Rebecca Schnall
Datos Biográficos
| ID | 4603282 |
|---|---|
| NOMBRE | Rebecca Schnall |
| NOMBRES | Rebecca |
| APELLIDO | Schnall |
| FIRMA | SCHNALL R |
| AFILIACIONES | Columbia University |
| ORCID | 0000-0003-2184-4045 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 63 |
| TOTAL DE CITAS | 0 |
| TOTAL COMO AUTOR | 63 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2010 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 0 |
Multilevel factors influencing HIV care and management in the Deep South
The United States Deep South bears a disproportionate HIV burden, with low rates of retention in care and viral suppression among people living with HIV (PWH). Factors influencing HIV care engagement can be understood through the modified social ecological model (MSEM), which comprises five interconnected layers: individual, network, community, policy, and HIV epidemic stage. We interviewed thirty HIV care professionals from Alabama, Mississippi,…
An Evidence-Based Approach to Facilitating PrEP Initiation Among YMSM
Men who have sex with men (MSM) account for nearly 70% of new HIV infections annually. Although awareness of pre-exposure prophylaxis (PrEP) is growing, uptake remains low among young MSM. Peer navigators are well positioned to guide patients through PrEP care, provide psychosocial support, build trust, and demystify PrEP. Given strong evidence to support mobile health (mHealth) apps for enhancing HIV prevention knowledge, our team created MyPEEP…
Psychometric Evaluation of a Revised Instrument for Assessing HIV Knowledge Among SGM Men
Accurate assessment of general HIV and pre-exposure prophylaxis (PrEP) knowledge is essential for evaluating contemporary prevention efforts. This study examined the psychometric properties of a revised HIV and PrEP knowledge instrument for young sexual and gender minority (SGM) men. Data were collected from 1,519 participants (ages 17–29) via an online survey. Of the original 31 items, 7 were removed based on item analysis, and Exploratory Facto…
Awareness and use of pre-exposure prophylaxis in a United States national sample of young sexual and gender minority men
Young sexual and gender minority (SGM) men remain disproportionately affected by the HIV epidemic. Although pre-exposure prophylaxis (PrEP) is highly effective in preventing HIV acquisition, uptake among SGM men in the United States (US) remains suboptimal. To better understand disparities in PrEP awareness, use, and adherence, we examined baseline survey data from the Limited Interaction Targeted Epidemiology (LITE-2) cohort, which included 3,14…
Pre-Exposure prophylaxis knowledge, use and adherence among a US national sample of women
Pre-exposure prophylaxis (PrEP) is a proven strategy for HIV prevention, yet uptake among women vulnerable to HIV remains low. This study draws on survey data and urine-based adherence testing from the American Women Assessing Risk Epidemiologically (AWARE) study to assess PrEP knowledge, use, and adherence in a behaviorally vulnerable sample. Despite high awareness of PrEP, actual use and willingness to consider PrEP were minimal. Objective adhe…
The Dual Burden of Weight in YMSM
BACKGROUND/OBJECTIVES: Young men who have sex with men (YMSM) navigate a unique intersection of health risks characterized by structural drivers of obesity and intense sociocultural pressures for thinness. While Body Mass Index (BMI) differences are documented in the general population, less is known about how these patterns manifest within the specific appearance-potent subcultures of YMSM. This study describes BMI profiles across racial/ethnic …
Evaluation of a patient educational brochure to increase knowledge of cervical cancer screening among women living with HIV in La Romana
Cervical cancer is among the most preventable human malignancies, yet it’s the second leading cause of cancer death among women in the Dominican Republic. Among those who are most at risk for cervical cancer are women living with HIV (WLH) who face a six-fold increased risk compared to the general population. Given patient barriers to uptake of cervical cancer screening, we created a patient-facing brochure on cervical cancer to be distributed wi…
Mental Health and ART Adherence in a Multisite International Study
