Stephanie L Marhefka

Biographic Data

ID	227305
NAME	Stephanie L Marhefka
GIVEN NAMES	Stephanie L
FAMILY NAME	Marhefka
SIGNATURE	MARHEFKA S L
AFFILIATIONS	University of South Florida
ORCID	0000-0001-7708-1521
VERIFIED	Yes
TOTAL WORKS	27
TOTAL CITATIONS	23
AUTHOR COUNT	27
EDITOR COUNT	0
FIRST PUBLICATION YEAR	2004
LATEST PUBLICATION YEAR	2026
H-INDEX	3

The HIV Pre-exposure Prophylaxis (PrEP) Initiation Cascade
Open AccessElizabeth Lockhart, Deanne Turner et al.ARTICLEAIDS and Behavior2026
Pre-exposure prophylaxis (PrEP) for HIV prevention has been available since 2012; only 36% of people in the U.S. who would benefit from PrEP have been prescribed it. Primary care is an ideal location to initiate PrEP, as many people who may benefit from PrEP are seen in primary care annually. Yet, patients and providers face barriers to accessing and prescribing PrEP. It is unclear where disengagement from PrEP initiation occurs. We have defined …
High levels of mild to moderate depression among men who have sex with men and transgender women in Lima, Peru
Jerome T Galea, Stephanie L Marhefka et al.ARTICLEAIDS Care2022
Depression disproportionally affects people at risk of acquiring or living with HIV and is associated with worse health outcomes; however, depression care is not routinely integrated with HIV prevention and treatment services. Selection of the best depression intervention(s) for integration depends both on the prevalence and severity of depression among potential users. To inform depression care integration in a community-based setting in Lima, P…
Understanding young Black women’s socialisation and perceptions of sexual and reproductive health
Open AccessRachel G Logan, Cheryl A Vamos et al.ARTICLECulture Health & Sexuality2022
Although sexual and reproductive health inequities acutely and disproportionately affect Black women in the USA, there are few studies that consider the sociocultural context in which Black women transition to adulthood and develop their sexuality. The objective of this study was to describe the lived realities of young Black women to elucidate how the sociocultural context informs their current perceptions of sexual and reproductive health. We c…
Modesty and Security
Open AccessAdetola Louis-Jacques, Ellen J Schafer et al.ARTICLEChildren2021
The objectives were to identify conditions under which mothers may be willing to use telelactation and explore associations between participant characteristics, willingness, and beliefs regarding telelactation use. Mothers 2-8 weeks postpartum were recruited from two Florida maternal care sites and surveyed to assess demographics, breastfeeding initiation, and potential telelactation use. Analyses included descriptive statistics and logistic regr…
Examining the Factors Affecting PrEP Implementation Within Community-Based HIV Testing Sites in Florida
Open AccessDeanne Turner, Elizabeth Lockhart et al.ARTICLEAIDS and Behavior2021
Understanding Technology Fit Among People with HIV Based on Intersections of Race, Sex, and Sexual Behavior
Open AccessElizabeth Lockhart, Deanne Turner et al.ARTICLEAIDS and Behavior2021
"When Is Health Care Actually Going to Be Care?" The Lived Experience of Family Planning Care Among Young Black Women
Open AccessRachel G Logan, Ellen M Daley et al.ARTICLEQualitative Health Research2021Cited by: 9References: 46
While family planning care (FPC) visits may serve as opportunities to address gaps in knowledge and access to limited resources, young Black women may also face structural barriers (i.e., racism, discrimination, bias) to engaging in care due to the intersections of racial identity, age, and socioeconomic status. Findings from interviews with 22 Black women, ages 18 to 29 years, about the lived experience of FPC highlighted dynamic patient-provide…
Achieve Research Continuity During Social Distancing by Rapidly Implementing Individual and Group Videoconferencing with Participants
Open AccessStephanie L Marhefka, Stephanie Marhefka et al.ARTICLEAIDS and Behavior2020
Historical Antecedents of Breastfeeding for African American Women
Open AccessAdetola F Louis-Jacques, Adetola Louis-Jacques et al.ARTICLEJournal of Racial and Ethnic…2020Cited by: 4References: 47
