Kamal Gautam
Biographic Data
| ID | 6761461 |
|---|---|
| NAME | Kamal Gautam |
| GIVEN NAMES | Kamal |
| FAMILY NAME | Gautam |
| SIGNATURE | GAUTAM K |
| AFFILIATIONS | University of Connecticut |
| ORCID | 0000-0001-9401-9359 |
| VERIFIED | Yes |
| TOTAL WORKS | 30 |
| TOTAL CITATIONS | 0 |
| AUTHOR COUNT | 30 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2020 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 0 |
Health system barriers to care for lesbian, gay, bisexual, transgender, and intersex populations in Nepal
Adolescent advisory groups in the Alive study
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Depressive Symptoms and Anticipated Help-seeking Stigma as Mental Healthcare Navigation Barriers Among People Who Use Opioids
Breaking down barriers
Despite global initiatives like WHO’s mhGAP, mental health treatment gaps remain substantial, especially in LMICs. Barriers are often presented collectively, with an emphasis on supply-side solutions, while demand-side factors are frequently overlooked. Distinguishing these barriers and implementing tailored strategies is critical for improving access and utilization. This study explores stakeholders’ perceptions and experiences of demand- and su…
“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…
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
Treatment of depression by traditional faith healers in Nepal
This study explored the assessment and treatment practices of traditional faith healers for patients with depression, as well as their beliefs about the causes of depression, in Nepal. In-depth interviews were conducted using a narrative approach to allow participants to share their experiences and perspectives through storytelling. A vignette depicting a woman with depression symptoms was used to investigate traditional faith healers' beliefs ab…
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…
Coping strategies among poverty-affected adolescents experiencing or at risk of depression and anxiety in Nepal
Adolescents employ various coping strategies to manage stress, which can impact their short and long-term mental health. Economically disadvantaged adolescents are more prone to developing maladaptive coping mechanisms due to the persistent stressors associated with poverty. In Nepal, there is a lack of research on how adolescents experiencing or at risk of depression and anxiety cope with adverse situations. This study aims to explore how adoles…
Facilitators in treatment pathways for depression or anxiety among adults in Nepal
Treatment pathways for depression and anxiety disorders are complex, often involving multiple sessions with various service providers and a combination of services. It is crucial to improve healthcare providers' behavior, appointment scheduling, and consultation quality to encourage individuals to seek care. Raising awareness about mental health conditions and available services through different channels and training traditional healers in menta…
Assessment and management of suicidality in a mental health survey among poverty affected adolescents in Nepal
Overall, integrating suicidality measures in mental health surveys was found to be effective suicide assessment and preventive strategy for adolescents in Nepal. Developing suicide management protocols within mental health surveys is essential and feasible for real-time monitoring and response to suicidal behavior among at-risk populations in LMICs, including Nepal
Translation and Adaptation of the Child and Youth Resilience Measure-Revised and Rugged Resilience Measure
Resilience, the capacity to adapt positively in adversity, is a key protective factor for adolescent well-being, particularly for depression and anxiety, which are highly prevalent among adolescents in Nepal. Accurate measurement across cultural contexts is essential to identify at-risk adolescents and understand protective mechanisms. This study culturally adapted and evaluated the psychometric properties of the Child and Youth Resilience Measur…
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
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
No prediction without prevention
Given the rate of advancement in predictive psychiatry, there is a threat that it outpaces public and professional willingness for use in clinical care and public health. Prediction tools in psychiatry estimate the risk of future development of mental health conditions. Prediction tools used with young populations have the potential to reduce the worldwide burden of depression. However, little is known globally about adolescents' and other stakeh…
High Interest in Long-acting Injectable Pre-exposure Prophylaxis (LAI-PrEP) for HIV Prevention Among Men Who Have Sex With Men (MSM)
Adapting and piloting a social contact-based intervention to reduce mental health stigma among primary care providers
Stigma among primary care providers (PCPs) is a barrier to successful integration of mental health services in primary healthcare settings globally. Therefore, cross-culturally adaptable and feasible strategies are needed to reduce stigma among PCPs. This protocol is for a multi-site pilot study that aims to adapt and evaluate cross-cultural feasibility and acceptability of a social contact-based primary healthcare intervention in 7 sites in 5 lo…
Experience of primary healthcare workers in using the mobile app-based WHO mhGAP intervention guide in detection and treatment of people with mental disorders
This study assessed perception and experience of trained primary health care workers in using a mobile app-based version of the WHO mental health gap action programme (mhGAP) Intervention Guide in the assessment and management of people with mental health conditions in primary care in Nepal. A qualitative study was conducted with primary healthcare workers who were trained in using the WHO mhGAP mobile application in Jhapa, a district in eastern …
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 …
Development and functioning of the mobile app-based mh-GAP intervention guide in detection and treatment of people with mental health conditions in primary healthcare settings in Nepal
This paper describes the development process of a mobile app-based version of the World Health Organization mental health Gap Action Programme Intervention Guide, testing of the app prototypes, and its functionality in the assessment and management of people with mental health conditions in Nepal. Health workers' perception of feasibility and acceptability of using mobile technology in mental health care was assessed during the inspiration phase …
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Educational Status of Female Youth in Nepal
Youth are important change agents for social, political and economic issues. However, research evidence suggests that many youth, especially females, face many challenges in Nepal in reaching their social potential due to serious problems with educational access and attainment. This study examines the influence of educational attainment on achieving the social potential of Nepalese female youth through a secondary analysis of data from the Nepal …