ART adherence, essential to preventing disease progression for people living with HIV (PLHIV), remains challenged by factors like poor mental health condition, insufficient social support, and substance use. This study investigates the roles of social support and substance use as mediators in the relationship between mental health and antiretroviral therapy (ART) adherence among PLHIV in a multisite, international context. Cross-sectional data fr…
Detailed HIV Self-Testing Patterns Derived from Paradata in the mLab App Clinical Trial
Self-testing is a critical component of public health initiatives aimed at slowing and stopping the spread of HIV. It has the promise of accessibility, reliability, and convenience, and because of the benefits derived from its inherent privacy, self-testing may overcome the barriers associated with HIV screening with at-risk populations. Still, questions remain about whether and how self-testing can adequately link patients to care and engage the…
Factors Related To Improving the Quality of Cervical Cancer Screening for Women Living with HIV in La Romana, Dominican Republic
Cervical cancer remains a leading cause of cancer-related death, especially among women living with HIV (WLH). This qualitative study explored barriers and facilitators to cervical cancer screening from the perspective of healthcare providers and WLH at Clínica de Familia La Romana, a large primary care clinic that specializes in HIV in the Dominican Republic. Ten providers and 25 WLH participated in interviews, which were analyzed in Dedoose usi…
Understanding Patient Barriers and Facilitators Throughout the PrEP Care Continuum
Pre-exposure prophylaxis (PrEP) is a medication that significantly reduces the risk of HIV infection when taken as prescribed, however, less than 36% of the 1.2 million eligible-for-PrEP Americans are currently prescribed it. PrEP navigators can help reduce barriers to PrEP uptake and increase access to care for those vulnerable to HIV. As part of formative work for designing an e-peer navigation tool, MyPEEPS Mobile Plus, twenty PrEP navigators …
An Evaluation of Social Media and Geospatial Dating Apps for Recruitment of a National Sample of Young Men Who Have Sex with Men in the Lite-2 Study
In 2022, over two thirds of individuals diagnosed with HIV in the United States were people of color, half resided in the south, and 67% of new cases were attributed to male-to male sexual transmission (Centers For Disease Control, 2024). To combat these health disparities, the Ending the HIV Epidemic (EHE) initiative recommends that HIV prevention research focus on targeted populations and geographic regions with high rates of new HIV diagnosis.…
We can’t help who we love
Relationship dynamics can influence sexual health outcomes and may affect engagement with HIV prevention strategies. This qualitative study explored how women's perceived relationship dynamics impacted their HIV prevention strategies, including condom and Pre-Exposure Prophylaxis (PrEP) use, and HIV testing. Semi-structured interviews were conducted with 34 women at higher risk of HIV acquisition and 40 women living with HIV in the USA, recruited…
Systematic Review of Factors Associated with Reproductive Coercion and Abuse in the United States
Reproductive coercion and abuse (RCA) refers to deliberate behaviors that undermine an individual’s reproductive decisions, such as sabotaging contraception or pressuring someone to continue or end a pregnancy. Recent legislative changes, such as the Dobbs v. Jackson Women’s Health Organization decision, highlight the timeliness of understanding how RCA manifests in the United States. We conducted a systematic review to synthesize and critically …
Substance use patterns among U.S. adults with HIV
Given the significant syndemic of HIV and substance use in the U.S., this study sought to examine substance use patterns (consistent user, former user, recent adopter, and abstainers) and identify sociodemographic disparities among people with HIV (PWH). Using 2015–2019 National Survey on Drug Use and Health data (N = 212,411), we estimated prevalence rates and conducted multinomial logistic regression to assess associations between HIV status an…
Feasibility and Acceptability of the Sense2Quit App for Improving Smoking Cessation in PWH
Identifying Hidden Barriers to PrEP Adherence Among Young Men Who Have Sex with Men
Impact of Covid-19 Pandemic on Quality of Life, Anxiety, Connections to Friends, and Access to Resources Among People with HIV
