Deepa Rao
Dados Biográficos
| ID | 632552 |
|---|---|
| NOME | Deepa Rao |
| PRENOMES | Deepa |
| SOBRENOME | Rao |
| ASSINATURA | RAO D |
| AFILIAÇÕES | University of Washington |
| ORCID | 0000-0003-4076-0170 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 69 |
| TOTAL DE CITAÇÕES | 49 |
| TOTAL COMO AUTOR | 69 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 1981 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 4 |
Enhancing PrEP persistence
Introduction Globally, women who engage in sex work (WESW) have a 21-fold greater risk of HIV acquisition than the general population, yet persistence on HIV pre-exposure prophylaxis (PrEP) remains low. The role of stigma and discrimination in early PrEP discontinuation is poorly understood. We examined the association between stigma, discrimination and early PrEP discontinuation among WESW in Lusaka, Zambia. Methods Using a prospective cohort de…
Assessing the feasibility of a community health worker-delivered mental health intervention for Latina immigrant women
Introduction Latina immigrants are at high risk for mental health concerns and also face barriers to accessing mental health resources. Community health workers are increasingly being used to provide culturally relevant mental health care in areas with a limited workforce. Methods This study tested an implementation strategy of training and support community health workers (CHW) to deliver Amigas Latinas Motivando el Alma (ALMA), a community-base…
Beyond the pill
Women engaging in sex work (WESW) in low- and middle-income countries face a disproportionately high risk of HIV infection. This study explores enablers and barriers to the uptake and persistence of oral pre-exposure prophylaxis (PrEP) and long-acting injectable PrEP (LAI-PrEP) among WESW in Lusaka, Zambia. We evaluated Capability, Opportunity, and Motivation behavioral domains, using the COM-B model, which affectied behavioral engagement with Pr…
Exploring supportive roles for global north investigators in global health research
Many academics are increasingly pushing for solutions to address inequitable partnership dynamics in global health research and practice. Efforts to improve equity in collaborations have prompted academic institutions to grapple with promotion and tenure criteria (usually Global North institutions), as these criteria often require leadership on grants, publications, and conference presentations for advancement. From inequitable funding opportunit…
Formative qualitative research to guide implementation of the Collaborative Care Model in a low-barrier HIV clinic
Integrated behavioral healthcare interventions have increased access to care for people with behavioral health conditions in primary care settings. However, they have not been widely implemented in low-barrier HIV care settings where undertreated behavioral health needs remain high. We conducted a formative qualitative evaluation, using in-depth interviews with purposively selected stakeholders (n = 13) and patients (n = 16), to identify anticipa…
Stigma and structural factors shaping mental healthcare services for children and adolescents in India
This study centres the voices of providers currently working with the child and adolescent population to analyse social and structural factors that facilitate or impede access and service utilisation among children and adolescents. We conducted semistructured interviews with 15 psychological health care providers across 4 metropolitan cities in India. Thematic analysis was guided by an immersion-crystallization study design. Following this modifi…
A learning health systems approach to scaling up an evidence-based intervention for integrated primary mental healthcare case finding and referral in South Africa
Despite progress in the development and evaluation of evidence-based primary mental health interventions in low-income and middle-income countries, implementation and scale-up efforts have had mixed results. Considerable gaps remain in the effective translation of research knowledge into routine health system practices, largely due to real-world contextual constraints on implementation and scale-up efforts. The Southern African Research Consortiu…
A mediation analysis evaluating change in self-stigma on diabetes outcomes among people with depression in urban India
Self-stigma–the internalization of negative community attitudes and beliefs about a disease or condition–represents an important barrier to improving patient care outcomes for people living with common mental disorders and diabetes. Integrated behavioral healthcare interventions are recognized as evidence-based approaches to improve access to behavioral healthcare and for improving patient outcomes, including for those with comorbid diabetes, yet…
Amigas Latinas Motivando el Alma
Pathways of association between husbands’ migration and mental health of their wives who stay behind
Labor migration practices among married men have brought changes in gender roles and expectations, creating both opportunities and barriers for their wives who stay behind. When husbands migrate, their wives can experience major life events within private and public spheres. Literature on mental health suggests that important life events can induce or prevent the emergence of common mental disorders. Therefore, we aim to identify the psychosocial…
Strengthening integrated depression services within routine primary health care using the RE-AIM framework in South Africa
