Evidence map›Paper›PMID 27227128›Full record

ArticleJMIR public health and surveillance

The Effect of Commuting Patterns on HIV Care Attendance Among Men Who Have Sex With Men (MSM) in Atlanta, Georgia.

Sharoda Dasgupta, Michael R Kramer, Eli S Rosenberg, Travis H Sanchez, Landon Reed, Patrick S Sullivan

Abstract read
In one paragraph

Article in JMIR public health and surveillance. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing 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

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

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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

6 authors.

Sharoda DasguptaEmory University Atlanta, GA United States.ORCID 0000-0002-5459-9210
Michael R KramerEmory University Atlanta, GA United States.ORCID 0000-0002-6372-6170
Eli S RosenbergEmory University Atlanta, GA United States.ORCID 0000-0002-1695-8075
Travis H SanchezEmory University Atlanta, GA United States.ORCID 0000-0003-1133-4762
Landon ReedAtlanta Regional Commission Atlanta, GA United States.ORCID 0000-0001-5212-0395
Patrick S SullivanEmory University Atlanta, GA United States.ORCID 0000-0002-7728-0587

Funding

Virology and Molecular Biomarkers CoreP30AI050409 · NIAID · EMORY UNIVERSITY · PI Carlos del Rio · 2002 to 2026
$74.0M
Explaining Differences in HIV Prevalence and Incidence in Black and White MSMR01MH085600 · NIMH · EMORY UNIVERSITY · PI SULLIVAN, PATRICK SEAN · 2009 to 2013
$2.9M
Sexual Networks and Concurrency of Black and White MSMR01HD067111 · NICHD · EMORY UNIVERSITY · PI SULLIVAN, PATRICK SEAN · 2010 to 2012
$2.0M
NIAID NIH HHS P30 AI050409NICHD NIH HHS R01 HD067111NIMH NIH HHS R01 MH085600
6 · The paper itself

Abstract

backgroundTravel-related barriers to human immunodeficiency virus (HIV) care, such as commute time and mode of transportation, have been reported in the United States.

objectiveThe objective of the study was to investigate the association between public transportation use and HIV care attendance among a convenience sample of Atlanta-based, HIV-positive men who have sex with men (MSM), evaluate differences across regions of residence, and estimate the relationship between travel distance and time by mode of transportation taken to attend appointments.

methodsWe used Poisson regression to estimate the association between use of public transportation to attend HIV-related medical visits and frequency of care attendance over the previous 12 months. The relationship between travel distance and commute time was estimated using linear regression. Kriging was used to interpolate commute time to visually examine geographic differences in commuting patterns in relation to access to public transportation and population-based estimates of household vehicle ownership.

resultsUsing public transportation was associated with lower rates of HIV care attendance compared to using private transportation, but only in south Atlanta (south: aRR: 0.75, 95% CI 0.56, 1.0, north: aRR: 0.90, 95% CI 0.71, 1.1). Participants living in south Atlanta were more likely to have longer commute times associated with attending HIV visits, have greater access to public transportation, and may live in areas with low vehicle ownership. A majority of attended HIV providers were located in north and central Atlanta, despite there being participants living all across the city. Estimated commute times per mile traveled were three times as high among public transit users compared to private transportation users.

conclusionsImproving local public transit and implementing use of mobile clinics could help address travel-related barriers to HIV care.

Indexed as

commuting patternsHIV caremen who have sex with menpublic transportation

Identifiers

PMID27227128
PMCPMC4869235

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Registered trials

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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.