2025
Patterns of Alcohol Use and Daily Smoking Among Men Who Have Sex with Men in Nepal
Paudel K, Gautam K, Hossain Sujan M, Adhikari P, Bhusal S, Wickersham J, Bhakta K, Sapkota S, Dhakal M, Adhikari T, Shrestha R. Patterns of Alcohol Use and Daily Smoking Among Men Who Have Sex with Men in Nepal. Journal Of Community Health 2025, 1-8. PMID: 40042735, DOI: 10.1007/s10900-025-01456-8.Peer-Reviewed Original ResearchPatterns of alcohol useAlcohol useDaily smokingAssociated with alcohol useElevated risk of adverse health outcomesRisk of adverse health outcomesPolice detentionSex workHistory of drug useSmoking cessation programAdverse health outcomesCondomless sexDrug useMultivariate logistic regression analysisHealth outcomesBagmati ProvinceLogistic regression analysisNepalCessation programsMSMElevated riskSmokingMenIndependent correlatesRegression analysis
2024
User preferences for an mHealth app to support HIV testing and pre-exposure prophylaxis uptake among men who have sex with men in Malaysia
Palmer L, Wickersham J, Gautam K, Maviglia F, Bruno B, Azwa I, Khati A, Altice F, Paudel K, Pagoto S, Shrestha R. User preferences for an mHealth app to support HIV testing and pre-exposure prophylaxis uptake among men who have sex with men in Malaysia. PLOS Digital Health 2024, 3: e0000643. PMID: 39475851, PMCID: PMC11524455, DOI: 10.1371/journal.pdig.0000643.Peer-Reviewed Original ResearchHIV prevention servicesHIV testingPreventive servicesPre-exposure prophylaxis uptakeHIV prevention appIncrease HIV testingMobile appsPrevalence of HIVHard-to-reach populationsStudy assessed attitudesOnline focus groupsMalaysian MSMCost of servicesPrEP uptakeDedoose softwareMHealth appsPrevention appsFocus groupsIntervention modalitiesMSMEngagement strategiesHIVConfidentiality risksThematic contentMenRisk of Clade II Mpox Associated with Intimate and Nonintimate Close Contact Among Men Who Have Sex with Men and Transgender Adults — United States, August 2022–July 2023
Chard A, Dalton A, Diallo A, Moulia D, Deputy N, Zecca I, Quilter L, Kachur R, McCollum A, Rowlands J, Britton A, Fisher R, Chai S, Licherdell E, Still W, Morris A, Castilho J, Markus T, Morrow A, Danza P, Hansen A, Ali S, Wegner C, Weber R, Betancourt G, Zipprich J, Sutton M, Pathela P, Hawkins S, Wendel K, Feldstein L. Risk of Clade II Mpox Associated with Intimate and Nonintimate Close Contact Among Men Who Have Sex with Men and Transgender Adults — United States, August 2022–July 2023. MMWR Morbidity And Mortality Weekly Report 2024, 73: 896-902. PMID: 39388387, PMCID: PMC11466375, DOI: 10.15585/mmwr.mm7340a2.Peer-Reviewed Original ResearchConceptsCondomless receptive anal sexReceptive anal sexAnal sexUnited StatesCase-patientsControl patientsAssociated with sexual contactSex practicesSexually active personsTransgenderAssociated with transmissionSexual contactAdjusted oddsMSMMenVaccination coverageActive personsNonintimatesVaccinePatientsMpoxVaccine promotionMultifaceted approachSexIntimateEthnic identity and social support as mediators between childhood sexual abuse and depression among black men who have sex with men
Boyd D, Jones K, Quinn C, Hill M, Nelson L, Beauchamp G, Emel L, Hightow-Weidman L, Shoptaw S, Magnus M, Piwowar-Manning E, Mayer K, Fields S, Wheeler D, Dyer T, Wilton L. Ethnic identity and social support as mediators between childhood sexual abuse and depression among black men who have sex with men. Child Abuse & Neglect 2024, 157: 107064. PMID: 39303435, DOI: 10.1016/j.chiabu.2024.107064.Peer-Reviewed Original ResearchChildhood sexual abuseEthnic identityBlack MSMSexual abuseEarly sexual debutSexual debutIndirect effects of childhood sexual abuseSocial supportDepressive symptomsEffects of childhood sexual abuseHistory of incarcerationSurvivors of childhood sexual abuseMental health effectsMediation of depressive symptomsAdverse mental health effectsLife trajectoriesIncarcerationNegatively associated with depressive symptomsUS citiesBlack menCSA experiencesAbuseMSMPreexposure prophylaxisIdentitySynergistic interaction between pay-it-forward incentives and recreational drug use on hepatitis B virus and hepatitis C virus testing among men who have sex with men in China
