Emmanuela Ojukwu

Dr. Emmanuela Ojukwu


Research Focus & Metrics

Academic Career Length

6Years (2021-Present)

(Calculated once Scilit publication data is synced: current year − year of first publication + 1)

Representative Publications

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9 August 2022 in Adolescents
Verified
Journal Article
Open access
PDF file
SHSaima Hirani
Saima Hirani
EOEmmanuela Ojukwu
Emmanuela Ojukwu
NBNilanga Aki Bandara
Nilanga Aki Bandara
Background: Mental health during a person’s adolescence plays a key role in setting the stage for their mental health over the rest of their life. Hence, initiatives that promote adolescents’ wellbeing are an important public health goal. Helping others can take a variety of forms, and the literature suggests that helping others can positively impact a person’s wellbeing. However, there is a lack of data that synthesizes the impact of helping others on adolescents’ wellbeing. Therefore, this review aims to synthesize the available evidence related to helping others and to youth wellbeing. Methods: A scoping review search was undertaken with no date restrictions. CINAHL, Medline and PyschINFO, were searched for studies that analyzed the relationship between helping others and youth mental health. Results: Data from 213 papers were included in the scoping review. Three main themes were observed: (1) the relationship between helping others and mental health outcomes among youths (positive and negative); (2) factors associated with youth engagement in prosocial behavior (facilitators and barriers); (3) the impact of interventions related to helping others, and to youth mental health (positive and negative). Conclusions: An overwhelmingly positive relationship exists between youth prosocial behavior and its influence on youth mental health.

24 June 2022 in PLOS ONE
Verified
Journal Article
Open access
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SHSaima Hirani
Saima Hirani
EOEmmanuela Ojukwu
Emmanuela Ojukwu
NBNilanga Aki Bandara
Nilanga Aki Bandara
This review aims to explore the existing literature about the virtue of helping others and its association with youth mental health. Mental health of youth is rooted in their social environment. Helping others or engaging in prosocial behavior are activities that youth may participate in. The notion of helping others and its association with individual mental well-being have been well-studied for adults and older adults and to some extent in youth, however, no review has been conducted to understand the intersection of helping others and mental health in the youth population. This review will consider all study designs that examine helping others and mental health of youth. The inclusion criteria for the review will include young individuals aged 10-24-year-old, living in any geographic location, of all gender identities, and with or without mental health issues. Grey literature and studies that only speak to outcomes related to physical well-being will be excluded. A search will be conducted in CINAHL, MEDLINE and PsycINFO. Studies published in the English language will be included with no restriction on publication time period. Articles will be screened against the inclusion criteria onto a single software by two independent reviewers. In the case of any disagreement, a third independent reviewer would resolve the conflict. Data will be extracted and presented in a tabular or diagrammatic form supported by a summary. We will report our findings in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-analyses extension for Scoping Reviews (PRISMA-ScR). The findings of this review will provide evidence-based recommendations for promoting youth mental health and a basis for future research.

1 March 2022 in Journal of the Association of Nurses in AIDS Care
Verified
Journal Article
Closed access
EOEmmanuela Ojukwu
Emmanuela Ojukwu
RCRosina PhD Cianelli
Rosina PhD Cianelli
NRNatalia PhD Villegas Rodriguez
Natalia PhD Villegas Rodriguez
GOGiovanna PhD De Oliveira
Giovanna PhD De Oliveira
VKVivian Bsc Kalu
Vivian Bsc Kalu
Black older women living with HIV (BOWLH) in the United States are disproportionately affected by HIV infection and poor treatment engagement rates, often caused by multiple social determinants of health. In this descriptive qualitative study, we interviewed 17 BOWLH to investigate the facilitators and barriers to HIV treatment engagement. Data were analyzed using the socioecological framework. Findings demonstrate the positive influences of supportive social networks, perceived benefits, HIV-related knowledge, raising HIV awareness in communities, and impact of HIV state laws. The highlighted barriers were mainly low income, substance use, HIV-related stigma, influence of stereotypes and assumptions about older women living with HIV, and health insurance. Religion, managing comorbidities, attitude toward, HIV disclosure, and caregiving roles had both positive and negative influences on engagement. These findings illuminate factors of HIV treatment engagement that might be culturally founded; disseminating these factors to health care professionals is a critical intervention to support this population.

