Scholars@Duke
Evan Lynn Eschliman

Evan Lynn Eschliman

Assistant Research Professor in the School of Nursing
School of Nursing
307 Trent Dr., Box 3322, Durham, NC 27710
Box 3322 DUMC, Durham, NC 27710

Scholarly Works - Journal articles

Identification of cannabis use disorder using the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) versus DSM-5-proxy measures: Differences by socio-demographic characteristics.

Journal article Addiction (Abingdon, England) · April 2026 Background and aimsCannabis use disorder (CUD) is a pressing public health concern in the United States, and understanding trends in prevalence requires considerations of how changes in measurement influence identification of CUD. Starting in 2021 ... Full text Cite

Piloting a Near-Peer Lay Counselor Based Problem Solving Therapy Intervention for Youth With and Without HIV in Botswana: An Adaptation of the Friendship Bench.

Journal article The Journal of adolescent health : official publication of the Society for Adolescent Medicine · April 2026 PurposeThe adolescent mental health treatment gap is a significant public health challenge, especially in low-resource settings where services are often adult-oriented. The Safe Haven intervention, adapted from Zimbabwe's Friendship Bench, address ... Full text Cite

Examining disparities in harmful reporting on community firearm violence in Philadelphia television news reports.

Journal article Injury epidemiology · February 2026 BackgroundNews coverage of community firearm violence (CFV) can cause multilevel harm. We aimed to quantify the frequency and severity of harmful CFV news content and examine how victim, shooting event, and place-based characteristics relate to ha ... Full text Cite

Analytic Methods to Investigate HIV-Related Digital Communication: A Scoping Review.

Journal article Current HIV/AIDS reports · November 2025 Purpose of reviewThis scoping review aims to identify and characterize analytic methods used to investigate digital communication related to HIV.Recent findingsOf the 106 articles detailed in this review published before February 2025, ju ... Full text Cite

Physical environmental roadway interventions and injury and death for vulnerable road users: a natural experiment in New York City.

Journal article Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · September 2025 IntroductionThis study examined the effectiveness of three physical environmental roadway interventions (enhanced crossings, speed humps, and turn traffic calming) in preventing crashes involving pedestrian and cyclist injury and mortality in New ... Full text Cite

Development and psychometric properties of three scales employing "what matters most" to assess cultural aspects of intersectional HIV-related and cancer stigma among people living with HIV in Hanoi, Vietnam.

Journal article AIDS care · August 2025 ABSTRACTPeople living with HIV have disproportionate cancer risk and are a priority population for cancer prevention and control efforts globally, including in Vietnam. HIV-related and cancer stigma independently and intersectionally hinder access t ... Full text Cite

A Qualitative Study of the Adaptation of a Facility-Level Training Using "What Matters Most" to Reduce Intersectional Stigma Toward Pregnant Women Living With HIV in Botswana.

Journal article The Journal of the Association of Nurses in AIDS Care : JANAC · July 2025 AbstractIn response to the need for robust interventions to reduce HIV-related stigma, we used the "What Matters Most" (WMM) conceptual framework to adapt the participatory training component of the Total Facility Approach (TFA), a health facility ... Full text Cite

Extreme Heat and Firearm Violence in New York City Public Housing: The Mitigating Role of Air Conditioning.

Journal article Journal of urban health : bulletin of the New York Academy of Medicine · April 2025 Higher outdoor temperatures are associated with greater incidence of firearm violence in urban areas in the United States. This study adds to the existing literature base by exploring the potential mitigating role of air conditioning (AC). The setting for ... Full text Cite

The Association Between Street Construction Projects and Community Violence in New York City.

Journal article Journal of urban health : bulletin of the New York Academy of Medicine · February 2025 Community violence is a major cause of injury and death in the USA. Empirical studies have identified that some place-based interventions of urban private places, such as remediations of vacant lots and buildings, are associated with reductions in communit ... Full text Cite

Trends in cannabis use disorder and treatment by race and ethnicity, 2002-2019.

Journal article Frontiers in psychiatry · January 2025 Aims/backgroundAs cannabis use continues to increase in the United States, racialized stereotypes and structural barriers to care might lead to inequitable treatment uptake across racialized groups. A greater understanding of racial disparities in ... Full text Cite

Changes in sex composition of births across regions and subgroups in India from an analysis of birth histories from National Family Health Surveys.