Social Determinants of Potential eHealth Engagement Among People Living with HIV Receiving Ryan White Case Management
Open AccessStephanie L Marhefka, Elizabeth Lockhart et al.ARTICLEAIDS and Behavior2019
Willingness of MSM Living with HIV to Take Part in Video-Groups
Open AccessDeanne Turner, Elizabeth Lockhart et al.ARTICLEAIDS and Behavior2019
Why do we need a policy?’ Administrators’ perceptions on breast - feeding-friendly childcare
Open AccessStephanie L Marhefka, Vinita Sharma et al.ARTICLEPublic Health Nutrition2019
Objective Mothers’ return to work and childcare providers’ support for feeding expressed human milk are associated with breast-feeding duration rates in the USA, where most infants are regularly under non-parental care. The objective of the present study was to explore Florida-based childcare centre administrators’ awareness and perceptions of the Florida Breastfeeding Friendly Childcare Initiative. Design Semi-structured interviews were based on…
Towards an Information Motivation and Behavioral Skills Model for New Sex Partners
Open AccessShana M Green, Deanne Turner et al.ARTICLEAIDS and Behavior2018
“They said “be careful’”
Stephanie L Marhefka, Shana M Green et al.ARTICLEAIDS Care2017
Due to advances in highly active antiretroviral treatment (HAART), children "who perinatally acquired HIV infection" (PHIV+) in the United States have been reaching adolescence and adulthood in large numbers. As youth PHIV + become sexually active it is important to understand their sources of sexual health information and the messages communicated by those sources to safeguard their sexual health and that of their partners. This paper explores s…
Rethinking Preconception Care
Open AccessErika L Thompson, Coralia Vázquez-Otero et al.ARTICLEMaternal and Child Health Journal2017
Associations between individual and relationship characteristics and genital herpes disclosure
Open AccessJaime L Myers, Eric R Buhi et al.ARTICLEJournal of Health Psychology2016Cited by: 3References: 23
Disclosure is often a challenge for individuals living with genital herpes. This study explores determinants of genital herpes disclosure with one's most recent sexual partner using an online questionnaire ( n = 93). The majority of participants reported (80.4%) disclosure. Among non-disclosers, fear of negative partner reactions was the primary reason for non-disclosure. Age, relationship commitment, time in relationship, and expectations of par…
Advantages and disadvantages for receiving Internet-based HIV/Aids interventions at home or at community-based organizations
Shana M Green, Elizabeth Lockhart et al.ARTICLEAIDS Care2015
Within recent years, public health interventions have become technology based to reflect the digital age we currently live in and appeal to the public in innovative and novel ways. The Internet breaks down boundaries distance imposes and increases our ability to reach and connect with people. Internet-based interventions have the potential to expand access to effective behavioral interventions (EBIs). The US National HIV/AIDS Strategy states that…
Internet-based video-group delivery of Healthy Relationships – A “prevention with positives” intervention
Stephanie L Marhefka, Sharon Iziduh et al.ARTICLEAIDS Care2013
Women living with HIV (WLH) face challenges related to stigma, disclosure of HIV status, and negotiating safer sex. Several effective behavioral interventions, such as Healthy Relationships (HR), help WLH address these challenges and are disseminated by the USA Centers for Disease Control and Prevention's (CDC) Diffusion of Effective Behavioral Interventions project. However, many WLH living in poor urban or rural locations cannot access interven…
Cognitive and Emotional Responses to Human Papillomavirus Test Results in Men
Ellen M Daley, Eric R Buhi et al.ARTICLEAmerican Journal of Health Behavior2012
Men reported an array of responses to HPV tests with intentions to receive the HPV vaccine. Findings are important for HPV-related health messages for men