Integration of mental health into routine primary health care (PHC) services in low-and middle-income countries is globally accepted to improve health outcomes of other conditions and narrow the mental health treatment gap. Yet implementation remains a challenge. The aim of this study was to identify implementation strategies that improve implementation outcomes of an evidence-based depression care collaborative implementation model integrated wi…
Understanding the Relationship Between Social Stressors, Trauma, and Somatic Symptoms Among Latina Immigrant Women
Management of Depression in Chronic Care Patients Using a Task-Sharing Approach in a Real-World Primary Health Care Setting in South Africa
Depressive symptoms are common in South African primary care patients with chronic medical conditions, but are usually unrecognised and untreated. This study evaluated an integrated, task-sharing collaborative approach to management of depression comorbid with chronic diseases in primary health care (PHC) patients in a real-world setting. Existing HIV clinic counsellors provided a manualised depression counselling intervention with stepped-up ref…
Promoting mental health in Latina immigrant women
Adaptation and Preliminary Testing of an Intervention to Reduce Stigma among Individuals Living with HIV in the Deep South
HIV-related stigma has been implicated as a contributor to the disproportionate impact of HIV in the US Deep South. However, effective interventions aimed at reducing HIV-related stigma are limited in the region. This study adapted and piloted an HIV-related stigma reduction intervention, the UNITY Workshop, for use among people living with HIV in the Deep South following a modified framework of the ADAPT-ITT model and the five principles of Corr…
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…
Feasibility and Acceptability of a School-Based Emotion Regulation Prevention Intervention (Ready-Nepal) for Secondary School Students in Post-Earthquake Nepal
Further research on longitudinal outcome measurement, use of alternatives to retrospective self-report data, and rigorous development of culturally grounded models of emotion regulation is necessary to explore the utility of school-based emotion regulation interventions in Nepal and other LMICs
Perinatal Depressive Symptoms and Viral Non-suppression Among a Prospective Cohort of Pregnant Women Living with HIV in Nigeria, Kenya, Uganda, and Tanzania
Depression is common during pregnancy and is associated with reduced adherence to HIV-related care, though little is known about perinatal trajectories of depression and viral suppression among women living with HIV (WLHV) in sub-Saharan Africa. We sought to assess any association between perinatal depressive symptoms and viral non-suppression among WLWH. Depressive symptomatology and viral load data were collected every 6 months from WLWH enroll…
An Expanded Definition of Intersectional Stigma for Public Health Research and Praxis
Pushing the bench
OBJECTIVE: Integration of mental health and chronic disease services in primary care could reduce the mental health treatment gap and improve associated health outcomes in low-resource settings. Low rates of nurse identification and referral of patients with depression limit the effectiveness of integrated mental health care; the barriers to and facilitators of identification and referral in South Africa and comparable settings remain undefined. …
Harambee! 2.0
They Wait until the Disease Has Taking over You and the Doctors Cannot Do Anything about It”
African immigrants make up a large subgroup of Black/African-Americans in the US. However, because African immigrant groups are typically categorized as "Black," little is known about their preventative healthcare needs. Differences in culture, life and healthcare experiences between African immigrant populations and US-born people may influence preventive health care uptake. Thus, policymakers and healthcare providers lack information needed to …
The mental health impact of caste and structural inequalities in higher education in India
This study aimed to identify how mental health practice and policy in India can better address the needs of Dalit women and men in Indian institutions of higher education. Left unexamined, psychiatric and mental health practices and policies have become complicit in a legal and political network that actively denies the reality of caste discrimination in modern India. Frequently, Dalit students who choose to end their lives are described as havin…
Stigma reduction interventions in people living with HIV to improve health-related quality of life
Patient-level predictors of detection of depressive symptoms, referral, and uptake of depression counseling among chronic care patients in KwaZulu-Natal, South Africa
Nurses detected patients with depressive symptoms at rates comparable to primary care providers in high-resource settings, though gaps in referral and uptake persist. Nurses were more likely to detect symptoms among patients in more severe mental distress. Implementation strategies for integrated mental health care in low-resource settings should target improved rates of detection, referral, and uptake
An Expanded Definition of Intersectional Stigma for Public Health Research and Praxis
HIV Stigma Among Black Women in the United States
AffiliationsDeepa Rao is with the Department of Global Health and the Department of Psychiatry and Behavioral Sciences at the University of Washington, Seattle. Michele P. Andrasik is with the Fred Hutchinson Cancer Research Center, Seattle. Lauren Lipira is with the Department of Health Services, University of Washington.
