Evidence map›Paper›PMID 27576908›Full record

ArticleAnnals of epidemiology2016

Associations of place characteristics with HIV and HCV risk behaviors among racial/ethnic groups of people who inject drugs in the United States.

Sabriya L Linton, Hannah L F Cooper, Mary E Kelley, Conny C Karnes, Zev Ross, Mary E Wolfe, Yen-Tyng Chen, Samuel R Friedman, Don Des Jarlais, Salaam Semaan and 6 more

Abstract readMulticenter Study
In one paragraph

Article in Annals of epidemiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

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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

16 authors.

Sabriya L LintonDepartment of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, Atlanta, GA. Electronic address: sabriya.linton@emory.edu.
Hannah L F CooperDepartment of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, Atlanta, GA.
Mary E KelleyDepartment of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, Atlanta, GA.
Conny C KarnesDepartment of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, Atlanta, GA.
Zev RossZevRoss Spatial Analysis, Ithaca, NY.
Mary E WolfeDepartment of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, Atlanta, GA.
Yen-Tyng ChenDepartment of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, Atlanta, GA.
Samuel R FriedmanInstitute for Infectious Disease Research, National Development and Research Institutes, New York, NY.
Don Des JarlaisBaron Edmond de Rothschild Chemical Dependency Institute, Mount Sinai Beth Israel, New York, NY.
Salaam SemaanCenters for Disease Control and Prevention, Atlanta, GA.
Barbara TempalskiInstitute for Infectious Disease Research, National Development and Research Institutes, New York, NY.
Catlainn SioneanCenters for Disease Control and Prevention, Atlanta, GA.
Elizabeth DiNennoCenters for Disease Control and Prevention, Atlanta, GA.
Cyprian WejnertCenters for Disease Control and Prevention, Atlanta, GA.
Gabriela Paz-BaileyCenters for Disease Control and Prevention, Atlanta, GA.
National HIV Behavioral Surveillance Study Group

Funding

Virology and Molecular Biomarkers CoreP30AI050409 · NIAID · EMORY UNIVERSITY · PI Ann M Chahroudi, Colleen F Kelley · 2002 to 2026
$74.0M
The Statistics, Data Science, and Data Management (SDM) CoreP30MH043520 · NIMH · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI Claude Ann Mellins · 2003 to 2026
$48.2M
Transdisciplinary Theoretical Svnthesis and Development CoreP30DA011041 · NIDA · NEW YORK UNIVERSITY · PI Holly Hagan, Courtney McKnight · 1998 to 2026
$38.9M
UCLA Implementation Science and Substance Use Research and Education (ISSURE) ProgramR25DA035692 · NIDA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI TIMOTHY W FONG, GAIL E. WYATT · 2013 to 2026
$3.9M
Place characteristics & disparities in HIV in IDUs: A multilevel analysis of NHBSR01DA035101 · NIDA · EMORY UNIVERSITY · PI COOPER, HANNAH LF · 2013 to 2017
$2.9M
NIAID NIH HHS P30 AI050409NIDA NIH HHS P30 DA011041NIDA NIH HHS R01 DA035101NIDA NIH HHS R25 DA035692NIMHD NIH HHS L60 MD009245NIMH NIH HHS P30 MH043520
6 · The paper itself

Abstract

purposeInvestigate whether characteristics of geographic areas are associated with condomless sex and injection-related risk behavior among racial/ethnic groups of people who inject drugs (PWID) in the United States.

methodsPWID were recruited from 19 metropolitan statistical areas for 2009 National HIV Behavioral Surveillance. Administrative data described ZIP codes, counties, and metropolitan statistical areas where PWID lived. Multilevel models, stratified by racial/ethnic groups, were used to assess relationships of place-based characteristics to condomless sex and injection-related risk behavior (sharing injection equipment).

resultsAmong black PWID, living in the South (vs. Northeast) was associated with injection-related risk behavior (adjusted odds ratio [AOR] = 2.24, 95% confidence interval [CI] = 1.21-4.17; P = .011), and living in counties with higher percentages of unaffordable rental housing was associated with condomless sex (AOR = 1.02, 95% CI = 1.00-1.04; P = .046). Among white PWID, living in ZIP codes with greater access to drug treatment was negatively associated with condomless sex (AOR = 0.93, 95% CI = 0.88-1.00; P = .038).

conclusionsPolicies that increase access to affordable housing and drug treatment may make environments more conducive to safe sexual behaviors among black and white PWID. Future research designed to longitudinally explore the association between residence in the south and injection-related risk behavior might identify specific place-based features that sustain patterns of injection-related risk behavior.

Indexed as

GeographyRisk-TakingAdultCommunicable Disease ControlEthnicityFemaleHealth SurveysHepatitis C, ChronicHIV InfectionsHumansIncidenceMaleNeeds AssessmentPatient SafetyRacial GroupsRisk AssessmentCondom useDrug treatmentHCVHIVHousingInjection drug usePWID

Identifiers

PMID27576908
PMCPMC5110217

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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.