2024
Association of sleep quality, smartphone addiction, and depressive symptoms among undergraduate medical students in Nepal
Paudel K, Shah S, Khanal P, Bhattarai M, Gautam K, Bhusal S, Bhandari P, Pandey A, Niroula S, Adhikari T, Shrestha R. Association of sleep quality, smartphone addiction, and depressive symptoms among undergraduate medical students in Nepal. Discover Psychology 2024, 4: 125. DOI: 10.1007/s44202-024-00246-y.Peer-Reviewed Original ResearchUndergraduate medical studentsMaharajgunj Medical CampusDepressive symptomsSleep qualityMedical studentsMedical CampusPatient Health Questionnaire-9Association of sleep qualityMethodsA cross-sectional studyPittsburgh Sleep Quality IndexCross-sectional studySleep Quality IndexIBM SPSS versionSmartphone addictionImpact of sleep qualityMental healthUnadjusted modelsSmartphone Addiction Scale-Short VersionSocio-demographicSPSS versionShort versionLongitudinal studyConclusionThis studyTherapeutic approachesQuality IndexHigh Interest in the Use of mHealth Platform for HIV Prevention among Men Who Have Sex with Men in Nepal
Gautam K, Paudel K, Ahmed A, Dhakal M, Wickersham J, Poudel K, Pagoto S, Acharya B, Deuba K, Valente P, Shrestha R. High Interest in the Use of mHealth Platform for HIV Prevention among Men Who Have Sex with Men in Nepal. Journal Of Community Health 2024, 49: 575-587. PMID: 38281283, PMCID: PMC11283576, DOI: 10.1007/s10900-024-01324-x.Peer-Reviewed Original ResearchHIV prevention servicesHIV preventionPreventive servicesAccess HIV prevention servicesModerate to severe depressive symptomsRespondent-driven sampling surveyRisk of HIV acquisitionHIV prevention effortsSevere depressive symptomsHealth care workersMultivariate linear regression analysisMHealth interventionsHIV risk-related behaviorsMHealth strategiesMobile healthMHealth platformParticipant characteristicsMSM populationUtilization of communication technologiesMHealthRisk-related behaviorsDepressive symptomsCare workersMedian scoreMonthly incomeMediating role of food insecurity in the relationship between perceived MSM related stigma and depressive symptoms among men who have sex with men in Nepal
Paudel K, Bhandari P, Gautam K, Wickersham J, Ha T, Banik S, Shrestha R. Mediating role of food insecurity in the relationship between perceived MSM related stigma and depressive symptoms among men who have sex with men in Nepal. PLOS ONE 2024, 19: e0296097. PMID: 38166131, PMCID: PMC10760890, DOI: 10.1371/journal.pone.0296097.Peer-Reviewed Original ResearchConceptsDepressive symptomsHigher ageCross-sectional studyHealth-related confoundersResource-limited countriesCondom-less sexMental health concernsRespondent-driven samplingPrEP uptakeFood insecurityDearth of evidenceUnadjusted modelsAdjusted modelSymptomsHealth concernMSMOutcome variablesConfidence intervalsMenMonthly incomeSexAssociationStigmaAgePrevious studies
2023
Suicidal ideation, plan, and attempt among men who have sex with men in Nepal: Findings from a cross-sectional study
Paudel K, Gautam K, Bhandari P, Wickersham J, Dhakal M, Sharma S, Poudel K, Ha T, Shrestha R. Suicidal ideation, plan, and attempt among men who have sex with men in Nepal: Findings from a cross-sectional study. PLOS Global Public Health 2023, 3: e0002348. PMID: 37992034, PMCID: PMC10664887, DOI: 10.1371/journal.pgph.0002348.Peer-Reviewed Original ResearchSuicidal ideationSuicidal behaviorRisk factorsDepressive symptomsMultivariable logistic regressionCross-sectional studyMental health problemsMiddle-income countriesSmoking habitsSevere food insecurityIndependent correlatesSuicide-related problemsYoung MSMHigh prevalenceLifetime prevalenceGeneral populationHealth problemsMSMLogistic regressionPrevalenceFood insecurityEarly assessmentRelated factorsMenIdeationThe mediation effects of sexual self-efficacy in the relationship between psychosocial wellbeing and depressive symptoms among female migrant workers in Vietnam
Ha T, Shi H, Su T, Shrestha R, Baumann S, Nguyen T, Nguyen N, Giang L, Schensul S. The mediation effects of sexual self-efficacy in the relationship between psychosocial wellbeing and depressive symptoms among female migrant workers in Vietnam. International Journal Of Social Psychiatry 2023, 69: 2068-2078. PMID: 37477252, PMCID: PMC11200049, DOI: 10.1177/00207640231188033.Peer-Reviewed Original ResearchConceptsDepressive symptomsPsychosocial wellbeingCommon mental disordersCross-sectional studyMental health concernsMiddle-income countriesPsychological wellbeingGlobal burdenSexual healthMental disordersSymptomsFinal mediation modelHealth concernInterview questionnaireDemographic characteristicsOverall psychological wellbeingFemale migrant workersMediation analysisStudy findingsWellbeingHigh levelsMediation effectWorkersDiseaseWomenThe Mediating Effect of Changes in Depression Symptoms on the Relationship between Health-Related Quality of Life and Alcohol Consumption: Findings from a Longitudinal Study among Men Living with HIV in India
Ha T, Shi H, Shrestha R, Gaikwad S, Joshi K, Padiyar R, Schensul S. The Mediating Effect of Changes in Depression Symptoms on the Relationship between Health-Related Quality of Life and Alcohol Consumption: Findings from a Longitudinal Study among Men Living with HIV in India. International Journal Of Environmental Research And Public Health 2023, 20: 5567. PMID: 37107849, PMCID: PMC10138320, DOI: 10.3390/ijerph20085567.Peer-Reviewed Original ResearchConceptsHealth-related qualityMale PLWHDepressive symptomsAlcohol useDepression symptomsAlcohol consumptionImproved health-related qualityLower health-related qualityMental healthAntiretroviral therapy adherenceQuality of lifeHeavy alcohol useART adherenceHIV infectionTherapy adherenceClinical trialsIntervention groupIntervention participantsPLWHLower alcohol useControl groupSymptomsHRQoLControl participantsDemographic characteristics
2020
Willingness 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
Interest in use of mHealth technology in HIV prevention and associated factors among high-risk drug users enrolled in methadone maintenance program
Shrestha R, Karki P, Copenhaver M. Interest in use of mHealth technology in HIV prevention and associated factors among high-risk drug users enrolled in methadone maintenance program. AIDS Care 2017, 29: 1144-1148. PMID: 28478706, PMCID: PMC6081193, DOI: 10.1080/09540121.2017.1325439.Peer-Reviewed Original ResearchConceptsHigh-risk PWUDMethadone maintenance programHIV preventionMedication remindersHIV risk reduction informationRisk behaviorsSex-related risk behaviorsHigh-risk drug usersMHealth technologiesHIV prevention toolHIV risk reductionHIV prevention approachesHIV risk behaviorsDrug treatment settingsRisk Behavior AssessmentHIV prevention effortsHIV-negative PWUDUse of mHealthNew intervention strategiesDepressive symptomsTreatment settingsDrug usersHealthcare providersMultivariate analysisPrevention efforts