Evidence map›Paper›PMID 26784360›Full record

ArticleAIDS patient care and STDs2016

Barriers and Facilitators of Linkage to and Engagement in HIV Care Among HIV-Positive Men Who Have Sex with Men in China: A Qualitative Study.

Yu Liu, Chandra Y Osborn, Han-Zhu Qian, Lu Yin, Dong Xiao, Yuhua Ruan, Jane M Simoni, Xiangjun Zhang, Yiming Shao, Sten H Vermund and 1 more

Abstract read
In one paragraph

Article in AIDS patient care and STDs, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 1 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.

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

41 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  16. Understanding How Gay, Bisexual, and Other Men Who Have Sex With Men in China Cope With HIV Care-Related Stressors.AIDS education and prevention : official publication of the International Society for AIDS Education · 2021
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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

11 authors.

Yu Liu1 Vanderbilt Institute for Global Health, Vanderbilt University School of Medicine , Nashville, Tennessee.
Chandra Y Osborn2 Department of Medicine, Vanderbilt University School of Medicine , Nashville, Tennessee.
Han-Zhu Qian1 Vanderbilt Institute for Global Health, Vanderbilt University School of Medicine , Nashville, Tennessee.
Lu Yin1 Vanderbilt Institute for Global Health, Vanderbilt University School of Medicine , Nashville, Tennessee.
Dong Xiao5 Chaoyang Chinese Aids Volunteer Group , Beijing, China.
Yuhua Ruan6 State Key Laboratory of Infectious Disease Prevention and Control (SKLID), Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, Chinese Center for Disease Control and Prevention , Beijing, China .
Jane M Simoni7 Department of Psychology, University of Washington , Seattle, Washington.
Xiangjun Zhang8 Xicheng District Center for Disease Control and Prevention , Beijing, China .
Yiming Shao5 Chaoyang Chinese Aids Volunteer Group , Beijing, China.
Sten H Vermund1 Vanderbilt Institute for Global Health, Vanderbilt University School of Medicine , Nashville, Tennessee.
K Rivet Amico10 Department of Health Behavior and Health Education, University of Michigan , Ann Arbor, Michigan.

Funding

Multi-component HIV Intervention Packages for Chinese MSMR01AI094562 · NIAID · VANDERBILT UNIVERSITY MEDICAL CENTER · PI QIAN, HAN-ZHU, VERMUND, STEN H. · 2011 to 2014
$2.5M
Expanded Testing, Linkage, and Treatment for HIV Prevention Among MSM in ChinaR34AI091446 · NIAID · VANDERBILT UNIVERSITY · PI VERMUND, STEN H. · 2011 to 2011
$226k
NIAID NIH HHS R01 AI094562NIAID NIH HHS R01AI094562NIAID NIH HHS R34AI091446
6 · The paper itself

Abstract

Linking and engaging HIV-positive patients in care is the key bridging step to glean the documented health and prevention advantages of antiretroviral therapy (ART). In China, HIV transmission among men who have sex with men (MSM) is surging, yet many HIV-positive MSM do not use HIV care services. We conducted a qualitative study in order to help positive interventions to promote linkage-to-care in this key population. Four focus group discussions (FGD) were held among HIV-positive MSM in Beijing, China, to ascertain knowledge, beliefs, attitudes, and practices related to HIV care. FGD participates highlighted six major barriers of linkage to/engagement in HIV care: (1) perceived discrimination from health care workers; (2) lack of guidance and follow-up; (3) clinic time or location inconvenience; (4) privacy disclosure concerns; (5) psychological burden of committing to HIV care; and (6) concerns about treatment. Five major sub-themes emerged from discussions on the facilitators of linkage to/engagement in care: (1) peer referral and accompaniment; (2) free HIV care; (3) advocacy from HIV-positive MSM counselors; (4) extended involvement for linking MSM to care; and (5) standardization of HIV care (i.e., reliable high quality care regardless of venue). An understanding of the barriers and facilitators that may impact the access to HIV care is essential for improving the continuum of care for MSM in China. Findings from our study provide research and policy guidance for how current HIV prevention and care interventions can be enhanced to link and engage HIV-positive MSM in HIV care.

Indexed as

Health Knowledge, Attitudes, PracticeSocial StigmaAdultChinaConfidentialityFearFocus GroupsHealth ServicesHealth Services AccessibilityHIV InfectionsHomosexuality, MaleHumansInterviews as TopicMalePeer GroupPrejudice

Identifiers

PMID26784360
PMCPMC4753635

What OpenQuestion holds

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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.