Henna Budhwani
Biographic Data
| ID | 185738 |
|---|---|
| NAME | Henna Budhwani |
| GIVEN NAMES | Henna |
| FAMILY NAME | Budhwani |
| SIGNATURE | BUDHWANI H |
| AFFILIATIONS | University of Alabama at Birmingham |
| ORCID | 0000-0002-6716-9754 |
| VERIFIED | Yes |
| TOTAL WORKS | 36 |
| TOTAL CITATIONS | 26 |
| AUTHOR COUNT | 36 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2015 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 2 |
Associations Between Healthcare Discrimination, Medical Mistrust, and Covid-19 Vaccine Uptake Among Young Black Adults in the Southern United States
Racial inequities related to COVID-19 exposure, morbidity, mortality, and access to care in the United States (U.S.) are notable, and COVID-19 vaccine uptake is lower among Black Americans than White Americans. Yet, mechanisms linking healthcare experiences to COVID-19 vaccination behavior among young adults are not well characterized. We analyzed cross-sectional data collected between March and June 2023 from 360 Black young adults (ages 18–29) …
Development of evidence-based tools using human-centered design to promote PrEP uptake for young men who have sex with men of color
We conducted formative interviews and design workshops to tailor evidence-based tools addressing informational needs around pre-exposure prophylaxis (PrEP) use among men who have sex with men (MSM) of color. Clients (n = 18) and providers (n = 19) were interviewed to explore needs and preferences for PrEP-related decision-making tools. Next, we developed an analysis matrix to design personas to tailor materials to real-world contexts. Existing Pr…
A Model for Perinatal Health Equity
Maternal and infant morbidity and mortality in the United States, particularly in Alabama, are unacceptably high and disproportionately affect Black and other marginalized communities. Community health workers (CHWs) are a promising solution to address these disparities by bridging the gap between health care systems and underserved communities. This article describes an ongoing Perinatal CHW Program conducted by ConnectionHealth in Jefferson Cou…
Results of a workshop intervention trial to reduce HIV and intersectional stigma among sexual and gender minorities and healthcare workers in the Dominican Republic
Eliminating stigmas that harm sexual and gender minorities (SGM) with HIV is necessary to end the epidemic; however, few validated stigma-reducing interventions for healthcare settings exist, and even fewer have been evaluated in Spanish-speaking contexts. Finding Respect and Ending Stigma around HIV (FRESH) is a healthcare setting stigma-reduction intervention that was adapted and tested to address HIV and intersectional stigmas that harm SGM wi…
Disclosure concerns moderate the association between internalized stigma and antiretroviral medication adherence among people with HIV in the Dominican Republic
HIV-related stigma remains a significant barrier to antiretroviral therapy (ART) adherence among people with HIV (PWH). Internalized stigma has been consistently linked to poorer ART adherence. However, the role of disclosure concerns, worries or fears about revealing one’s HIV status, remains unclear. This study examines whether disclosure concerns moderate the relationship between internalized stigma and ART adherence among PWH in the Dominican…
Relationships Between Vaccine Knowledge, Hesitancy, and Conspiracy Beliefs on Covid-19, Influenza, and HPV Vaccination
Association between HIV knowledge and stigma among HIV health care workers in the Dominican Republic
Out-of-date HIV knowledge among healthcare workers (HCW) can hinder the quality of care for people with HIV (PWH) and contribute to stigmatizing attitudes and behaviors. However, the role of HIV knowledge on stigma and mechanisms underlying HCWs' attitudes and behaviors remain understudied. This study examined empathy and social distance as mediators in the relationship between HIV knowledge and stigma toward PWH among HCWs. Cross-sectional data …
Examining the Psychometric Properties of a Revised 40-Item Berger HIV Stigma Scale
Over the past decades, as social contexts and knowledge about HIV have evolved, the conceptualization and understanding of HIV stigma, as well as the measures used to assess it, may have also shifted. This study aimed to examine the psychometric properties of a revised version of the Berger scale which updated language to better capture HIV stigma in the Southern U.S. The revisions were informed by focus group discussions with people with HIV (PW…
The Association of HIV Criminalization Law and Disparities in Transplant Education among People with HIV
Stigmas experienced by sexual and gender minority people with HIV in the Dominican Republic
BACKGROUND: As part of a study to test the feasibility and acceptability of the Finding Respect and Ending Stigma around HIV (FRESH) intervention to reduce stigmas and improve HIV viral suppression, our team collected qualitative data from men who have sex with men (MSM) with HIV, transgender women with HIV, and HIV healthcare providers for their perspectives on different stigmas in Dominican Republic healthcare settings. PURPOSE: We aimed to dev…
Living a private lie
Effectively addressing stigmas and poor mental health outcomes among young HIV-positive MSM and TGW will require adopting a socio-ecological approach that focuses on structural interventions, more trauma-informed and identity-supportive care for young people with HIV, as well as strengthening of authentic community-informed public health efforts
Development and validation of the mpox stigma scale (MSS) and mpox knowledge scale (MKS)
ClinicalTrials.gov NCT05490329
Prepared, Protected, EmPowered (P3)
A Moderated Mediation Analysis of HIV and Intersectional Stigmas and Antiretroviral Adherence in People Living with HIV in the Dominican Republic
Social ecological model of alcohol use among youth living with HIV
