Kelli N O’laughlin
Biographic Data
| ID | 230265 |
|---|---|
| NAME | Kelli N O’laughlin |
| GIVEN NAMES | Kelli N |
| FAMILY NAME | O’laughlin |
| SIGNATURE | O’LAUGHLIN K N |
| AFFILIATIONS | University of Washington |
| ORCID | 0000-0003-3027-1883 |
| VERIFIED | Yes |
| TOTAL WORKS | 18 |
| TOTAL CITATIONS | 1 |
| AUTHOR COUNT | 18 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2011 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 1 |
Co-creating a decision-making framework for primary healthcare models in conflict-affected Cameroon and Nigeria
PURPOSE: Several models of care are used in conflict-affected settings; however, existing guidance on service delivery in humanitarian settings primarily focuses on improving the delivery of services. There remains a crucial gap in providing guidance in the selection and use of models of care while considering key aspects of quality of care. METHODS: A co-creation approach was used involving various stakeholders to develop a framework and quality…
Obesity and Long Covid
Background Obesity affects over 10% of the world population and has significant public health implications. With rising recognition of the long-term effects of Long COVID (LC) coupled with new agents to facilitate weight loss, it is critical to understand the influence of obesity on LC. This study assessed the association of obesity with rates of LC and degree of LC-related mental and physical health outcomes among participants up to three years …
Community client-led anti-retroviral therapy delivery for people newly diagnosed with HIV
Engaging in HIV care services can be challenging for refugees as they navigate new care systems while meeting daily needs. This pilot study assessed Early Community Client-led ART Delivery (Early CCLAD) as a differentiated care strategy for those newly diagnosed with HIV in Nakivale Refugee Settlement, Uganda. Early CCLAD was a community antiretroviral therapy delivery option where group members take turns coming to the health center.Adults acces…
Ethnic and racial differences in self-reported symptoms, health status, activity level, and missed work at 3 and 6 months following Sars-CoV-2 infection
Introduction: Data on ethnic and racial differences in symptoms and health-related impacts following SARS-CoV-2 infection are limited. We aimed to estimate the ethnic and racial differences in symptoms and health-related impacts 3 and 6 months after the first SARS-CoV-2 infection. Methods: = 3,161; 2,402 SARS-CoV-2-positive, 759 SARS-CoV-2-negative). Marginal odds ratios were estimated using GEE logistic regression for individual symptoms, health…
Race, Ethnicity, and Gender Differences in Patient Reported Well-Being and Cognitive Functioning Within 3 Months of Symptomatic Illness During Covid-19 Pandemic
Background Differences in acute COVID-19 associated morbidity based on race, ethnicity, and gender have been well described; however, less is known about differences in subsequent longer term health-related quality of life and well-being. Methods This prospective cohort study included symptomatic adults tested for SARS-CoV-2 who completed baseline and 3-month follow-up surveys. Using the PROMIS-29 tool, a validated measure of health and well-bein…
Understanding the barriers and facilitators of Covid-19 risk mitigation strategy adoption and Covid-19 vaccination in refugee settlements in Uganda
World Pandemic Research Network - 490,652
Social Support and Linkage to HIV Care Following Routine HIV Testing in a Ugandan Refugee Settlement
We aimed to identify factors associated with linkage to care for individuals newly diagnosed with HIV in a refugee settlement. This study was conducted from October 2018 through January 2020 in Nakivale Refugee Settlement in Uganda. We conducted a cross-sectional survey among individuals accessing routine HIV testing services. The survey included questions on demographic factors, physical and mental health conditions, social support, and HIV-rela…
Internalized stigma, depressive symptoms, and the modifying role of antiretroviral therapy
Depression affects over 40% of people with HIV (PHIV) in low- and middle-income countries, and over half of PHIV report HIV-related internalized stigma. However, few longitudinal studies of PHIV have examined the relationship between HIV-related stigma and depression. Data were analyzed from the 2007-15 Uganda AIDS Rural Treatment Outcomes (UARTO) Study, a cohort of 454 antiretroviral therapy (ART)-naïve PHIV (68% women) starting ART. Our primary…
Prevalence and risk factors for hypertension and diabetes among those screened in a refugee settlement in Uganda
Hypertension was common and diabetes was uncommon among those screened in a Ugandan refugee settlement. Routine blood pressure screening should be considered in this setting. Additional research could develop diabetes screening criteria to help identify at risk individuals in this limited resource setting
