A5040110535- HIV, Drug Use, Sexual Risk
- HIV/AIDS Research and Interventions
- Sex work and related issues
- Adolescent Sexual and Reproductive Health
- Healthcare Systems and Public Health
- COVID-19 and Mental Health
- HIV Research and Treatment
- HIV, TB, and STIs Epidemiology
- COVID-19 Pandemic Impacts
- Intimate Partner and Family Violence
- Bipolar Disorder and Treatment
- Economic Sanctions and International Relations
- Gender Roles and Identity Studies
- COVID-19 epidemiological studies
- Sex and Gender in Healthcare
- Poverty, Education, and Child Welfare
- Vaccine Coverage and Hesitancy
- Employment and Welfare Studies
- LGBTQ Health, Identity, and Policy
- HIV/AIDS drug development and treatment
- Maternal Mental Health During Pregnancy and Postpartum
- Healthcare Systems and Reforms
- Mental Health Treatment and Access
- Hepatitis C virus research
- HIV/AIDS Impact and Responses
Global Health Research Center of Central Asia
2016-2025
Kazakh National Medical University
2022-2025
Global Health Research Center of Central Asia
2022-2024
Columbia University
2017-2023
Objectives We examined whether mobility, migrant status, and risk environments are associated with sexually transmitted infections (STIs) HIV behaviors (e.g. sex trading, multiple partners, unprotected sex). Methods used Respondent Driven Sampling (RDS) to recruit external male market vendors from Kyrgyzstan, Uzbekistan, Tajikistan as well internal non-migrant Kazakhstan. conducted multivariate logistic regressions examine the effects of mobility combined interaction between migration status...
Abstract Background In recent times, the HIV epidemic has emerged as a major challenge in contemporary healthcare, leading to demise of 40.4 million individuals globally. Across timeline ailment, fatalities have been recorded, and spread virus persists worldwide, Tajikistan included, where over 10.5 thousand cases documented. This study aimed evaluate efficiency surveillance system, which stands pivotal strategy combating HIV/AIDS. Methods Between February March 2024, we conducted...
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...
Background Kazakhstan has a high HIV incidence among adolescents and young adults (AYA), stigma contributing to low testing uptake. We examined whether an AYA-developed digital crowdsourced intervention reduced compared with conventional public health materials AYA in Almaty, Kazakhstan. Methods A total of 216 (females:116/males:110) aged 16–24 years were recruited the online study cohort randomized 1:1 or control arm. exposed once week for 5 weeks, equivalent exposures between arms....
BackgroundAdherence to antiretroviral therapy (ART) remains a challenge for many people with HIV and was exacerbated during the COVID-19 pandemic. This paper examines factors associated ART adherence among who inject drugs (PWHWID) in Almaty, Kazakhstan pandemic.MethodsA cross-sectional survey conducted from October 2020 August 2022 66 PWHWID their treatment support partners (n = 66) assess associations between sociodemographic, related, social support, other factors. Multilevel generalized...
Background Human immunodeficiency virus (HIV) cases are rising in Central Asia and Kazakhstan. People living with HIV (PLWH) Kazakhstan at heightened risk of severe COVID-19. We conducted a study to evaluate determinants COVID-19 vaccine uptake among PLWH Methods In this cross-sectional study, 196 were recruited from the Almaty City AIDS Center (July 2022-January 2023). used logistic regression how multilevel factors associated Results non-uptake was higher stigma scores (AOR = 1.08,...
Abstract Introduction There is a research gap in how mental health and cognition are associated with antiretroviral treatment (ART) adherence among people living HIV (PLWH) Kazakhstan. Methods We randomly selected enrolled 230 PLWH from the Almaty City AIDS Center registry (June−November 2019) into cross‐sectional study. examined associations between self‐reported ART for last 1 2 weeks; Adherence Self‐Efficacy Scale (ASES) symptoms of depression (Patient Health Questionnaire‐9 [PHQ‐9]),...
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...
Among women at high risk for HIV and other sexually transmitted diseases (STIs), gender economic issues limit the impact of behavioral prevention strategies. Women in Kazakhstan with dual risks sex trading drug use face elevated STIs may benefit from an empowerment intervention which combines HIV-risk reduction (HIVRR) education financial skills-building asset-building to promote reduced reliance on income. The study employs a two-arm, cluster-randomized controlled trial (c-RCT) design. We...
<h3>Importance</h3> Female sex workers (FSWs) who use drugs face increased risk of intimate partner violence (IPV) and nonpartner (NPV). The association between drug overdose is unknown. <h3>Objective</h3> To examine the IPV, NPV, nonfatal among FSWs in Kazakhstan. <h3>Design, Setting, Participants</h3> This cross-sectional study included 400 adult Kazakhstan reported illicit past year, exchanged for money or drugs, having unprotected 90 days. Baseline data were collected from February 2015...
Abstract Introduction Kazakhstan has one of the fastest‐growing HIV epidemics in world, with increasing rates among adolescents and young adults (AYA). Innovative strategies are needed to increase testing uptake decrease stigma AYA. Citizen science, defined as active engagement general public scientific research tasks, promotes facilitates community throughout process. This citizen science study used crowdsourcing engage AYA develop a digital intervention reduce promote self‐testing. Our...
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...
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,...
Abstract Introduction Female sex workers (FSW) who use drugs are a key population at risk of HIV in Kazakhstan, and face multiple structural barriers to prevention. More research is needed on the role interventions such as microfinance (MF) reducing risk. This paper describes results cluster‐randomized controlled trial test efficacy combination HIVRR + MF intervention biologically confirmed STIs behaviours. Methods study took place from May 2015 October 2018 two cities Kazakhstan. We...
Background: Kazakhstan has a high incidence of HIV, especially among adolescents and young adults (AYA). High HIV stigma AYA contributes to low testing uptake. Crowdsourcing is an innovative community-based intervention development approach that engages in partnership with researchers develop stigma-reduction interventions. We examined the effects AYA-developed digital crowdsourced on reducing exposed as compared conventional public health materials.Methods: ages 16-24 Almaty, Kazakhstan,...
People with HIV (PWH) who inject drugs (PWID) face many barriers to ART adherence. Kazakhstan has one of the fastest growing epidemics in world, primarily fueled by injection drug use, yet adherence among PWID is low. Social support can help address these barriers, but rarely examined within relationship context. We conducted interviews 20 and 18 their intimate partners performed a qualitative dyad analysis examine factors. The results indicated facilitators at individual level (e.g.,...
Abstract The COVID-19 pandemic had significant impacts on mental health. We examined factors associated with symptoms of depression and anxiety during the in Kazakhstan. surveyed 991 adults Kazakhstan July 2021 using multistage stratified sampling. Depression were measured Patient Health Questionnaire-4. conducted logistic regression to assess associations between sociobehavioral factors. Overall, 12.01% reported depressive 8.38% anxiety. Higher likelihood was being female (AOR: 1.64; 95% CI...