Evidence map›Paper›PMID 27654072›Full record

ArticleAIDS care2017

Risk behavior and access to HIV/AIDS prevention services in a community sample of homeless persons entering permanent supportive housing.

Suzanne L Wenzel, Harmony Rhoades, Taylor Harris, Hailey Winetrobe, Eric Rice, Ben Henwood

Abstract read
In one paragraph

Article in AIDS care, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 3 pooled it
9.6field-weighted citation impact, top 2% 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

25 citing papers in PubMed, 3 syntheses or guidelines pooled it, 33 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 1 institution in 1 country.

Suzanne L Wenzela USC School of Social Work , Los Angeles , CA , USA.
Harmony Rhoadesa USC School of Social Work , Los Angeles , CA , USA.
Taylor Harrisa USC School of Social Work , Los Angeles , CA , USA.
Hailey Winetrobea USC School of Social Work , Los Angeles , CA , USA.
Eric Ricea USC School of Social Work , Los Angeles , CA , USA.
Ben Henwooda USC School of Social Work , Los Angeles , CA , USA.
LAC+USC Medical Center · US

Funding

HIV Risk, Drug Use, Social Networks: Homeless Persons Transitioned to HousingR01DA036345 · NIDA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI WENZEL, SUZANNE L · 2014 to 2017
$2.7M
NIDA NIH HHS R01 DA036345
6 · The paper itself

Abstract

Homeless persons suffer disproportionately high rates of HIV infection, and moving into permanent supportive housing (PSH) can provide a stable base from which to access needed prevention services. However, little is known about HIV risk or prevention behavior during this critical time of transition. The current study investigated STI and HIV risk and prevention behavior and recent use of prevention and treatment services (i.e., education, testing, medication) among homeless persons preparing to move into PSH. Data come from interviews with 421 homeless adults before they moved into PSH. Thirty-seven percent of the respondents were sexually active; of those, 75.7% reported unprotected sex. Nearly two-thirds (64%) reported past year HIV testing and 40% reported testing for another STI. Fewer than one-third (31%) of respondents reported receiving posttest counseling at their last HIV test. HIV seropositivity was self-reported by 10%. Among those persons who were HIV-positive, 57.1% reported less than 100% antiretroviral (ARV) adherence. Among HIV-negative respondents, less than 1% had been prescribed preexposure prophylaxis (PrEP). Less than half (46.4%) of the sample reported any HIV prevention education in the past year. This population of homeless adults about to move into PSH report high rates of HIV risk behavior, but low rates of HIV prevention education and very little PrEP utilization. Further, low rates of ARV adherence among HIV-positive respondents indicate significant risk for HIV transmission and acquisition. Entering PSH is a period of transition for homeless persons when integrated care is critically important to ensure positive health outcomes, but these data suggest that PrEP and other HIV prevention services are poorly accessed among this population. As such, multipronged services that integrate PrEP and other HIV prevention services are needed to prevent transmission and acquisition of HIV in this high-risk, vulnerable population and ensure the health and wellbeing of PSH residents.

Indexed as

Risk-TakingAnti-HIV AgentsDirective CounselingDrug MonitoringFemaleHealth EducationHIV InfectionsHousingHumansIll-Housed PersonsMaleMiddle AgedPre-Exposure ProphylaxisSelf DisclosureUnsafe SexAnti-HIV AgentsHIV preventionhomelessnessmedication adherencepermanent supportive housingsexual risk behavior

Identifiers

PMID27654072
PMCPMC6232079
OpenAlexW2523445595

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.