Evidence map›Paper›PMID 27388160›Full record

ArticleAIDS and behavior2017

Pain is Associated with Missed Clinic Visits Among HIV-Positive Women.

Stella A Safo, Arthur E Blank, Chinazo O Cunningham, E Byrd Quinlivan, Thomas Lincoln, Oni J Blackstock

Abstract read
In one paragraph

Article in AIDS and behavior, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 28% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
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  5. Article
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  8. Review
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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 at 4 institutions in 1 country.

Stella A SafoMontefiore Medical Center, Bronx, NY, USA. stellasafo@gmail.com.
Arthur E BlankAlbert Einstein College of Medicine, Bronx, NY, USA.
Chinazo O CunninghamMontefiore Medical Center, Bronx, NY, USA.
E Byrd QuinlivanInstitute for Global Health and Infectious Diseases, University of North Carolina, Chapel Hill, NC, USA.
Thomas LincolnBaystate Medical Center & Tufts University School of Medicine, Springfield, MA, USA.
Oni J BlackstockMontefiore Medical Center, Bronx, NY, USA.
Albert Einstein College of Medicine · USMontefiore Medical Center · USJohns Hopkins University Center for AIDS ResearchTufts University · US

Funding

Core-010UL1TR001073 · NCATS · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI KELLER, MARLA J, SHAMOON, HARRY · 2013 to 2017
$21.3M
Mentoring researchers on drug abuse and HIVK24DA036955 · NIDA · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI CUNNINGHAM, CHINAZO · 2014 to 2019
$911k
Development and Testing of an Adherence Intervention for HIV+ Women of ColorK23MH102129 · NIMH · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI BLACKSTOCK, ONI J · 2014 to 2017
$739k
Resilience in HIV infected drug usersR03DA039727 · NIDA · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI CUNNINGHAM, CHINAZO · 2016 to 2017
$167k
NCATS NIH HHS UL1 TR001073NIDA NIH HHS K24 DA036955NIDA NIH HHS R03 DA039727NIMH NIH HHS K23 MH102129
6 · The paper itself

Abstract

Pain is highly prevalent among HIV-positive individuals, with women representing a large subset of those with pain. However, little is known about the relationship between pain and retention in HIV medical care. Among a cohort of HIV-positive women of color, we evaluated the association between pain and retention in care, as measured by missed clinic visits. The Health Resources and Services Administration's Women of Color Initiative was a multi-site observational cohort study evaluating demonstration projects to engage HIV-positive women in medical care. From November 2010 to July 2013, 921 women were enrolled in the study across nine U.S. sites; baseline interviews collected data on socio-demographic, clinical, and risk behavior characteristics. Pain was assessed at baseline based on number of days in pain over the last 30 days and was categorized as no pain (0 days), infrequent pain (1-13 days), and frequent pain (14-30 days), with 14 days being the median. Missed visits over the one-year follow-up period, evaluated by chart abstraction, were dichotomized as ≤1 missed visit versus >1 missed visit. We conducted multivariate logistic regression to assess the association between pain at baseline and missed visits, adjusting for pertinent covariates. Among our sample (N = 862), 52.2 % of women reported no pain, 23.7 % reported infrequent pain and 24.1 % reported frequent pain. Forty-five percent had >1 missed visit during the one-year follow-up period. Overall, we did not find a significant association between pain and missed visits (aOR 2.30; 95 % CI 1.00-5.25). However, in planned stratified analyses, among women reporting current substance use at baseline, reporting frequent pain was associated with a higher odds of missed visits as compared with reporting no pain (aOR 15.14; 95 % CI 1.78-128.88). In our overall sample, pain was not significantly associated with missed visits. However, frequent pain was associated with missed visits among HIV-positive women of color who reported substance use at baseline. A better understanding of the relationship between pain and missed visits could guide efforts to improve retention in care in this population.

Indexed as

Patient ComplianceRisk-TakingAdultAmbulatory CareAmbulatory Care FacilitiesCohort StudiesFemaleHIV InfectionsHumansLogistic ModelsPainRisk FactorsYoung AdultAmbulatory careHIV/AIDSPainRetentionSubstance abuse

Identifiers

PMID27388160
PMCPMC5222730
OpenAlexW2461977540

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.