Adjunct Faculty
Adjunct faculty typically have an academic or research appointment at another institution and contribute or collaborate with one or more School of Medicine faculty members or programs.
Adjunct rank detailsRoman Shrestha, PhD, MPH
Assistant Professor AdjunctDownloadHi-Res Photo
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Assistant Professor Adjunct
Biography
Dr. Shrestha is an Assistant Professor Adjunct at the Yale School of Medicine’s AIDS program. He is the Principal Investigator on the National Institute of Health funded K01 (NIDA: K01DA051346), R21 (NIDA: R21DA051934), and R21/R33 (FIC: R21TW011665) awards. His research has largely centered on enhancing the design, delivery, and placement of interventions that integrates evidence-based behavioral approach, biomedical components, and innovative use of mHealth strategies, aimed at improving health outcomes and the quality of life of underserved populations. Specifically, he is interested in syndemics of health issues that have profound implications for access to and utilization of healthcare services and overall HIV prevention efforts in a range of settings, including community and healthcare, addiction treatment, and criminal justice settings, both domestically and internationally. His current work focuses on reducing the HIV epidemic that disproportionately affects socioeconomically disadvantaged (i.e., drug users) and sexual minority group (i.e., men who have sex with men) using mHealth technologies as an innovative platform to scale-up prevention efforts.
Last Updated on April 19, 2025.
Appointments
Infectious Diseases
Assistant Professor AdjunctPrimary
Other Departments & Organizations
Education & Training
- Postdoctoral Research Associate
- University of Connecticut (2019)
- PhD
- University of Connecticut, Public Health (2017)
- MPH
- University of Connecticut, Public Health (2013)
Research
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Overview
Public Health Interests
Substance Use, Addiction; Behavioral Health; Clinical Trials; Community Health; Global Health; Health Equity, Disparities, Social Determinants and Justice; HIV/AIDS; Sexually-Transmitted Infections
ORCID
0000-0003-4340-3101
Research at a Glance
Yale Co-Authors
Frequent collaborators of Roman Shrestha's published research.
Publications Timeline
A big-picture view of Roman Shrestha's research output by year.
Jeffrey A. Wickersham, PhD
Frederick Lewis Altice, MD, MA
Kamal Gautam
Kiran Paudel
Zhao Ni, PhD, BMedSci, RN, FAAN, FAHA
Sheela Shenoi, MD, MPH, FIDSA
142Publications
2,526Citations
Publications
2025
Hypertension awareness, treatment, and control in nepal: results from may measurement month 2020 blood pressure screening
Acharya P, Rijal A, Subedi N, Bhandari B, Koirala S, Paudel K, Soti P, Sharma S, Sapkota A, Gautam K, Kafle S, Poudel S, Adhikari T, Shrestha R, Neupane D. Hypertension awareness, treatment, and control in nepal: results from may measurement month 2020 blood pressure screening. Discover Public Health 2025, 22: 786. PMID: 41356693, PMCID: PMC12680799, DOI: 10.1186/s12982-025-01197-y.Peer-Reviewed Original ResearchConceptsMay Measurement MonthMeasurement MonthLow rates of awarenessBlood pressureAntihypertensive medicationsBlood pressure screeningRates of awarenessCOVID-19 preventive measuresScreening initiativesHypertension awarenessPressure screeningBlood pressure measurementsDiastolic blood pressureElevated blood pressurePreventable deathsHypertensive participantsControl of BPTreatment of hypertensionControlled BPDiastolic BPLow rateSystolic BPParticipantsPreventive measuresCOVID-19 pandemicPrevalence of HIV, syphilis, and condomless sex among MSM in Nepal; findings based on an integrated biological and behavioral surveillance survey using respondent-driven sampling
Paudel K, Gautam K, Bhandari P, Lena F, Wickersham J, Sujan S, Dhakal M, Xu R, Adhikari T, Copenhaver M, Shrestha R. Prevalence of HIV, syphilis, and condomless sex among MSM in Nepal; findings based on an integrated biological and behavioral surveillance survey using respondent-driven sampling. Medicine 2025, 104: e46286. PMID: 41327717, PMCID: PMC12662437, DOI: 10.1097/md.0000000000046286.Peer-Reviewed Original ResearchMeSH Keywords and ConceptsConceptsFactors associated with syphilis infectionAssociated with higher oddsCondomless sexHuman immunodeficiency virusPrevalence of human immunodeficiency virusSyphilis infectionSyphilis prevalenceRisk of sexually transmitted infectionsMental health issuesAdverse health outcomesHuman immunodeficiency virus prevalenceRespondent-driven samplingBehavior Surveillance SurveySexually transmitted infectionsHealth outcomesSurveillance SurveyUnsafe sexual behaviorMSMSocial stigmaHealth issuesRisky sexual behaviorSexual behaviorCondomlessSexual riskMarginalized populationsValidation and Evaluation of the Psychometric Properties of a Sexual Stigma Scale Among Gay, Bisexual, and Other Men Who Have Sex with Men in Nepal
