Roman Shrestha
Biographic Data
| ID | 3805133 |
|---|---|
| NAME | Roman Shrestha |
| GIVEN NAMES | Roman |
| FAMILY NAME | Shrestha |
| SIGNATURE | SHRESTHA R |
| AFFILIATIONS | University of Connecticut |
| ORCID | 0000-0003-4340-3101 |
| VERIFIED | Yes |
| TOTAL WORKS | 52 |
| TOTAL CITATIONS | 3 |
| AUTHOR COUNT | 52 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2016 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 1 |
Health system barriers to care for lesbian, gay, bisexual, transgender, and intersex populations in Nepal
Depressive Symptoms and Anticipated Help-seeking Stigma as Mental Healthcare Navigation Barriers Among People Who Use Opioids
Effects of a Brief Smokeless Tobacco Cessation Counseling Among People with HIV Who Smoke Cigarettes in Nepal
BACKGROUND: Despite evidence of the burden of dual use of smokeless tobacco (SLT) and cigarettes among people with HIV (PWH), little effort has been made to test SLT cessation interventions among PWH. We assessed the effects of a brief SLT cessation counseling among PWH in Kathmandu, Nepal. METHODS: Participants included 48 PWH with a history of smoking ≥100 cigarettes in their lifetime and currently ≥5 cigarettes/day. Our SLT cessation counselin…
A SWOT Analysis of PrEPChoices
“Silent or Silenced?”
In Malaysia, men who have sex with men (MSM) conceal their sexuality due to socio-cultural challenges. Grounded in Minority Stress Theory and Bronfenbrenner’s Ecological Systems Theory, this study examines how stigma, internalised homophobia (IH) and intimate partner violence (IPV) influence concealment motivation (CM). A cross-sectional design employed 268 MSM participants across Malaysia, via convenience sampling. They completed a survey assess…
Enhancing quality of life through tailored interventions for men living with HIV
An Examination of African Immigrants With Overweight or Obesity
African immigrants in the US are highly affected by obesity and obesity-related health conditions, possibly due to the obesogenic food environment and sedentary lifestyle. We aimed to understand the weight, lifestyle behaviors, and body image perceptions of African immigrants. We conducted a cross-sectional survey of 70 (67% female) African immigrants with overweight or obesity [mean age 40.69 (SD = 10.26), BMI = 31.41 kg/m2 (SD = 3.95)]. Data we…
Understanding barriers and facilitators of healthy diet and physical activity among African immigrants in the US
African immigrants share similar barriers and facilitators to healthy diet and physical activity as others but also have unique barriers and facilitators that need to be addressed in tailored lifestyle interventions. Incorporating these in future lifestyle interventions may enhance relevance, engagement, and more sustainable behavior change
Patterns of Alcohol Use and Daily Smoking Among Men Who Have Sex with Men in Nepal
Non-fatal Overdose and Associated Factors Among People Who Use Opioids
Correlates of never testing for HIV among men who have sex with men in Nepal
Men who have sex with men (MSM) are disproportionately affected by HIV. Individuals who accessed sexual health clinic services for sexually transmitted infections (STIs) and pre-exposure prophylaxis (PrEP) were less likely to engage in high-risk sexual behaviors such as transactional sex and condomless sex and exhibited greater perceived importance of HIV testing. HIV testing is considered the gateway to both prevention and treatment of HIV, enab…
Assessment of Anxiety and Depressive Symptoms Among Gay, Bisexual, and Other Men Who Have Sex with Men in Nepal
Background and objectives: Anxiety and depressive symptoms among gay, bisexual, and other men who have sex with men (GBMSM) are growing public health concerns. Despite extensive global research on these issues among GBMSM, they are understudied in low- and middle-income settings like Nepal. Therefore, the present study focused on assessing the prevalence and associated factors of anxiety and depressive symptoms among GBMSM in Nepal. Methods A nat…
HIV risk perception and problematic alcohol use among urban slum residents in Bangladesh
