Evidence map›Paper›PMID 27220036›Full record

ArticleAIDS patient care and STDs2016

The Promise of Pre-Exposure Prophylaxis for Black Men Who Have Sex with Men: An Ecological Approach to Attitudes, Beliefs, and Barriers.

Morgan M Philbin, Caroline M Parker, Richard G Parker, Patrick A Wilson, Jonathan Garcia, Jennifer S Hirsch

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 75 papers.

0numbers the graph read from it
0cells of the map it votes in
75citing papers in PubMed
–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

75 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article

15 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

6 authors.

Morgan M Philbin1 HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute and Columbia University , New York, New York.
Caroline M Parker2 Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University , New York, New York.
Richard G Parker2 Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University , New York, New York.
Patrick A Wilson2 Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University , New York, New York.
Jonathan Garcia3 College of Public Health and Human Science, Oregon State University , Corvallis, Oregon.
Jennifer S Hirsch2 Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University , New York, New York.

Funding

The Statistics, Data Science, and Data Management (SDM) CoreP30MH043520 · NIMH · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI MILTON L WAINBERG · 2003 to 2026
$48.2M
INSPIRE : Interdisciplinary Social and Behavioral Science Prevention and Intervention REsearch in HIVT32MH019139 · NIMH · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI Claude Ann Mellins, Jae M. Sevelius · 1989 to 2026
$10.8M
Development CoreP2CHD058486 · NICHD · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI Jennifer S Hirsch, Julien O Teitler · 2014 to 2026
$4.3M
PrEP for Black MSM: Community-Based Ethnography and Clinic-Based TreatmentR01MH098723 · NIMH · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI COLSON, PAUL W, HIRSCH, JENNIFER S · 2012 to 2016
$3.0M
NICHD NIH HHS P2C HD058486NIMHD NIH HHS L60 MD009069NIMH NIH HHS P30 MH043520NIMH NIH HHS R01 MH098723NIMH NIH HHS T32 MH019139
6 · The paper itself

Abstract

Research has demonstrated the clinical effectiveness of pre-exposure prophylaxis (PrEP) for HIV prevention, but little is known about how factors at the individual-, interpersonal-, community-, and structural levels impact PrEP use for black men who have sex with men (BMSM). We advance existing work by examining how all levels of the ecological framework must be addressed for PrEP to be successfully implemented as an effective HIV prevention approach. We interviewed 31 BMSM three times each and 17 community stakeholders once each; interviews were taped, transcribed, and analyzed using the constant comparative method. Factors that influence how BMSM experienced PrEP emerged across all levels of the ecological framework: At the individual level, respondents were wary of giving medication to healthy people and of the potential side-effects. At the interpersonal level, BMSM believed that PrEP use would discourage condom use and that PrEP should only be one option for HIV prevention, not the main option. At the community level, men described not trusting the pharmaceutical industry and described PrEP as an option for others, not for themselves. At the structural level, BMSM talked about HIV and sexuality-related stigmas and how they must overcome those before PrEP engagement. BMSM are a key population in the US National HIV/AIDS Strategy, yet few individuals believe that PrEP would be personally helpful. Our research indicates the urgent need to raise awareness and address structural stigma and policies that could be substantial barriers to the scale-up and implementation of PrEP-related services.

Indexed as

Health Knowledge, Attitudes, PracticePre-Exposure ProphylaxisSocial StigmaAdolescentAdultBlack or African AmericanBlack PeopleHIV InfectionsHomosexuality, MaleHumansInterviews as TopicMaleQualitative ResearchSexual BehaviorSurveys and QuestionnairesYoung Adult

Identifiers

PMID27220036
PMCPMC4913505

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.