Self-reported psychological distress during the Covid-19 outbreak in Nepal
The study has shown high prevalence of psychological distress amongst the Nepalese respondents following COVID-19 outbreak. Appropriate mental health and psychosocial support response needs to be instituted to adequately respond to psychological impacts of the epidemic
Perception and Use of Primary Healthcare Services Among People With Cardiometabolic Diseases in Two Resource-Limited Areas in Nepal
Nepal is a country in south Asia with a high burden of cardiometabolic diseases (CMDs). Strengthening primary healthcare (PHC) is a key strategy to mitigate this increasing burden and achieve universal health coverage. While previous studies in Nepal have assessed PHC use among the elderly, none have specifically explored PHC use among people with CMDs. Therefore, this mixed-methods study aimed to assess the use and perception of PHC services in …
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…
High Interest in Long-acting Injectable Pre-exposure Prophylaxis (LAI-PrEP) for HIV Prevention Among Men Who Have Sex With Men (MSM)
Adapting and piloting a social contact-based intervention to reduce mental health stigma among primary care providers
Stigma among primary care providers (PCPs) is a barrier to successful integration of mental health services in primary healthcare settings globally. Therefore, cross-culturally adaptable and feasible strategies are needed to reduce stigma among PCPs. This protocol is for a multi-site pilot study that aims to adapt and evaluate cross-cultural feasibility and acceptability of a social contact-based primary healthcare intervention in 7 sites in 5 lo…
Experience of primary healthcare workers in using the mobile app-based WHO mhGAP intervention guide in detection and treatment of people with mental disorders
This study assessed perception and experience of trained primary health care workers in using a mobile app-based version of the WHO mental health gap action programme (mhGAP) Intervention Guide in the assessment and management of people with mental health conditions in primary care in Nepal. A qualitative study was conducted with primary healthcare workers who were trained in using the WHO mhGAP mobile application in Jhapa, a district in eastern …
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 …
Development and functioning of the mobile app-based mh-GAP intervention guide in detection and treatment of people with mental health conditions in primary healthcare settings in Nepal
This paper describes the development process of a mobile app-based version of the World Health Organization mental health Gap Action Programme Intervention Guide, testing of the app prototypes, and its functionality in the assessment and management of people with mental health conditions in Nepal. Health workers' perception of feasibility and acceptability of using mobile technology in mental health care was assessed during the inspiration phase …
Chemsex and Harm Reduction Practices Among Men Who Have Sex with Men in Malaysia
Chemsex is a form of sexualized drug use commonly practiced among MSM with psychoactive substances, such as methamphetamine. While this phenomenon has gained global attention in the past two decades, there is a dearth of empirical data to inform culturally competent interventions. The current work investigates the socio-contextual factors related to chemsex and harm reduction practices among Malaysian MSM. Between February and August 2022, we con…
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
No prediction without prevention
Given the rate of advancement in predictive psychiatry, there is a threat that it outpaces public and professional willingness for use in clinical care and public health. Prediction tools in psychiatry estimate the risk of future development of mental health conditions. Prediction tools used with young populations have the potential to reduce the worldwide burden of depression. However, little is known globally about adolescents' and other stakeh…
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
Treatment of depression by traditional faith healers in Nepal
This study explored the assessment and treatment practices of traditional faith healers for patients with depression, as well as their beliefs about the causes of depression, in Nepal. In-depth interviews were conducted using a narrative approach to allow participants to share their experiences and perspectives through storytelling. A vignette depicting a woman with depression symptoms was used to investigate traditional faith healers' beliefs ab…
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…
Coping strategies among poverty-affected adolescents experiencing or at risk of depression and anxiety in Nepal
Adolescents employ various coping strategies to manage stress, which can impact their short and long-term mental health. Economically disadvantaged adolescents are more prone to developing maladaptive coping mechanisms due to the persistent stressors associated with poverty. In Nepal, there is a lack of research on how adolescents experiencing or at risk of depression and anxiety cope with adverse situations. This study aims to explore how adoles…
Facilitators in treatment pathways for depression or anxiety among adults in Nepal
Treatment pathways for depression and anxiety disorders are complex, often involving multiple sessions with various service providers and a combination of services. It is crucial to improve healthcare providers' behavior, appointment scheduling, and consultation quality to encourage individuals to seek care. Raising awareness about mental health conditions and available services through different channels and training traditional healers in menta…
Assessment and management of suicidality in a mental health survey among poverty affected adolescents in Nepal
Overall, integrating suicidality measures in mental health surveys was found to be effective suicide assessment and preventive strategy for adolescents in Nepal. Developing suicide management protocols within mental health surveys is essential and feasible for real-time monitoring and response to suicidal behavior among at-risk populations in LMICs, including Nepal
Translation and Adaptation of the Child and Youth Resilience Measure-Revised and Rugged Resilience Measure
Resilience, the capacity to adapt positively in adversity, is a key protective factor for adolescent well-being, particularly for depression and anxiety, which are highly prevalent among adolescents in Nepal. Accurate measurement across cultural contexts is essential to identify at-risk adolescents and understand protective mechanisms. This study culturally adapted and evaluated the psychometric properties of the Child and Youth Resilience Measur…
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
Medicine (19 works) · Psychology (13 works) · HIV/AIDS Research and Interventions (12 works) · Environmental health (11 works) · Psychiatry (11 works) · Mental health (10 works) · Demography (9 works) · Family medicine (9 works) · HIV, Drug Use, Sexual Risk (9 works) · Men who have sex with men (9 works)