Journal article Scientific reports · December 2024 India has consistently had one of the highest birth sex ratios (i.e., most males per female) globally. This analysis seeks to describe the sex composition of live births over the past decades among subgroups of the Indian population considering ongoing eff ... Full text Cite

The use and operationalization of "structural stigma" in health-related research: A scoping review.

Journal article BMC public health · December 2024 BackgroundResearch that investigates the negative health effects of stigma beyond the individual and interpersonal levels is increasingly using the concept of "structural stigma." This scoping review investigates how the concept of "structural sti ... Full text Cite

A "What Matters Most" approach to investigating intersectional stigma toward HIV and cancer in Hanoi, Vietnam.

Journal article Journal of the National Cancer Institute. Monographs · June 2024 BackgroundVietnam is experiencing a growing burden of cancer, including among people living with HIV. Stigma acts as a sociocultural barrier to the prevention and treatment of both conditions. This study investigates how cultural notions of "respe ... Full text Cite

Evaluation of Two Videos that Apply Evidence-Based Strategies to Increase Self-Efficacy and Reduce Opioid-Related Stigma Among Medical Students.

Journal article Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry · April 2024 ObjectiveThis study evaluated the video-based application of evidence-based stigma reduction strategies to increase medical students' screening-diagnostic self-efficacy for opioid use disorder (OUD) and reduce stigma toward opioid use.Methods< ... Full text Cite

First-hand accounts of structural stigma toward people who use opioids on Reddit.

Journal article Social science & medicine (1982) · April 2024 People who use opioids face multilevel stigma that negatively affects their health and well-being and drives opioid-related overdose. Little research has focused on lived experience of the structural levels of stigma toward opioid use. This study identifie ... Full text Cite

Trends in police complaints and arrests on New York City subways, 2018 to 2023: an interrupted time-series analysis.

Journal article Injury epidemiology · April 2024 BackgroundPublic transportation use is influenced by perceptions of safety. Concerns related to crime on New York City (NYC) transit have risen following NYC's COVID-19 pandemic state of emergency declaration in 2020, leading to declines in subway ... Full text Cite

Multilevel experiences of carceral violence in Los Angeles, California: first-hand accounts from a racially diverse sample of transgender women.

Journal article Culture, health & sexuality · February 2024 Transgender women face a disproportionate burden of carceral violence, or violence related to policing and the criminal legal system, with transgender women of colour experiencing even greater disparities. Several frameworks conceptualise the mechanisms th ... Full text Cite

Defining harmful news reporting on community firearm violence: A modified Delphi consensus study.

Journal article PloS one · January 2024 Community firearm violence (CFV), including fatal and non-fatal shootings that result from interpersonal violence, disproportionately harms people from marginalized racial groups. News reporting on CFV can further exacerbate these harms. However, examining ... Full text Cite

Drug Use-Related Discrimination in Healthcare Settings and Subsequent Emergency Department Utilization in a Prospective Cohort Study of People With a History of Injection Drug Use.

Journal article Substance use & misuse · January 2024 BackgroundPeople with a history of injection drug use face discrimination in healthcare settings that may impede their use of routine care, leading to greater reliance on the emergency department (ED) for addressing health concerns. The relationsh ... Full text Cite

A Mobile App to Assist the Mentors of African American Young Men Who Have Sex With Men: Usability Study.

Journal article JMIR formative research · October 2023 BackgroundMentoring can promote positive youth development. Owing to social and structural factors, young people in underresourced communities often lack adequate access to mentors, and naturally occurring mentors are more common than formal, prog ... Full text Cite

Differentiating sex and gender in health research to achieve gender equity.

Journal article Bulletin of the World Health Organization · October 2023 Effectively tracking progress on initiatives focused on gender equity requires clear differentiation between the terms sex and gender. Sex usually refers to a person's biological characteristics, whereas gender refers to socially constructed roles and norm ... Full text Cite

"It's Better If I Die Because Even in the Hospital, There is a Stigma, People Still Gossip": Gossip as a Culturally Shaped Labeling Process and Its Implications for HIV-Related Stigma in Botswana.

