Evidence map›Paper›PMID 23763412›Full record

Trial reportAmerican journal of public health2013

A sexual risk and stress reduction intervention designed for HIV-positive bisexual African American men with childhood sexual abuse histories.

John K Williams, Dorie A Glover, Gail E Wyatt, Kimberly Kisler, Honghu Liu, Muyu Zhang

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in American journal of public health, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01641146 (An HIV Intervention for Black Men at Risk), which is not on this map. Cited by 39 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 8 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.

NCT01641146 phase2completednot on this map

An HIV Intervention for Black Men at Risk

TypeinterventionalSponsorUniversity of California, Los AngelesRan2008 to 2011Enrolled118ConditionsHIV, Depression, Posttraumatic Stress DisorderArmsEnhanced Sexual Health Intervention for Men (ES-HIM), Health Promotion (HP) Comparison Arm
3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 8 syntheses or guidelines pooled it.

  1. Pooled it
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  9. Trial
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  11. Efficacy of a Small-Group Intervention for Post-Incarcerated Black Men Who Have Sex with Men and Women (MSMW).Journal of urban health : bulletin of the New York Academy of Medicine · 2018
    Trial
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  13. Review
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  17. Observational
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  20. Transgenerational Cycle of Traumatization and HIV Risk Exposure among Crack Users.International journal of environmental research and public health · 2023
    Article
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.

John K WilliamsUniversity of California, Los Angeles, Department of Psychiatry and Biobehavioral Sciences, Semel Institute for Neuroscience and Human Behavior, 760 Westwood Plaza, 38-260, Los Angeles, CA 90024-1759, USA. keoniwmd@aol.com
Dorie A Glover
Gail E Wyatt
Kimberly Kisler
Honghu Liu
Muyu Zhang

Funding

The Collaborative Center for Trauma and Mental Health DisparitiesP50MH073453 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI WYATT, GAIL E. · 2006 to 2011
$3.9M
An HIV Intervention for Black Men at RiskR34MH077550 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI WILLIAMS, JOHN K. · 2007 to 2009
$911k
NIMH NIH HHS 1 R34 MH077550NIMH NIH HHS 5P50MH073453NIMH NIH HHS P50 MH073453NIMH NIH HHS R34 MH077550
6 · The paper itself

Abstract

objectivesHIV transmission risk is high among men who have sex with men and women (MSMW), and it is further heightened by a history of childhood sexual abuse (CSA) and current traumatic stress or depression. Yet, traumatic stress is rarely addressed in HIV interventions. We tested a stress-focused sexual risk reduction intervention for African American MSMW with CSA histories.

methodsThis randomized controlled trial compared a stress-focused sexual risk reduction intervention with a general health promotion intervention. Sexual risk behaviors, psychological symptoms, stress biomarkers (urinary cortisol and catecholamines), and neopterin (an indicator of HIV progression) were assessed at baseline and at 3- and 6-month follow-ups.

resultsBoth interventions decreased and sustained reductions in sexual risk and psychological symptoms. The stress-focused intervention was more efficacious than the general health promotion intervention in decreasing unprotected anal insertive sex and reducing depression symptoms. Despite randomization, baseline group differences in CSA severity, psychological symptoms, and biomarkers were found and linked to subsequent intervention outcomes.

conclusionsAlthough interventions designed specifically for HIV-positive African American MSMW can lead to improvements in health outcomes, future research is needed to examine factors that influence intervention effects.

Indexed as

BisexualityRisk Reduction BehaviorSexual BehaviorAdult Survivors of Child AbuseAnalysis of VarianceBiomarkersBlack or African AmericanCatecholaminesChi-Square DistributionHealth PromotionHIV InfectionsHumansHydrocortisoneMaleMiddle AgedNeopterinBiomarkersCatecholaminesHydrocortisoneNeopterin

Identifiers

PMID23763412
PMCPMC4007873

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.