A5079301841- HIV, Drug Use, Sexual Risk
- HIV/AIDS Research and Interventions
- Sex work and related issues
- Adolescent Sexual and Reproductive Health
- Hepatitis C virus research
- Opioid Use Disorder Treatment
- Tuberculosis Research and Epidemiology
- Intimate Partner and Family Violence
- HIV Research and Treatment
- Substance Abuse Treatment and Outcomes
- HIV, TB, and STIs Epidemiology
- Migration, Health and Trauma
- Hepatitis B Virus Studies
- HIV/AIDS Impact and Responses
- Pneumonia and Respiratory Infections
- Poverty, Education, and Child Welfare
- Homelessness and Social Issues
- Sexuality, Behavior, and Technology
- LGBTQ Health, Identity, and Policy
- Cannabis and Cannabinoid Research
- Employment and Welfare Studies
- Pneumocystis jirovecii pneumonia detection and treatment
- Political Conflict and Governance
- Gender Roles and Identity Studies
- Data Stream Mining Techniques
Global Health Research Center of Central Asia
2016-2025
Columbia University
2013-2025
Global Health Research Center of Central Asia
2011-2024
City University of Seattle
2018
University of Chicago
2014
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...
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...
Introduction Men who have sex with men (MSM) are at high risk for HIV infection. MSM in Central Asia, however, not adequately studied to assess their of transmission. Methods: This study used respondent driven sampling methods recruit 400 Almaty, the largest city Kazakhstan, into a cross-sectional study. Participation involved one-time interviewer-administered questionnaire and rapid screening test. Prevalence data were adjusted network size recruitment patterns. Multivariate logistic...
Project Renaissance is a randomized controlled trial of an HIV/hepatitis C virus (HCV)/sexually transmitted infection (STI) prevention intervention conducted in Almaty, Kazakhstan. We hypothesized that couples assigned to the interest will have lower incidence HIV, HCV, STIs, rates unprotected sex, and unsafe injection over 12-month follow-up period compared with those attention control arm.
This pilot randomized controlled trial in Kazakhstan aimed to adapt and test the feasibility of a couple-based HIV/STI risk-reduction intervention (CHSR) for couples who are injecting drug users (IDUs). The study examined preliminary effects versus an attentional control wellness promotion (WP) condition on HIV risk behavioral outcomes among 40 IDUs (n = 80 participants). Compared with WP participants, CHSR participants were significantly more likely increase condom use decrease unsafe...
We examined the relationships between mobility characteristics and sexual risk behaviors among male female migrant market vendors in Almaty, Kazakhstan.
Sputum smear-positive tuberculosis (TB) patients have a high risk of transmission and are great epidemiological infection control significance. Little is known about the populations in TB burden regions, such as Kazakhstan. The objective this study to characterize population Kazakhstan identify associated modifiable factors.Data on incident cases' (identified between April 2012 March 2014) socio-demographic, behavior, comorbidity characteristics were collected four regions through structured...
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]),...
Opioid overdose education and naloxone distribution (OEND) is an evidence-based strategy to reduce opioid deaths in line with guidance provided by the World Health Organization (WHO) United Nations Office on Drugs Crime (UNODC). However, OEND effectiveness has rarely been examined low- middle-income countries (LMICs). The WHO/UNODC Stop Overdose Safely (S-O-S) project involved training of > 14,000 potential witnesses response (including administration naloxone) Kazakhstan, Kyrgyzstan,...
Women from key affected populations (KAPs) including women who use drugs, engage in sex work, and living with HIV/AIDs Kazakhstan experience extremely high rates of intimate partner violence (IPV) encounter a myriad barriers accessing IPV services. This community-based implementation trial aimed to evaluate the acceptability, safety, effectiveness delivering an evidence-based self-guided mHealth brief intervention tool (UMAI-WINGS) KAPs using innovative community-coordinated response model....
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....
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,...