Stigma in the workplace
Se vale llorar y se vale reír
The mental health impact of caste and structural inequalities in higher education in India
This study aimed to identify how mental health practice and policy in India can better address the needs of Dalit women and men in Indian institutions of higher education. Left unexamined, psychiatric and mental health practices and policies have become complicit in a legal and political network that actively denies the reality of caste discrimination in modern India. Frequently, Dalit students who choose to end their lives are described as havin…
Choice of Medicine and Hierarchy of Resort to Different Health Alternatives among Asian Indian Migrants in a Metropolitan City in the USA
The decision to choose from among different alternatives for treatment of illness depends on people's beliefs about the severity of illness and the effectiveness of treatment options while the hierarchy of resort depends on the kind of illness. The hierarchy of resort to treatment followed the counter-acculturative pattern for minor illnesses and acculturative pattern for major or chronic illnesses
Promoting mental health in Latina immigrant women
Management of Depression in Chronic Care Patients Using a Task-Sharing Approach in a Real-World Primary Health Care Setting in South Africa
Depressive symptoms are common in South African primary care patients with chronic medical conditions, but are usually unrecognised and untreated. This study evaluated an integrated, task-sharing collaborative approach to management of depression comorbid with chronic diseases in primary health care (PHC) patients in a real-world setting. Existing HIV clinic counsellors provided a manualised depression counselling intervention with stepped-up ref…
Identity, Physical Space, and Stigma Among African American Men Living with HIV in Chicago and Seattle
Changing Stigmatizing Perceptions and Recollections About Mental Illness
Acute toxicity of mercury, zinc, lead, cadmium, manganese to the chironomus sp
Acute toxicity tests conducted with Chironomid larvae (Genus: Tendipes) on the effect of five heavy metals (Hg++, Cd++, Zn++, Pb++ and Mn++) reveal that the toxicity intensity is in the order of Hg++ > Cd++ > Pb++ > Zn++ > Mn++. The studies further indicate that Hg++ exerts its toxicity even at very low concentrations. The LC 50 values for 48 hour period have been determined and tolerance of the larvae to Mn++ suggested
Choice of Medicine and Hierarchy of Resort to Different Health Alternatives among Asian Indian Migrants in a Metropolitan City in the USA
The decision to choose from among different alternatives for treatment of illness depends on people's beliefs about the severity of illness and the effectiveness of treatment options while the hierarchy of resort depends on the kind of illness. The hierarchy of resort to treatment followed the counter-acculturative pattern for minor illnesses and acculturative pattern for major or chronic illnesses
Stigma and social barriers to medication adherence with urban youth living with HIV
Youth adherence to highly active anti-retroviral therapy (HAART) is poor, and little research exists that identifies the reasons youth have difficulty adhering to medications. Given that complete adherence is necessary for favourable health outcomes, it is essential to examine the obstacles youth face in adhering to HAART. The present investigation sought to identify these barriers and to systematically examine the experiences and attitudes youth…
Stigma, Secrecy, and Discrimination
Comparability of Interview- and Self-Administration of the Functional Assessment of Cancer Therapy-General (Fact-G) in English- and Spanish-Speaking Ambulatory Cancer Patients
BACKGROUND: Flexibility is important in choosing methods and modes of questionnaire administration, to accommodate the needs of patients with diverse linguistic, cultural, educational, and functional skills. OBJECTIVE: To investigate the extent to which 2 different modes (interview- vs. self-administration) yielded comparable estimates of health-related quality of life (HRQL) as measured by the Functional Assessment of Cancer Therapy-General (FAC…
Stigma in the workplace
Art therapy for relief of symptoms associated with HIV/Aids
Symptom management for persons living with HIV/AIDS is an extremely important component of care management. The importance of pharmacologic interventions for management of symptoms is well recognized, and non-pharmacologic strategies such as art therapy are gaining interest in lay and professional communities. The aim of this research project was to test the feasibility and effectiveness of art therapy for relief of symptoms experienced by people…
One Year After ART Initiation
Measuring stigma across neurological conditions
Challenges in Addressing Depression in HIV Research
Changing Stigmatizing Perceptions and Recollections About Mental Illness
A Structural Equation Model of HIV-Related Stigma, Depressive Symptoms, and Medication Adherence
On the Self-Stigma of Mental Illness
People with mental illness have long experienced prejudice and discrimination. Researchers have been able to study this phenomenon as stigma and have begun to examine ways of reducing this stigma. Public stigma is the most prominent form observed and studied, as it represents the prejudice and discrimination directed at a group by the larger population. Self-stigma occurs when people internalize these public attitudes and suffer numerous negative…