Sujan M, Hui E, Khati A, Gautam K, Paudel K, Dhakal M, Wickersham J, Shrestha R. Validation and Evaluation of the Psychometric Properties of a Sexual Stigma Scale Among Gay, Bisexual, and Other Men Who Have Sex with Men in Nepal. Sexuality Research And Social Policy 2025, 1-12. DOI: 10.1007/s13178-025-01241-1.Peer-Reviewed Original ResearchCitationsConceptsConfirmatory factor analysisTwo-factor structureExploratory factor analysisPsychometric propertiesConcurrent validityGeneralized Anxiety Disorder Scale-7Factor analysisStigma ScaleEnacted stigmaAdequate concurrent validityExploratory factor analysis resultsNepali versionPatient Health Questionnaire-9MethodsA cross-sectional surveyStigma reduction interventionsDepressive symptomsSleep Quality ScaleCross-sectional surveyScale-7Internal reliabilityInternal consistencyStandardized measuresSevere stigmaSleep qualityGBMSMQuality of life among people living with HIV/AIDS receiving antiretroviral therapy at Lumbini Provincial Hospital, Nepal
Poudel A, Paudel K, Adhikari T, Adhikari S, Chhetri M, Shrestha R. Quality of life among people living with HIV/AIDS receiving antiretroviral therapy at Lumbini Provincial Hospital, Nepal. Discover Public Health 2025, 22: 653. DOI: 10.1186/s12982-025-01046-y.Peer-Reviewed Original ResearchConceptsWorld Health Organization QualityInstitutional Review CommitteeQuality of lifeSpiritual healthMedian scoreDomains of physical healthNon-probability convenience sampling techniqueProvincial HospitalAntiretroviral therapyWHOQOL-HIV BREFHospital-based cross-sectional studyPsychological health scoresPsycho-social interventionsWell-beingAntiretroviral therapy clinicLevel of independenceCross-sectional studyFive-point Likert scalePsychological Well-BeingRegular intakeBREF questionnaireChitwan Medical CollegeWHOQOL-HIVHIV careConvenience sampling techniquePrevalence and determinants of induced abortion among women migrant workers in an industrial zone in Vietnam: A cross-sectional study
Ha T, Pham T, Nguyen N, Shrestha R, Schensul S. Prevalence and determinants of induced abortion among women migrant workers in an industrial zone in Vietnam: A cross-sectional study. Medicine 2025, 104: e45005. PMID: 41054036, PMCID: PMC12499793, DOI: 10.1097/md.0000000000045005.Peer-Reviewed Original ResearchMeSH Keywords and ConceptsConceptsWomen migrant workersCross-sectional studyReproductive health servicesUnintended pregnancyFemale migrant workersMigrant workersAbortion rateUnsafe abortion rateMultivariate logistic regressionAssociated with lower oddsReproductive health challengesMarried womenLowest abortion rateOdds of abortionPrevalence of abortionQuality of abortion servicesAvailability of contraceptivesMigrant women workersPrimary outcomeContraceptive useLow monthly incomeSexual intercourseHealth servicesPrivate clinicsContraceptionExploring perceived and enacted stigma with related factors among gay, bisexual, and other men who have sex with men in Nepal
Sujan M, Khati A, Paudel K, Gautam K, Pandey A, Sharma S, Dhakal M, Wickersham J, Shrestha R. Exploring perceived and enacted stigma with related factors among gay, bisexual, and other men who have sex with men in Nepal. Sexual Health 2025, 22 PMID: 40977232, DOI: 10.1071/sh25031.Peer-Reviewed Original ResearchCitationsAltmetricMeSH Keywords and ConceptsConceptsEnacted stigmaPatient Health Questionnaire-9Stigma reduction initiativesCross-sectional studyMultivariate linear regression analysisSleep Quality ScaleStigma ScalePerceived stigmaBackground StigmaExploratory factor analysisComprehensive interventionDepressive symptomsGBMSMStigmaAnal sexLinear regression analysisGroup sexOlder individualsSexual behaviorAssociated FactorsTransactional sexWell-beingReduction initiativesParticipantsQuality scalePrevalence and determinants of excessive daytime sleepiness among men who have sex with men in Nepal: A cross-sectional study