The purpose of this study was to understand the impact of the coronavirus disease 2019 (COVID-19) pandemic and mitigation efforts on health and social outcomes for people with HIV at the individual, social, and structural levels of the Social Ecological Model. The International Nursing Network for HIV collected data for a cross-sectional survey of people with HIV in Botswana, Canada, Colombia, Hong Kong, Kenya, Nigeria, South Africa, Thailand, an…
Efficacy of CHAMPS for Improving Viral Suppression
Global Measures of HIV Care Accessibility Across Urban, Suburban, and Rural Areas
Despite advances in HIV treatment, disparities in healthcare access remain across low-income (LIC), middle-income (MIC), and high-income (HIC) countries, limiting access to clinical care, antiretroviral therapy, and viral load testing. This study developed the HIV Care Access Index (HIV-CAI) to measure and compare HIV care service access across countries and within geographic regions and examined associations with economic and health indicators. …
Translating Open-Ended Questions in Cross-Cultural Qualitative Research
INTRODUCTION: Globalization has increased the importance of multicultural research to address health disparities and improve healthcare outcomes for underrepresented communities. The International Nursing Network for HIV Research (The Network) serves as a platform for researchers to collaborate on cross-cultural and cross-national HIV studies. This article discusses the Network's approach to overcoming barriers in multicultural and multinational …
Three limited interaction approaches to understanding the epidemiology of HIV among YMSM in the US
This study will provide important data on multilevel determinants of HIV incidence among SGM men at the national level, allowing us to examine important differences by local jurisdiction, region and state and to better understand the impact of individual, social and geospatial factors on HIV incidence to help inform future prevention strategies
A randomized controlled trial of the dissemination of an mHealth intervention for improving health outcomes
This trial was registered with Clinicaltrials.gov (NCT05398185) on 5/31/2022
Protocol
Innovative and culturally sensitive strategies to improve access to HIV prevention and treatment services for cisgender women are vital to curb the burden of the HIV epidemic for this key population. Findings from this study will inform future research, intervention strategies, and public policies
Social Marketing Perspective on Participant Recruitment in Informatics-Based Intervention Studies
Sin obras prominentes en esta página.
Predictors of Depression Screening Rates of Nurses Receiving a Personal Digital Assistant-based Reminder to Screen
Perceptions of factors influencing use of an electronic record for case management of persons living with HIV
Case managers (CMs) facilitate continuity of care for persons living with HIV (PLWH) by coordination of resources and referrals to social services and medical care. The complexity of the management of HIV drives the need for more coordination, which can be achieved through the use of health information technology (HIT). However, HIT has not been well studied in the context of HIV services. The primary aim of this qualitative study was to assess C…
Health Information Seeking Behaviors of Ethnically Diverse Adolescents
Primary Care Professional’s Perspectives on Treatment Decision Making for Depression with African Americans and Latinos in Primary Care Practice
Can the HIV Home Test Promote Access to Care? Lessons Learned from the In-home Pregnancy Test
MHealth Technology as a Persuasive Tool for Treatment, Care and Management of Persons Living with HIV
Do High-Risk Young Adults Use the HIV Self-Test Appropriately? Observations from a Think-Aloud Study
Information, Motivation, and Behavioral Skills of High-Risk Young Adults to Use the HIV Self-Test
Self-Management Strategies for Coping with Adverse Symptoms in Persons Living with HIV with HIV Associated Non-Aids Conditions
Racial and socioeconomic disparities in the symptom reporting of persons living with HIV
Persons living with HIV (PLWH) today can survive decades with the disease, making the symptom experience much more relevant to their lifestyle and health outcomes. The goal of the research reported here was to assess the symptom reporting of PLWH in the Unites States (US) in the combined antiretroviral therapy (cART) age of the epidemic. We conducted an anonymous online survey of symptomatic PLWH in the US and asked participants to report the fre…