Assessing HIV/Aids Stigma in South India
Delayed initiation of antiretroviral therapy among HIV-discordant couples in Kenya
Timely initiation of antiretroviral therapy (ART) is particularly important for HIV-discordant couples because viral suppression greatly reduces the risk of transmission to the uninfected partner. To identify issues and concerns related to ART initiation among HIV-discordant couples, we recruited a subset of discordant couples participating in a longitudinal study in Nairobi to participate in in-depth interviews and focus group discussions about …
Stigma in Ethiopia
Rates of depression among people living with HIV can be as high as 50%. In many settings, HIV-related stigma has been associated with depressive symptoms which may lead to poor engagement in care and ultimately, poorer health outcomes. Stigma is a major issue in Ethiopia but data examining the relationship between stigma and depression in Ethiopia are lacking. We performed a mixed-methods cross-sectional study to examine the relationship between …
Cultural Adaptation of the Brief Cope for Persons Living with HIV/Aids in Southern India
The availability of essential medicines for mental healthcare in Sofala, Mozambique
OBJECTIVE: We assessed the availability of essential medicines for mental healthcare (MH) across levels of the public healthcare system to aid in future systems planning. DESIGN: Non-expired MH medications were assessed in 24 public health facilities and 13 district warehouses across Sofala Province, Mozambique, from July to August 2014. Medication categories included: antipsychotics, antidepressants, benzodiazepines, antiepileptics and mood stab…
Patient and provider priorities for self-reported domains of HIV clinical care
We sought to understand how HIV-infected patients, their providers, and HIV care researchers prioritize self-reported domains of clinical care. Participants rank-ordered two lists of domains. A modified Delphi process was used for providers and researchers. Approximately 25% of patients were interviewed to discuss rationale for rank order choices. List 1 included anger, anxiety, depression, fatigue, physical function, pain, and sleep disturbance.…
Antiretroviral therapy adherence measurement in non-clinical settings in South India
Optimal adherence to antiretroviral therapy (ART) is key to viral suppression, but may be impeded by psychosocial consequences of HIV-infection such as stigma and depression. Measures of adherence in India have been examined in clinic populations, but little is known about the performance of these measures outside clinical settings. We conducted a cross-sectional study of 151 Tamil-speaking people living with HIV/AIDS (PLHA) in India recruited th…
Health care-seeking behaviour of HIV-infected mothers and male partners in Nairobi, Kenya
Health care-seeking behaviours of HIV-infected mothers in sub-Saharan Africa are poorly characterised and typically focus on individual health conditions rather than overall health. We conducted a qualitative study to understand how HIV-infected mothers, their male partners and their HIV-exposed infants seek medical services. We performed 32 in-depth interviews (17 female, 15 male) and four focus group discussions among HIV-infected post-partum w…
Involving religious leaders in HIV care and treatment at a university-affiliated hospital in Ethiopia
In sub-Saharan Africa, religious views strongly influence how people relate to illness, health, and healing. Belief in the curative power of religion, including for HIV, persists in many communities. As such, many funding agencies and organisations working in the field of HIV have incorporated religious institutions into their programmes in various capacities. Yet, debate continues regarding the benefits and drawbacks of including sectarian organ…
Identity, Physical Space, and Stigma Among African American Men Living with HIV in Chicago and Seattle
Risk factors for postpartum depression in women living with HIV attending prevention of mother-to-child transmission clinic at Kenyatta National Hospital, Nairobi
Mothers with HIV are at high risk of a range of psychosocial issues that may impact HIV disease progression for themselves and their children. Stigma has also become a substantial barrier to accessing HIV/AIDS care and prevention services. The study objective was to determine the prevalence and severity of postpartum depression (PPD) among women living with HIV and to further understand the impact of stigma and other psychosocial factors in 123 w…
Adapting a stigma scale for assessment of tuberculosis-related stigma among English/Swahili-speaking patients in an African setting
The adapted 8-item SSCI appears to be a useful tool that may be administered by health workers in English or Swahili to quantify TB stigma among TB patients in Kenya
Medicine (61 obras) · Psychiatry (54 obras) · Psychology (47 obras) · HIV/AIDS Research and Interventions (35 obras) · Clinical Psychology (33 obras) · Family medicine (31 obras) · Nursing (25 obras) · Public health (25 obras) · Clinical Psychology (22 obras) · Mental health (22 obras)