Evidence map›Paper›PMID 25307745›Full record

ArticleDrug and alcohol dependence2014

Internalized stigma and sterile syringe use among people who inject drugs in New York City, 2010-2012.

Alexis V Rivera, Jennifer DeCuir, Natalie D Crawford, Silvia Amesty, Crystal Fuller Lewis

Abstract read
In one paragraph

Article in Drug and alcohol dependence, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed, 2 pooled it
2.8field-weighted citation impact, top 10% 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

54 citing papers in PubMed, 2 syntheses or guidelines pooled it, 96 citations in OpenAlex.

  1. Interventions to reduce self-stigma in people who use drugs: A systematic review.Journal of substance use and addiction treatment · 2024
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  14. Somebody to Lean on: Understanding Self-Stigma and Willingness to Disclose in the Context of Addiction.International journal of environmental research and public health · 2024
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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

5 authors at 2 institutions in 1 country.

Alexis V RiveraDepartment of Epidemiology, Mailman School of Public Health, Columbia University, 722 West 168th Street, New York, NY 10032, USA. Electronic address: avr2107@columbia.edu.
Jennifer DeCuirDepartment of Epidemiology, Mailman School of Public Health, Columbia University, 722 West 168th Street, New York, NY 10032, USA; College of Physicians and Surgeons, Columbia University, 630 West 168th Street, New York, NY 10032, USA.
Natalie D CrawfordDivision of Epidemiology and Biostatistics, Georgia State University School of Public Health, 1 Park Place, Atlanta, GA 30302, USA.
Silvia AmestyCenter for Family and Community Medicine, College of Physicians and Surgeons, Columbia University, 630 West 168th Street, New York, NY 10032, USA; Heilbrunn Department of Population and Family Health, Mailman School of Public Health, Columbia University, 60 Haven Ave #B2, New York, NY 10032, USA.
Crystal Fuller LewisDepartment of Epidemiology, Mailman School of Public Health, Columbia University, 722 West 168th Street, New York, NY 10032, USA.
Columbia University · USGeorgia State University · US

Funding

IMSD at Columbia's Mailman School of Public HealthR25GM062454 · NIGMS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI GOLDSMITH, JEFF, MARTINS, SILVIA SABOIA · 2002 to 2019
$7.3M
Development of Behavioral and Social Interventions that Reduce Stigma and ImproveRC1DA028284 · NIDA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI LEWIS, CRYSTAL FULLER · 2009 to 2010
$1000k
NIDA NIH HHS 1RC1DA028284NIDA NIH HHS RC1 DA028284NIGMS NIH HHS R25 GM062454
6 · The paper itself

Abstract

backgroundLittle is known on the effect of stigma on the health and behavior of people who inject drugs (PWID). PWID may internalize these negative attitudes and experiences and stigmatize themselves (internalized stigma). With previous research suggesting a harmful effect of internalized stigma on health behaviors, we aimed to determine socio-demographic characteristics and injection risk behaviors associated with internalized PWID-related stigma in New York City (NYC).

methodsThree NYC pharmacies assisted in recruiting PWID. Pharmacy-recruited PWID syringe customers received training in recruiting up to three of their peers. Participants completed a survey on injection behaviors and PWID-related stigma. Among HIV-negative PWID (n=132), multiple linear regression with GEE (to account for peer network clustering) was used to examine associations with internalized PWID-related stigma.

resultsLatinos were more likely to have higher internalized stigma, as were those with lower educational attainment. Those with higher internalized stigma were more likely to not use a syringe exchange program (SEP) recently, although no association was found with the recent use of pharmacies for syringes. Lastly, higher internalized stigma was related to less than 100% use of pharmacies or SEPs for syringe needs.

conclusionsThese data suggest that PWID with higher internalized stigma are less likely to consistently use sterile syringe sources in urban settings with multiple sterile syringe access points. These results support the need for individual- and structural-level interventions that address PWID-related stigma. Future research is needed to examine why PWID with higher internalized stigma have less consistent use of public syringe access venues.

Indexed as

Social StigmaSyringesAdultFemaleHealth Services Needs and DemandHumansMaleMiddle AgedNeedle-Exchange ProgramsNew York CityPharmaciesRisk-TakingSubstance Abuse, IntravenousHIV risk behaviorsInjection drug useStigmaSyringe sources

Identifiers

PMID25307745
PMCPMC4254372
OpenAlexW1985277080

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.