Paudel K, Gautam K, Sharma M, Wickersham J, Sujan S, Ha T, Copenhaver M, Adhikari T, Shrestha R. Prevalence and determinants of excessive daytime sleepiness among men who have sex with men in Nepal: A cross-sectional study. Medicine 2025, 104: e42341. PMID: 40760630, PMCID: PMC12323900, DOI: 10.1097/md.0000000000042341.Peer-Reviewed Original ResearchMeSH Keywords and ConceptsConceptsPrevalence of excessive daytime sleepinessSocial supportDepressive symptomsPatient Health QuestionnaireExcessive daytime sleepinessConfidence intervalsHealth care providersCross-sectional surveySevere depressive symptomsStrong social supportMiddle-income countriesCross-sectional studyModerate prevalenceFactors associated with excessive daytime sleepinessCare providersHealth QuestionnaireMultivariate logistic regression analysisPHQ-9Public health concernEffective careLogistic regression analysisHigher oddsStudy participantsMSMOdds ratioPrevalence of chemsex and associated factors among gay, bisexual, and other men who have sex with men in Nepal: findings from an online national survey
Paudel K, Gautam K, Pandey A, Bhandari P, Wickersham J, Dhakal M, Sujan M, Acharya B, Sapkota S, Shrestha A, Shrestha R. Prevalence of chemsex and associated factors among gay, bisexual, and other men who have sex with men in Nepal: findings from an online national survey. Scientific Reports 2025, 15: 23087. PMID: 40603540, PMCID: PMC12222907, DOI: 10.1038/s41598-025-92449-z.Peer-Reviewed Original ResearchAltmetricMeSH Keywords and ConceptsConceptsMultiple sex partnersAssociated with risky sexual behaviorSex partnersSexual health servicesRisky sexual behaviorFactors associated with engagementChemsex engagementMental health carePrevalence of chemsexGBMSMCross-sectional online surveyChemsexNational surveyCondomless sexHealth servicesMultivariate logistic regressionSexual behaviorHealth careNepalDepressive symptomsLogistic regressionOnline surveyEngagementMenPartnersAssessment of quality of life among undergraduate students using WHOQOL questionnaire in Nepal: a cross-sectional study
Bhandari P, Paudel K, Bajracharya S, Khanal B, Gautam K, Adhikari T, Pahari D, Shrestha R. Assessment of quality of life among undergraduate students using WHOQOL questionnaire in Nepal: a cross-sectional study. BMJ Public Health 2025, 3: e002014. PMID: 41333091, PMCID: PMC12666066, DOI: 10.1136/bmjph-2024-002014.Peer-Reviewed Original ResearchConceptsPhysical health domainPsychological health domainCross-sectional studyHealth domainsQuality of lifePhysical healthPhysical health domain of QoLQOL scoresWeb-based cross-sectional surveyAssessment of quality of lifeDomains of QoLDomains of QoL.Mean QOL scoreAssociated with psychological healthHealth-related QOLCross-sectional surveyHigher QoL scoresNon-health science studentsHealth science studentsMonthly family incomeMultivariate linear regression analysisExercise habitsNon-healthSocial well-beingHealth-relatedDeterminants of loss to follow-up among people living with HIV receiving antiretroviral therapy in a universal test and treat setting: A retrospective cohort study in Nepal
Shrestha A, Poudel L, Adhikari B, Bhandari S, Shrestha R, Kunwar R, Pandey L, KC M, Wilson E, Deuba K. Determinants of loss to follow-up among people living with HIV receiving antiretroviral therapy in a universal test and treat setting: A retrospective cohort study in Nepal. Public Health In Practice 2025, 10: 100634. PMID: 40688743, PMCID: PMC12272902, DOI: 10.1016/j.puhip.2025.100634.Peer-Reviewed Original ResearchCitationsConceptsLoss to follow-upFactors associated with loss to follow-upAntiretroviral therapyIncidence rateCumulative incidence of loss to follow-upRisk of loss to follow-upIncidence of loss to follow-upPerson years of observationFactors associated with higher oddsUniversal testingConfidence intervalsRoutine programme dataRate of loss to follow-upCumulative incidenceIncidence rate of loss to follow-upFollow-upWHO clinical stage 1Early adverse drug reactionsCox proportional hazards regression modelsMultivariate Cox proportional hazards regression modelsProportional hazards regression modelsNon-nucleoside reverse transcriptase inhibitorsClinical stage 1Started antiretroviral therapyHazards regression models
Academic Achievements & Community Involvement
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Activities
activity mHealth App Development for HIV prevention
03/01/2020 - PresentResearchDetailsKuala Lumpur, Federal Territory of Kuala Lumpur, Malaysiaactivity Expanding PrEP access to PWID (EPIC-P)
01/06/2020 - PresentResearchDetailsNew Haven, CT, United States
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