HIV continues to be a global public health issue. Urban slums in Bangladesh are at high risk for the HIV epidemic, but little is known about how slum people perceive their risk and deal with alcohol use. Therefore, the focus of the study was to explore the HIV risk perception, problematic alcohol use and the associated factors within urban slum settings. We conducted a cross-sectional study between March and May 2023 among 739 urban slum resident…
Evaluating community knowledge of tuberculosis preventive therapy in rural South Africa
Rural South African community members demonstrated poor TB knowledge. Community members with good knowledge of TB were also aware of TPT. Greater community-level public health education and individual-level counseling efforts are needed to facilitate TPT expansion and implementation
Disease Intervention Specialist Field Experience in Re-engaging Out-of-Care People with HIV in Project CoRect
Validation and Evaluation of the Psychometric Properties of a Sexual Stigma Scale Among Gay, Bisexual, and Other Men Who Have Sex with Men in Nepal
Increased Stigma, and Physical and Sexual Violence Against Men Who Have Sex with Men and Transgender Women in Sub-Saharan Africa
In sub-Saharan Africa, accessing HIV testing services is a significant challenge for men who have sex with men (MSM) and transgender women (TGW). In this qualitative evidence synthesis, our aim is to understand social and structural barriers and how they hinder MSM's and TGW's access to HIV testing services in sub-Saharan African countries. We searched four selective databases (PubMed, Web of Science and CINAHL complemented with Google Scholar) f…
Health literacy and its determinants among school-going children
Limited health literacy is linked to unhealthy behaviors, adverse health outcomes, poor quality of life and financial burdens on society. However, little is known about the level of health literacy, especially among school-going children. This cross-sectional study assesses health literacy levels and their determinants in 354 school children from Kathmandu Metropolitan City, utilizing a multi-stage cluster sampling method. The 10-item Health Lite…
Awareness and Uptake of Pre-Exposure Prophylaxis (PrEP) for HIV Prevention Among Men who have Sex with Men in Nepal
High Interest in the Use of mHealth Platform for HIV Prevention among Men Who Have Sex with Men in Nepal
Examining HIV Knowledge and Sexually Risky Behaviors among Female Sex Workers in Kampala, Uganda
HIV incidence remains alarmingly high among female sex workers (FSWs) in Uganda, necessitating targeted interventions. This study aimed to identify individual and provider-level barriers and facilitators to primary HIV prevention among FSWs in an urban setting. Focus groups involving FSWs and healthcare providers (HCPs) were conducted to inform the development of tailored prevention interventions. Results revealed that all participants had mobile…
Examining the Accuracy of Self-Reported Antiretroviral Therapy Adherence Using a Visual Analog Scale Among Opioid-Dependent People Living with HIV
Higher methadone dose at time of release from prison predicts linkage to maintenance treatment for people with HIV and opioid use disorder transitioning to the community in Malaysia
High Interest in Long-acting Injectable Pre-exposure Prophylaxis (LAI-PrEP) for HIV Prevention Among Men Who Have Sex With Men (MSM)
Suicidal ideation, plan, and attempt among men who have sex with men in Nepal
Men who have sex with men (MSM) are at increased risk for suicide, with a much higher prevalence of suicidality than the general population. While there is a growing interest in the identification of risk factors for suicidal behaviors globally, the understanding of the prevalence and risk factors for suicidal behaviors among MSM in the context of low- and middle-income countries is almost non-existent. Therefore, this study aimed to investigate …
Increased Stigma, and Physical and Sexual Violence Against Men Who Have Sex with Men and Transgender Women in Sub-Saharan Africa
In sub-Saharan Africa, accessing HIV testing services is a significant challenge for men who have sex with men (MSM) and transgender women (TGW). In this qualitative evidence synthesis, our aim is to understand social and structural barriers and how they hinder MSM's and TGW's access to HIV testing services in sub-Saharan African countries. We searched four selective databases (PubMed, Web of Science and CINAHL complemented with Google Scholar) f…
