2023
An mHealth-Delivered Sexual Harm Reduction Tool (PartyPack) for Men Who Have Sex With Men in Malaysia: Usability Study
Gautam K, Paudel K, Jacobs J, Wickersham J, Ikhtiaruddin W, Azwa I, Saifi R, Lim S, Shrestha R. An mHealth-Delivered Sexual Harm Reduction Tool (PartyPack) for Men Who Have Sex With Men in Malaysia: Usability Study. JMIR Formative Research 2023, 7: e48113. PMID: 37616034, PMCID: PMC10485720, DOI: 10.2196/48113.Peer-Reviewed Original ResearchHarm reduction toolSmartphone app-based interventionHIV prevention servicesApp-based interventionEvidence-based interventionsHarm reduction strategiesCondomless sexPrevention servicesLarger sample sizeGroup sexUnderserved populationsPsychoactive drugsExit interviewsChemsexMost participantsMenSexMalaysian menMobile healthParticipantsInterventionTotalAcceptabilityMHealthSexual experience
2022
Prevalence and Correlates of Active Amphetamine-Type Stimulant Use Among Female Sex Workers in Malaysia
Pedersen CJ, Wickersham JA, Altice FL, Kamarulzaman A, Khoshnood K, Gibson BA, Khati A, Maviglia F, Shrestha R. Prevalence and Correlates of Active Amphetamine-Type Stimulant Use Among Female Sex Workers in Malaysia. Frontiers In Psychiatry 2022, 13: 879479. PMID: 35774093, PMCID: PMC9237260, DOI: 10.3389/fpsyt.2022.879479.Peer-Reviewed Original ResearchFemale sex workersATS useSubstance use disordersAmphetamine-type stimulantsUse disordersSevere substance use disordersAmphetamine-type stimulant useSex workersAdverse health outcomesLogistic regression analysisAdverse health consequencesSexual risk behaviorsBehavioral health issuesUse of drugsHarm reduction strategiesSex work clientsRespondent-driven samplingHIV transmissionMultivariable modelHigh prevalenceHealth outcomesDrug useSex workTransgender womenRisk behaviors
2020
Engagement in Harm Reduction Strategies After Suspected Fentanyl Contamination Among Opioid-Dependent Individuals
Mistler CB, Chandra DK, Copenhaver MM, Wickersham JA, Shrestha R. Engagement in Harm Reduction Strategies After Suspected Fentanyl Contamination Among Opioid-Dependent Individuals. Journal Of Community Health 2020, 46: 349-357. PMID: 32997253, PMCID: PMC7920905, DOI: 10.1007/s10900-020-00928-3.Peer-Reviewed Original ResearchConceptsFentanyl contaminationHarm reduction strategiesOpioid-dependent PWIDHigh-risk populationOpioid-dependent individualsHarm reduction behaviorsMethadone maintenance programHarm reduction methodsOpioid-related overdosesOverdose death ratesCross-sectional surveyDrug use behaviorsHarm reduction measuresPWID engagementMultivariable analysisFentanyl exposureOpioid epidemicOverdose ratesSynthetic opioidsDeath ratePolysubstance usersIntervention strategiesDrugsEvidence-based understandingEpidemic