Ai W, Xie Y, Lu H, Ai T, Wu D, Zhang Y, Marley G, Ong J, Tucker J, Tang W. Synergistic interaction between pay-it-forward incentives and recreational drug use on hepatitis B virus and hepatitis C virus testing among men who have sex with men in China. Sexually Transmitted Infections 2024, 100: 302-309. PMID: 38862237, PMCID: PMC11283352, DOI: 10.1136/sextrans-2024-056150.Peer-Reviewed Original ResearchHepatitis C virus testingHepatitis C virus testing uptakePay-it-forwardTesting uptakeRecreational drug useStandard-of-care groupIncentive groupPromote hepatitis B virusDrug useHepatitis testingChinese MSMAdditive scaleMSMCommunity connectednessDrug use behaviorsRecreational drugsDonation opportunitiesFree testingParticipantsPooled dataHepatitis B virusHepatitis C virusUse behaviorsMenStudy groupSociodemographic correlates of late HIV diagnosis among men who have sex with men (MSM) in Ghana
Aidoo-Frimpong G, Tong G, Akyirem S, Abwoye D, Nwanaji-Enwerem U, López D, Wilton L, Nelson L. Sociodemographic correlates of late HIV diagnosis among men who have sex with men (MSM) in Ghana. AIDS Care 2024, 36: 807-815. PMID: 38460152, DOI: 10.1080/09540121.2024.2325071.Peer-Reviewed Original ResearchLate HIV diagnosisHIV diagnosisOlder age groupsFactors associated with late HIV diagnosisIncreased risk of late diagnosisAge groupsRisk of late diagnosisImprove public health outcomesBurden of HIVAge-related disparitiesSame-gender sexual contactPublic health outcomesViral load suppressionExposure to HIVMedical engagementTailored interventionsHealth outcomesSociodemographic correlatesMedical servicesTargeted interventionsGhanaian menMSMDemographic variablesIncreased riskInterventionIncreased Stigma, and Physical and Sexual Violence Against Men Who Have Sex with Men and Transgender Women in Sub-Saharan Africa: A Qualitative Evidence Synthesis Analyzing Social and Structural Barriers to HIV Testing and Coping Behaviors
Thapa S, Ogunleye T, Shrestha R, Joshi R, Hannes K. Increased Stigma, and Physical and Sexual Violence Against Men Who Have Sex with Men and Transgender Women in Sub-Saharan Africa: A Qualitative Evidence Synthesis Analyzing Social and Structural Barriers to HIV Testing and Coping Behaviors. Journal Of Homosexuality 2024, 72: 245-271. PMID: 38456684, DOI: 10.1080/00918369.2024.2320237.Peer-Reviewed Original ResearchTransgender womenHIV testing servicesStructural barriersSub-Saharan AfricaSub-SaharanSub-Saharan African countriesSame-sex relationshipsHIV testingTesting servicesFear of discriminationAnalyzing socializationPhysical violenceSex relationshipsHIV testing uptakeLack of trustAfrican countriesQualitative evidence synthesisPoor accessIncreased stigmaRisky behaviorsCriminalsQualitative studyMSMTesting uptakeNon-disclosureSocial support as a mediator between mental health and stigma among newly HIV-positive men who have sex with men
Zhao Y, Khoshnood K, Sheng Y. Social support as a mediator between mental health and stigma among newly HIV-positive men who have sex with men. International Journal Of STD & AIDS 2024, 35: 477-486. PMID: 38314565, DOI: 10.1177/09564624241227653.Peer-Reviewed Original ResearchHIV-related stigmaEffect of social supportMental health of MSMHealth of MSMMental healthSocial supportExperiences of HIV-related stigmaHigher level of stigmaLevel of stigmaLow mental healthPoor psychological well-beingPublic health campaignsCross-sectional studyPsychological well-beingFamily stigmaHIV-positive menSame-sex behaviorDecrease stigmatizationHealth campaignsMSMStigmaCultural context of ChinaNegative emotional reactionsHealthWell-beingMediating 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
Awareness and Uptake of Pre-Exposure Prophylaxis (PrEP) for HIV Prevention Among Men who have Sex with Men in Nepal