28 October 2025 in AIDS Research and Therapy
Verified
Journal Article
Open access
PDF file
EOEmmanuela Ojukwu
Emmanuela Ojukwu
APAva Pashaei
Ava Pashaei
JMJuliana Cunha Maia
Juliana Cunha Maia
OOOserekpamen Favour Omobhude
Oserekpamen Favour Omobhude
ATAbdulaziz Tawfik
Abdulaziz Tawfik
YNYvonne Nguyen
Yvonne Nguyen
Background: The COVID-19 pandemic caused significant disruptions to global healthcare systems, including essential services along the HIV care continuum (HCC). While several studies have examined these impacts in specific countries or populations, limited evidence exists on cross-country differences in service disruptions, barriers, and facilitators stratified by national income levels. Methods: We conducted a mixed-methods systematic review following the Joanna Briggs Institute methodology and PRISMA 2020 guidelines. We searched CINAHL, MEDLINE, Embase, and CAB Direct for quantitative and qualitative studies published between March 2020 and January 2024. Eligible studies assessed the pandemic’s impact on one or more stages of the HIV care continuum, including prevention, testing, linkage to care, treatment engagement, antiretroviral therapy (ART) adherence, and viral suppression. Data were extracted, appraised, and synthesized using a convergent integrated approach across low-, middle-, and high-income countries as defined by the World Bank. Results: A total of 200 studies were included. The most frequently disrupted services were HIV testing, prevention (including pre-exposure prophylaxis [PrEP] use), and medical appointments, particularly in high- and middle-income countries. ART adherence and viral suppression showed greater resilience across all settings. Structural barriers, such as lockdowns, healthcare repurposing, and transportation limitations, were widespread, while digital exclusion, stigma, and socioeconomic inequities disproportionately affected marginalized populations. Key facilitators included telemedicine, multi-month dispensing of ART and PrEP, community-based service delivery, and national-level adaptations. The extent of disruption and success of mitigation strategies varied by income level, reflecting differences in health system preparedness and flexibility. Conclusions: The COVID-19 pandemic disrupted HIV care globally, with variation across income levels and care continuum stages. Health system resilience, equity in access, and pre-existing adaptive infrastructure significantly shaped outcomes. Findings highlight the need to institutionalize flexible, decentralized, and equity-informed service models to strengthen routine HIV care and pandemic preparedness.

EOEmmanuela Ojukwu
Emmanuela Ojukwu
Helen OkoyeHelen Okoye
Helen Okoye
ESElizabeth Saewyc
Elizabeth Saewyc
Studies have linked HIV-risky behaviours among young people to several socio-contextual factors. However, the social factors that might increase African Canadian adolescents’ exposure to HIV-risky behaviours, including unprotected sex and forced or multiple-sexual partnerships, have received little or no attention in the literature. Using data from the British Columbia Adolescent Health Surveys (2003–2018) and guided by intersectionality and socio-ecological frameworks, we examined the social determinants of HIV-risky behaviours (HRB) among African Canadian adolescents in British Columbia. We observed a general decline in HRB from 2008 to 2018. However, more than half (54.5%) of the 1042 who were sexually experienced in 2018 reported having 2 or more sexual partners, and nearly half reported condom-less sex. Our results demonstrate an important need to evaluate the impacts of several social factors on health outcomes for a unique, marginalized population.

26 June 2024 in European Journal of Medical Research
Verified
Journal Article
Open access
PDF file
EOEmmanuela Ojukwu
Emmanuela Ojukwu
APAva Pashaei
Ava Pashaei
JMJuliana Cunha Maia
Juliana Cunha Maia
OOOserekpamen Favour Omobhude
Oserekpamen Favour Omobhude
ATAbdulaziz Tawfik
Abdulaziz Tawfik
YNYvonne Nguyen
Yvonne Nguyen
Background: The COVID-19 pandemic affected the self-management and care of people living with HIV, requiring adaptations in the way health services are provided. However, it is unclear how these changes impacted HIV care in low-income countries.Methods: A systematic review including the current evidence related to changes in HIV care continuum during COVID-19 was conducted through a systematic search in the online databases including CINAHL, OVID-Medline, CAB Direct, and OVID-Embase. A two-step screening process was carried out to include eligible papers and reports according to inclusion criteria.Results: From the searches we identified 21 total studies published between 2021 and 2024, the studies revealed mostly negative impacts on all stages of the HIV care continuum in low-income countries. There were impacts related to the blocking measures due to COVID-19, fear of contracting the disease, difficulties in providing resources such as income, food and transports, reductions in the provision of care from prevention to viral suppression.Conclusion: Overall, researchers identified several negative impacts of COVID-19 restrictions on HIV care continuum during pandemic; however, some observations indicated indirect positive impacts on some aspects of HIV care. Decline in HIV care practices during pandemic compared to before pandemic were observed including using preventative methods, counseling and testing, receiving HIV healthcare services, HIV medical appointments, antiretroviral adherence, engagement with treatment, and poor viral suppression. However, in some evidence improvement in ART adherence and PrEP use were observed.