Publications by authors named "C K Vasudevan"

Article Synopsis
  • The study aimed to track how patients used medication for opioid use disorder (MOUD) over a year after starting treatment and to see if different usage patterns were linked to HIV testing among people who inject drugs in India.
  • Involving 1,562 individuals from integrated care centers in seven cities, the research identified five groups based on MOUD usage: early dropout (41%), late dropout (18%), delayed dropout (10%), intermittent use (12%), and persistent use (19%).
  • Results showed that those who maintained MOUD had significantly higher rates of HIV testing compared to those who dropped out early, indicating that consistent engagement with MOUD correlates with better health monitoring.
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Introduction: Globally, there have been significant declines in HIV incidence over the past two decades, but this decline is slowing, and in some settings, declines have stalled or are growing-particularly where epidemics are concentrated in key populations (KPs). Understanding temporal changes in HIV incidence among KP is critical yet, due to logistical constraints, there are few sources of longitudinal incidence data, particularly among KP.

Methods: We present HIV incidence rates from June 2014 to December 2022 among cisgender men who have sex with men (MSM) and people who inject drugs (PWID) attending community-based integrated care centres (ICCs) in 15 Indian cities.

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Background: Progress on HIV treatment outcomes for people who inject drugs and men who have sex with men in India has been slow compared with that in other populations. We assessed whether HIV treatment incentives would improve outcomes among these groups.

Methods: We did a matched-pair, cluster randomised trial in 16 sites (eight for people who inject drugs and eight for men who have sex with men) across 15 cities in India.

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Lifetime exposures to violence among men who have sex with men (MSM) are associated with multiple psychosocial health risks and can affect engagement and outcomes of HIV treatment. This study a) explored relationships between levels of exposures to violence and HIV care continuum outcomes among MSM living with HIV in India, and b) identified psychosocial correlates of HIV care continuum outcomes among MSM living with HIV and those with lifetime cumulative exposures to violence (CVE). CVE referred to exposures to violence in both childhood and adulthood.

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