A Comparison of Audio Computer-Assisted Self-Interviews to Face-to-Face Interviews of Sexual Behavior Among Perinatally HIV-Exposed Youth
Open AccessCurtis Dolezal, Stephanie L Marhefka et al.ARTICLEArchives of Sexual Behavior2012Cited by: 4References: 30
“I feel like I'm carrying a weapon.” Information and motivations related to sexual risk among girls with perinatally acquired HIV
Stephanie L Marhefka, Cidna Valentin et al.ARTICLEAIDS Care2011
Some adolescent girls perinatally infected with HIV (PIH) engage in sexual behavior that poses risks to their own well-being and that of sexual partners. Interventions to promote condom use among girls PIH may be most effective if provided prior to first sexual intercourse. With in-depth interviews, we explored gender- and HIV-specific informational and motivational factors that might be important for sexual risk reduction interventions designed …
Interest in, Concerns About, and Preferences for Potential Video-Group Delivery of an Effective Behavioral Intervention Among Women Living With HIV
Open AccessStephanie L Marhefka, Hollie J Fuhrmann et al.ARTICLEAIDS and Behavior2011
Emotional and behavioral problems and mental health service utilization of youth living with HIV acquired perinatally or later in life
Stephanie L Marhefka, Maureen E Lyon et al.ARTICLEAIDS Care2009
This study sought to examine predictors of psychological symptoms and psychiatric service receipt among youth with HIV. Data were from the baseline assessment of Adolescent Impact, a study of 13-21-year-old youth with HIV in three US cities. Between August 2003 and February 2005, participants completed the age-appropriate youth or adult self-report symptom checklists (Achenbach system of empirically based assessment) and reported their psychiatri…
Perceptions of Adolescents’ Sexual Behavior Among Mothers Living With and Without HIV
Open AccessStephanie L Marhefka, Claude Ann Mellins et al.ARTICLEArchives of Sexual Behavior2009Cited by: 3References: 47
Disclosure of an HIV Diagnosis to Children
Lori Wiener, Claude Ann Mellins et al.ARTICLEJournal of Developmental &…2007
Disclosing the diagnosis of human immunodeficiency virus (HIV) or AIDS to a child is a controversial and emotionally charged issue among both the health care communities and parents and caregivers of these children. This paper provides a systematic review of research on disclosure of pediatric HIV infection. It begins with a brief discussion of disclosure drawing from research on pediatric cancer. Next, we review the available research including …

Clinical assessment of medication adherence among HIV-infected children
Stephanie L Marhefka, John Farley et al.ARTICLEAIDS Care2004
This paper presents findings of a multi-site study designed to document: (1) caregivers' regimen knowledge; (2) barriers to adherence; and (3) the relationships between adherence, regimen knowledge and barriers. Fifty-one predominantly female, African American parents and caregivers of HIV-infected children completed the Treatment Interview Protocol (TIP), a brief, structured interview designed to assess regimen knowledge and barriers to adherenc…
Disclosure of an HIV Diagnosis to Children
Lori Wiener, Claude Ann Mellins et al.ARTICLEJournal of Developmental &…2007
Disclosing the diagnosis of human immunodeficiency virus (HIV) or AIDS to a child is a controversial and emotionally charged issue among both the health care communities and parents and caregivers of these children. This paper provides a systematic review of research on disclosure of pediatric HIV infection. It begins with a brief discussion of disclosure drawing from research on pediatric cancer. Next, we review the available research including …
Medication Adherence and Sexual Risk Behavior among HIV-Infected Adults
Open AccessRobert H Remien, Theresa M Exner et al.ARTICLEAIDS and Behavior2007
Emotional and behavioral problems and mental health service utilization of youth living with HIV acquired perinatally or later in life
Stephanie L Marhefka, Maureen E Lyon et al.ARTICLEAIDS Care2009
