Evidence map›Paper›PMID 23991689›Full record

ArticleAIDS patient care and STDs2013

Healthcare provider attitudes, practices, and recommendations for enhancing routine HIV testing and linkage to care in the Mississippi Delta region.

Nathan Sison, Annajane Yolken, Joanna Poceta, Leandro Mena, Philip A Chan, Arti Barnes, Erin Smith, Amy Nunn

Abstract read
In one paragraph

Article in AIDS patient care and STDs, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 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.

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

21 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  14. An overview of recent evidence on barriers and facilitators to HIV testing.Canada communicable disease report = Releve des maladies transmissibles au Canada · 2015
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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

8 authors.

Nathan SisonBrown University Warren Alpert Medical School, Providence, RI, USA.
Annajane Yolken
Joanna Poceta
Leandro Mena
Philip A Chan
Arti Barnes
Erin Smith
Amy Nunn

Funding

Translational ScienceP30AI042853 · NIAID · MIRIAM HOSPITAL · PI LARRY K BROWN · 1998 to 2026
$51.7M
Virology CoreP01AA019072 · NIAAA · BROWN UNIVERSITY · PI BECKER, SARA · 2010 to 2024
$19.7M
The Brown Initiative in HIV and AIDS Clinical Research for Minority CommunitiesR25MH083620 · NIMH · MIRIAM HOSPITAL · PI NUNN, AMY STEWART · 2008 to 2025
$3.7M
Exploring Patterns of Concurrency Among Urban African AmericansK01AA020228 · NIAAA · MIRIAM HOSPITAL · PI NUNN, AMY STEWART · 2010 to 2014
$691k
Molecular Epidemiology of HIV Transmission NetworksK23AI096923 · NIAID · MIRIAM HOSPITAL · PI CHAN, PHILIP ANDREW · 2011 to 2015
$650k
NIAAA NIH HHS K01 AA020228NIAAA NIH HHS P01 AA019072NIAAA NIH HHS P01AA019072NIAID NIH HHS K23 AI096923NIAID NIH HHS K23AI096923NIAID NIH HHS P30-AI-42853NIMHD NIH HHS L60 MD003501NIMH NIH HHS R25 MH083620PHS HHS K01020228-01A1
6 · The paper itself

Abstract

The Mississippi Delta region is one of the communities most heavily impacted by HIV/AIDS in the United States. To understand local provider attitudes and practices regarding HIV testing and care, we conducted 25 in-depth qualitative interviews with local primary care providers and infectious disease specialists. Interviews explored attitudes and practices regarding HIV testing and linkage to care. Most providers did not routinely offer HIV testing, noting financial barriers, financial disincentives to offer routine screening, misperceptions about local informed consent laws, perceived stigma among patients, and belief that HIV testing was the responsibility of the health department. Barriers to enhancing treatment and care included stigma, long distances, lack of transportation, and paucity of local infectious disease specialists. Opportunities for enhancing HIV testing and care included provider education programs regarding billing, local HIV testing guidelines, and informed consent, as well as telemedicine services for underserved counties. Although most health care providers in our study did not currently offer routine HIV testing, all were willing to provide more testing and care services if they were able to bill for routine testing. Increasing financial reimbursement and access to care, including through the Affordable Care Act, may provide an opportunity to enhance HIV/AIDS services in the Mississippi Delta.

Indexed as

Attitude of Health PersonnelHealth Knowledge, Attitudes, PracticeAIDS SerodiagnosisCounselingFemaleHealth PersonnelHealth Services AccessibilityHIV InfectionsHumansInterviews as TopicMass ScreeningMississippiQualitative Research

Identifiers

PMID23991689
PMCPMC3760055

What OpenQuestion holds

Textmetadata
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.