ArticleAIDS patient care and STDs2011
A community-based study of barriers to HIV care initiation.
Article in AIDS patient care and STDs, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
Who cites it
27 citing papers in PubMed, 1 synthesis or guideline pooled it, 52 citations in OpenAlex.
- Linkage and Referral to HIV and Other Medical and Social Services: A Focused Literature Review for Sexually Transmitted Disease Prevention and Control Programs.Sexually transmitted diseases · 2016Pooled it
- Behavioral intervention improves treatment outcomes among HIV-infected individuals who have delayed, declined, or discontinued antiretroviral therapy: a randomized controlled trial of a novel intervention.AIDS and behavior · 2015Trial
- A randomized controlled trial of the efficacy of a stigma reduction intervention for HIV-infected women in the Deep South.AIDS patient care and STDs · 2014Trial
- Association Between Changes in Socioeconomic Status Before and After Human Immunodeficiency Virus Infection Diagnosis and Mortality Rates in Korea.Journal of Korean medical science · 2026Article
- BE FASTER Community of Practice to Increase Rapid Initiation of Antiretroviral Therapy in Houston, Texas: A Pre-Post Intervention Study.The Permanente journal · 2025Article
- Neighborhood and Network Characteristics and the HIV Care Continuum among Gay, Bisexual, and Other Men Who Have Sex with Men.Journal of urban health : bulletin of the New York Academy of Medicine · 2020Article
- Age, Sex, Race, Ethnicity, Sexual Orientation: Intersectionality of Marginalized-Group Identities and Enacted HIV-Related Stigma Among People Living with HIV in Florida.AIDS and behavior · 2019Article
- Health Information Exchange: A Novel Re-linkage Intervention in an Urban Health System.Open forum infectious diseases · 2019Article
- Gender Differences in HIV Testing, Diagnosis, and Linkage to Care in Healthcare Settings: Identifying African American Women with HIV in Chicago.AIDS patient care and STDs · 2018Article
- Role of Country of Birth, Testing Site, and Neighborhood Characteristics on Nonlinkage to HIV Care Among Latinos.AIDS patient care and STDs · 2018Article
- Racial/Ethnic Disparities in Failure to Initiate HIV Care: Role of HIV Testing Site, Individual Factors, and Neighborhood Factors, Florida, 2014-2015.Journal of health care for the poor and underserved · 2018Article
- Understanding internalized HIV/AIDS-related stigmas in the Dominican Republic: a short report.AIDS care · 2016Article
- Homonegativity, Religiosity, and the Intersecting Identities of Young Black Men Who Have Sex with Men.AIDS and behavior · 2016Article
- 'Not Until I'm Absolutely Half-Dead and Have To:' Accounting for Non-Use of Antiretroviral Therapy in Semi-Structured Interviews with People Living with HIV in Australia.AIDS patient care and STDs · 2015Article
- Retention in care and viral suppression among persons living with HIV/AIDS in New York City, 2006-2010.American journal of public health · 2014Article
- Cell phone utilization among foreign-born Latinos: a promising tool for dissemination of health and HIV information.Journal of immigrant and minority health · 2014Article
- Personal meaning, social support, and perceived stigma in individuals receiving HIV mental health services.Journal of clinical psychology in medical settings · 2014Article
- How does antiretroviral treatment attenuate the stigma of HIV? Evidence from a cohort study in rural Uganda.AIDS and behavior · 2013Article
- Linking and retaining HIV patients in care: the importance of provider attitudes and behaviors.AIDS patient care and STDs · 2013Article
- A binational study of patient-initiated changes to antiretroviral therapy regimen among HIV-positive Latinos living in the Mexico-U.S. border region.AIDS and behavior · 2012Article
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 1 country.
Funding
Abstract
Timely treatment of HIV infection is a public health priority, yet many HIV-positive persons delay treatment initiation. We conducted a community-based study comparing HIV-positive persons who received an HIV diagnosis at least 3 months ago but had not initiated care (n=100) with a reference population of HIV-positive persons currently in care (n=115) to identify potential barriers to treatment initiation. Study participants were mostly male (78.0%), and persons of color (54.9% Latino, 26.3% black), with median age 37.8 years. Median time since HIV diagnosis was 3.7 years. Univariate analysis revealed that those never in care differed substantially from those currently in care with regard to sociodemographics; HIV testing and counseling experiences; perceived barriers to care; and knowledge, attitudes, and beliefs regarding HIV. Factors independently associated with never initiating HIV care were younger age (adjusted odds ratio [AOR]=0.93; 95% confidence interval [CI]: 0.88, 0.99), shorter time since diagnosis (AOR=0.87; 95% CI: 0.77, 0.98), lacking insurance (AOR=0.11; 95% CI: 0.03, 0.35), not knowing someone with HIV/AIDS (AOR=0.09; 95% CI: 0.03, 0.30) not disclosing HIV status (AOR=0.13; 95% CI: 0.02, 0.70), not receiving help making an HIV care appointment after diagnosis (AOR=0.04; 95% CI: 0.01, 0.14), and not wanting to think about being HIV positive (AOR=3.57; 95% CI: 1.22, 10.46). Our findings suggest that isolation and stigma remain significant barriers to initiating HIV care in populations consisting primarily of persons of color, and that direct linkages to HIV care at the time of diagnosis are critical to promoting timely care initiation in these populations.
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Registered trials
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.