The goal of this study was to identify predictors of alcohol use among youth living with HIV (YWH) using a social ecological approach that examines the individual and the context in which they are embedded. The sample consisted of 183 YWH ages 17–24 from five sites within the Adolescent Medicine Trials Network (ATN). Structural equation modeling was used to test the social ecological model of alcohol use in this sample. The model tested predictor…
Barriers and facilitators to implementing a motivational interviewing-based intervention
Understanding possible barriers and facilitators to effective implementation of evidence-based interventions to help high-risk youth prevent and manage HIV is crucial for their scale-up. This manuscript analyzes qualitative interview data collected during the early phase implementation of a motivational interviewing (MI) based intervention at 10 HIV care clinics in the United States providing services to youth. Using the Exploration-Preparation-I…
Development and Validation of the Youth Pre-Exposure Prophylaxis (PrEP) Stigma Scale
HIV Testing Among Muslim Women in the United States
Purpose: More than one million Americans are living with human immunodeficiency virus (HIV), and less than half of Americans have ever accepted an HIV test. There are no national HIV testing estimates for Muslim Americans, an underserved and often stigmatized population. Considering the lack of HIV testing estimates for this population, we conducted an exploratory study on HIV testing and potential associates in American Muslim women from across …
Patient and Provider Perspectives on HIV Stigma in Healthcare Settings in Underserved Areas of the US South
Patient Health Literacy and Communication with Providers Among Women Living with HIV
Restrictive Abortion Laws Exacerbate Stigma, Resulting in Harm to Patients and Providers
Creating Covid-19 Stigma by Referencing the Novel Coronavirus as the “Chinese virus” on Twitter
BACKGROUND: Stigma is the deleterious, structural force that devalues members of groups that hold undesirable characteristics. Since stigma is created and reinforced by society-through in-person and online social interactions-referencing the novel coronavirus as the "Chinese virus" or "China virus" has the potential to create and perpetuate stigma. OBJECTIVE: The aim of this study was to assess if there was an increase in the prevalence and frequ…
Preliminary Findings from Three Models of Motivational Interviewing Training in Jamaica
Introduction: We assessed satisfaction, fidelity, retention, and implementation considerations across three models of motivational interviewing training in Jamaica to identify a promising model for resource-poor settings. Methods: We conducted t-tests to assess differences in fidelity and examined qualitative data for barriers and facilitators (n=52). Results: Only 50−75% of all models' trainees completed coaching. Model 1 trainees' mean fidelity…
Healthy Choices Intervention is Associated with Reductions in Stigma Among Youth Living with HIV in the United States (ATN 129)
Perceived Stigma in Health Care Settings and the Physical and Mental Health of People of Color in the United States
Purpose: Addressing perceived and enacted stigma in clinical settings is critical to ensuring delivery of high-quality patient-centered care, reducing health disparities, and improving population health outcomes. Methods: Data from the Behavioral Risk Factor Surveillance System's (2012–2014) Reaction to Race module were analyzed to test the hypothesis that perceived stigma in health care settings would be associated with poorer physical and menta…
Depression in Racial and Ethnic Minorities
Sex work, social support, and stigma
Background: Transgender populations, and especially those in resource-limited settings, are at an elevated risk of experiencing stigma and discrimination. Aims: This study sought to examine the relationship between parental, familial, and other social support, experiences of stigma and discrimination, quality of life, and sex work in a national sample of transgender women in the Dominican Republic ( n = 291). Methods: Descriptive analyses for the…
Restrictive Abortion Laws Exacerbate Stigma, Resulting in Harm to Patients and Providers
Individual and Area Level Factors Associated with Prenatal, Delivery, and Postnatal Care in Pakistan
Depression in Racial and Ethnic Minorities
Moment-to-moment within-person associations between acts of discrimination and internalized stigma in people living with HIV
Internalized stigma related to HIV is associated with poorer outcomes for people living with HIV (PLWH). However, little is known about the association between experiences of daily acts of discrimination by others and the activation of internalized stigma, including factors that may moderate this association. One hundred nine men living with HIV responded to experience sampling method (ESM) questions 3 times a day for 7 days via smart-phones. ESM…
Associates of Neonatal, Infant and Child Mortality in the Islamic Republic of Pakistan
How Does Stigma Affect People Living with HIV? The Mediating Roles of Internalized and Anticipated HIV Stigma in the Effects of Perceived Community Stigma on Health and Psychosocial Outcomes
Statistical Effects of Religious Participation and Marriage on Substance Use and Abuse in Racial and Ethnic Minorities
Behaviors and Risks for Cardiovascular Disease Among Muslim Women in the United States
Purpose: This study examines statistical associates of cardiovascular disease risk factors, as defined by the American Heart Association's Life's Simple Seven, among Muslim women who reside in the United States. Methods: Data collected nationally through the 2015 Muslim Women's Health project were analyzed (N=373). Logistic regression models estimated associations between sample characteristics and diet, exercise, alcohol consumption, blood press…
