income countries
Neuropsychiatric conditions are a leading cause of disability globally Efforts to understand this gap have led to an expansion of global mental health (GMH) research, particularly in low-and middle-income countries (LMIC) where the availability of treatment services is even more severely lacking Such surveys can provide data on unmet needs, be used to advocate for resources, and elucidate etiological processes; they also, however, pose ethical ch…
Economic, social and mental health impacts of an economic intervention for female sexual violence survivors in Eastern Democratic Republic of Congo
While female sexual violence survivors with elevated mental symptoms were successfully integrated into a community-based economic program, the immediate program impact was only seen for food consumption and experience of stigma. Impacts on mental health severity were not realized, suggesting that targeted mental health interventions may be needed to improve psychological well-being
Caregiver mental health and HIV-infected child wellness
Prior studies indicate a substantial link between maternal depression and early child health but give limited consideration to the direction of this relationship or the context in which it occurs. We sought to create a contextually informed conceptual framework of this relationship through semi-structured interviews with women that had lived experience of caring for an HIV-infected child while coping with depression and anxiety symptoms. Caregive…
Testing the effectiveness of a transdiagnostic treatment approach in reducing violence and alcohol abuse among families in Zambia
This ongoing trial is one of the first in sub-Saharan Africa to evaluate the use of an evidence-based common elements approach for reducing VAWG by targeting a range of individual- and family-level factors, including alcohol abuse. Results of this trial will inform policy on what interventions work to prevent VAWG in LMIC with local perspectives on scale up and wider implementation
Psychometric evaluation of HIV risk behavior assessments using Audio Computer Assisted Self-Interviewing (Acasi) among orphans and vulnerable children in Zambia
Social desirability bias and underreporting of HIV risk behaviors are significant challenges to the accurate evaluation of HIV prevention programs for orphans and vulnerable children (OVC) in sub-Saharan Africa. Valid and reliable HIV risk behavior instruments are critical to address these challenges. We assessed the psychometric properties of two risk behavior measures, the World Aids Foundation Survey (WAF) and the Peer HIV Risk Behavior Screen…
Association between coping strategies, social support, and depression and anxiety symptoms among rural Ugandan women living with HIV/Aids
Poor mental health detrimentally affects quality of life among women living with HIV/AIDS. An improved understanding of how coping and social support relate to depression and anxiety in this population can facilitate the design and implementation of appropriate mental health treatment and support services. Secondary analysis was conducted on baseline data from 288 HIV-positive women enrolled in a parenting intervention in Uganda. Depression and a…
Dusukasi—The Heart That Cries
Perinatal mental health problems such as depression and anxiety are prevalent in low and middle-income countries. In Mali, the lack of mental health care is compounded by few studies on mental health needs, including in the perinatal period. This paper examines the ways in which perinatal women experience and express mental distress in rural Mali. We describe a process, relying on several different qualitative research methods, to identify unders…
The impact of Cognitive Processing Therapy on stigma among survivors of sexual violence in eastern Democratic Republic of Congo
ClinicalTrials.gov NCT01385163
Challenges and opportunities in examining and addressing intersectional stigma and health
A scoping review of health-related stigma outcomes for high-burden diseases in low- and middle-income countries
BACKGROUND: Stigma is associated with health conditions that drive disease burden in low- and middle-income countries (LMICs), including HIV, tuberculosis, mental health problems, epilepsy, and substance use disorders. However, the literature discussing the relationship between stigma and health outcomes is largely fragmented within disease-specific siloes, thus limiting the identification of common moderators or mechanisms through which stigma p…
Depression Symptom Trajectories Among Mothers Living with HIV in Rural Uganda
Coming-of-age in a coming-of-age
