- HIV/AIDS Research and Interventions
- HIV, Drug Use, Sexual Risk
- Sex work and related issues
- Adolescent Sexual and Reproductive Health
- LGBTQ Health, Identity, and Policy
- HIV Research and Treatment
- Sex and Gender in Healthcare
- Prenatal Screening and Diagnostics
- Reproductive System and Pregnancy
- Reproductive Health and Technologies
- Gender, Feminism, and Media
- Pregnancy and preeclampsia studies
- Sexuality, Behavior, and Technology
- Gender Roles and Identity Studies
- Social Work Education and Practice
- Gender Politics and Representation
- African Sexualities and LGBTQ+ Issues
Columbia University
2021-2025
New York State Psychiatric Institute
2024-2025
New York Psychoanalytic Society and Institute
2024
Global Health Research Center of Central Asia
2022
University of Washington
2022
Background: Sexual and gender expansive (SGE) individuals in Kazakhstan are disproportionately affected by HIV yet stigma discrimination pose ethical practical challenges for prevention research involving them. Although researchers tasked with ensuring that risks of participation reasonable relation to its benefits, participant-reported benefits participation—including negative (NSIs) positive social impacts (PSIs) on personal relationships, status, health, other life domains—among SGE...
Gay, bisexual, and other men transgender nonbinary people who have sex with (MSM TSM) are disproportionately impacted by the HIV epidemic in Kazakhstan. MSM TSM Kazakhstan also face high levels of discrimination victimization, known barriers to engagement prevention care. We examined data from surveys 455 collected May -- October 2020 determine whether access testing treatment was limited among those exposed victimization during early COVID-19 pandemic. Odds reporting disruptions HIV-related...
Importance: HIV transmission in Kazakhstan has increased among men who have sex with (MSM) and transgender nonbinary people (TSM), driven by low testing rates. Objective: To determine if the PRIDE Care intervention had a community effect of increasing MSM TSM Kazakhstan. Design: We employed stepped-wedge, cluster-randomized controlled trial members recruited from three cities Kazakhstan: Almaty, Astana, Shymkent. collected serial cross-sectional data where completed one assessment between 21...
Preeclampsia (PE) is associated with an increased risk of maternal cardiovascular disease (CVD), however, it unclear whether this due to shared underlying physiology or changes which occur during the process. Fetal microchimerism (FMc) within circulation can durably persist decades after pregnancy, known at greater frequency in PE, and potentially affect local systemic immune programming, thus cellular FMc may provide a mechanism for long-term health outcomes PE.
This study examined substance use and sexual risk correlates of HIV testing among cisgender gay, bisexual, other men (MSM) transgender nonbinary individuals (TSM) who have sex with in Kazakhstan. We analyzed baseline data from an prevention trial collected prior to intervention deployment (N = 304). Multivariable logistic regression analyses revealed that lifetime was positively associated poly-drug (AOR 4.4, 95% CI [2.0, 9.9]) negatively 0.4, [0.2, 1.0]). Similarly, recent polydrug 2.7,...
Purpose: This study aimed to investigate mortality disparities for sexual minority adults in the United States. Methods: We used data from 26,384 adult respondents using 1999-2014 National Health and Nutrition Examination Survey, linked with Death Index files. Respondents reporting one or more same-sex partners their lifetime who identified as gay, lesbian, bisexual were considered (617 males 963 females). examined gender-stratified frequencies by status Cox proportional hazard models risk...
Limited research has examined predictors of anti-gay victimization among men who have sex with (MSM), despite violence continuing to be a global problem. We conducted secondary analysis data from structured interviews 600 MSM adults examine and earlier sexual debut in Kazakhstan. Multiple linear regression was used test for associations between debut-categorized as age onset 13 15 years prior old, ages 16 older the reference group-and recent lifetime victimization. Adjusted logistic models...
Limited research has examined prevalence rates and associations related to exchange sex behaviors among gay, bisexual, other men who have with (MSM) in Kazakhstan. This study aimed examine between earlier sexual debuts lifetime Kazakhstani MSM. Using data from a National Institute on Drug Abuse-funded Human Immunodeficiency Virus (HIV) prevention trial, we conducted secondary analysis of self-reported 766 adult cisgender MSM Kazakhstan, completed structured screening interviews. Earlier were...
Background : Sexual and gender expansive (SGE) individuals in Kazakhstan are disproportionately affected by HIV yet stigma discrimination pose ethical practical challenges for prevention research involving them. Although researchers tasked with ensuring that risks of participation reasonable relation to its benefits, participation-related benefits—including negative positive social impacts (NSIs PSIs respectively) on personal relationships, status, health, other aspects life—among SGE...
Transgender people experience an excess burden of child sexual abuse (CSA), mental health concerns, and substance use compared to cisgender populations. Posttraumatic stress disorder (PTSD) has been found mediate the association between CSA behaviors in populations, but this dynamic not previously examined among transgender adults. The aim study is test if PTSD may a relationship Data were analyzed from U.S. Population Health Survey (2016-2018), national probability sample adults (
There is a critical gap in minority stress research Kazakhstan, where the rights and dignity of sexual gender expansive (SGE) people have been under increasing threat. This brief report investigated processes sample cisgender gay, bisexual, other men (MSM) transgender nonbinary individuals who sex with (TSM) enrolled behavioral HIV prevention trial Kazakhstan. Baseline data from 629 MSM TSM were used to analyze rates associations between victimization, discrimination, internalized stigma...
There is a growing concern within social work about the absence or lack of human sexuality training and education that workers receive, specifically sex-positive pleasure-inclusive sexual wellness (Dodd & Tolman, 2017; Williams et al., 2016). As Dodd (2020) described in her book Sex-Positive Social Work, “a perspective encourages agency decision making embraces consensual activity as healthy, something to be enjoyed without stigma shame. It right” (p. 3). However, scarce many receive...