Paudel K, Kanak M, Gautam K, Bhandari P, Dhakal M, Wickersham J, Valente P, Ha T, Shrestha R. Awareness and Uptake of Pre-Exposure Prophylaxis (PrEP) for HIV Prevention Among Men who have Sex with Men in Nepal. Journal Of Community Health 2023, 49: 514-525. PMID: 38127298, DOI: 10.1007/s10900-023-01318-1.Peer-Reviewed Original ResearchPre-exposure prophylaxisPrEP awarenessBiomedical prevention strategiesHIV transmission riskUse of PrEPCross-sectional surveyHealth insurance coveragePrEP knowledgePrEP useHIV preventionStudy populationPrevention strategiesHealthcare providersBivariate analysisLogistic regressionTransmission riskPrEPMSMInsurance coverageProphylaxisHIVMenParticipantsInnovative strategiesInfectionPerspectives on unhealthy alcohol use among men who have sex with men prescribed HIV pre-exposure prophylaxis: A qualitative study
Strong S, Oldfield B, van den Berg J, Cole C, Biegacki E, Ogbuagu O, Virata M, Chan P, Edelman E. Perspectives on unhealthy alcohol use among men who have sex with men prescribed HIV pre-exposure prophylaxis: A qualitative study. Preventive Medicine Reports 2023, 37: 102553. PMID: 38282665, PMCID: PMC10810836, DOI: 10.1016/j.pmedr.2023.102553.Peer-Reviewed Original ResearchUnhealthy alcohol usePre-exposure prophylaxisAlcohol reduction interventionsAlcohol useHIV pre-exposure prophylaxisOral pre-exposure prophylaxisAcquisition of HIVAlcohol-related harmPrEP adherencePrEP careTreatment optionsOral formulationReduction interventionsPrEP programMSMPrEPProphylaxisHIVMultimodal approachMenCareAdherenceInterventionSexUnited StatesSuicidal 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 factorsMenIdeationUncovering the knowledge gaps: A survey on human monkeypox infection among men who have sex with men in Nepal
Paudel K, Gautam K, Sujan S, Wickersham J, Chaudhari P, Shrestha R. Uncovering the knowledge gaps: A survey on human monkeypox infection among men who have sex with men in Nepal. Health Prospect 2023, 22: 1-8. PMID: 37954124, PMCID: PMC10636784, DOI: 10.3126/hprospect.v22i1.53504.Peer-Reviewed Original ResearchPsychometric Evaluation and Validation of the HIV Stigma Scale in Spanish Among Men Who Have Sex With Men and Transgender Women
Ranjit Y, Krishnan A, Earnshaw V, Weikum D, Ferro E, Sanchez J, Altice F. Psychometric Evaluation and Validation of the HIV Stigma Scale in Spanish Among Men Who Have Sex With Men and Transgender Women. Stigma And Health 2023, 8: 437-444. PMID: 38434589, PMCID: PMC10906740, DOI: 10.1037/sah0000302.Peer-Reviewed Original ResearchHIV Stigma ScaleTransgender womenStigma ScaleResource-limited settingsGood construct validityHIV clinicHIV stigmaDepressive symptomsMeasures of stigmaHIVInternalized stigmaPsychometric evaluationSociodemographic measuresMenSexMSMSocial supportConstruct validityEmployment statusSpanish versionConfirmatory factor analysisPsychometric propertiesWomenStigmaClinicExperiences of stigma, mental health, and coping strategies in Lebanon among Lebanese and displaced Syrian men who have sex with men: A qualitative study
Abboud S, Seal D, Pachankis J, Khoshnood K, Khouri D, Fouad F, Heimer R. Experiences of stigma, mental health, and coping strategies in Lebanon among Lebanese and displaced Syrian men who have sex with men: A qualitative study. Social Science & Medicine 2023, 335: 116248. PMID: 37742387, DOI: 10.1016/j.socscimed.2023.116248.Peer-Reviewed Original ResearchMental healthAvailable mental health servicesMental health servicesSexual health risksMental health resourcesMental health risksHealth risksAdverse childhood experiencesSocial support interventionsQualitative studyExperiences of stigmaHealth servicesRecent exposureSupport interventionsLarger studyHealth resourcesMSMCommon stigmaSocial isolationMenHigh rateSexSyrian menChildhood experiencesHealthPre-exposure prophylaxis service among men who have sex with men in Malaysia: findings from a discrete choice experiment
Dubov A, Altice F, Gutierrez J, Wickersham J, Azwa I, Kamarulzaman A, Gautam K, Shrestha R. Pre-exposure prophylaxis service among men who have sex with men in Malaysia: findings from a discrete choice experiment. Scientific Reports 2023, 13: 14200. PMID: 37648731, PMCID: PMC10468492, DOI: 10.1038/s41598-023-41264-5.Peer-Reviewed Original ResearchConceptsInjectable PrEPPre-exposure prophylaxis servicesDaily oral PrEPPre-exposure prophylaxisMalaysian MSMPrEP deliveryOral PrEPPrEP uptakeMSMPrEPLatent class analysisDiscrete choice experimentMenDelivery preferencesDelivery programsSexGroupClass analysisType of programPreference groupsOnline surveyProphylaxisInitiation rateHIVDosingChemsex and Harm Reduction Practices Among Men Who Have Sex with Men in Malaysia: Findings from a Qualitative Study