Understanding barriers and facilitators of healthy diet and physical activity among African immigrants in the US
African immigrants share similar barriers and facilitators to healthy diet and physical activity as others but also have unique barriers and facilitators that need to be addressed in tailored lifestyle interventions. Incorporating these in future lifestyle interventions may enhance relevance, engagement, and more sustainable behavior change
Willingness to Use Pre-Exposure Prophylaxis (PrEP)
Examining the Acceptability of mHealth Technology in HIV Prevention Among High-Risk Drug Users in Treatment
Modeling a Theory-Based Approach to Examine the Influence of Neurocognitive Impairment on HIV Risk Reduction Behaviors Among Drug Users in Treatment
The Influence of Neurocognitive Impairment, Depression, and Alcohol Use Disorders on Health-Related Quality of Life among Incarcerated, HIV-Infected, Opioid Dependent Malaysian Men
Association Between Intimate Partner Violence Against Women and HIV-Risk Behaviors
Intimate partner violence (IPV) is a significant global health issue and has been associated with an increased HIV-related risk and vulnerability to HIV infection. This study examined the potential relationship between IPV and HIV-risk behaviors among women in Nepal. Our findings revealed that IPV against women was associated with the presence of HIV-risk behaviors, such as history of sexually transmitted infections (STIs), multiple sex partners,…
Interest in use of mHealth technology in HIV prevention and associated factors among high-risk drug users enrolled in methadone maintenance program
The adoption of mobile technologies for health (mHealth) in healthcare has grown considerably in recent years, but systematic assessment of interest in the use of mHealth in HIV prevention efforts among people who use drugs (PWUD) is lacking. We therefore examined interest in use of mHealth technology in HIV prevention and associated individual-level factors among high-risk PWUD enrolled in methadone maintenance program. A total of 400 HIV-negati…
An explanatory factor analysis of a brief self-report scale to detect neurocognitive impairment among HIV-positive men who have sex with men and transgender women in Peru
Neurocognitive impairment (NCI) has been associated with poor clinical outcomes in various patient populations. This study used exploratory factor analysis (EFA) to examine the factor structure of the existing 95-item Neuropsychological Impairment Scale (NIS) to create a suitable NCI screening instrument for people living with HIV (PLH). In Lima, Peru, 313 HIV-positive men who have sex with men (MSM) and transgender women (TGW) prescribed antiret…
A Self-report Measure to Detect Neurocognitive Impairment Among Incarcerated People Living with HIV in Malaysian Context
A Moderated Mediation Model of HIV-Related Stigma, Depression, and Social Support on Health-Related Quality of Life among Incarcerated Malaysian Men with HIV and Opioid Dependence
Measuring Acceptability and Preferences for Implementation of Pre-Exposure Prophylaxis (PrEP) Using Conjoint Analysis
Integrated Bio-behavioral Approach to Improve Adherence to Pre-exposure Prophylaxis and Reduce HIV Risk in People Who Use Drugs
Using individual stated-preferences to optimize HIV self-testing service delivery among men who have sex with men (MSM) in Malaysia
Acceptability for HIVST in Malaysian MSM was high but differed markedly by a number of HIVST delivery scenarios and attributes. These findings could be relevant as the Malaysian Ministry of Health is in the process of developing a regulatory framework for ensuring the quality of kits, as well as policies supporting safe use while broader implementation under national AIDS programs
Response to the Covid-19 Outbreak in Urban Settings in China
Spatial, temporal, and demographic patterns in prevalence of smoking tobacco use and attributable disease burden in 204 countries and territories, 1990–2019
BACKGROUND: Ending the global tobacco epidemic is a defining challenge in global health. Timely and comprehensive estimates of the prevalence of smoking tobacco use and attributable disease burden are needed to guide tobacco control efforts nationally and globally. METHODS: We estimated the prevalence of smoking tobacco use and attributable disease burden for 204 countries and territories, by age and sex, from 1990 to 2019 as part of the Global B…
