Evidence map›Paper›PMID 27477994›Full record

ArticleHIV medicine2016

Awareness and use of nonoccupational post-exposure prophylaxis among men who have sex with men in Vancouver, Canada.

S Y Lin, N J Lachowsky, M Hull, A Rich, Z Cui, P Sereda, J Jollimore, K Stephenson, M Thumath, Jsg Montaner and 3 more

Open access · bronzeAbstract read
In one paragraph

Article in HIV medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 20% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Observational
  3. Article
  4. Article
  5. Article
  6. Article
  7. 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

13 authors at 7 institutions in 1 country.

S Y LinBritish Columbia Centre for Excellence in HIV/AIDS, Vancouver, BC, Canada.
N J LachowskyBritish Columbia Centre for Excellence in HIV/AIDS, Vancouver, BC, Canada.
M HullBritish Columbia Centre for Excellence in HIV/AIDS, Vancouver, BC, Canada.
A RichBritish Columbia Centre for Excellence in HIV/AIDS, Vancouver, BC, Canada.
Z CuiBritish Columbia Centre for Excellence in HIV/AIDS, Vancouver, BC, Canada.
P SeredaBritish Columbia Centre for Excellence in HIV/AIDS, Vancouver, BC, Canada.
J JollimoreHealth Initiative for Men, Vancouver, BC, Canada.
K StephensonVancouver Coastal Health, Vancouver, BC, Canada.
M ThumathFaculty of Nursing, University of British Columbia, Vancouver, BC, Canada.
Jsg MontanerBritish Columbia Centre for Excellence in HIV/AIDS, Vancouver, BC, Canada.
E A RothDepartment of Anthropology, Faculty of Social Sciences, University of Victoria, Victoria, BC, Canada.
R S HoggBritish Columbia Centre for Excellence in HIV/AIDS, Vancouver, BC, Canada.
D M MooreBritish Columbia Centre for Excellence in HIV/AIDS, Vancouver, BC, Canada.
AIDS Vancouver · CABC Centre for Disease Control · CAUniversity of British Columbia · CASimon Fraser University · CAUniversity of Victoria · CAVancouver Coastal Health · CAVancouver Native Health Society · CA

Funding

Seek and Treat for Optimal Prevention of HIV & AIDS (STOP HIV/AIDS) in BCR01DA036307 · NIDA · UNIVERSITY OF BRITISH COLUMBIA · PI MONTANER, JULIO SERGIO GONZALEZ · 2013 to 2017
$3.0M
HAART optimism, drug use and risky sexual behavior among MSM in British Columbia.R01DA031055 · NIDA · SIMON FRASER UNIVERSITY · PI HOGG, ROBERT S · 2011 to 2015
$2.0M
NIDA NIH HHS R01 DA031055NIDA NIH HHS R01 DA036307
6 · The paper itself

Abstract

objectivesNonoccupational post-exposure prophylaxis (nPEP) is a strategy to reduce the risk of HIV infection in those with high-risk exposure. This study characterized nPEP awareness among gay, bisexual and other men who have sex with men (MSM) in Metro Vancouver, British Columbia, Canada after a pilot nPEP programme established in 2012.

methodsMomentum Health Study participants were MSM aged ≥16 years recruited via respondent-driven sampling (RDS) who completed a computer-assisted self-interview. Stratifying patients by HIV status, we used multivariable logistic regression with backward selection to identify factors associated with nPEP awareness. All analyses were RDS-adjusted.

resultsA total of 51.9% (112 of 173) of HIV-positive and 48.5% (272 of 500) of HIV-negative participants had heard of nPEP. Only 3% (five of 106) of HIV-negative participants who reported recent high-risk sex used nPEP. Generally, nPEP awareness was higher for participants who engaged in sexual activities with increased HIV transmission potential. Factors associated with greater awareness among HIV-negative participants included recent alcohol use, higher communal sexual altruism, previous sexually transmitted infection diagnosis, and greater perceived condom use self-efficacy. Other factors associated with greater awareness among HIV-negative participants included white race/ethnicity, gay sexual identity, more formal education, lower personal sexual altruism, and Vancouver residence. Greater nPEP awareness among HIV-positive participants was associated with greater perceived agency to ask sexual partners' HIV status and more frequently reporting doing so, a higher number of lifetime receptive sex partners, and greater access to condoms.

conclusionsFollowing implementation of an nPEP pilot programme, nPEP awareness among HIV-negative MSM was 51% and use was 3%. These data support the need to expand access to and actively promote nPEP services.

Indexed as

Health Knowledge, Attitudes, PracticeHomosexuality, MaleAdolescentAdultBritish ColumbiaDisease Transmission, InfectiousHIV InfectionsHumansLongitudinal StudiesMaleMiddle AgedPost-Exposure ProphylaxisProspective StudiesYoung Adultclinical health services and promotiongay and bisexual menHIV/AIDS preventionmen who have sex with mennonoccupational post-exposure prophylaxis

Identifiers

PMID27477994
PMCPMC5207792
OpenAlexW2501647588

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.