Anneli Uusküla
Biographic Data
| ID | 2542530 |
|---|---|
| NAME | Anneli Uusküla |
| GIVEN NAMES | Anneli |
| FAMILY NAME | Uusküla |
| SIGNATURE | UUSKÜLA A |
| AFFILIATIONS | University of Tartu |
| ORCID | 0000-0002-4036-3856 |
| VERIFIED | Yes |
| TOTAL WORKS | 32 |
| TOTAL CITATIONS | 6 |
| AUTHOR COUNT | 32 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2007 |
| LATEST PUBLICATION YEAR | 2025 |
| H-INDEX | 1 |
Heroin, Fentanyl, Intentional Fentanyl Use and HIV Transmission in a Community-Recruited Sample of Persons Who Inject Drugs, New York City
Expanding eligibility and improving quality of cervical cancer screening in Estonia
A single payer and established population register facilitated reform. • Complex governance structures created delays to reaching consensus on policy responses. • Change was facilitated by concerns about quality and coverage. • Cancer screening needs explicit monitoring with effective oversight and clear accountability. Estonia has one of the highest death rates from cervical cancer in the European Union despite having had a population-based scre…
An overview of cervical cancer epidemiology and prevention in the Baltic States
Cervical cancer remains a substantial health problem in the region and the efforts in addressing barriers by implementing a four-step plan for elimination cervical cancer in Europe should be made. This goal is achievable through evidence-based steps in four key areas: vaccination, screening, treatment, and public awareness
Field Testing the “Avoid the Needle” Intervention for Persons at Risk for Transitioning to Injecting Drug Use in Tallinn, Estonia and New York City, USA
This study aimed to field tested the "Avoid the Needle" (AtN) intervention to reduce transitions from non-injecting to injecting drug use in two different epidemiological settings. Respondent driven sampling was used to recruit current non-injecting drug users (NIDUs) in Tallinn, Estonia in 2018-19 and in New York City (NYC) in 2019-20. Both persons who had never injected and persons who had previously injected but not in the last 6 months were e…
A Multistage Process Model of How a Person Who Currently Injects Drugs Comes to Assist Persons Who Do not Inject with Their First Injections
Injecting drugs for the first time almost always requires assistance from an experienced person who injects drugs (PWID). While there has been moderate amount of research on PWID who assist with first injections, most of this research has focused on identifying characteristics of PWID who assist with first injections. We do not have a formal model that describes how the minority of PWID come to assist do so, while the majority never assist. Throu…
The fentanyl epidemic in Estonia
Implementing an Updated “Break the Cycle” Intervention to Reduce Initiating Persons into Injecting Drug Use in an Eastern European and a US “opioid epidemic” Setting
Polydrug Use and Heterogeneity in HIV Risk Among People Who Inject Drugs in Estonia and Russia
Non-medical drug injection is a major risk factor for HIV infection in Russia and Estonia. Multiple drug use (polydrug) has further been associated with increased harms. We compared HIV, injecting and sexual risk associated with polydrug use among people who injected drugs (PWID) in 2012-2013 in Kohtla-Järve (Estonia, n = 591) and St Petersburg (Russia, n = 811). Using latent class analysis, we identified five (poly)drug classes, the largest cons…
Preventing Injection Drug use Initiation
Differences in risk behaviours and HIV status between primary amphetamines and opioid injectors in Estonia and Russia
Effects of Counselling on Adherence to Antiretroviral Treatment Among People with HIV in Estonia
Quality of life after hip, vertebral, and distal forearm fragility fractures measured using the EQ-5D-3L, EQ-VAS, and time-trade-off
The Role of Internalized Stigma in the Disclosure of Injecting Drug Use Among People Who Inject Drugs and Self-Report as HIV-Positive in Kohtla-Järve, Estonia
Suicidal Behavior Among People Living with HIV (PLHIV) in Medical Care in Estonia and Factors Associated with Receiving Psychological Treatment
Combined prevention for persons who inject drugs in the HIV epidemic in a transitional country