Health Worker Perspectives on Barriers and Facilitators of Assisted Partner Notification for HIV for Refugees and Ugandan Nationals
Assisted partner notification (APN) is recommended by the World Health Organization to notify sexual partners of HIV exposure. Since 2018, APN has been offered in Uganda to Ugandan nationals and refugees. Distinct challenges faced by individuals in refugee settlements may influence APN utilization and effectiveness. To explore APN barriers and facilitators, we extracted index client and sexual partner data from APN registers at 11 health centers …
Understanding the role of interpersonal violence in assisted partner notification for HIV
BACKGROUND: Assisted partner notification (APN) for HIV was introduced in refugee settlements in West Nile Uganda in 2018 to facilitate testing of sexual partners. While APN is an effective strategy recommended by the World Health Organization, its safety has not been evaluated in a refugee settlement context in which participants have high prior exposure to interpersonal violence. The extent to which interpersonal violence influences APN utiliza…
A cohort study to assess a communication intervention to improve linkage to HIV care in Nakivale Refugee Settlement, Uganda
Communication interventions to enhance linkage to HIV care have been successful in sub-Saharan Africa but have not been assessed among refugees. Refugees and Ugandan nationals participating in HIV testing in Nakivale Refugee Settlement were offered weekly phone call and short message service (SMS) reminders. We assessed linkage to care and predictors of linkage within 90 days of testing, comparing Intervention participants to those unwilling or i…
A Social-Ecological Framework to Understand Barriers to HIV Clinic Attendance in Nakivale Refugee Settlement in Uganda
The social-ecological model proposes that efforts to modify health behaviors are influenced by constraints and facilitators at multiple levels. We conducted semi-structured interviews with 47 clients in HIV care and 8 HIV clinic staff to explore how such constraints and facilitators (individual, social environment, physical environment, and policies) affect engaging in HIV clinical care in Nakivale Refugee Settlement in Uganda. Thematic analysis …
A qualitative approach to understand antiretroviral therapy (ART) adherence for refugees living in Nakivale Refugee Settlement in Uganda
By learning about refugees' experiences we can design informed interventions to enhance ART adherence, thus minimizing morbidity and mortality, preventing transmission of HIV, and supporting refugees' abilities to move freely toward repatriation, resettlement or integration in their host country
The role of social support on HIV testing and treatment adherence
Little is known about the factors that encourage or discourage refugees to test for HIV, or to access and adhere to HIV care. In non-refugee populations, social support has been shown to influence HIV testing and utilisation of services. The present study enrolled HIV-infected refugees on anti-retroviral therapy (ART) in Uganda, who participated in qualitative interviews on HIV testing, treatment, and adherence. Interviews were analysed for theme…
Burmese Refugee Experience Accessing Health Care in New Delhi
Provision of health services to urban refugees is challenging given wide dispersal and tenuous legal status, particularly in regions where host population urban residents also face limited access to health care. This study aims to understand Burmese refugee and asylum-seeker experiences accessing health care in New Delhi, India. During March 2012, investigators from the Harvard Humanitarian Initiative in collaboration with the Chin Human Rights O…
Testing experiences of HIV positive refugees in Nakivale Refugee Settlement in Uganda
HIV testing services provided for refugees must be not just available, but also utilized. Understanding what makes HIV testing possible for refugees who have tested can inform interventions to increase testing in this population. Intervening by encouraging priority shifts toward HIV testing, by helping ensure survival needs are met, and by eliminating barriers to testing, may result in refugees making better use of existing testing services
How Treatment Partners Help
Treatment partnering is an adherence intervention developed in sub-Saharan Africa. This paper describes the additional social functions that treatment partners serve and shows how these functions contribute to health and survival for patients with HIV/AIDS. Ninety-eight minimally structured interviews were conducted with twenty pairs of adult HIV/AIDS patients (N = 20) and treatment partners (N = 20) treated at a public HIV-care setting in Tanzan…
Burmese Refugee Experience Accessing Health Care in New Delhi
