2022
Ethical Issues in the Use of Smartphone Apps for HIV Prevention in Malaysia: Focus Group Study With Men Who Have Sex With Men
Khati A, Wickersham J, Rosen A, Luces J, Copenhaver N, Jeri-Wahrhaftig A, Halim M, Azwa I, Gautam K, Ooi K, Shrestha R. Ethical Issues in the Use of Smartphone Apps for HIV Prevention in Malaysia: Focus Group Study With Men Who Have Sex With Men. JMIR Formative Research 2022, 6: e42939. PMID: 36563046, PMCID: PMC9823573, DOI: 10.2196/42939.Peer-Reviewed Original ResearchHIV prevention programsHIV preventionPrevention programsHIV prevention cascadeMobile health platformMalaysian MSMPrevention cascadeImplementation of appsKey populationsFocus group studyInformed consentDedoose softwareGroup studySmartphone appMSMPreventionHealth informationPersonal health informationHealth platformMenUnintended harmFocus group discussionsSexEthical concernsEquitable accessFormative Evaluation of the Acceptance of HIV Prevention Artificial Intelligence Chatbots By Men Who Have Sex With Men in Malaysia: Focus Group Study
Peng ML, Wickersham JA, Altice FL, Shrestha R, Azwa I, Zhou X, Halim MAA, Ikhtiaruddin WM, Tee V, Kamarulzaman A, Ni Z. Formative Evaluation of the Acceptance of HIV Prevention Artificial Intelligence Chatbots By Men Who Have Sex With Men in Malaysia: Focus Group Study. JMIR Formative Research 2022, 6: e42055. PMID: 36201390, PMCID: PMC9585446, DOI: 10.2196/42055.Peer-Reviewed Original ResearchHIV testingMobile health interventionsMobile health strategiesHealth care professionalsStigmatized health conditionsElevated riskHealth strategiesCare professionalsKey populationsHealth interventionsDigital health toolsFocus group studyHealth awarenessHIVHealth toolsHealth conditionsPervasive stigmaGroup studyPreventionImplementation strategiesPotential implementation strategiesSexual behaviorMenPublic healthTechnical errorsPerspectives on Ethical Issues Around the Use of Smartphone Apps for HIV Prevention in Malaysia: Focus Group Study With Men Who Have Sex With Men
Khati A, Shrestha R, Rosen A, Luces J, Wickersham J, Azwa I, Halim M. Perspectives on Ethical Issues Around the Use of Smartphone Apps for HIV Prevention in Malaysia: Focus Group Study With Men Who Have Sex With Men. Iproceedings 2022, 8: e39372. DOI: 10.2196/39372.Peer-Reviewed Original ResearchHIV prevention effortsHIV prevention programsHIV preventionMalaysian MSMPrevention effortsPrevention programsHIV prevention cascadePrevention cascadeImplementation of appsKey populationsFocus group studyMSMDedoose softwareGroup studySmartphone appPreventionMenOnline focus group discussionsFocus group discussionsApp useSexRiskParticipantsConfidentiality concernsEthical concernsMobile Technology Use and Acceptability of mHealth for HIV Prevention Among Men Who Have Sex With Men in Malaysia
Maviglia F, Shrestha R, Altice F, DiDomizio L, Khati A, Mistler C, Azwa I, Kamarulzaman A, Halim M, Wickersham J. Mobile Technology Use and Acceptability of mHealth for HIV Prevention Among Men Who Have Sex With Men in Malaysia. Iproceedings 2022, 8: e39303. DOI: 10.2196/39303.Peer-Reviewed Original ResearchAcceptability of mHealthHIV preventionMalaysian MSMHIV risk-related behaviorsHIV prevention needsHIV prevention servicesHIV prevention informationHIV prevention effortsCross-sectional surveyRespondent-driven samplingHealth-related informationSuboptimal engagementPrevention needsDearth of evidencePrevention servicesMHealth interventionsDrug useKey populationsMHealth strategiesRisk-related behaviorsDrug cravingPrevention informationPrevention effortsParticipant demographicsPreventionCOVID-19 Vaccine Hesitancy and Associated Factors among People with HIV in the United States: Findings from a National Survey
Shrestha R, Meyer JP, Shenoi S, Khati A, Altice FL, Mistler C, Aoun-Barakat L, Virata M, Olivares M, Wickersham JA. COVID-19 Vaccine Hesitancy and Associated Factors among People with HIV in the United States: Findings from a National Survey. Vaccines 2022, 10: 424. PMID: 35335054, PMCID: PMC8949562, DOI: 10.3390/vaccines10030424.Peer-Reviewed Original ResearchCOVID-19 vaccine hesitancyVaccine hesitancySevere COVID-19 diseaseMean timeSample of PWHCells/mm3COVID-19 historyVaccine-related concernsGreater vaccine hesitancyCOVID-19 vaccineCOVID-19COVID-19 diseaseLower vaccine hesitancyCross-sectional online surveyCD4 countAssociated FactorsSide effectsHIVKey populationsPWHMultivariate linear regressionVaccineCOVID-19 epidemicHesitancyMost participants