Purposeful Fentanyl Use and Associated Factors among Opioid-Dependent People Who Inject Drugs
Introduction: In recent years, opioid-related mortality has increased steadily in the United States. Fentanyl, a synthetic opioid, has been a primary driver of the current wave of overdose-related deaths. Little is known, however, about fentanyl use among opioid-dependent people who inject drugs (PWID). We, therefore, sought to characterize purposeful fentanyl use among PWID. Methods: A cross-sectional survey was administrated to 104 opioid-depen…
The Impact of Covid-19 on Access to HIV Prevention Services Among Opioid-Dependent Individuals
Engagement in Harm Reduction Strategies After Suspected Fentanyl Contamination Among Opioid-Dependent Individuals
Use of Pre-exposure Prophylaxis Among People Who Inject Drugs
Population-level risks of alcohol consumption by amount, geography, age, sex, and year
BACKGROUND: The health risks associated with moderate alcohol consumption continue to be debated. Small amounts of alcohol might lower the risk of some health outcomes but increase the risk of others, suggesting that the overall risk depends, in part, on background disease rates, which vary by region, age, sex, and year. METHODS: For this analysis, we constructed burden-weighted dose-response relative risk curves across 22 health outcomes to esti…
Prevalence and Correlates of Active Amphetamine-Type Stimulant Use Among Female Sex Workers in Malaysia
The use of amphetamine-type stimulants (ATS) has been associated with increased sexual risk behaviors and HIV transmission, among other adverse health outcomes. However, ATS use among female sex workers (FSWs) in Malaysia has not yet been characterized. We examined the prevalence and correlates associated with ATS use among Malaysian FSW. Between February and December 2016, 492 FSWs, including cisgender ( n = 299) and transgender ( n = 193) women…
Engagement in Chemsex among Men Who Have Sex with Men (MSM) in Malaysia
Background: Chemsex is the use of illicit drugs—particularly methamphetamine, gamma hydroxybutyrate (GHB), and gamma-butyrolactone (GBL)—to enhance sexual activity. Chemsex, which occurs primarily among communities of men who have sex with men (MSM), is associated with greater HIV risk behaviors, including multiple sex partners, group sex, condomless sex, and injection drug use. Despite evidence showing chemsex engagement among Malaysian MSM, the…
Methadone within prison and linkage to and retention in treatment upon community release for people with opioid use disorder in Kyrgyzstan
High Interest in Long-acting Injectable Pre-exposure Prophylaxis (LAI-PrEP) for HIV Prevention Among Men Who Have Sex With Men (MSM)
Suicidal ideation, plan, and attempt among men who have sex with men in Nepal
Men who have sex with men (MSM) are at increased risk for suicide, with a much higher prevalence of suicidality than the general population. While there is a growing interest in the identification of risk factors for suicidal behaviors globally, the understanding of the prevalence and risk factors for suicidal behaviors among MSM in the context of low- and middle-income countries is almost non-existent. Therefore, this study aimed to investigate …
The mediation effects of sexual self-efficacy in the relationship between psychosocial wellbeing and depressive symptoms among female migrant workers in Vietnam
BACKGROUND: Depression is a common mental disorder that significantly contributes to the global burden of disease. Studies have consistently reported that migrant workers experience higher levels of depressive symptoms, especially women. AIMS: This study aimed to examine the mediation role of sexual self-efficacy on the relationship between psychological wellbeing, and depressive symptoms among young female migrant workers in Vietnam's industrial…
Medicine (41 works) · HIV/AIDS Research and Interventions (36 works) · HIV, Drug Use, Sexual Risk (27 works) · Psychiatry (24 works) · Psychology (21 works) · Family medicine (19 works) · Environmental health (18 works) · Public health (17 works) · Human immunodeficiency virus (HIV (15 works) · Internal Medicine (15 works)