2024
High rates of deferring antiretroviral treatment for patients with HIV and substance use disorders: Results from a national sample of HIV physicians in Ukraine
Ottesen T, Wickersham J, Lawrence J, Antoniak S, Zezuilin O, Polonsky M, Antonyak S, Rozanova J, Dvoriak S, Pykalo I, Filippovych M, Altice F. High rates of deferring antiretroviral treatment for patients with HIV and substance use disorders: Results from a national sample of HIV physicians in Ukraine. PLOS ONE 2024, 19: e0305086. PMID: 39028735, PMCID: PMC11259278, DOI: 10.1371/journal.pone.0305086.Peer-Reviewed Original ResearchConceptsAntiretroviral therapy prescriptionAntiretroviral therapyCD4 countSubstance use disordersIncreased levels of stigmaNational sampleLevel of stigmaIndependent of risk groupSuboptimal antiretroviral therapyInitiate antiretroviral therapyPopulation of peopleHIV expertsHIV incidenceHIV physiciansHIV treatmentKey populationsTransgender womenAntiretroviral treatmentFeeling thermometerDrinking alcoholSex workersPhysiciansSex partnersPWHRisk groups
2016
Trials and tribulations of conducting bio-behavioral surveys in prisons: implementation science and lessons from Ukraine
Azbel L, Grishaev Y, Wickersham JA, Chernova O, Dvoryak S, Polonsky M, Altice FL. Trials and tribulations of conducting bio-behavioral surveys in prisons: implementation science and lessons from Ukraine. International Journal Of Prisoner Health 2016, 12: 78-87. PMID: 27219905, PMCID: PMC5513812, DOI: 10.1108/ijph-10-2014-0041.Peer-Reviewed Original ResearchConceptsFormer Soviet UnionHarsh prison sentencesDesign/methodology/approach Qualitative interviewsCriminal justice systemUkrainian prisonsJustice systemPrison sentencesOriginality/valueSoviet UnionBio-behavioural surveyPrisonSpecific contextDepartment involvementAdministrative staffUkraineImplementation scienceHIV epidemic
2014
Challenges to implementing opioid substitution therapy in Ukrainian prisons: Personnel attitudes toward addiction, treatment, and people with HIV/AIDS
Polonsky M, Azbel L, Wickersham JA, Taxman FS, Grishaev E, Dvoryak S, Altice FL. Challenges to implementing opioid substitution therapy in Ukrainian prisons: Personnel attitudes toward addiction, treatment, and people with HIV/AIDS. Drug And Alcohol Dependence 2014, 148: 47-55. PMID: 25620732, PMCID: PMC4330127, DOI: 10.1016/j.drugalcdep.2014.12.008.Peer-Reviewed Original ResearchConceptsOpioid substitution therapyHIV/AIDSSubstitution therapyEffective HIV prevention strategiesHIV prevention strategiesDrug intoleranceOpioid dependencePrevention treatmentPrevention strategiesSubsequent interventionsUkrainian prisonsHealth benefitsScientific evidenceDrug addictionTherapyPositive attitudesTreatmentAIDSAddictionPersonnel attitudesOverwhelming evidenceCriminal justice outcomesEffective formCustodial staffWorkers' attitudesWithin-prison drug injection among HIV-infected Ukrainian prisoners: Prevalence and correlates of an extremely high-risk behaviour
Izenberg JM, Bachireddy C, Wickersham JA, Soule M, Kiriazova T, Dvoriak S, Altice FL. Within-prison drug injection among HIV-infected Ukrainian prisoners: Prevalence and correlates of an extremely high-risk behaviour. International Journal Of Drug Policy 2014, 25: 845-852. PMID: 24951025, PMCID: PMC4148465, DOI: 10.1016/j.drugpo.2014.02.010.Peer-Reviewed Original ResearchConceptsInjection equipment sharingPrison drug injectionNeedle/syringeIndependent correlatesDrug injectionNeedle/syringe exchange programsDrug useOpioid substitution therapyInjection drug useEquipment sharingSyringe exchange programsHigh-risk behaviorsPrior drug useOpioid useHIV infectionHIV incidenceHIV transmissionSubstitution therapyMale genderHarm reduction practicesHIVLogistic regressionMental healthConvenience sampleComplete dataCorrelates of HIV infection and being unaware of HIV status among soon‐to‐be‐released Ukrainian prisoners
Azbel L, Wickersham JA, Grishaev Y, Dvoryak S, Altice FL. Correlates of HIV infection and being unaware of HIV status among soon‐to‐be‐released Ukrainian prisoners. Journal Of The International AIDS Society 2014, 17: 19005. PMID: 25216073, PMCID: PMC4161962, DOI: 10.7448/ias.17.1.19005.Peer-Reviewed Original ResearchConceptsHIV infectionHIV testingHIV statusHIV epidemicDrug-related HIV risk behaviorsRisk-based HIV testingHIV risk behaviorsAntiretroviral therapyHIV-positiveHIV transmissionOpioid substitutionIndependent correlatesDrug injectionFemale genderHealth SurveySerological testingPrevious incarcerationRisk behaviorsDisproportionate burdenHIVInfectionEpidemicUkrainian prisonsCorrelatesStatus
2013
Ukrainian prisoners and community reentry challenges: implications for transitional care
Morozova O, Azbel L, Grishaev Y, Dvoryak S, Wickersham JA, Altice FL. Ukrainian prisoners and community reentry challenges: implications for transitional care. International Journal Of Prisoner Health 2013, 9: 5-19. PMID: 25152767, PMCID: PMC4138714, DOI: 10.1108/17449201311310760.Peer-Reviewed Original ResearchConceptsNational cross-sectional studyPost-release interventionsOpioid substitution therapyCross-sectional studyEvidence-based treatmentsComprehensive case managementSocial supportSubstitution therapyTransitional careDrug usersMultivariate analysisPrevious incarcerationCase managementInfectious diseasesDrug relapseCommunity reintegrationStructured questionnaireGreater numberHelpful measureInterventionBurden of Infectious Diseases, Substance Use Disorders, and Mental Illness among Ukrainian Prisoners Transitioning to the Community
Azbel L, Wickersham JA, Grishaev Y, Dvoryak S, Altice FL. Burden of Infectious Diseases, Substance Use Disorders, and Mental Illness among Ukrainian Prisoners Transitioning to the Community. PLOS ONE 2013, 8: e59643. PMID: 23527238, PMCID: PMC3602355, DOI: 10.1371/journal.pone.0059643.Peer-Reviewed Original ResearchConceptsSubstance use disordersUse disordersInfectious diseasesHealth SurveyTreatment needsPrevalence of HIVContinuity of careAlcohol use disorderEpidemic of incarcerationHealth assessment surveyMultiple substance useViral hepatitisHIV incidenceHIV statusHIV prevalenceDrug injectionHIV epidemicHIV preventionSerological testingHealth StudyMental illnessHIVSubstance usePrevalenceDisease