The study was undertaken to assess the potential effectiveness of combined HIV prevention on the very high seroprevalence epidemic among persons who inject drugs (PWID) in Tallinn, Estonia, a transitional country. Data from community-based cross-sectional (respondent-driven sampling) surveys of PWID in 2005, 2007, 2009, and 2011 were used together with mathematical modeling of injection-associated HIV acquisition to estimate changes in injection-…
Non-fatal overdoses and related risk factors among people who inject drugs in St. Petersburg, Russia and Kohtla-Järve, Estonia
PWID are at high risk for overdose. Effective overdose prevention efforts at the public health scale are therefore warranted
Internalized HIV and Drug Stigmas
An international perspective on using opioid substitution treatment to improve hepatitis C prevention and care for people who inject drugs
A tale of two cities
Provision of chlamydia testing, and training of primary health care staff about chlamydia testing, across four European countries
Future research on the effectiveness of chlamydia screening (also in the context of general practice care) and program provision should reflect national needs and the prevention of complications
Prevalence of Igra-positivity and risk factors for tuberculosis among injecting drug users in Estonia and Latvia
Developing an adherence support intervention for patients on antiretroviral therapy in the context of the recent IDU-driven HIV/Aids epidemic in Estonia
There is limited data on and experience with interventions for antiretroviral therapy (ART) adherence support for patients on ART in Eastern Europe. We sought to identify a feasible adherence support intervention for delivery amongst HIV-positive adults receiving care in Estonia, where the HIV/AIDS epidemic has been mainly concentrated among injection drug users (IDUs). Our application of intervention mapping (IM) strategies used existing literat…
Socio-demographic factors, health risks and harms associated with early initiation of injection among people who inject drugs in Tallinn, Estonia
A decline in the prevalence of injecting drug users in Estonia, 2005–2009
Antiretroviral therapy (ART) adherence and correlates to nonadherence among people on ART in Estonia
There are little data on antiretroviral therapy (ART) adherence among patients in Eastern Europe, despite the high incidence of HIV infection and the growing number of HIV-infected individuals who are being prescribed ART. The aim of this study was to measure rates of adherence to ART and factors associated with nonadherence among patients receiving care at an outpatient HIV clinic in Estonia. The study was based on cross-sectional data from a co…
Estimating injection drug use prevalence using state wide administrative data sources
Estonia has rapidly expanding injection drug use (IDU) driven HIV/AIDS epidemic with the highest reported incidence rate and prevalence (1.3%) of HIV in the European region. To evaluate the feasibility of IDU prevalence estimations based on routine nationwide data sources using capture-recapture methodology, and provide estimates of IDU prevalence. IDUs were identified from the Police, Health insurance fund, State HIV reference laboratory data so…
Knowledge of HIV serostatus and risk behaviour among injecting drug users in Estonia
We used the findings from two, cross-sectional studies of HIV serostatus and risk behaviours to assess the effects of knowledge of HIV serostatus and risk behaviours (relating to sex and injection drug use) among injecting drug users (IDUs). Respondent-driven sampling was used simultaneously at two sites in Estonia (the capital Tallinn, and the second-largest city of Ida-Virumaa County, Kohtla-Jarve). The research tool was an interviewer-administ…
Should Pharmacists have a Role in Harm Reduction Services for IDUs? A Qualitative Study in Tallinn, Estonia
HIV infection and risk behaviour of primary fentanyl and amphetamine injectors in Tallinn, Estonia
Evaluating Recruitment among Female Sex Workers and Injecting Drug Users at Risk for HIV Using Respondent-driven Sampling in Estonia
Expanded syringe exchange programs and reduced HIV infection among new injection drug users in Tallinn, Estonia
In Estonia, a transitional country, a decrease in the HIV prevalence among new injectors and in the numbers of people initiating injection drug use coincided with implementation of large-scale SEPs. Further reductions in HIV transmission among IDUs are still required. Provision of 70 or more syringes per IDU per year may be needed before significant reductions in HIV incidence occur
