Evidence map›Paper›PMID 27203838›Full record

ArticleJournal of women's health (2002)2016

Levamisole-Contaminated Cocaine Use in HIV-Infected and Uninfected Unstably Housed Women.

Elise D Riley, Alex H Kral, Jennifer Cohen, Samantha E Dilworth, Martha Shumway, Kara L Lynch

Abstract read
In one paragraph

Article in Journal of women's health (2002), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 40% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Article
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

6 authors at 1 institution in 1 country.

Elise D Riley1 Department of Medicine, University of California , San Francisco, San Francisco, California.
Alex H Kral2 RTI International, Behavioral and Urban Health Program , San Francisco, California.
Jennifer Cohen3 Department of Clinical Pharmacy, University of California , San Francisco, San Francisco, California.
Samantha E Dilworth1 Department of Medicine, University of California , San Francisco, San Francisco, California.
Martha Shumway4 Department of Psychiatry, University of California , San Francisco, San Francisco, California.
Kara L Lynch5 Department of Laboratory Medicine, University of California , San Francisco, San Francisco, California.
University of California, San Francisco · US

Funding

UCSF CLINICAL AND TRANSLATIONAL SCIENCE INSTITUTEUL1RR024131 · NCRR · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI JOHNSTON, S. CLAIBORNE · 2006 to 2011
$111.2M
Engaging University of California Stakeholders for Biorespository ResearchUL1TR000004 · NCATS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI GRANDIS, JENNIFER RUBIN · 2012 to 2015
$78.0M
Impact of Cocaine and Polydrug Use on Cranial Small Vessel DiseaseR01DA037012 · NIDA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI RILEY, ELISE D. · 2014 to 2018
$4.1M
Effects of housing and HIV on risk behavior and victimization of indigent womenR01DA015605 · NIDA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI RILEY, ELISE D. · 2003 to 2011
$3.9M
Finding, Testing and Treating High-risk Probationers and Parolees with HIV Administrative SupplementR01MH094090 · NIMH · RESEARCH TRIANGLE INSTITUTE · PI KRAL, ALEXANDER H · 2010 to 2015
$3.3M
Mentoring patient-oriented research on the health consequences of polydrug useK24DA039780 · NIDA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI RILEY, ELISE D. · 2015 to 2025
$1.9M
NCATS NIH HHS UL1 TR000004NCRR NIH HHS UL1 RR024131NIDA NIH HHS K24 DA039780NIDA NIH HHS R01 DA015605NIDA NIH HHS R01 DA037012NIMH NIH HHS R01 MH094090
6 · The paper itself

Abstract

A growing number of case reports cite serious health complications linked to the cocaine adulterant, levamisole and women are disproportionately affected; however, the clinical effects are not well established. Between April and October of 2010, we conducted a cross-sectional study among 222 homeless and unstably housed women (116 human immunodeficiency virus [HIV]-infected and 106 HIV-uninfected). Immune markers and behavioral factors were compared in separate models by cocaine and levamisole exposure. Overall, 63% of participants were toxicology positive for cocaine/benzoylecgonine, 85% of whom also tested positive for levamisole. Differences in immune markers did not reach levels of significance among HIV-uninfected persons. Compared to HIV-infected persons who were negative for both cocaine and levamisole, the adjusted odds of low white blood cell count were significantly higher among HIV-infected persons positive for both (p = 0.03), but not for those positive for cocaine only. Neutrophil count and HIV viral load did not differ by cocaine and levamisole status among HIV-infected persons. In a separate model, the adjusted odds of testing positive for levamisole were higher among African American women compared to Caucasian and Asian women (p = 0.02). In the context of high levamisole prevalence, results suggest that decreased immune function as a result of levamisole exposure occurs mainly in individuals who are already immune compromised (e.g., HIV-positive), and race/ethnicity appears to be an important factor in understanding levamisole exposure among cocaine-using women. While larger and geographically diverse studies are needed to elucidate these initial findings, results suggest that levamisole may be one mechanism of immune dysfunction in HIV-infected cocaine-using women.

Indexed as

AdultAntinematodal AgentsBiomarkersCaliforniaCocaineCocaine-Related DisordersCross-Sectional StudiesDrug ContaminationFemaleHIV InfectionsHumansIll-Housed PersonsLevamisoleLogistic ModelsMiddle AgedMultivariate AnalysisAntinematodal AgentsBiomarkersCocaineLevamisole

Identifiers

PMID27203838
PMCPMC5311463
OpenAlexW2404566673

What OpenQuestion holds

Textmetadata
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.