Examining the Relationship Between Individual Characteristics, Community-Level Traits, Multidimensional Empowerment, and Maternal Health Care Utilization in the Islamic Republic of Pakistan
Perceived Stigma in Health Care Settings and the Physical and Mental Health of People of Color in the United States
Purpose: Addressing perceived and enacted stigma in clinical settings is critical to ensuring delivery of high-quality patient-centered care, reducing health disparities, and improving population health outcomes. Methods: Data from the Behavioral Risk Factor Surveillance System's (2012–2014) Reaction to Race module were analyzed to test the hypothesis that perceived stigma in health care settings would be associated with poorer physical and menta…
Human papillomavirus (HPV) and influenza vaccine behavior among Muslim women in the United States
In this study, we examined vaccination behaviors-single dose human papillomavirus (HPV) vaccination, triple dose HPV vaccination, and influenza vaccination-among Muslim women residing in the United States. Using logistic regression models, we analyzed self-reported survey. We found that respondents had lower rates of HPV vaccination and higher rates of influenza vaccination, relative to the general American population. The respondents in our samp…
Sex work, social support, and stigma
Background: Transgender populations, and especially those in resource-limited settings, are at an elevated risk of experiencing stigma and discrimination. Aims: This study sought to examine the relationship between parental, familial, and other social support, experiences of stigma and discrimination, quality of life, and sex work in a national sample of transgender women in the Dominican Republic ( n = 291). Methods: Descriptive analyses for the…
Is Perceived Stigma in Clinical Settings Associated With Poor Health Status Among New York City’s Residents of Color
OBJECTIVES: Our objectives were to assess rates of perceived stigma in health care (clinical) settings reported by racially diverse New York City residents and to examine if this perceived stigma is associated with poorer physical and mental health outcomes. METHODS: We analyzed data from the 2016 New York City Community Health Survey. We applied bivariable and multivariable methods to assess rates of perceived stigma, and perceived stigma's stat…
Creating Covid-19 Stigma by Referencing the Novel Coronavirus as the “Chinese virus” on Twitter
BACKGROUND: Stigma is the deleterious, structural force that devalues members of groups that hold undesirable characteristics. Since stigma is created and reinforced by society-through in-person and online social interactions-referencing the novel coronavirus as the "Chinese virus" or "China virus" has the potential to create and perpetuate stigma. OBJECTIVE: The aim of this study was to assess if there was an increase in the prevalence and frequ…
Preliminary Findings from Three Models of Motivational Interviewing Training in Jamaica
Introduction: We assessed satisfaction, fidelity, retention, and implementation considerations across three models of motivational interviewing training in Jamaica to identify a promising model for resource-poor settings. Methods: We conducted t-tests to assess differences in fidelity and examined qualitative data for barriers and facilitators (n=52). Results: Only 50−75% of all models' trainees completed coaching. Model 1 trainees' mean fidelity…
Healthy Choices Intervention is Associated with Reductions in Stigma Among Youth Living with HIV in the United States (ATN 129)
HIV Testing Among Muslim Women in the United States
Purpose: More than one million Americans are living with human immunodeficiency virus (HIV), and less than half of Americans have ever accepted an HIV test. There are no national HIV testing estimates for Muslim Americans, an underserved and often stigmatized population. Considering the lack of HIV testing estimates for this population, we conducted an exploratory study on HIV testing and potential associates in American Muslim women from across …
Patient and Provider Perspectives on HIV Stigma in Healthcare Settings in Underserved Areas of the US South
Patient Health Literacy and Communication with Providers Among Women Living with HIV
Restrictive Abortion Laws Exacerbate Stigma, Resulting in Harm to Patients and Providers
Barriers and facilitators to implementing a motivational interviewing-based intervention
Understanding possible barriers and facilitators to effective implementation of evidence-based interventions to help high-risk youth prevent and manage HIV is crucial for their scale-up. This manuscript analyzes qualitative interview data collected during the early phase implementation of a motivational interviewing (MI) based intervention at 10 HIV care clinics in the United States providing services to youth. Using the Exploration-Preparation-I…
Development and Validation of the Youth Pre-Exposure Prophylaxis (PrEP) Stigma Scale
Living a private lie
Effectively addressing stigmas and poor mental health outcomes among young HIV-positive MSM and TGW will require adopting a socio-ecological approach that focuses on structural interventions, more trauma-informed and identity-supportive care for young people with HIV, as well as strengthening of authentic community-informed public health efforts
Development and validation of the mpox stigma scale (MSS) and mpox knowledge scale (MKS)
ClinicalTrials.gov NCT05490329
Prepared, Protected, EmPowered (P3)
A Moderated Mediation Analysis of HIV and Intersectional Stigmas and Antiretroviral Adherence in People Living with HIV in the Dominican Republic
Medicine (30 works) · Psychology (17 works) · Environmental health (16 works) · HIV/AIDS Research and Interventions (16 works) · Nursing (16 works) · Psychiatry (16 works) · Family medicine (15 works) · Public health (15 works) · Health care (11 works) · Clinical Psychology (10 works)