Evidence map›Paper›PMID 28501965›Full record

ArticleAIDS and behavior2018

Using a "Positive Deviance" Framework to Discover Adaptive Risk Reduction Behaviors Among High-Risk HIV Negative Black Men Who Have Sex with Men.

A J Ober, D T Dangerfield, S Shoptaw, G Ryan, B Stucky, S R Friedman

Open access · greenAbstract read
In one paragraph

Article in AIDS and behavior, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
2.1field-weighted citation impact, top 13% 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

20 citing papers in PubMed, 50 citations in OpenAlex.

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  17. Positive Deviance for Dual-Method Promotion among Women in Uganda: A Qualitative Study.International journal of environmental research and public health · 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 at 4 institutions in 1 country.

A J OberRAND Corporation, 1776 Main Street, Santa Monica, CA, 90407, USA. ober@rand.org.
D T DangerfieldHealth Promotion and Disease Prevention, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
S ShoptawDepartment of Family Medicine, David Geffen School of Medicine, University of Los Angeles California, Los Angeles, CA, USA.
G RyanRAND Corporation, 1776 Main Street, Santa Monica, CA, 90407, USA.
B StuckyRAND Corporation, 1776 Main Street, Santa Monica, CA, 90407, USA.
S R FriedmanNational Development and Research Institute, New York, NY, USA.
RAND Corporation · USNational Development and Research Institutes · USUniversity of California, Los Angeles · USUniversity of Southern California · US

Funding

UCLA Rapid, Relevant, Rigorous Implementation Science HubP30MH058107 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI RAPHAEL J LANDOVITZ · 1997 to 2026
$53.5M
Transdisciplinary Theoretical Svnthesis and Development CoreP30DA011041 · NIDA · NEW YORK UNIVERSITY · PI Holly Hagan · 1998 to 2026
$38.9M
Positive Deviance: Adaptive Strategies among Young, Black, HIV-Negative MSMR03DA035689 · NIDA · RAND CORPORATION · PI OBER, ALLISON · 2013 to 2014
$317k
NIDA NIH HHS P30 DA011041NIDA NIH HHS R03 DA035689NIMH NIH HHS P30 MH058107
6 · The paper itself

Abstract

Despite the high incidence of HIV among young Black MSM in the United States and engagement in high risk behaviors, many men in this group avoid infection. This suggests that some men may engage in systematic risk reduction behaviors when not always using condoms or abstaining from substances. Using a "positive deviance" framework, we conducted qualitative interviews with HIV-negative, Black MSM between 25 and 35 who reported unprotected anal sex and drug use in the past six months or current heavy drinking (N = 29) to discover behaviors that could facilitate remaining HIV-uninfected. Findings showed that MSM who remain HIV negative despite continuing to engage in high-risk behaviors may be engaging in adaptive risk reduction behaviors that, through successive decisions and advance planning along the timeline to a sexual event, could lead to increased condom use, avoidance or delay of a risky sexual event, or reduction of HIV positive partners.

Indexed as

Risk Reduction BehaviorAdultBlack or African AmericanCondomsHIV InfectionsHomosexuality, MaleHumansInterviews as TopicMaleQualitative ResearchRisk-TakingSafe SexSexual PartnersSocial BehaviorSubstance Abuse, IntravenousUnited StatesBlack MSMHIV/AIDSPositive devianceRisk reductionSubstance use

Identifiers

PMID28501965
PMCPMC6334847
OpenAlexW2613473386

What OpenQuestion holds

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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.