Patterns of Alcohol Use and Daily Smoking Among Men Who Have Sex with Men in Nepal.

Men who have sex with men (MSM) have an elevated risk of adverse health outcomes associated with alcohol use and smoking. Although substantial studies have been conducted globally, little is known about alcohol use and smoking among MSM in Nepal. Therefore, the present study aimed to examine the pre...

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Publicado en:Journal of Community Health Vol. 50; no. 4; pp. 638 - 646
Autores principales: Paudel, Kiran, Gautam, Kamal, Hossain Sujan, Md Safaet, Adhikari, Prakash, Bhusal, Sandesh, Wickersham, Jeffrey A., Bhakta, K. C., Sapkota, Sabitri, Dhakal, Manisha, Adhikari, Tara Ballav, Shrestha, Roman
Formato: Artículo
Publicado: Springer Nature Aug2025
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Aug2025
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      pub: Springer Nature
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        10.1007/s10900-025-01456-8
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        atl: Patterns of Alcohol Use and Daily Smoking Among Men Who Have Sex with Men in Nepal.
      aug:
        au:
          Paudel, Kiran
          Gautam, Kamal
          Hossain Sujan, Md Safaet
          Adhikari, Prakash
          Bhusal, Sandesh
          Wickersham, Jeffrey A.
          Bhakta, K. C.
          Sapkota, Sabitri
          Dhakal, Manisha
          Adhikari, Tara Ballav
          Shrestha, Roman
        affil:
          https://ror.org/02der9h97 Department of Allied Health Sciences, University of Connecticut, 06269, Storrs, CT, USA
          Nepal Health Frontiers, Tokha-5, Kathmandu, Nepal
          Rethink Lab, Kathmandu, Nepal
          https://ror.org/02rg1r889 Institute of Medicine, Tribhuwan University, Kathmandu, Nepal
          https://ror.org/03v76x132 Department of Internal Medicine, Section of Infectious Diseases, Yale School of Medicine, New Haven, CT, USA
          https://ror.org/01kk81m15 Ministry of Health and Population, Ram Shah Path, Kathmandu, Nepal
          Possible, a non-profit organization, Bhim Plaza, Kathmandu, Nepal
          Blue Diamond Society, Kathmandu, Nepal
          https://ror.org/01aj84f44 Research Unit for Global Health, Department of Public Health, Aarhus University, Aarhus, Denmark
      su:
        Nepal
        Cross-sectional method
        Sex work
        Substance abuse
        Income
        Smoking
        Criminals
        Minority stress
        Men who have sex with men
        Condoms
        Alcohol drinking
        Employment
        Research funding
        Multiple regression analysis
        Multivariate analysis
        Descriptive statistics
        Unsafe sex
        Surveys
        Odds ratio
        Statistics
        Confidence intervals
      sug:
        subj:
          Cross-sectional method
          Sex work
          Substance abuse
          Income
          Smoking
          Criminals
          Minority stress
          Men who have sex with men
          Condoms
          Alcohol drinking
          Employment
          Nepal
          Other rubber product manufacturing
          All Other Rubber Product Manufacturing
          Drinking Places (Alcoholic Beverages)
          Research funding
          Multiple regression analysis
          Multivariate analysis
          Descriptive statistics
          Unsafe sex
          Surveys
          Odds ratio
          Statistics
          Confidence intervals
      keyword:
        Alcohol use
        Condomless sex
        Daily smoking
        Medical and Health Sciences Public Health and Health Services
        Alcohol use
        Condomless sex
        Daily smoking
        Medical and Health Sciences Public Health and Health Services
      ab: Men who have sex with men (MSM) have an elevated risk of adverse health outcomes associated with alcohol use and smoking. Although substantial studies have been conducted globally, little is known about alcohol use and smoking among MSM in Nepal. Therefore, the present study aimed to examine the prevalence and patterns of alcohol use and daily smoking among MSM in Nepal. A cross-sectional respondent-driven survey was conducted among MSM in Kathmandu, Nepal, between October and December 2022. Bivariate and multivariate logistic regression analyses were used to evaluate independent correlates of alcohol use in the past 12 months and daily smoking. Among 250 participants (mean age 27.6 ± 8.9 years), 71.6% had consumed alcohol in the past 12 months, and 42% smoked daily in the last 30 days. MSM who had an income of less than NRs 20,000 (aOR: 2.1; 95% CI: 1.1–3.8), were single (aOR: 2.0; 95% CI: 1.1–3.8), employed (aOR: 2.1; 95% CI: 1.1–4.1), engaged in sex work (aOR: 3.5; 95% CI: 1.1–11.1), ever smoked (aOR: 5.1; 95% CI: 2.6–9.7), and who did not engage in condomless sex (aOR: 2.1; 95% CI: 1.1–4.5) were more likely to use alcohol in the past 12 months. Similarly, participants who were born in Bagmati province (aOR: 3.7; 95% CI: 1.8–7.6), and had a history of drug use (aOR: 2.8; 95% CI: 1.3–5.7), and police detention (aOR: 3.2; 95% CI: 1.3–9.2) were more likely to be involved in daily smoking. The findings underscore the necessity of MSM-specific alcohol and smoking cessation programs in Nepal.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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