Provision of health services to urban refugees is challenging given wide dispersal and tenuous legal status, particularly in regions where host population urban residents also face limited access to health care. This study aims to understand Burmese refugee and asylum-seeker experiences accessing health care in New Delhi, India. During March 2012, investigators from the Harvard Humanitarian Initiative in collaboration with the Chin Human Rights O…
How Treatment Partners Help
Treatment partnering is an adherence intervention developed in sub-Saharan Africa. This paper describes the additional social functions that treatment partners serve and shows how these functions contribute to health and survival for patients with HIV/AIDS. Ninety-eight minimally structured interviews were conducted with twenty pairs of adult HIV/AIDS patients (N = 20) and treatment partners (N = 20) treated at a public HIV-care setting in Tanzan…
Testing experiences of HIV positive refugees in Nakivale Refugee Settlement in Uganda
HIV testing services provided for refugees must be not just available, but also utilized. Understanding what makes HIV testing possible for refugees who have tested can inform interventions to increase testing in this population. Intervening by encouraging priority shifts toward HIV testing, by helping ensure survival needs are met, and by eliminating barriers to testing, may result in refugees making better use of existing testing services
Burmese Refugee Experience Accessing Health Care in New Delhi
Provision of health services to urban refugees is challenging given wide dispersal and tenuous legal status, particularly in regions where host population urban residents also face limited access to health care. This study aims to understand Burmese refugee and asylum-seeker experiences accessing health care in New Delhi, India. During March 2012, investigators from the Harvard Humanitarian Initiative in collaboration with the Chin Human Rights O…
The role of social support on HIV testing and treatment adherence
Little is known about the factors that encourage or discourage refugees to test for HIV, or to access and adhere to HIV care. In non-refugee populations, social support has been shown to influence HIV testing and utilisation of services. The present study enrolled HIV-infected refugees on anti-retroviral therapy (ART) in Uganda, who participated in qualitative interviews on HIV testing, treatment, and adherence. Interviews were analysed for theme…
A qualitative approach to understand antiretroviral therapy (ART) adherence for refugees living in Nakivale Refugee Settlement in Uganda
By learning about refugees' experiences we can design informed interventions to enhance ART adherence, thus minimizing morbidity and mortality, preventing transmission of HIV, and supporting refugees' abilities to move freely toward repatriation, resettlement or integration in their host country
Understanding the role of interpersonal violence in assisted partner notification for HIV
BACKGROUND: Assisted partner notification (APN) for HIV was introduced in refugee settlements in West Nile Uganda in 2018 to facilitate testing of sexual partners. While APN is an effective strategy recommended by the World Health Organization, its safety has not been evaluated in a refugee settlement context in which participants have high prior exposure to interpersonal violence. The extent to which interpersonal violence influences APN utiliza…
A cohort study to assess a communication intervention to improve linkage to HIV care in Nakivale Refugee Settlement, Uganda
Communication interventions to enhance linkage to HIV care have been successful in sub-Saharan Africa but have not been assessed among refugees. Refugees and Ugandan nationals participating in HIV testing in Nakivale Refugee Settlement were offered weekly phone call and short message service (SMS) reminders. We assessed linkage to care and predictors of linkage within 90 days of testing, comparing Intervention participants to those unwilling or i…
A Social-Ecological Framework to Understand Barriers to HIV Clinic Attendance in Nakivale Refugee Settlement in Uganda
The social-ecological model proposes that efforts to modify health behaviors are influenced by constraints and facilitators at multiple levels. We conducted semi-structured interviews with 47 clients in HIV care and 8 HIV clinic staff to explore how such constraints and facilitators (individual, social environment, physical environment, and policies) affect engaging in HIV clinical care in Nakivale Refugee Settlement in Uganda. Thematic analysis …
Internalized stigma, depressive symptoms, and the modifying role of antiretroviral therapy
Depression affects over 40% of people with HIV (PHIV) in low- and middle-income countries, and over half of PHIV report HIV-related internalized stigma. However, few longitudinal studies of PHIV have examined the relationship between HIV-related stigma and depression. Data were analyzed from the 2007-15 Uganda AIDS Rural Treatment Outcomes (UARTO) Study, a cohort of 454 antiretroviral therapy (ART)-naïve PHIV (68% women) starting ART. Our primary…
