Evidence map›Paper›PMID 25521875›Full record

ArticleAmerican journal of public health2015

The role of stigma and medical mistrust in the routine health care engagement of black men who have sex with men.

Lisa A Eaton, Daniel D Driffin, Christopher Kegler, Harlan Smith, Christopher Conway-Washington, Denise White, Chauncey Cherry

Open access · greenAbstract read
In one paragraph

Article in American journal of public health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 247 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
247citing papers in PubMed, 3 pooled it
11.0field-weighted citation impact, top 1% 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

247 citing papers in PubMed, 3 syntheses or guidelines pooled it, 396 citations in OpenAlex.

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  9. Stigma Diminishes the Protective Effect of Social Support on Psychological Distress Among Young Black Men Who Have Sex With Men.AIDS education and prevention : official publication of the International Society for AIDS Education · 2018
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187 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

7 authors at 1 institution in 1 country.

Lisa A EatonLisa A. Eaton is with Human Development and Family Studies, University of Connecticut, Storrs. Daniel D. Driffin, Christopher Kegler, Harlan Smith, Christopher Conway-Washington, Denise White, and Chauncey Cherry are with the SHARE Project, University of Connecticut.
Daniel D Driffin
Christopher Kegler
Harlan Smith
Christopher Conway-Washington
Denise White
Chauncey Cherry
Christopher Newport University · US

Funding

Using Coincidence Analysis to Investigate Factors Affecting PrEP Initiation and Continuation in Southern ending the Epidemic CountiesP30MH062294 · NIMH · YALE UNIVERSITY · PI E. Jennifer Edelman · 2001 to 2026
$48.5M
Serosorting Intervention for HIV Negative MSMR01MH094230 · NIMH · UNIVERSITY OF CONNECTICUT STORRS · PI EATON, LISA A · 2011 to 2015
$3.1M
Understanding Delayed Access to HIV Prevention Services among Black MSMR01NR013865 · NINR · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI ALBERT, STEVEN M · 2013 to 2017
$3.0M
NIMH NIH HHS P30 MH062294NIMH NIH HHS R01 MH094230NIMH NIH HHS R01MH094230NINR NIH HHS R01 NR013865NINR NIH HHS R01NR013865
6 · The paper itself

Abstract

unlabelledObjectives: We assessed how health care-related stigma, global medical mistrust, and personal trust in one's health care provider relate to engaging in medical care among Black men who have sex with men (MSM).

methodsIn 2012, we surveyed 544 Black MSM attending a community event. We completed generalized linear modeling and mediation analyses in 2013.

resultsTwenty-nine percent of participants reported experiencing racial and sexual orientation stigma from heath care providers and 48% reported mistrust of medical establishments. We found that, among HIV-negative Black MSM, those who experienced greater stigma and global medical mistrust had longer gaps in time since their last medical exam. Furthermore, global medical mistrust mediated the relationship between stigma and engagement in care. Among HIV-positive Black MSM, experiencing stigma from health care providers was associated with longer gaps in time since last HIV care appointment.

conclusionsInterventions focusing on health care settings that support the development of greater awareness of stigma and mistrust are urgently needed. Failure to address psychosocial deterrents will stymie progress in biomedical prevention and cripple the ability to implement effective prevention and treatment strategies.

Indexed as

StereotypingAdultBlack or African AmericanDelivery of Health CareGeorgiaHIV SeropositivityHomophobiaHomosexuality, MaleHumansMalePatient Acceptance of Health CareRacismTrust

Identifiers

PMID25521875
PMCPMC4318301
OpenAlexW1980175070

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.