Evidence map›Paper›PMID 27556006›Full record

ArticlePreventive medicine reports2016

Stigma, substance use and sexual risk behaviors among HIV-infected men who have sex with men: A qualitative study.

E Jennifer Edelman, Christopher A Cole, Wanda Richardson, Nicholas Boshnack, Heidi Jenkins, Marjorie S Rosenthal

Abstract read
In one paragraph

Article in Preventive medicine reports, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing 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

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

  1. Pooled it
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  15. HIV Stigma, Depressive Symptoms, and Substance Use.AIDS patient care and STDs · 2020
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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.

E Jennifer EdelmanDepartment of Internal Medicine, Yale University School of Medicine, New Haven, CT, United States; Center for Interdisciplinary Research on AIDS, Yale University School of Public Health, New Haven, CT, United States.
Christopher A ColeCenter for Interdisciplinary Research on AIDS, Yale University School of Public Health, New Haven, CT, United States; AIDS Project New Haven, New Haven, CT, United States.
Wanda RichardsonSTD Control Program, Connecticut State Department of Public Health, Hartford, CT, United States.
Nicholas BoshnackAIDS Project New Haven, New Haven, CT, United States.
Heidi JenkinsSTD Control Program, Connecticut State Department of Public Health, Hartford, CT, United States.
Marjorie S RosenthalDepartment of Pediatrics, Yale University School of Medicine, New Haven, CT, United States; Robert Wood Johnson Foundation Clinical Scholars Program, Yale University School of Medicine, New Haven, CT, United States.

Funding

Yale University Clinical and Translational Science Award ProgramUL1TR000142 · NCATS · YALE UNIVERSITY · PI SHERWIN, ROBERT S · 2012 to 2015
$31.8M
Yale Drug use, Addiction and HIV Research Scholars (DAHRS)K12DA033312 · NIDA · YALE UNIVERSITY · PI Gail D'Onofrio, Patrick O'Connor · 2013 to 2026
$7.2M
NCATS NIH HHS UL1 TR000142NIDA NIH HHS K12 DA033312
6 · The paper itself

Abstract

backgroundPublic health HIV-service providers, including Medical Case Managers (case managers) and Disease Intervention Specialists (DIS) have a key role to play in identifying and addressing clients' complex mental health needs and substance use which contribute to sexual risk behaviors, yet their understanding and its consensus with HIV-infected men who have sex with men (MSM) have not been well characterized.

methodsTogether with an AIDS Service Organization and the Connecticut State Department of Public Health in 2011-2012, we conducted a focus group of case managers (n = 14) and interviewed DIS (n = 7) and HIV-infected MSM (n = 17) in Connecticut. We used the constant comparison method, grounded theory, and a community-based participatory approach to guide analysis.

resultsWe identified three themes characterizing public health HIV-service providers' and MSM's perspectives regarding factors contributing to substance use and sexual risk behaviors in the context of HIV infection: 1) While both MSM and providers described a co-occurrence of HIV, stigma, substance use, and sexual risk behaviors, only MSM identified a causal relationship between these factors; 2) MSM and providers both described varying levels of self-efficacy in readiness to decrease substance use and sexual risk behaviors among MSM; both identified the social network as the key barrier to overcome; 3) Providers described how the co-occurrence of HIV, stigma and sexual risk behaviors leads to multi-faceted client needs for which they lacked sufficient training and collaboration.

conclusionsProvider education, skills-based training, and interventions targeting social networks may decrease sexual risk behaviors among HIV-infected MSM.

Indexed as

Community-based participatory researchHIVHomosexualityMen who have sex with men (MSM)Qualitative researchRisk-taking

Identifiers

PMID27556006
PMCPMC4985780

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.