2021
Privacy and Confidentiality Concerns Related to the Use of mHealth Apps for HIV Prevention Efforts Among Malaysian Men Who Have Sex With Men: Cross-sectional Survey Study
Shrestha R, Fisher C, Wickersham JA, Khati A, Kim R, Azwa I, Mistler C, Goldsamt L. Privacy and Confidentiality Concerns Related to the Use of mHealth Apps for HIV Prevention Efforts Among Malaysian Men Who Have Sex With Men: Cross-sectional Survey Study. JMIR Formative Research 2021, 5: e28311. PMID: 34924355, PMCID: PMC8726055, DOI: 10.2196/28311.Peer-Reviewed Original ResearchHIV prevention programsHIV prevention effortsPrevention programsApp-based programMalaysian MSMPrevention effortsMultivariable logistic regression modelHIV prevention cascadeSexual health questionsCross-sectional survey studyLogistic regression modelsCorrelates of willingnessConfidentiality concernsPrevention cascadeImplementation of appsKey populationsMultivariate analysisWeb-based surveyHealth questionsClinical interactionsMHealth platformMSME-prescriptionsMHealth appsMen
2020
Using individual stated-preferences to optimize HIV self-testing service delivery among men who have sex with men (MSM) in Malaysia: results from a conjoint-based analysis
Shrestha R, Alias H, Wong LP, Altice FL, Lim SH. Using individual stated-preferences to optimize HIV self-testing service delivery among men who have sex with men (MSM) in Malaysia: results from a conjoint-based analysis. BMC Public Health 2020, 20: 1777. PMID: 33238941, PMCID: PMC7687720, DOI: 10.1186/s12889-020-09832-w.Peer-Reviewed Original ResearchConceptsClinic-based HIV testingHIV testing uptakeMethodsA cross-sectional online surveyCross-sectional online surveyNational AIDS ProgramAcceptability of HIVSTMalaysian MSMHIV testingTesting uptakeService delivery programsKey populationsHIVSTService delivery modelsAIDS ProgramMSMKit deliveryTelephone hotlineService delivery approachHigh acceptabilityDelivery programsMultiple barriersSafe useMean acceptabilityDelivery approachDelivery modelWillingness to Use HIV Self-Testing and Associated Factors Among Transgender Women in Malaysia
Shrestha R, Galka JM, Azwa I, Lim SH, Guadamuz TE, Altice FL, Wickersham JA. Willingness to Use HIV Self-Testing and Associated Factors Among Transgender Women in Malaysia. Transgender Health 2020, 5: 182-190. PMID: 32923668, PMCID: PMC7480722, DOI: 10.1089/trgh.2019.0085.Peer-Reviewed Original ResearchTransgender womenSex work clientsKey populationsMultivariable logistic regressionImplementation of HIVHIV Self-TestingCurrent depressive symptomsCross-sectional surveyCorrelates of willingnessHIV screeningHIV infectionMultivariable analysisAssociated FactorsDirect referralCondomless sexHigh riskDepressive symptomsHIVSTLogistic regressionCommunity-based organizationsWomenAdditional researchStaff membersParticipantsSelf-Testing
2017
Correlates of willingness to initiate pre-exposure prophylaxis and anticipation of practicing safer drug- and sex-related behaviors among high-risk drug users on methadone treatment
Shrestha R, Karki P, Altice FL, Huedo-Medina TB, Meyer JP, Madden L, Copenhaver M. Correlates of willingness to initiate pre-exposure prophylaxis and anticipation of practicing safer drug- and sex-related behaviors among high-risk drug users on methadone treatment. Drug And Alcohol Dependence 2017, 173: 107-116. PMID: 28214391, PMCID: PMC5366273, DOI: 10.1016/j.drugalcdep.2016.12.023.Peer-Reviewed Original ResearchConceptsPre-exposure prophylaxisHIV risk reductionDrug injectionHIV riskRisk behaviorsHigh-risk drug usersHigh-risk PWUDOpioid-dependent personsHIV prevention approachesRecent risk behaviorsCross-sectional studyConsistent condom useHigh-risk behaviorsRisk reductionCorrelates of willingnessPrEP deliveryMethadone treatmentIndependent correlatesMethadone programsSafe drugElevated riskCasual partnersNeurocognitive impairmentDrug usersKey populations