This study sought to examine predictors of psychological symptoms and psychiatric service receipt among youth with HIV. Data were from the baseline assessment of Adolescent Impact, a study of 13-21-year-old youth with HIV in three US cities. Between August 2003 and February 2005, participants completed the age-appropriate youth or adult self-report symptom checklists (Achenbach system of empirically based assessment) and reported their psychiatri…
Perceptions of Adolescents’ Sexual Behavior Among Mothers Living With and Without HIV
Open AccessStephanie L Marhefka, Claude Ann Mellins et al.ARTICLEArchives of Sexual Behavior2009Cited by: 3References: 47
“I feel like I'm carrying a weapon.” Information and motivations related to sexual risk among girls with perinatally acquired HIV
Stephanie L Marhefka, Cidna Valentin et al.ARTICLEAIDS Care2011
Some adolescent girls perinatally infected with HIV (PIH) engage in sexual behavior that poses risks to their own well-being and that of sexual partners. Interventions to promote condom use among girls PIH may be most effective if provided prior to first sexual intercourse. With in-depth interviews, we explored gender- and HIV-specific informational and motivational factors that might be important for sexual risk reduction interventions designed …
Interest in, Concerns About, and Preferences for Potential Video-Group Delivery of an Effective Behavioral Intervention Among Women Living With HIV
Open AccessStephanie L Marhefka, Hollie J Fuhrmann et al.ARTICLEAIDS and Behavior2011
Cognitive and Emotional Responses to Human Papillomavirus Test Results in Men
Ellen M Daley, Eric R Buhi et al.ARTICLEAmerican Journal of Health Behavior2012
Men reported an array of responses to HPV tests with intentions to receive the HPV vaccine. Findings are important for HPV-related health messages for men
A Comparison of Audio Computer-Assisted Self-Interviews to Face-to-Face Interviews of Sexual Behavior Among Perinatally HIV-Exposed Youth
Open AccessCurtis Dolezal, Stephanie L Marhefka et al.ARTICLEArchives of Sexual Behavior2012Cited by: 4References: 30
Internet-based video-group delivery of Healthy Relationships – A “prevention with positives” intervention
Stephanie L Marhefka, Sharon Iziduh et al.ARTICLEAIDS Care2013
Women living with HIV (WLH) face challenges related to stigma, disclosure of HIV status, and negotiating safer sex. Several effective behavioral interventions, such as Healthy Relationships (HR), help WLH address these challenges and are disseminated by the USA Centers for Disease Control and Prevention's (CDC) Diffusion of Effective Behavioral Interventions project. However, many WLH living in poor urban or rural locations cannot access interven…
Advantages and disadvantages for receiving Internet-based HIV/Aids interventions at home or at community-based organizations
Shana M Green, Elizabeth Lockhart et al.ARTICLEAIDS Care2015
Within recent years, public health interventions have become technology based to reflect the digital age we currently live in and appeal to the public in innovative and novel ways. The Internet breaks down boundaries distance imposes and increases our ability to reach and connect with people. Internet-based interventions have the potential to expand access to effective behavioral interventions (EBIs). The US National HIV/AIDS Strategy states that…
Associations between individual and relationship characteristics and genital herpes disclosure
Open AccessJaime L Myers, Eric R Buhi et al.ARTICLEJournal of Health Psychology2016Cited by: 3References: 23
Disclosure is often a challenge for individuals living with genital herpes. This study explores determinants of genital herpes disclosure with one's most recent sexual partner using an online questionnaire ( n = 93). The majority of participants reported (80.4%) disclosure. Among non-disclosers, fear of negative partner reactions was the primary reason for non-disclosure. Age, relationship commitment, time in relationship, and expectations of par…
“They said “be careful’”
Stephanie L Marhefka, Shana M Green et al.ARTICLEAIDS Care2017
