SynthesisSocial science & medicine (1982)2014
HIV prevention interventions to reduce sexual risk for African Americans: the influence of community-level stigma and psychological processes.
Synthesis in Social science & medicine (1982), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 6 of them syntheses that pooled 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.
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
45 citing papers in PubMed, 6 syntheses or guidelines pooled it.
- A research agenda for understanding how social inequality is linked to brain structure and function.Nature human behaviour · 2024Pooled it
- Community-level explicit racial prejudice potentiates whites' neural responses to black faces: A spatial meta-analysis.Social neuroscience · 2022Pooled it
- Systematic reviews and meta-analyses in the health sciences: Best practice methods for research syntheses.Social science & medicine (1982) · 2019Pooled it
- Public Health's Approach to Systemic Racism: a Systematic Literature Review.Journal of racial and ethnic health disparities · 2019Pooled it
- Interventions to reduce risk for sexually transmitted infections in adolescents: A meta-analysis of trials, 2008-2016.PloS one · 2018Pooled it
- A synthesis of meta-analytic evidence of behavioral interventions to reduce HIV/STIs.Journal of behavioral medicine · 2016Pooled it
- Examining racial and ethnic differences in youth psychotherapy treatment engagement and outcomes.Journal of consulting and clinical psychology · 2024Trial
- Guided internet-based LGBTQ-affirmative cognitive-behavioral therapy: A randomized controlled trial among sexual minority men in China.Behaviour research and therapy · 2024Trial
- A transdiagnostic minority stress intervention for gender diverse sexual minority women's depression, anxiety, and unhealthy alcohol use: A randomized controlled trial.Journal of consulting and clinical psychology · 2020Trial
- LGB-affirmative cognitive-behavioral therapy for young adult gay and bisexual men: A randomized controlled trial of a transdiagnostic minority stress approach.Journal of consulting and clinical psychology · 2015Trial
- Erasing stigmas through storytelling: why interactive storytelling environments could reduce health-related stigmas.Design for health (Abingdon, England) · 2024Article
- Revisiting the policy ecology framework for implementation of evidence-based practices in mental health settings.Implementation science : IS · 2023Review
- Anti-Racism Efforts in Healthcare: A Selective Review From a Social Cognitive Perspective.Policy insights from the behavioral and brain sciences · 2023Article
- Structural Correlates of Mental Health Support Access among Sexual Minority Youth of Color during COVID-19.Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53 · 2023Article
- Embracing heterogeneity: Implications for research on stigma, discrimination, and African Americans' health.Social science & medicine (1982) · 2023Article
- Situating implementation science (IS) in res(IS)tance: a conceptual frame toward the integration of scholarship from the black radical tradition.Frontiers in public health · 2023Article
- Community-level age bias and older adult mortality.Social science & medicine (1982) · 2023Article
- A pilot test of a treatment to address intersectional stigma, mental health, and HIV risk among gay and bisexual men of color.Psychotherapy (Chicago, Ill.) · 2022Article
- What Racism Has to Do with It: Understanding and Reducing Sexually Transmitted Diseases in Youth of Color.Healthcare (Basel, Switzerland) · 2021Review
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
Abstract
Interventions to improve public health may benefit from consideration of how environmental contexts can facilitate or hinder their success. We examined the extent to which efficacy of interventions to improve African Americans' condom use practices was moderated by two indicators of structural stigma-Whites' attitudes toward African Americans and residential segregation in the communities where interventions occurred. A previously published meta-analytic database was re-analyzed to examine the interplay of community-level stigma with the psychological processes implied by intervention content in influencing intervention efficacy. All studies were conducted in the United States and included samples that were at least 50% African American. Whites' attitudes were drawn from the American National Election Studies, which collects data from nationally representative samples. Residential segregation was drawn from published reports. Results showed independent effects of Whites' attitudes and residential segregation on condom use effect sizes. Interventions were most successful when Whites' attitudes were more positive or when residential segregation was low. These two structural factors interacted: Interventions improved condom use only when communities had both relatively positive attitudes toward African Americans and lower levels of segregation. The effect of Whites' attitudes was more pronounced at longer follow-up intervals and for younger samples and those samples with more African Americans. Tailoring content to participants' values and needs, which may reduce African Americans' mistrust of intervention providers, buffered against the negative influence of Whites' attitudes on condom use. The structural factors uniquely accounted for variance in condom use effect sizes over and above intervention-level features and community-level education and poverty. Results highlight the interplay of social identity and environment in perpetuating intergroup disparities. Potential mechanisms for these effects are discussed along with public health implications.
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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.