Evidence map›Paper›PMID 27631385›Full record

ArticleJournal of alternative and complementary medicine (New York, N.Y.)2016

Complementary and Alternative Medicine Use for HIV Management in the State of Florida: Medical Monitoring Project.

Natalie E Kelso-Chichetto, Chukwuemeka N Okafor, Jeffrey S Harman, Shantrel S Canidate, Christa L Cook, Robert L Cook

Open access · greenAbstract read
In one paragraph

Article in Journal of alternative and complementary medicine (New York, N.Y.), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
5.2field-weighted citation impact, top 6% 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, 20 citations in OpenAlex.

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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.

Natalie E Kelso-Chichetto1 Department of Epidemiology, College of Public Health and Health Professions and College of Medicine, University of Florida , Gainesville, FL.
Chukwuemeka N Okafor1 Department of Epidemiology, College of Public Health and Health Professions and College of Medicine, University of Florida , Gainesville, FL.
Jeffrey S Harman2 Department of Behavioral Sciences and Social Medicine, College of Medicine, Florida State University , Tallahassee, FL.
Shantrel S Canidate3 Social and Behavioral Sciences Program, College of Public Health and Health Professions and College of Medicine, University of Florida , Gainesville, FL.
Christa L Cook4 Department of Family, Community, and Health System Science, College of Nursing, University of Florida , Gainesville, FL.
Robert L Cook1 Department of Epidemiology, College of Public Health and Health Professions and College of Medicine, University of Florida , Gainesville, FL.
Florida College · USFlorida State University · USUniversity of Florida · USUniversity of Florida Health · US

Funding

Postdoctoral Training in Global AIDS Prevention ResearchT32MH080634 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI JESSE LAWTON CLARK, Pamina Mae Gorbach · 2007 to 2026
$6.4M
Southern HIV and Alcohol Research Consortium Administrative and Research Support CoreU24AA022002 · NIAAA · UNIVERSITY OF FLORIDA · PI COOK, ROBERT L · 2012 to 2022
$5.5M
Alcohol Consumption Patterns on Cardiovascular Health in Persons Living with HIVF31AA024064 · NIAAA · UNIVERSITY OF FLORIDA · PI CHICHETTO, NATALIE E · 2015 to 2016
$69k
NIAAA NIH HHS F31 AA024064NIAAA NIH HHS U24 AA022002NIMH NIH HHS T32 MH080634
6 · The paper itself

Abstract

objectiveThe aims of this study were to describe complementary and alternative medicine (CAM) use and to assess the relationships between CAM use and antiretroviral therapy (ART) adherence and human immunodeficiency virus (HIV) RNA viral load suppression among a sample of persons living with HIV (PLWH) engaged in care in the state of Florida.

designThe Florida Medical Monitoring Project (n = 803) collected repeated cross-sectional data for surveillance of clinical outcomes among PLWH from 2009 to 2010. Past-year CAM use specifically for the management of HIV was measured via self-report. Logistic regression models were conducted to assess the effect of CAM use on ART adherence and viral load suppression, controlling for demographic and clinical factors using backwards stepwise deletion of factors with a p-value of >0.25.

resultsCAM use was reported in 53.3% (n = 428). In bivariate analysis, CAM use was the highest among those 40-49 years of age (61%; p < 0.05), males (56%; p < 0.01), whites (61%; p = 0.001), and those educated beyond high school (59%; p < 0.05). Among those using CAM, 63% and 37% reported one and two or more CAM modalities, respectively. CAM modalities included biologically based therapies (89%), mind-body medicine/manipulative body-based therapies (30%), spiritual healing (23%), energy therapies (6%), and whole medical systems (6%). In multivariable analyses, any CAM use and number of CAM methods used were not associated with ART adherence. Any CAM use was not associated with detectable viral load (adjusted odds ratio [aOR] 0.81; 95% confidence interval [CI] 0.58-1.12; p = 0.20). Those using two or more methods had significantly decreased risk for detectable viral load (aOR 0.60; 95% CI 0.39-0.92; p < 0.02).

conclusionsCAM use was not associated with negative effects on ART adherence. CAM users were less likely to have detectable viral load compared with non-users. Future research should focus on CAM use among PLWH not engaged in HIV care and the longitudinal patterns of CAM use and possible effects of long-term health outcomes.

Indexed as

AdolescentAdultAnti-HIV AgentsComplementary TherapiesCross-Sectional StudiesFemaleFloridaHIV-1HIV InfectionsHumansMaleMiddle AgedPatient ComplianceViral LoadYoung AdultAnti-HIV AgentsadherenceCAMHIV

Identifiers

PMID27631385
PMCPMC5116687
OpenAlexW2522176956

What OpenQuestion holds

Textmetadata
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.