Laura Nyblade
Biographic Data
| ID | 5001705 |
|---|---|
| NAME | Laura Nyblade |
| GIVEN NAMES | Laura |
| FAMILY NAME | Nyblade |
| SIGNATURE | NYBLADE L |
| AFFILIATIONS | RTI International |
| ORCID | 0000-0001-8067-4192 |
| VERIFIED | Yes |
| TOTAL WORKS | 37 |
| TOTAL CITATIONS | 25 |
| AUTHOR COUNT | 37 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2006 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 3 |
Pre-exposure Prophylaxis Outcomes from a Multilevel Cluster-Randomized Trial Among Adolescent Girls and Young Women in Tshwane, South Africa
A Content Analysis of Digital Crowdsourced Messages to Reduce HIV Stigma and Promote Testing Among Adolescents and Young Adults in Kazakhstan
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…
We have our reasons”
To bridge the gap between awareness, knowledge, and acceptability, HIV prevention programs should address access barriers and incorporate community-derived strategies
The Implementation and Costs To Deliver a youth-friendly multi-component Program Addressing Stigma, HIV, and Linkage To Care for Adolescent Girls and Young Women in Lusaka, Zambia
Examining Experiences of Gender Identities, Roles, and Relations among Men with Same-Gender Sexual Histories
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…
"I told myself, be bold and go and test"
Despite a disproportionately high burden of HIV, GBMSM in Ghana and sub-Saharan Africa often delay testing until the point of illness. However, limited studies examine factors that affect their participation in testing. We used qualitative in-depth interviews (IDIs) and focus group discussions (FGDs) to collect insights into experiences, motivators, and barriers to HIV testing among GBMSM. Two community-based organizations used snowball and conve…
Multi-level manifestations of sexual stigma among men with same-gender sexual experience in Ghana
Sexual stigma and discrimination toward men who have same-gender sexual experiences are present across the globe. In Ghana, same-gender sexual desires and relationships are stigmatized, and the stigma is sanctioned through both social and legal processes. Such stigma negatively influences health and other material and social aspects of daily life for men who have sex with men (MSM). However, there is evidence that stigma at the interpersonal leve…
The Importance of the Individual in PrEP Uptake
What do we know about interventions to reduce intersectional stigma and discrimination in the context of HIV? A systematic review
There is ample literature on interventions to reduce human immunodeficiency virus (HIV) stigma and discrimination and extant theory around intersectionality. However, the integration of intersectionality into the design and implementation of stigma reduction interventions is nascent. Using Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, we reviewed 23 studies from six countries to examine the state of the evidence o…
Validating a measure of anticipated sex work-related stigma among male and female sex workers in Kenya
Sex workers face different types of sex work-related stigma, which may include anticipated, perceived, experienced, or internalized stigma. Sex work stigma can discourage health care seeking and hamper STI and HIV prevention and treatment efforts. There is a paucity of validated sex work-related stigma measures, and this limits the ability to study the stigma associated with sex work. A cross-sectional survey was conducted that measured anticipat…
Stigma in the health clinic and implications for PrEP access and use by adolescent girls and young women
Evidence is needed to inform strategies for addressing clinic stigma toward AGYW, with the goal of removing barriers to PrEP services for this group. While awareness has increased and progress has been achieved around the provision of comprehensive, youth-friendly sexual and reproductive health services, these programs need to be adapted for the specific concerns of young people seeking PrEP services. Our findings point to the four key areas note…
The Influence of Transmission-Based and Moral-Based HIV Stigma Beliefs on Intentions to Discriminate Among Ward Staff in South Indian Health Care Settings
HIV stigma is comprised of several beliefs, including transmission fears and moral judgments against affected communities. We examined the relationships among HIV-related stigma beliefs, endorsement of coercive measures for people living with HIV (PLWH), and intentions to discriminate. We sought to understand to what degree the different stigma beliefs shape support for restrictive policies and discriminatory intentions. Data were drawn from the …
An Expanded Definition of Intersectional Stigma for Public Health Research and Praxis
HIV Education, Empathy, and Empowerment (Hive3)
