Evidence map›Paper›PMID 24121754›Full record

ArticleJournal of acquired immune deficiency syndromes (1999)2014

High risk of obesity and weight gain for HIV-infected uninsured minorities.

Barbara S Taylor, Yuanyuan Liang, L Sergio Garduño, Elizabeth A Walter, Margit B Gerardi, Gregory M Anstead, Delia Bullock, Barbara J Turner

Open access · greenAbstract read
In one paragraph

Article in Journal of acquired immune deficiency syndromes (1999), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
5.5field-weighted citation impact, top 4% 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

31 citing papers in PubMed, 1 synthesis or guideline pooled it, 61 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Diabetes in HIV: the Link to Weight Gain.Current HIV/AIDS reports · 2023
    Review
  7. Article
  8. Article
  9. Weight Gain Following Initiation of Antiretroviral Therapy: Risk Factors in Randomized Comparative Clinical Trials.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2020
    Article
  10. Article
  11. Article
  12. Obesity and Weight Gain in Persons with HIV.Current HIV/AIDS reports · 2020 · on this map
    Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Observational
  19. Article
  20. Review
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 at 2 institutions in 1 country.

Barbara S Taylor*Division of Infectious Diseases, Department of Medicine, University of Texas Health Science Center San Antonio, San Antonio, TX; †Research to Advance Community Health (ReACH), University of Texas Health Science Center San Antonio, San Antonio, TX; ‡University of Texas School of Public Health, San Antonio Regional Campus, San Antonio, TX; §Department of Epidemiology and Biostatistics, University of Texas Health Science Center San Antonio, San Antonio, TX; ‖Division of Infectious Diseases, Department of Medicine, South Texas Veterans Health Care System, San Antonio, TX; and ¶Department of Family & Community Health Systems, School of Nursing, University of Texas Health Science Center San Antonio, San Antonio, TX.
Yuanyuan Liang
L Sergio Garduño
Elizabeth A Walter
Margit B Gerardi
Gregory M Anstead
Delia Bullock
Barbara J Turner
The University of Texas Health Science Center at San Antonio · USSouth Texas Veterans Health Care System · US

Funding

Institute for Integration of Medicine & Science: A Partnership to Improve HealthUL1TR001120 · NCATS · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI CLARK, ROBERT A, HARGREAVES, KENNETH M · 2013 to 2017
$16.5M
Institute for Integration of Medicine & Science: A Partnership to Improve HealthUL1TR000149 · NCATS · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI CLARK, ROBERT A · 2012 to 2013
$6.8M
Institute for Integration of Medicine & Science: A Partnership to Improve HealthKL2TR001118 · NCATS · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI CLARK, ROBERT A, DOUGHERTY, DONALD M · 2013 to 2017
$3.4M
The Impact of Mobility on HIV Care in New York City and the Dominican RepublicK23AI081538 · NIAID · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI TAYLOR, BARBARA S · 2009 to 2013
$645k
NCATS NIH HHS KL2 TR001118NCATS NIH HHS UL1 TR000149NCATS NIH HHS UL1 TR001120NIAID NIH HHS K23 AI081538NIAID NIH HHS K23AI081538
6 · The paper itself

Abstract

backgroundObesity and HIV disproportionately affect minorities and have significant health risks, but few studies have examined disparities in weight change in HIV-seropositive (HIV+) cohorts.

objectiveTo determine racial and health insurance disparities in significant weight gain in a predominately Hispanic HIV+ cohort.

methodsOur observational cohort study of 1214 nonunderweight HIV+ adults from 2007 to 2010 had significant weight gain [≥3% annual body mass index (BMI) increase] as the primary outcome. The secondary outcome was continuous BMI over time. A 4-level race-ethnicity/insurance predictor reflected the interaction between race-ethnicity and insurance: insured white (non-Hispanic), uninsured white, insured minority (Hispanic or black), or uninsured minority. Logistic and mixed-effects models adjusted for baseline BMI, age, gender, household income, HIV transmission category, antiretroviral therapy type, CD4 count, plasma HIV-1 RNA, observation months, and visit frequency.

resultsThe cohort was 63% Hispanic and 14% black; 13.3% were insured white, 10.0% uninsured white, 40.9% insured minority, and 35.7% uninsured minority. At baseline, 37.5% were overweight, 22.1% obese. Median observation was 3.25 years. Twenty-four percent of the cohort had significant weight gain, which was more likely for uninsured minority patients than insured whites [adjusted odds ratio = 2.85, 95% confidence intervals (CIs): 1.66 to 4.90]. The rate of BMI increase in mixed-effects models was greatest for uninsured minorities. Of 455 overweight at baseline, 29% were projected to become obese in 4 years. CONCLUSIONS AND RELEVANCE: In this majority Hispanic HIV+ cohort, 60% were overweight or obese at baseline, and uninsured minority patients gained weight more rapidly. These data should prompt greater attention by HIV providers for prevention of obesity.

Indexed as

Medically UninsuredMinority GroupsAdultBody Mass IndexCohort StudiesFemaleHIV-1HIV InfectionsHumansMaleMiddle AgedObesityRisk AssessmentWeight Gain

Identifiers

PMID24121754
PMCPMC3957274
OpenAlexW2090216983

What OpenQuestion holds

Textmetadata
LicenceTDM
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.