Evidence map›Paper›PMID 23688090›Full record

ReviewThe American psychologist

Stigma and racial/ethnic HIV disparities: moving toward resilience.

Valerie A Earnshaw, Laura M Bogart, John F Dovidio, David R Williams

Registry-linked trialAbstract readReview
In one paragraph

Review in The American psychologist. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03331978 (A Randomized Controlled Trial of an Antiretroviral Treatment Adherence Intervention for HIV+ African Americans), which is not on this map. Cited by 288 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
288citing papers in PubMed, 4 pooled it
–field-weighted citation impact
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.

NCT03331978 nacompletednot on this map

A Randomized Controlled Trial of an Antiretroviral Treatment Adherence Intervention for HIV+ African Americans

TypeinterventionalSponsorRANDRan2018 to 2021Enrolled306ConditionsHIV/AIDSArmsRise - Treatment Education
3 · Its place in the literature

Who cites it

288 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Non-Communicable Diseases-Related Stigma: A Mixed-Methods Systematic Review.International journal of environmental research and public health · 2020
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228 more citing papers are in PubMed but not listed here.

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

4 authors.

Valerie A EarnshawCenter for Interdisciplinary Research on AIDS, Yale University, New Haven, CT 06510, USA. valerie.earnshaw@yale.edu
Laura M Bogart
John F Dovidio
David R Williams

Funding

Using Coincidence Analysis to Investigate Factors Affecting PrEP Initiation and Continuation in Southern ending the Epidemic CountiesP30MH062294 · NIMH · YALE UNIVERSITY · PI John Edward Pachankis · 2001 to 2026
$48.5M
INTERDISCIPLINARY HIV PREVENTION TRAINING PROGRAMT32MH020031 · NIMH · YALE UNIVERSITY · PI Trace S Kershaw · 1999 to 2026
$12.1M
The Impact of Residency Factors on Racial, Size & LGBT Bias in Physician TraineesR01HL085631 · NHLBI · UNIVERSITY OF MINNESOTA · PI VAN RYN, MICHELLE · 2009 to 2018
$6.9M
Cumulative Stress and CVD Risk in Middle-Aged and Older WomenR01AG038492 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI ALBERT, MICHELLE A · 2011 to 2015
$2.8M
Medical Mistrust, Social Networks, and Disparities in HIV Care Among BlacksR01MD003964 · NIMHD · BOSTON CHILDREN'S HOSPITAL · PI BOGART, LAURA M · 2009 to 2013
$2.0M
Influences on HIV Prevalence and Service Access among IDUs in Russia and EstoniaR01DA029888 · NIDA · YALE UNIVERSITY · PI HEIMER, ROBERT, UUSKULA, ANNELI · 2010 to 2014
$2.0M
Treatment Advocacy Intervention for HIV-Postive African AmericansR01MD006058 · NIMHD · RAND CORPORATION · PI BOGART, LAURA M · 2011 to 2015
$2.0M
Establishing an Academic-Community Partnership to Promote Child Health in BostonRC4HD066907 · NICHD · BOSTON CHILDREN'S HOSPITAL · PI SCHUSTER, MARK A. · 2010 to 2010
$998k
NCI NIH HHS P50 CA148506NHLBI NIH HHS R01 HL085631NHLBI NIH HHS R01HL 0856331-0182NIA NIH HHS R01 AG038492NICHD NIH HHS RC4 HD066907NIDA NIH HHS 1R01DA029888-01NIDA NIH HHS R01 DA029888NIMHD NIH HHS L60 MD007299NIMHD NIH HHS R01 MD003964NIMHD NIH HHS R01 MD006058NIMH NIH HHS P30 MH062294NIMH NIH HHS T32 MH020031
6 · The paper itself

Abstract

Prior research suggests that stigma plays a role in racial/ethnic health disparities. However, there is limited understanding about the mechanisms by which stigma contributes to HIV-related disparities in risk, incidence and screening, treatment, and survival and what can be done to reduce the impact of stigma on these disparities. We introduce the Stigma and HIV Disparities Model to describe how societal stigma related to race and ethnicity is associated with racial/ethnic HIV disparities via its manifestations at the structural level (e.g., residential segregation) as well as the individual level among perceivers (e.g., discrimination) and targets (e.g., internalized stigma). We then review evidence of these associations. Because racial/ethnic minorities at risk of and living with HIV often possess multiple stigmas (e.g., HIV-positive, substance use), we adopt an intersectionality framework and conceptualize interdependence among co-occurring stigmas. We further propose a resilience agenda and suggest that intervening on modifiable strength-based moderators of the association between societal stigma and disparities can reduce disparities. Strengthening economic and community empowerment and trust at the structural level, creating common ingroup identities and promoting contact with people living with HIV among perceivers at the individual level, and enhancing social support and adaptive coping among targets at the individual level can improve resilience to societal stigma and ultimately reduce racial/ethnic HIV disparities.

Indexed as

Health Status DisparitiesResilience, PsychologicalSocial StigmaEthnicityHIV InfectionsHumansSocial Support

Identifiers

PMID23688090
PMCPMC3740715

What OpenQuestion holds

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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.