Prevalence and risk factors for hypertension and diabetes among those screened in a refugee settlement in Uganda
Hypertension was common and diabetes was uncommon among those screened in a Ugandan refugee settlement. Routine blood pressure screening should be considered in this setting. Additional research could develop diabetes screening criteria to help identify at risk individuals in this limited resource setting
Health Worker Perspectives on Barriers and Facilitators of Assisted Partner Notification for HIV for Refugees and Ugandan Nationals
Assisted partner notification (APN) is recommended by the World Health Organization to notify sexual partners of HIV exposure. Since 2018, APN has been offered in Uganda to Ugandan nationals and refugees. Distinct challenges faced by individuals in refugee settlements may influence APN utilization and effectiveness. To explore APN barriers and facilitators, we extracted index client and sexual partner data from APN registers at 11 health centers …
Social Support and Linkage to HIV Care Following Routine HIV Testing in a Ugandan Refugee Settlement
We aimed to identify factors associated with linkage to care for individuals newly diagnosed with HIV in a refugee settlement. This study was conducted from October 2018 through January 2020 in Nakivale Refugee Settlement in Uganda. We conducted a cross-sectional survey among individuals accessing routine HIV testing services. The survey included questions on demographic factors, physical and mental health conditions, social support, and HIV-rela…
Understanding the barriers and facilitators of Covid-19 risk mitigation strategy adoption and Covid-19 vaccination in refugee settlements in Uganda
World Pandemic Research Network - 490,652
Ethnic and racial differences in self-reported symptoms, health status, activity level, and missed work at 3 and 6 months following Sars-CoV-2 infection
Introduction: Data on ethnic and racial differences in symptoms and health-related impacts following SARS-CoV-2 infection are limited. We aimed to estimate the ethnic and racial differences in symptoms and health-related impacts 3 and 6 months after the first SARS-CoV-2 infection. Methods: = 3,161; 2,402 SARS-CoV-2-positive, 759 SARS-CoV-2-negative). Marginal odds ratios were estimated using GEE logistic regression for individual symptoms, health…
Race, Ethnicity, and Gender Differences in Patient Reported Well-Being and Cognitive Functioning Within 3 Months of Symptomatic Illness During Covid-19 Pandemic
Background Differences in acute COVID-19 associated morbidity based on race, ethnicity, and gender have been well described; however, less is known about differences in subsequent longer term health-related quality of life and well-being. Methods This prospective cohort study included symptomatic adults tested for SARS-CoV-2 who completed baseline and 3-month follow-up surveys. Using the PROMIS-29 tool, a validated measure of health and well-bein…
Community client-led anti-retroviral therapy delivery for people newly diagnosed with HIV
Engaging in HIV care services can be challenging for refugees as they navigate new care systems while meeting daily needs. This pilot study assessed Early Community Client-led ART Delivery (Early CCLAD) as a differentiated care strategy for those newly diagnosed with HIV in Nakivale Refugee Settlement, Uganda. Early CCLAD was a community antiretroviral therapy delivery option where group members take turns coming to the health center.Adults acces…
Co-creating a decision-making framework for primary healthcare models in conflict-affected Cameroon and Nigeria
PURPOSE: Several models of care are used in conflict-affected settings; however, existing guidance on service delivery in humanitarian settings primarily focuses on improving the delivery of services. There remains a crucial gap in providing guidance in the selection and use of models of care while considering key aspects of quality of care. METHODS: A co-creation approach was used involving various stakeholders to develop a framework and quality…
Obesity and Long Covid
Background Obesity affects over 10% of the world population and has significant public health implications. With rising recognition of the long-term effects of Long COVID (LC) coupled with new agents to facilitate weight loss, it is critical to understand the influence of obesity on LC. This study assessed the association of obesity with rates of LC and degree of LC-related mental and physical health outcomes among participants up to three years …
Medicine (16 works) · HIV/AIDS Research and Interventions (12 works) · Refugee (11 works) · Family medicine (10 works) · Nursing (9 works) · Political science (9 works) · Public health (9 works) · Environmental health (8 works) · Sociology (8 works) · HIV, Drug Use, Sexual Risk (7 works)