Evidence map›Paper›PMID 24531769›Full record

ReviewAIDS and behavior2014

Understanding structural barriers to accessing HIV testing and prevention services among black men who have sex with men (BMSM) in the United States.

Matthew E Levy, Leo Wilton, Gregory Phillips, Sara Nelson Glick, Irene Kuo, Russell A Brewer, Ayana Elliott, Christopher Watson, Manya Magnus

Registry-linked trialAbstract readReview
In one paragraph

Review in AIDS and behavior, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06676059 (SMART-r), which is not on this map. Cited by 173 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
173citing papers in PubMed, 6 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.

NCT06676059 recruitingnot on this mapstarted 2026, after this paper: background citation

SMART-r: Substance Monitoring and Active Relapse Tracking Repository

TypeobservationalSponsorNational Institute on Drug Abuse (NIDA)Ran2026 to 2044Enrolled10,000ConditionsAlcoholism, Substance-Related Disorders
3 · Its place in the literature

Who cites it

173 citing papers in PubMed, 6 syntheses or guidelines pooled it.

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  13. 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
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113 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

9 authors.

Matthew E LevyDepartment of Epidemiology and Biostatistics, The George Washington University School of Public Health and Health Services, 950 New Hampshire Ave, NW, Washington, DC, 20052, USA, mattelevy@gwu.edu.
Leo Wilton
Gregory Phillips
Sara Nelson Glick
Irene Kuo
Russell A Brewer
Ayana Elliott
Christopher Watson
Manya Magnus

Funding

The District of Columbia Developmental Center for AIDS Research (DC D-CFAR)P30AI087714 · NIAID · GEORGE WASHINGTON UNIVERSITY · PI GREENBERG, ALAN EDWARD · 2010 to 2014
$8.4M
Structural barriers to HIV prevention service utilization among Black MSMR21MH097586 · NIMH · GEORGE WASHINGTON UNIVERSITY · PI MAGNUS, MANYA · 2012 to 2013
$426k
NIAID NIH HHS P30 AI087714NIAID NIH HHS P30AI087714NIMH NIH HHS R21 MH097586
6 · The paper itself

Abstract

Structural-level factors have contributed to the substantial disproportionate rates of HIV among Black men who have sex with men (BMSM) in the United States. Despite insufficient HIV testing patterns, however, there is a void in research investigating the relationship between structural factors and access to HIV testing and prevention services among BMSM. Building on previous scholarly work and incorporating a dynamic social systems conceptual framework, we conducted a comprehensive review of the literature on structural barriers to HIV testing and prevention services among BMSM across four domains: healthcare, stigma and discrimination, incarceration, and poverty. We found that BMSM experience inadequate access to culturally competent services, stigma and discrimination that impede access to services, a deficiency of services in correctional institutions, and limited services in areas where BMSM live. Structural interventions that eliminate barriers to HIV testing and prevention services and provide BMSM with core skills to navigate complex systems are needed.

Indexed as

Health Services AccessibilityBlack or African AmericanHealthcare DisparitiesHealth Knowledge, Attitudes, PracticeHIV InfectionsHomosexuality, MaleHumansMaleMass ScreeningPatient Acceptance of Health CarePovertyPrisonsSocial SupportUnited States

Identifiers

PMID24531769
PMCPMC4509742

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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.