Evidence map›Paper›PMID 28787329›Full record

ArticleJournal of acquired immune deficiency syndromes (1999)2017

Anti-LGBT and Anti-immigrant Structural Stigma: An Intersectional Analysis of Sexual Minority Men's HIV Risk When Migrating to or Within Europe.

John E Pachankis, Mark L Hatzenbuehler, Rigmor C Berg, Percy Fernández-Dávila, Massimo Mirandola, Ulrich Marcus, Peter Weatherburn, Axel J Schmidt

Abstract read
In one paragraph

Article in Journal of acquired immune deficiency syndromes (1999), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 2 pooled it
–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

52 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

8 authors.

John E Pachankis*Department of Social and Behavioral Sciences, Yale School of Public Health, Yale University, New Haven, CT; †Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, New York, NY; ‡Department of Community Medicine, University of Tromso, Tromso, Norway; §Centre d'Estudis Epidemiològics sobre les Infeccions de Transmissió Sexual i Sida de Catalunya, Stop Sida, Barcelona, Spain; ‖Department of Pathology, Infectious Diseases Section, Verona University Hospital, Verona, Italy; ¶Department of Infectious Disease Epidemiology, Robert Koch Institute, Berlin, Germany; #Sigma Research, Department of Social and Environmental Health Research, London School of Hygiene and Tropical Medicine, London, United Kingdom; and **Infectious Diseases Division, Swiss Federal Office of Public Health, Bern, Switzerland.
Mark L Hatzenbuehler
Rigmor C Berg
Percy Fernández-Dávila
Massimo Mirandola
Ulrich Marcus
Peter Weatherburn
Axel J Schmidt

Funding

Social stress and substance abuse disparities in sexual minority youthK01DA032558 · NIDA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI HATZENBUEHLER, MARK LOUIS · 2012 to 2016
$879k
NIDA NIH HHS K01 DA032558
6 · The paper itself

Abstract

objectiveGay, bisexual, and other men who have sex with men (MSM) might be particularly likely to migrate to experience freedoms unavailable in their home countries. Structural stigma (eg, laws and policies promoting the unequal treatment of oppressed populations) in MSM migrants' sending and receiving countries represent potential barriers to HIV prevention among this intersectional population. This study represents the first investigation of structural determinants of HIV risk in a large, geographically diverse sample of MSM migrants.

designThe 2010 European MSM Internet Survey (n = 23,371 migrants) was administered across 38 European countries.

methodsStructural stigma was assessed using (1) national laws and policies promoting unequal treatment of sexual minorities across 181 countries worldwide and (2) national attitudes against immigrants in the 38 receiving countries. We also assessed linguistic status, time since migrating, and 5 HIV-prevention outcomes.

resultsStructural stigma toward sexual minorities (in sending and receiving countries) and toward immigrants (in receiving countries) was associated with a lack of HIV-prevention knowledge, service coverage, and precautionary behaviors among MSM migrants. Linguistic status and time since migrating moderated some associations between structural stigma and lack of HIV prevention.

conclusionsStructural stigma toward MSM and immigrants represents a modifiable structural determinant of the global HIV epidemic.

Indexed as

Cultural CharacteristicsSocial EnvironmentSocial StigmaAdolescentAdultAgedAged, 80 and overDirective CounselingEmigrants and ImmigrantsEuropeHIV InfectionsHumansInternal-External ControlInternetMaleMiddle Aged

Identifiers

PMID28787329
PMCPMC5659919

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.