Due to advances in highly active antiretroviral treatment (HAART), children "who perinatally acquired HIV infection" (PHIV+) in the United States have been reaching adolescence and adulthood in large numbers. As youth PHIV + become sexually active it is important to understand their sources of sexual health information and the messages communicated by those sources to safeguard their sexual health and that of their partners. This paper explores s…
Rethinking Preconception Care
Open AccessErika L Thompson, Coralia Vázquez-Otero et al.ARTICLEMaternal and Child Health Journal2017
Towards an Information Motivation and Behavioral Skills Model for New Sex Partners
Open AccessShana M Green, Deanne Turner et al.ARTICLEAIDS and Behavior2018
Social Determinants of Potential eHealth Engagement Among People Living with HIV Receiving Ryan White Case Management
Open AccessStephanie L Marhefka, Elizabeth Lockhart et al.ARTICLEAIDS and Behavior2019
Willingness of MSM Living with HIV to Take Part in Video-Groups
Open AccessDeanne Turner, Elizabeth Lockhart et al.ARTICLEAIDS and Behavior2019
Why do we need a policy?’ Administrators’ perceptions on breast - feeding-friendly childcare
Open AccessStephanie L Marhefka, Vinita Sharma et al.ARTICLEPublic Health Nutrition2019
Objective Mothers’ return to work and childcare providers’ support for feeding expressed human milk are associated with breast-feeding duration rates in the USA, where most infants are regularly under non-parental care. The objective of the present study was to explore Florida-based childcare centre administrators’ awareness and perceptions of the Florida Breastfeeding Friendly Childcare Initiative. Design Semi-structured interviews were based on…
Achieve Research Continuity During Social Distancing by Rapidly Implementing Individual and Group Videoconferencing with Participants
Open AccessStephanie L Marhefka, Stephanie Marhefka et al.ARTICLEAIDS and Behavior2020
Historical Antecedents of Breastfeeding for African American Women
Open AccessAdetola F Louis-Jacques, Adetola Louis-Jacques et al.ARTICLEJournal of Racial and Ethnic…2020Cited by: 4References: 47
Modesty and Security
Open AccessAdetola Louis-Jacques, Ellen J Schafer et al.ARTICLEChildren2021
The objectives were to identify conditions under which mothers may be willing to use telelactation and explore associations between participant characteristics, willingness, and beliefs regarding telelactation use. Mothers 2-8 weeks postpartum were recruited from two Florida maternal care sites and surveyed to assess demographics, breastfeeding initiation, and potential telelactation use. Analyses included descriptive statistics and logistic regr…
Examining the Factors Affecting PrEP Implementation Within Community-Based HIV Testing Sites in Florida
Open AccessDeanne Turner, Elizabeth Lockhart et al.ARTICLEAIDS and Behavior2021
Understanding Technology Fit Among People with HIV Based on Intersections of Race, Sex, and Sexual Behavior
Open AccessElizabeth Lockhart, Deanne Turner et al.ARTICLEAIDS and Behavior2021
"When Is Health Care Actually Going to Be Care?" The Lived Experience of Family Planning Care Among Young Black Women
Open AccessRachel G Logan, Ellen M Daley et al.ARTICLEQualitative Health Research2021Cited by: 9References: 46
While family planning care (FPC) visits may serve as opportunities to address gaps in knowledge and access to limited resources, young Black women may also face structural barriers (i.e., racism, discrimination, bias) to engaging in care due to the intersections of racial identity, age, and socioeconomic status. Findings from interviews with 22 Black women, ages 18 to 29 years, about the lived experience of FPC highlighted dynamic patient-provide…
High levels of mild to moderate depression among men who have sex with men and transgender women in Lima, Peru
Jerome T Galea, Stephanie L Marhefka et al.ARTICLEAIDS Care2022
Depression disproportionally affects people at risk of acquiring or living with HIV and is associated with worse health outcomes; however, depression care is not routinely integrated with HIV prevention and treatment services. Selection of the best depression intervention(s) for integration depends both on the prevalence and severity of depression among potential users. To inform depression care integration in a community-based setting in Lima, P…