Evidence map›Paper›PMID 19110909›Full record

ArticleJournal of the National Medical Association2008

Sociodemographic factors predict early discontinuation of HIV non-nucleoside reverse transcriptase inhibitors and protease inhibitors.

Shaheena Asad, Todd Hulgan, Stephen P Raffanti, Jim Daugherty, Wayne Ray, Timothy R Sterling

Abstract read
In one paragraph

Article in Journal of the National Medical Association, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.3field-weighted citation impact, top 41% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Factors related to loss to follow-up among people living with HIV: a systematic review.Revista do Instituto de Medicina Tropical de Sao Paulo · 2025
    Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Shaheena AsadDepartment of Internal Medicine, Divisions of Hematology Oncology, University School of Medicine, Nashville, TN, USA.
Todd Hulgan
Stephen P Raffanti
Jim Daugherty
Wayne Ray
Timothy R Sterling
Infectious Disease Consultants · USTennessee Department of Health · USTennessee Oncology · US

Funding

VIROLOGY COREP30AI054999 · NIAID · VANDERBILT UNIVERSITY · PI HAINES, JONATHAN L · 2003 to 2011
$10.3M
Mentoring in HIV and Tuberculosis ResearchK24AI065298 · NIAID · VANDERBILT UNIVERSITY · PI STERLING, TIMOTHY R · 2005 to 2014
$1.6M
Vanderbilt Center for Education/Research on TheraputicsU18HS010384 · AHRQ · VANDERBILT UNIVERSITY · PI RAY, WAYNE A · 1999 to 2006
$765k
Oxidant Stress and Antioxidants during HIV TherapyK23AT002508 · NCCIH · VANDERBILT UNIVERSITY · PI HULGAN, TODD M · 2004 to 2007
$473k
AHRQ HHS HS1-0384NCCIH NIH HHS K23 AT002508NIAID NIH HHS K24 AI065298NIAID NIH HHS P30 AI054999NIAID NIH HHS P30 AI54999
6 · The paper itself

Abstract

BACKGROUND/

objectiveHIV infection has a devastating impact on individual and public health, and affects populations disproportionately. Treatment with antiretroviral therapy (ART) saves lives, but long-term adherence to ART is critical to its success. We performed an observational cohort study to determine the influence of race, sex and other sociodemographic factors on early ART discontinuations among HIV-infected persons.

methodsTennCare-enrolled adults of black or white non-Hispanic race beginning ART with either a non-nucleoside reverse transcriptase inhibitor (NNRTI) or protease inhibitor (PI) between 1996-2003 (N=3654) were assessed for early discontinuation. A subgroup of discontinuations was validated using the primary medical record.

resultsBlacks were more likely than whites to discontinue NNRTIs (37 vs. 28%; P=0.003) and PIs (36 vs. 25%; P < or = 0.001). In multivariable models adjusting for race, sex, age, early HIV-related medical encounter, urban residence and TennCare enrollment category, black race, female sex and younger age were independent predictors of discontinuation among those starting PIs. Among persons starting NNRTIs, black race, younger age and a disability-based enrollment category predicted early drug discontinuation, but female sex did not.

conclusionsOur results suggest that sociodemographic factors were associated with early NNRTI and PI discontinuation in this population, and some factors were ART class specific.

Indexed as

Medication AdherenceAdolescentAdultAgedAnti-Retroviral AgentsBlack or African AmericanFemaleHIV InfectionsHumansLogistic ModelsMaleMiddle AgedProtease InhibitorsReverse Transcriptase InhibitorsSocioeconomic FactorsTennesseeAnti-Retroviral AgentsProtease InhibitorsReverse Transcriptase Inhibitors

Identifiers

PMID19110909
PMCPMC3816354
OpenAlexW59562728

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.