Evidence map›Paper›PMID 28926403›Full record

ArticleAIDS (London, England)2017

Pathways from sexual stigma to incident HIV and sexually transmitted infections among Nigerian MSM.

Cristina Rodriguez-Hart, Rebecca G Nowak, Rashelle Musci, Danielle German, Ifeanyi Orazulike, Blessing Kayode, Hongjie Liu, Oye Gureje, Trevor A Crowell, Stefan Baral and 2 more

Abstract read
In one paragraph

Article in AIDS (London, England), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 10% 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

33 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Loss to Follow-Up and Visit Nonadherence in an HIV Incidence Cohort in Kisumu, Kenya.Journal of acquired immune deficiency syndromes (1999) · 2026
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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

12 authors at 5 institutions in 2 countries.

Cristina Rodriguez-HartaInstitute of Human Virology, University of Maryland School of Medicine bJohns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA cInternational Center on Advocacy and Rights to Health, Abuja, Nigeria dUniversity of Maryland School of Public Health, College Park, Maryland, USA eDepartment of Psychiatry, University of Ibadan, Nigeria fU.S. Military HIV Research Program, Walter Reed Army Institute of Research, Silver Spring gHenry M. Jackson Foundation, Bethesda hDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Rebecca G Nowak
Rashelle Musci
Danielle German
Ifeanyi Orazulike
Blessing Kayode
Hongjie Liu
Oye Gureje
Trevor A Crowell
Stefan Baral
Man Charurat
TRUST/RV368 Study Group
University of Maryland, Baltimore · USJohns Hopkins University · USHenry M. Jackson Foundation · USUniversity of Ibadan · NGUniversity of Maryland, College Park · US

Funding

UM-IHV AITRP in NigeriaD43TW001041 · FIC · UNIVERSITY OF MARYLAND BALTIMORE · PI CHARURAT, MANHATTAN E · 1998 to 2015
$9.2M
Building TRUSTR01AI120913 · NIAID · UNIVERSITY OF MARYLAND BALTIMORE · PI CHARURAT, MANHATTAN E · 2015 to 2019
$3.3M
TRUSTR01MH099001 · NIMH · UNIVERSITY OF MARYLAND BALTIMORE · PI CHARURAT, MANHATTAN E · 2012 to 2014
$2.9M
FIC NIH HHS D43 TW001041NIAID NIH HHS R01 AI120913NIMH NIH HHS R01 MH099001
6 · The paper itself

Abstract

objectivesSexual stigma affecting MSM in Nigeria may be an important driver of HIV and other sexually transmitted infections (STIs), but potential mechanisms through which this occurs are not well understood. This study assessed the contributions of suicidal ideation and sexual risk behaviors to causal pathways between stigma and HIV/STIs.

designData were collected from the TRUST/RV368 Study, a prospective cohort of 1480 MSM from Abuja and Lagos, Nigeria.

methodsParticipants enrolled from March 2013 to February 2016 were classified into three stigma subgroups based on a latent class analysis of nine stigma indicators. Path analysis was used to test a model where disclosure led to stigma, then suicidal ideation, then condomless sex with casual sex partners, and finally incident HIV infection and/or newly diagnosed STIs, adjusting the model for age, education, having had female sex partners in the past 12 months, and sex position. Both direct and indirect (mediational) paths were tested for significance and analyses were clustered by city.

resultsAs stigma increased in severity, the proportion of incident HIV/STI infections increased in a dose-response relationship (low: 10.6%, medium: 14.2%, high 19.0%, P = 0.008). All direct relationships in the model were significant and suicidal ideation and condomless sex partially mediated the association between stigma and incident HIV/STI infection.

conclusionThese findings highlight the importance of the meaningful integration of stigma-mitigation strategies in conjunction with mental health services as part of a broader strategy to reduce STI and HIV acquisitions among Nigerian MSM.

Indexed as

Social StigmaAdolescentAdultHIV InfectionsHomosexuality, MaleHumansIncidenceMaleMiddle AgedNigeriaProspective StudiesRisk-TakingSexually Transmitted DiseasesSuicidal IdeationSurveys and QuestionnairesYoung Adult

Identifiers

PMID28926403
PMCPMC5889084
OpenAlexW2755085927

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.