Journal article AIDS and behavior · August 2023 This study qualitatively explores HIV-related gossip as both a manifestation and driver of HIV-related stigma, which is a known barrier to HIV testing and treatment in Botswana. Data were elicited from 5 focus group discussions and 46 semi-structured in-de ... Full text Cite

Mental Health Problems Across the HIV Care Continuum for Adolescents Living with HIV in Sub-Saharan Africa: A Scoping Review.

Journal article AIDS and behavior · August 2023 Mental health problems (e.g., anxiety, depression) are frequently experienced by adolescents living with HIV (ALWH) and can worsen HIV-related outcomes. This scoping review synthesizes the existing research on ALWHs' mental health problems at multiple step ... Full text Cite

Associations between social network characteristics and sexual minority disclosure concern among Black men who have sex with men living with and without HIV.

Journal article The Journal of social issues · March 2023 In addition to the pervasive anti-Black racism faced by Black people in the United States, Black men who have sex with men (BMSM) face sexual minority stigma and, among BMSM living with HIV, HIV-related stigma. These multilevel social forces shape social n ... Full text Cite

Trusted information sources in the early months of the COVID-19 pandemic predict vaccination uptake over one year later.

Journal article Vaccine · January 2023 IntroductionCOVID-19 vaccine uptake has been a major barrier to stopping the pandemic in many countries with vaccine access. This longitudinal study examined the capability to predict vaccine uptake from data collected early in the pandemic before ... Full text Cite

A conceptual framework for how structural changes in emerging acute substance use service models can reduce stigma of medications for opioid use disorder.

Journal article Frontiers in psychiatry · January 2023 Stigma toward people taking medication for opioid use disorder (MOUD) is prevalent, harmful to the health and well-being of this population, and impedes MOUD treatment resource provision, help-seeking, and engagement in care. In recent years, clinicians ha ... Full text Cite

A longitudinal study of COVID-19 disclosure stigma and COVID-19 testing hesitancy in the United States.

Journal article Public health · November 2022 ObjectivesThis study examines the relationship between COVID-19 disclosure stigma and COVID-19 testing hesitancy and assesses their changes between November 2020 and 2021.Study designThis was a longitudinal cohort.MethodsA total ... Full text Cite

A pilot pragmatic trial of a "what matters most"-based intervention targeting intersectional stigma related to being pregnant and living with HIV in Botswana.

Journal article AIDS research and therapy · June 2022 We conducted a pilot trial of an intervention targeting intersectional stigma related to being pregnant and living with HIV while promoting capabilities for achieving 'respected motherhood' ('what matters most') in Botswana. A pragmatic design allocated pa ... Full text Cite

Crowdsourced PrEP Promotion Messages for an HIV High-Burden Area: A Framework-Based Content Analysis.

Journal article AIDS education and prevention : official publication of the International Society for AIDS Education · February 2022 Pre-exposure prophylaxis (PrEP) is an important and highly effective HIV prevention strategy, but its uptake remains low, particularly among marginalized populations at high risk of HIV. Innovative and community-driven promotion strategies, such as open co ... Full text Cite

Barriers and facilitators to implementation of evidence-based task-sharing mental health interventions in low- and middle-income countries: a systematic review using implementation science frameworks.

Journal article Implementation science : IS · January 2022 BackgroundTask-sharing is a promising strategy to expand mental healthcare in low-resource settings, especially in low- and middle-income countries (LMICs). Research on how to best implement task-sharing mental health interventions, however, is ha ... Full text Cite

Identifying "What Matters Most" to Men in Botswana to Promote Resistance to HIV-Related Stigma.

Journal article Qualitative health research · July 2021 Despite a comprehensive national program of free HIV services, men living with HIV in Botswana participate at lower rates and have worse outcomes than women. Directed content analysis of five focus groups (n = 38) and 50 in-depth interviews with men ... Full text Cite

'Mothers moving towards empowerment' intervention to reduce stigma and improve treatment adherence in pregnant women living with HIV in Botswana: study protocol for a pragmatic clinical trial.

Journal article Trials · October 2020 BackgroundWith high rates of HIV and multiple vulnerable subgroups across diverse settings, there is a need for culturally based, HIV stigma reduction interventions. Pregnant women who are living with HIV are especially in need of services to prot ... Full text Cite