2024
Transactional sex and its associated factors among gay, bisexual and other men who have sex with men in Nepal
Sujan M, Paudel K, Gautam K, Khati A, Wickersham J, Dhakal M, Ha T, Shrestha R. Transactional sex and its associated factors among gay, bisexual and other men who have sex with men in Nepal. Sexual Health 2024, 21 PMID: 39388431, DOI: 10.1071/sh24178.Peer-Reviewed Original ResearchConceptsTransactional sexPrevalence of transactional sexFactors associated with transactional sexExchange of sexReduce transactional sexPolice detentionMental health challengesEconomic vulnerabilityTransgender womenFinancial dependenceGBMSMCondomless sexSubstance useAssociated with adverse health outcomesNepalParticipants' sociodemographic characteristics,Cross-sectional surveyMultivariate logistic regression analysisAdverse health outcomesAge of participantsHealth outcomesSexually transmitted infectionsHigh-risk groupSociodemographic characteristicsLogistic regression analysis
2023
Assessing Barriers and Utilization of Sexual and Reproductive Health Services among Female Migrant Workers in Vietnam
Ha T, Givens D, Shi H, Nguyen T, Nguyen N, Shrestha R, Frank L, Schensul S. Assessing Barriers and Utilization of Sexual and Reproductive Health Services among Female Migrant Workers in Vietnam. International Journal Of Environmental Research And Public Health 2023, 20: 6368. PMID: 37510599, PMCID: PMC10379987, DOI: 10.3390/ijerph20146368.Peer-Reviewed Original ResearchConceptsWomen migrant workersFemale migrant workersMigrant workersSRH servicesReproductive health servicesMigrant women workersHealth servicesWomen workersSRH service utilizationIndustrial zoneLast sexual encounterMultivariable logistic regression analysisSexual encountersUtilization of SexualLogistic regression analysisSimilar contextsTimes higher oddsExplores factorsWorkersUrban settingsCross-sectional surveyVietnamMiddle-income countriesStudy findingsHigher income
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
2021
Use of Pre-exposure Prophylaxis Among People Who Inject Drugs: Exploratory Findings of the Interaction Between Race, Homelessness, and Trust
Zhou X, Altice FL, Chandra D, Didomizio E, Copenhaver MM, Shrestha R. Use of Pre-exposure Prophylaxis Among People Who Inject Drugs: Exploratory Findings of the Interaction Between Race, Homelessness, and Trust. AIDS And Behavior 2021, 25: 3743-3753. PMID: 33751313, DOI: 10.1007/s10461-021-03227-7.Peer-Reviewed Original ResearchConceptsPre-exposure prophylaxisPrEP useProvider trustPatient-level factorsOpioid-dependent patientsLogistic regression analysisNon-homeless participantsHomeless participantsRace/ethnicityEligibility criteriaCross-sectional dataPrEPProphylaxisMethadoneRegression analysisDrugsExploratory findingsParticipantsPotential moderatorsPWIDPatientsSignificant moderatorWillingness to initiate pre-exposure prophylaxis (PrEP) and its use among opioid-dependent individuals in drug treatment
Ni Z, Altice FL, Wickersham JA, Copenhaver MM, DiDomizio EE, Nelson LE, Shrestha R. Willingness to initiate pre-exposure prophylaxis (PrEP) and its use among opioid-dependent individuals in drug treatment. Drug And Alcohol Dependence 2021, 219: 108477. PMID: 33422864, PMCID: PMC7946167, DOI: 10.1016/j.drugalcdep.2020.108477.Peer-Reviewed Original ResearchConceptsOpioid-dependent individualsPre-exposure prophylaxisPrEP useHIV riskHealthcare providersSex-related risk behaviorsMultivariable logistic regression analysisAwareness of PrEPUrban methadone clinicMultiple logistic regressionDisproportionate HIV burdenLogistic regression analysisCross-sectional surveyHIV burdenHIV infectionHIV testingIndependent correlatesMethadone clinicsDrug treatmentRisk behaviorsLogistic regressionPrEPPrevious useHigher likelihoodProphylaxis