Palmer L, Maviglia F, Wickersham J, Khati A, Kennedy O, Copenhaver N, Uyer C, Halim M, Ikhtiaruddin W, Azwa I, Gautam K, Shrestha R. Chemsex and Harm Reduction Practices Among Men Who Have Sex with Men in Malaysia: Findings from a Qualitative Study. Journal Of Psychoactive Drugs 2023, 56: 585-594. PMID: 37610135, PMCID: PMC10884347, DOI: 10.1080/02791072.2023.2250342.Peer-Reviewed Original ResearchHarm reduction practicesReduction practicesOnline focus group sessionsSocio-contextual factorsCasual sexual encountersMalaysian MSMSexualized drug useFocus group sessionsQualitative studySexual encountersCompetent interventionsChemsexGlobal attentionEmpirical dataPracticeAcute needDrug useMSMInformational needsGroup sessionsPsychoactive substancesNeedMobile technologyInterventionMenBarriers and Facilitators to Pre-Exposure Prophylaxis by Men Who Have Sex with Men and Community Stakeholders in Malaysia
Rosen A, Wickersham J, Altice F, Khati A, Azwa I, Tee V, Jeri-Wahrhaftig A, Luces J, Ni Z, Kamarulzaman A, Saifi R, Shrestha R. Barriers and Facilitators to Pre-Exposure Prophylaxis by Men Who Have Sex with Men and Community Stakeholders in Malaysia. International Journal Of Environmental Research And Public Health 2023, 20: 5669. PMID: 37174187, PMCID: PMC10177799, DOI: 10.3390/ijerph20095669.Peer-Reviewed Original ResearchConceptsPre-exposure prophylaxisPrEP providersNominal group techniqueMalaysian MSMEvidence-based HIV prevention strategiesPatient-centered decision aidAwareness of PrEPHIV prevention strategiesPotential new strategyPrEP deliveryPrEP carePrEP initiationPrEP servicesPrEP uptakeDecision aidPrevention strategiesUnderstanding of barriersComplex clinical protocolsClinical protocolsMSMQualitative focus groupsCommunity stakeholdersPrEPProphylaxisMenClinic-Integrated Smartphone App (JomPrEP) to Improve Uptake of HIV Testing and Pre-exposure Prophylaxis Among Men Who Have Sex With Men in Malaysia: Mixed Methods Evaluation of Usability and Acceptability
Shrestha R, Altice F, Khati A, Azwa I, Gautam K, Gupta S, Sullivan P, Ni Z, Kamarulzaman A, Phiphatkunarnon P, Wickersham J. Clinic-Integrated Smartphone App (JomPrEP) to Improve Uptake of HIV Testing and Pre-exposure Prophylaxis Among Men Who Have Sex With Men in Malaysia: Mixed Methods Evaluation of Usability and Acceptability. JMIR MHealth And UHealth 2023, 11: e44468. PMID: 36795465, PMCID: PMC9982718, DOI: 10.2196/44468.Peer-Reviewed Original ResearchConceptsHIV prevention servicesINTERNATIONAL REGISTERED REPORT IDENTIFIERPrevention servicesMean ageHIV preventionPre-exposure prophylaxisHIV prevention outcomesHIV self-testing (HIVST) kitsParticipants' mean ageSelf-testing kitsHealth care settingsMobile health platformMalaysian MSMMixed-methods evaluationHIV testingCare settingsLocal clinicSystem Usability ScalePrevention outcomesDays of testingMSMSmartphone appPrEPHIVMean scoreHigh Interest in Long-acting Injectable Pre-exposure Prophylaxis (LAI-PrEP) for HIV Prevention Among Men Who Have Sex With Men (MSM): Result From A Nationwide Survey in Malaysia
Paudel K, Gupta S, Gautam K, Wickersham J, Khati A, Azwa I, Ha T, Shrestha R. High Interest in Long-acting Injectable Pre-exposure Prophylaxis (LAI-PrEP) for HIV Prevention Among Men Who Have Sex With Men (MSM): Result From A Nationwide Survey in Malaysia. Journal Of Community Health 2023, 48: 513-521. PMID: 36732459, PMCID: PMC10200758, DOI: 10.1007/s10900-023-01195-8.Peer-Reviewed Original ResearchConceptsLAI-PrEPHIV preventionInjectable pre-exposure prophylaxisLong-term side effectsPre-exposure prophylaxisOnline cross-sectional surveyCross-sectional surveyInjectable cabotegravirInjectable PrEPMalaysian MSMPrEP modalitiesOral PrEPHIV testingMiddle-income countriesOral pillsPrior historySide effectsRecent approvalPrEP optionsStudy participantsMSMPrEPNationwide surveyConvenience samplingNationwide sample
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