Risk for Heterosexual HIV Transmission Among Non-Injecting Female Partners of Injection Drug Users in Estonia
Antiretroviral therapy (ART) adherence and correlates to nonadherence among people on ART in Estonia
There are little data on antiretroviral therapy (ART) adherence among patients in Eastern Europe, despite the high incidence of HIV infection and the growing number of HIV-infected individuals who are being prescribed ART. The aim of this study was to measure rates of adherence to ART and factors associated with nonadherence among patients receiving care at an outpatient HIV clinic in Estonia. The study was based on cross-sectional data from a co…
Developing an adherence support intervention for patients on antiretroviral therapy in the context of the recent IDU-driven HIV/Aids epidemic in Estonia
There is limited data on and experience with interventions for antiretroviral therapy (ART) adherence support for patients on ART in Eastern Europe. We sought to identify a feasible adherence support intervention for delivery amongst HIV-positive adults receiving care in Estonia, where the HIV/AIDS epidemic has been mainly concentrated among injection drug users (IDUs). Our application of intervention mapping (IM) strategies used existing literat…
Socio-demographic factors, health risks and harms associated with early initiation of injection among people who inject drugs in Tallinn, Estonia
A decline in the prevalence of injecting drug users in Estonia, 2005–2009
Provision of chlamydia testing, and training of primary health care staff about chlamydia testing, across four European countries
Future research on the effectiveness of chlamydia screening (also in the context of general practice care) and program provision should reflect national needs and the prevention of complications
Prevalence of Igra-positivity and risk factors for tuberculosis among injecting drug users in Estonia and Latvia
Combined prevention for persons who inject drugs in the HIV epidemic in a transitional country
The study was undertaken to assess the potential effectiveness of combined HIV prevention on the very high seroprevalence epidemic among persons who inject drugs (PWID) in Tallinn, Estonia, a transitional country. Data from community-based cross-sectional (respondent-driven sampling) surveys of PWID in 2005, 2007, 2009, and 2011 were used together with mathematical modeling of injection-associated HIV acquisition to estimate changes in injection-…
Non-fatal overdoses and related risk factors among people who inject drugs in St. Petersburg, Russia and Kohtla-Järve, Estonia
PWID are at high risk for overdose. Effective overdose prevention efforts at the public health scale are therefore warranted
Internalized HIV and Drug Stigmas
An international perspective on using opioid substitution treatment to improve hepatitis C prevention and care for people who inject drugs
A tale of two cities
The Role of Internalized Stigma in the Disclosure of Injecting Drug Use Among People Who Inject Drugs and Self-Report as HIV-Positive in Kohtla-Järve, Estonia
Suicidal Behavior Among People Living with HIV (PLHIV) in Medical Care in Estonia and Factors Associated with Receiving Psychological Treatment
Effects of Counselling on Adherence to Antiretroviral Treatment Among People with HIV in Estonia
Quality of life after hip, vertebral, and distal forearm fragility fractures measured using the EQ-5D-3L, EQ-VAS, and time-trade-off
Polydrug Use and Heterogeneity in HIV Risk Among People Who Inject Drugs in Estonia and Russia
Non-medical drug injection is a major risk factor for HIV infection in Russia and Estonia. Multiple drug use (polydrug) has further been associated with increased harms. We compared HIV, injecting and sexual risk associated with polydrug use among people who injected drugs (PWID) in 2012-2013 in Kohtla-Järve (Estonia, n = 591) and St Petersburg (Russia, n = 811). Using latent class analysis, we identified five (poly)drug classes, the largest cons…
Preventing Injection Drug use Initiation
Differences in risk behaviours and HIV status between primary amphetamines and opioid injectors in Estonia and Russia
Medicine (32 works) · HIV, Drug Use, Sexual Risk (26 works) · HIV/AIDS Research and Interventions (23 works) · Environmental health (22 works) · Family medicine (16 works) · Internal Medicine (16 works) · Public health (15 works) · Demography (13 works) · Human immunodeficiency virus (HIV (13 works) · Nursing (12 works)