Men who have sex with men (MSM) in Ghana remain at heightened risk of HIV infection, and face challenges in accessing HIV prevention and care services. Previous research in Ghana shows that MSM face intersectional stigma across ecological levels (family, peers, healthcare settings, and community level) and the criminalization of same-gender sexual behaviors in the country. To protect their wellbeing from exposure to stigma, many MSM avoid interac…
Patient and Provider Perspectives on HIV Stigma in Healthcare Settings in Underserved Areas of the US South
Validation of a Brief Internalized Sex-work Stigma Scale among Female Sex Workers in Kenya
Female sex workers (FSW) often face severe stigma and discrimination and are extremely vulnerable to HIV and other sexually transmitted infections. In the fields of HIV and mental health, internalized stigma is associated with poor health care engagement. Due to the lack of valid, standardized measures for internalized sex work-related stigma, its dimensions and role are not well-understood. This study aimed to validate the six-item Internalized …
Reducing HIV stigma among healthcare providers in India using a partly tablet-administered intervention
HIV stigma has long been recognized as a significant barrier in the worldwide fight against HIV. Across cultures, stigma has been shown to cause psychological distress and act as a barrier to engagement in care. Health professionals can serve as a crucial source of HIV stigma, with drivers that include fears and transmission misconceptions and pre-existing negative attitudes towards marginalized groups. To increase their impact, stigma reduction …
The PrEpare Pretoria Project
Background Despite increased prevention efforts, HIV remains the leading cause of death among adolescent girls and young women in South Africa. Although research indicates important determinants of HIV acquisition at the individual and interpersonal levels, structural-level stigma and discrimination continue to be critical barriers to reaching and retaining this key population for HIV prevention and sexual and reproductive health services. Innova…
HIV Transmission Worry Predicts Discrimination Intentions Among Nursing Students and Ward Staff in India
Predictors of HIV Testing among Orphaned Youths in Three East African Countries
Stigma in health facilities
Stigma in health facilities undermines diagnosis, treatment, and successful health outcomes. Addressing stigma is fundamental to delivering quality healthcare and achieving optimal health. This correspondence article seeks to assess how developments over the past 5 years have contributed to the state of programmatic knowledge-both approaches and methods-regarding interventions to reduce stigma in health facilities, and explores the potential to c…
Experienced sex-work stigma in male and female sex workers in Kenya
Sex work stigma can negatively impact health care utilization by sex workers, including utilization of services for HIV prevention and treatment. It is important to measure and address sex work stigma to improve access and retention in HIV and other health services, yet a gap remains in the literature on sex work stigma. This may in part be due to lack of validated sex work stigma measurement instruments. We developed a set of 26 items on experie…
The People Living with HIV (PLHIV) Resilience Scale
Supporting resilience among people living with HIV (PLHIV) is crucial to their sustained uptake of HIV services as well as psychological and social wellbeing. However, no measures exist to assess resilience specifically in relation to living with HIV. We developed the PLHIV Resilience Scale and evaluated its performance in surveys with 1207 PLHIV in Cameroon, Senegal and Uganda as part of the PLHIV Stigma Index-the most widely used tool to track …
An Expanded Definition of Intersectional Stigma for Public Health Research and Praxis
The importance of addressing the unfolding TB‐HIV stigma in high HIV prevalence settings
In the context of high HIV prevalence, tuberculosis is proving hard to control, becoming an increasingly prevalent disease and forcing a more integrated public health approach to the dual epidemics. Yet this integrated approach often overlooks the implications of how intertwined TB and HIV have become in the social reality of people living in high HIV prevalence settings. In this context, TB, the most common and serious of HIV's opportunistic inf…
Methodological Innovation in Studying Abortion in Developing Countries
This article describes the development and implementation of a mixed methods data collection method designed to provide high-quality data on the circumstances surrounding abortion in Madhya Pradesh, India. Data collection took place between 2000 and 2002, beginning with a qualitative phase and culminating in a large-scale, representative survey. The survey itself melded a unique narrative interviewing technique with quantitative survey techniques…
Validation of a Brief Internalized Sex-work Stigma Scale among Female Sex Workers in Kenya