Podcasting collectives – groups of independent producer-hosts invested in shared resources and “sound-rich storytelling” – emerged between 2014 and 2018. The models of four U.S.-based collectives demonstrate an industry in transition and the evolving place of self, community, and publicity in contemporary soundwork. This article uses intimate soundwork and collective individualism as frames for understanding how some podcasters negotiate the tens…
Parenting self‐efficacy in the context of poverty and HIV in Eastern Uganda
We sought to understand social representations of effective parenting and parenting self‐efficacy among female HIV‐affected caregivers in rural Eastern Uganda. We conducted in‐depth interviews ( n = 21) to describe parenting experiences and caregivers’ perceptions of their own parenting abilities and to create vignettes for use in directed focus groups. We carried out open focus groups ( n = 2) to gain social perspectives on parenting, and direct…
When, Where, and How Is Digital Sound
This panel’s first author, in discussing podcast archiving, notes that internet archives like the Wayback Machine have had much more focus on preserving visual and text content than sound. Internet Research has similarly traditionally had less engagement with sound than with other forms of digital content. This panel seeks to contribute to ongoing work to bring Sound Studies and Internet Studies into better conversation with each other, taking di…
Lessons learned evaluating the baby friendly spaces program for south Sudanese refugees in Gambella, Ethiopia
Research focused on strengthening program implementation is critically important for improving maternal and child health in humanitarian emergencies. Research in such settings demands critical problem-solving skills, strong supervision systems, flexibility in timeline and logistics, and tailor-made training for program and research staff members and context- adapted strategies for retaining existing staff
Measurement of Parenting Self-efficacy Among Female HIV-Affected Caregivers in Uganda
Effect of Covid-19 pandemic on women’s health and safety
Intimate partner violence (IPV) is a significant national and global public health concern, with COVID-19 pandemic increasing IPV and associated health issues. Immigrant women may be disproportionately vulnerable to IPV-related health risks during the pandemic. Using qualitative in-depth interviews, we explored the perspectives of service providers ( n = 17) and immigrant survivors of IPV( n = 45) on the impact of COVID-19 on immigrant women, exi…
Postdigital cultural studies
What should a postdigital cultural studies look like? Identifying economies of attention is central to the study of media and culture. Calling for renewed focus on attention as power, this article pairs three long-established lessons of cultural studies with three examples of contemporary digital immersion: deepfakes and manipulated media; algorithmic culture; and, the digital afterlife industry. In doing so, the critical questions that drive cul…
Impact of Sources of Strengths on Coping and Safety of Immigrant Survivors of Intimate Partner Violence
Intimate partner violence (IPV) is a national and international public health and human rights concern. Immigrant women are disproportionately affected by IPV that includes homicides. This study explored the perspectives of survivors of IPV, who are immigrants to the United States, regarding their sources of strength that enhance their safety and promote coping in abusive relationships. Data for this qualitative study were collected from ethnical…
HIV-related stigma and discrimination in health care and health-related quality of life among people living with HIV in England and Wales
Though life expectancy of people living with HIV (PLHIV) is now comparable to that of HIV-negative persons, their health-related quality of life (HRQoL) lags behind. Lower HRQoL among PLHIV may vary meaningfully, shaped in part by social factors, including stigma. Using data from Positive Voices, a national cross-sectional probability survey of adults ≥ 18 years living with HIV and accessing HIV care services in England and Wales ( N = 4,422), we…
Measuring sexual violence stigma in humanitarian contexts
An abbreviated core set of invariant perceived and internalized sexual violence stigma items demonstrated evidence of construct validity in two diverse settings. The ability of this measure to be efficiently administered as a part of routine program monitoring and evaluation activities, with the potential addition of items from a measurement bank to improve contextual relevance, can facilitate improvements in the delivery and quality of gender-ba…
Medicine (49 works) · Psychology (45 works) · Psychiatry (43 works) · Clinical Psychology (30 works) · Mental health (23 works) · HIV/AIDS Research and Interventions (22 works) · Sociology (21 works) · Psychological intervention (17 works) · Family medicine (16 works) · Environmental health (15 works)