Evidence map›Paper›PMID 28718490›Full record

ArticleRevista panamericana de salud publica = Pan American journal of public health2016

Barriers to HIV testing, linkage to care, and treatment adherence: a cross-sectional study from a large urban center of Brazil.

Sarah MacCarthy, Michael Hoffmann, Amy Nunn, Luís Augusto Vasconcelos da Silva, Ines Dourado

Open access · greenAbstract read
In one paragraph

Article in Revista panamericana de salud publica = Pan American journal of public health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 30% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Review
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

5 authors at 3 institutions in 2 countries.

Sarah MacCarthyRAND Corporation, Santa Monica, California, United States of America.
Michael HoffmannBrown University, Providence, Rhode Island, United States of America.
Amy NunnBrown University, Providence, Rhode Island, United States of America.
Luís Augusto Vasconcelos da SilvaInstituto de Saúde Coletiva/Universidade Federal da Bahia, Salvador, Bahia, Brazil.
Ines DouradoInstituto de Saúde Coletiva/Universidade Federal da Bahia, Salvador, Bahia, Brazil.
Brown University · USUniversidade Federal da Bahia · BRRAND Corporation · US

Funding

Translational ScienceP30AI042853 · NIAID · MIRIAM HOSPITAL · PI CURT G BECKWITH · 1998 to 2026
$51.7M
The Brown Initiative in HIV and AIDS Clinical Research for Minority CommunitiesR25MH083620 · NIMH · MIRIAM HOSPITAL · PI NUNN, AMY STEWART · 2008 to 2025
$3.7M
Brown NIMHD Minority Health & Health Disparities International Research TrainingT37MD008655 · NIMHD · BROWN UNIVERSITY · PI FLANIGAN, TIMOTHY P · 2014 to 2018
$1.2M
NIAID NIH HHS P30 AI042853NIMHD NIH HHS T37 MD008655NIMH NIH HHS R25 MH083620
6 · The paper itself

Abstract

objectiveEarly, continued engagement with the HIV treatment continuum can help achieve viral suppression, though few studies have explored how risk factors for delays differ across the continuum. The objective of this study was to identify predictors of delayed diagnosis, delayed linkage to care, and nonadherence to treatment in the city of Salvador, Bahia, Brazil.

methodsData were collected during 2010 in a cross-sectional study with a sample (n = 1 970) of HIV-infected individuals enrolled in care. Multiple logistic regression analyses identified sociodemographic variables, behaviors, and measures of health service quality that were associated with delayed diagnosis, delayed linkage to care, and treatment nonadherence.

resultsFor delayed diagnosis, male gender (adjusted odds ratio (AOR), 3.02; 95% confidence interval (CI), 2.0-4.6); age 45 years and older (AOR, 1.67; 95% CI, 1.1-2.5); and provider-initiated testing (AOR, 3.00; 95% CI, 2.1-4.4) increased odds, while drug use (AOR, 0.29; 95% CI, 0.2-0.5) and receiving results in a private space (AOR, 0.37; 95% CI, 0.2-0.8) decreased odds. For delayed linkage to care, unemployment (AOR, 1.42; 95% CI, 1.07-1.9) and difficulty understanding or speaking with a health care worker (AOR, 1.61; 95% CI, 1.2-2.1) increased odds, while posttest counseling (AOR, 0.49; 95% CI, 0.3-0.7) decreased odds. For nonadherence, experiencing verbal or physical discrimination related to HIV (AOR, 1.94; 95% CI, 1.3-3.0) and feeling mistreated or not properly attended to at HIV care (AOR, 1.60; 95% CI, 1.0-2.5) increased odds, while posttest counseling (AOR, 0.34; 95% CI, 0.2-0.6) decreased odds.

conclusionsMore attention is needed on how policies, programs, and research can provide tailored support across the treatment continuum.

Indexed as

Delayed DiagnosisTreatment Adherence and ComplianceBrazilCitiesCross-Sectional StudiesFemaleHIV InfectionsHumansMaleMass ScreeningMiddle Aged

Identifiers

PMID28718490
PMCPMC9897025
OpenAlexW2575105695

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.