Mobile Health Technology for Improving Symptom Management in Low Income Persons Living with HIV
Use of the Phase-Based Model of Smoking Treatment to Guide Intervention Development for Persons Living with HIV Who Self-Identify as African American Tobacco Smokers
Cigarette smoking is highly prevalent among persons living with the human immunodeficiency virus (HIV) (PLWH), with rates as high 50% as compared to 14% in the general U.S. population. Tobacco use causes morbidity and mortality in PLWH, and tobacco-related harm is substantially higher in PLWH than smokers in the general population, providing the scientific premise for developing effective tobacco cessation interventions in this population. To bet…
Behavioral Interventions Using Consumer Information Technology as Tools to Advance Health Equity
The digital divide related to consumer information technologies (CITs) has diminished, thus increasing the potential to use CITs to overcome barriers of access to health interventions as well as to deliver interventions situated in the context of daily lives. However, the evidence base regarding the use and impact of CIT-enabled interventions in health disparity populations lags behind that for the general population. Literature and case examples…
Bullying and Peer Victimization of Minority Youth
BACKGROUND: Youth with multiple minority identities, such as those who are both sexual minority (eg, lesbian, gay, bisexual) and racial/ethnic minority (eg, Black, Latino) may be at increased risk for bullying and peer victimization. METHODS: Youth Risk Behavior Surveillance data (2011-2017) were analyzed (N = 114,881; 50.8% girls; mean age = 15.7 years, SD = 0.03). We used chi-square tests and sex-stratified multiple linear regression models to …
Protocol of the randomized control trial
This trial was registered with ClinicalTrials.gov ( NCT03205982 ) on July 2, 2017
A randomized controlled efficacy trial of an mHealth HIV prevention intervention for sexual minority young men
ClinicalTrials.gov number, NCT03167606, registered May 30, 2017
Factors Related to Biological Sex Differences in Engagement with Healthcare Providers in Persons Living with HIV
Awareness, Willingness, and Perceived Efficacy of Pre-exposure Prophylaxis among Adolescent Sexual Minority Males
Social media use as a predictor of higher body mass index in persons living with HIV
Social media tools have been touted as an approach to bring more democratic communication to health care. We conducted a multi-site cross-sectional study among persons living with HIV (PLWH) to desrcibe technology use among PLWH in the US and the association between social media use and body-mass index (BMI). Our primary predictor variable was social media use. Our primary outcome was BMI measured through height and weight. Descriptive statistics…
A randomized controlled trial of an mHealth intervention for increasing access to HIV testing and care among young cisgender men and transgender women
This trial was registered with Clinicaltrials.gov ( NCT03803683 ) on January 14, 2019
Transgender Women’s Barriers, Facilitators, and Preferences on Tailored Injection Delivery Strategies to Administer Long-Acting Injectable Cabotegravir (CAB-LA) for HIV Pre-exposure Prophylaxis (PrEP)
Efficacy, Use, and Usability of the VIP-Hana App for Symptom Self-management in PLWH with Hana Conditions
Clinician Use of HIV-Related Infographics During Clinic Visits in the Dominican Republic is Associated with Lower Viral Load and Other Improvements in Health Outcomes
Homonegative Victimization and Perceived Stress among Adolescent Sexual Minority Males
Purpose: Research suggests social support may protect sexual minorities from the harmful effects of victimization that undermine mental and sexual health wellness; however, this relationship has been underexplored among a diverse youth population. We examined the association between lifetime homonegative victimization, perceived stress in the last month, and resilience factors among a diverse sample of adolescent sexual minority males. Methods: D…
A systematic review of engagement in care and health care utilization among older adults living with HIV and non-communicable diseases
Medicine (46 obras) · HIV/AIDS Research and Interventions (41 obras) · Public health (38 obras) · Psychology (31 obras) · Family medicine (29 obras) · Human immunodeficiency virus (HIV (26 obras) · Nursing (26 obras) · Health psychology (24 obras) · Gerontology (21 obras) · Psychological intervention (21 obras)