Female sex workers (FSW) often face severe stigma and discrimination and are extremely vulnerable to HIV and other sexually transmitted infections. In the fields of HIV and mental health, internalized stigma is associated with poor health care engagement. Due to the lack of valid, standardized measures for internalized sex work-related stigma, its dimensions and role are not well-understood. This study aimed to validate the six-item Internalized …
Measuring HIV stigma
The growing recognition of the reduction of HIV stigma as central to effective programs across the HIV/AIDS prevention to care and treatment continuum is leading to an increasing number of programs focused on stigma reduction. Correctly evaluating the impact of these programs depends on having a good set of measures that effectively capture and distinguish the complexities of HIV stigma. This paper reviews the existing literature on HIV stigma me…
The importance of addressing the unfolding TB‐HIV stigma in high HIV prevalence settings
In the context of high HIV prevalence, tuberculosis is proving hard to control, becoming an increasingly prevalent disease and forcing a more integrated public health approach to the dual epidemics. Yet this integrated approach often overlooks the implications of how intertwined TB and HIV have become in the social reality of people living in high HIV prevalence settings. In this context, TB, the most common and serious of HIV's opportunistic inf…
Combating HIV stigma in health care settings
The purpose of this review paper is to provide information and guidance to those in the health care setting about why it is important to combat HIV‐related stigma and how to successfully address its causes and consequences within health facilities. Research shows that stigma and discrimination in the health care setting and elsewhere contributes to keeping people, including health workers, from accessing HIV prevention, care and treatment service…
Self-Reported Abortion-Related Morbidity
Methodological Innovation in Studying Abortion in Developing Countries
This article describes the development and implementation of a mixed methods data collection method designed to provide high-quality data on the circumstances surrounding abortion in Madhya Pradesh, India. Data collection took place between 2000 and 2002, beginning with a qualitative phase and culminating in a large-scale, representative survey. The survey itself melded a unique narrative interviewing technique with quantitative survey techniques…
HIV-related Stigma as a Barrier to Achievement of Global PMTCT and Maternal Health Goals
Different Dimensions of HIV-Related Stigma May Have Opposite Effects on HIV Testing
Improving Hospital-Based Quality of Care by Reducing HIV-Related Stigma
HIV-Related Stigma Among Healthcare Providers in the Deep South
The relationship between health worker stigma and uptake of HIV counseling and testing and utilization of non-HIV health services
The barrier HIV-stigma presents to the HIV treatment cascade is increasingly documented; however less is known about female and male sex worker engagement in and the influence of sex-work stigma on the HIV care continuum. While stigma occurs in all spheres of life, stigma within health services may be particularly detrimental to health seeking behaviors. Therefore, we present levels of sex-work stigma from healthcare workers (HCW) among male and …
Building the evidence base for stigma and discrimination-reduction programming in Thailand
This effort provides an example of how a country can adapt global S&D measurement tools to a local context for use in national routine monitoring. Such data helps to strengthen the national response to HIV through the provision of evidence to shape S&D-reduction programming
Perceived, anticipated and experienced stigma
Young people - particularly girls and young women in sub-Saharan Africa - face significant challenges accessing sexual and reproductive health information and services. These challenges are shaped in part by sociocultural factors, including stigma. This paper presents findings from a qualitative study that explored the micro-level social process of stigma surrounding young people's sexual and reproductive health in two communities in Tanzania. Re…
Stigma in health facilities
Stigma in health facilities undermines diagnosis, treatment, and successful health outcomes. Addressing stigma is fundamental to delivering quality healthcare and achieving optimal health. This correspondence article seeks to assess how developments over the past 5 years have contributed to the state of programmatic knowledge-both approaches and methods-regarding interventions to reduce stigma in health facilities, and explores the potential to c…
Experienced sex-work stigma in male and female sex workers in Kenya
Sex work stigma can negatively impact health care utilization by sex workers, including utilization of services for HIV prevention and treatment. It is important to measure and address sex work stigma to improve access and retention in HIV and other health services, yet a gap remains in the literature on sex work stigma. This may in part be due to lack of validated sex work stigma measurement instruments. We developed a set of 26 items on experie…
