2021
Willingness 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
2018
Viral suppression among HIV-infected methadone-maintained patients: The role of ongoing injection drug use and adherence to antiretroviral therapy (ART)
Shrestha R, Copenhaver MM. Viral suppression among HIV-infected methadone-maintained patients: The role of ongoing injection drug use and adherence to antiretroviral therapy (ART). Addictive Behaviors 2018, 85: 88-93. PMID: 29879611, PMCID: PMC6337064, DOI: 10.1016/j.addbeh.2018.05.031.Peer-Reviewed Original ResearchConceptsMethadone maintenance therapyMethadone-maintained patientsOngoing injection drug useViral suppressionAntiretroviral therapyInjection drug useHIV risk behaviorsDrug useSelf-reported HIV risk behaviorsImproved virologic outcomesOptimal ART adherenceHigher CD4 countsSustained viral suppressionMultivariable logistic regressionVirologic outcomesCD4 countMaintenance therapyOptimal adherenceART adherenceHIV treatmentIndependent correlatesTreatment challengesRisk populationsPatientsHIV
2016
Association Between Intimate Partner Violence Against Women and HIV-Risk Behaviors
Shrestha R, Copenhaver MM. Association Between Intimate Partner Violence Against Women and HIV-Risk Behaviors. Violence Against Women 2016, 22: 1621-1641. PMID: 26912296, PMCID: PMC5308057, DOI: 10.1177/1077801216628690.Peer-Reviewed Original ResearchConceptsHIV risk behaviorsIntimate partner violenceSignificant global health issueInconsistent condom useAdverse health outcomesSTIs/HIVMultiple sex partnersSafer sexual practicesGlobal health issueHIV infectionHIV riskPartner violenceHealth outcomesSex partnersCondom useDisproportionate burdenEffective interventionsHealth issuesWomenHIVSexual practicesInfectionPotential relationshipRisk
2015
Early Sexual Debut: A Risk Factor for STIs/HIV Acquisition Among a Nationally Representative Sample of Adults in Nepal
Shrestha R, Karki P, Copenhaver M. Early Sexual Debut: A Risk Factor for STIs/HIV Acquisition Among a Nationally Representative Sample of Adults in Nepal. Journal Of Community Health 2015, 41: 70-77. PMID: 26184108, PMCID: PMC4715759, DOI: 10.1007/s10900-015-0065-6.Peer-Reviewed Original ResearchConceptsEarly sexual debutRisk factorsHIV acquisitionSexual debutRisk behaviorsTeenage pregnancyInfection risk factorsHistory of STIHIV prevention strategiesInconsistent condom useAdverse health outcomesHigh-risk profileSTIs/HIVMultivariate logistic modelMultiple sex partnersNepal Demographic Health SurveySexual risk behaviorsDemographic Health SurveyNationally Representative SampleMean agePotential confoundersHealth SurveyPrevention strategiesHealth outcomesSex partners