The People Living with HIV (PLHIV) Resilience Scale
Supporting resilience among people living with HIV (PLHIV) is crucial to their sustained uptake of HIV services as well as psychological and social wellbeing. However, no measures exist to assess resilience specifically in relation to living with HIV. We developed the PLHIV Resilience Scale and evaluated its performance in surveys with 1207 PLHIV in Cameroon, Senegal and Uganda as part of the PLHIV Stigma Index-the most widely used tool to track …
Reducing HIV stigma among healthcare providers in India using a partly tablet-administered intervention
HIV stigma has long been recognized as a significant barrier in the worldwide fight against HIV. Across cultures, stigma has been shown to cause psychological distress and act as a barrier to engagement in care. Health professionals can serve as a crucial source of HIV stigma, with drivers that include fears and transmission misconceptions and pre-existing negative attitudes towards marginalized groups. To increase their impact, stigma reduction …
The PrEpare Pretoria Project
Background Despite increased prevention efforts, HIV remains the leading cause of death among adolescent girls and young women in South Africa. Although research indicates important determinants of HIV acquisition at the individual and interpersonal levels, structural-level stigma and discrimination continue to be critical barriers to reaching and retaining this key population for HIV prevention and sexual and reproductive health services. Innova…
HIV Transmission Worry Predicts Discrimination Intentions Among Nursing Students and Ward Staff in India
Predictors of HIV Testing among Orphaned Youths in Three East African Countries
HIV Education, Empathy, and Empowerment (Hive3)
Men who have sex with men (MSM) in Ghana remain at heightened risk of HIV infection, and face challenges in accessing HIV prevention and care services. Previous research in Ghana shows that MSM face intersectional stigma across ecological levels (family, peers, healthcare settings, and community level) and the criminalization of same-gender sexual behaviors in the country. To protect their wellbeing from exposure to stigma, many MSM avoid interac…
Patient and Provider Perspectives on HIV Stigma in Healthcare Settings in Underserved Areas of the US South
Validation of a Brief Internalized Sex-work Stigma Scale among Female Sex Workers in Kenya
Female sex workers (FSW) often face severe stigma and discrimination and are extremely vulnerable to HIV and other sexually transmitted infections. In the fields of HIV and mental health, internalized stigma is associated with poor health care engagement. Due to the lack of valid, standardized measures for internalized sex work-related stigma, its dimensions and role are not well-understood. This study aimed to validate the six-item Internalized …
What do we know about interventions to reduce intersectional stigma and discrimination in the context of HIV? A systematic review
There is ample literature on interventions to reduce human immunodeficiency virus (HIV) stigma and discrimination and extant theory around intersectionality. However, the integration of intersectionality into the design and implementation of stigma reduction interventions is nascent. Using Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, we reviewed 23 studies from six countries to examine the state of the evidence o…
Validating a measure of anticipated sex work-related stigma among male and female sex workers in Kenya
Sex workers face different types of sex work-related stigma, which may include anticipated, perceived, experienced, or internalized stigma. Sex work stigma can discourage health care seeking and hamper STI and HIV prevention and treatment efforts. There is a paucity of validated sex work-related stigma measures, and this limits the ability to study the stigma associated with sex work. A cross-sectional survey was conducted that measured anticipat…
Stigma in the health clinic and implications for PrEP access and use by adolescent girls and young women
Evidence is needed to inform strategies for addressing clinic stigma toward AGYW, with the goal of removing barriers to PrEP services for this group. While awareness has increased and progress has been achieved around the provision of comprehensive, youth-friendly sexual and reproductive health services, these programs need to be adapted for the specific concerns of young people seeking PrEP services. Our findings point to the four key areas note…
Medicine (31 works) · HIV/AIDS Research and Interventions (29 works) · Family medicine (26 works) · Psychiatry (25 works) · Psychology (22 works) · Human immunodeficiency virus (HIV (20 works) · Environmental health (19 works) · HIV, Drug Use, Sexual Risk (19 works) · Public health (19 works) · Clinical Psychology (18 works)