Evidence map›Paper›PMID 28991882›Full record

ArticleJournal of acquired immune deficiency syndromes (1999)2018

Belief in Treatment as Prevention and Its Relationship to HIV Status and Behavioral Risk.

Kiffer G Card, Heather L Armstrong, Nathan J Lachowsky, Zishan Cui, Paul Sereda, Allison Carter, Julio S G Montaner, Robert S Hogg, Eric A Roth, David M Moore

Open access · greenAbstract read
In one paragraph

Article in Journal of acquired immune deficiency syndromes (1999), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing 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

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.

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  9. Online Sexual Health Information Seeking Patterns Differentiated by Social Location and Physical Location among Gay and Bisexual Men in Ontario, Canada.International journal of sexual health : official journal of the World Association for Sexual Health · 2022
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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

10 authors at 3 institutions in 1 country.

Kiffer G CardBritish Columbia Centre for Excellence in HIV/AIDS, Vancouver, BC, Canada.
Heather L ArmstrongBritish Columbia Centre for Excellence in HIV/AIDS, Vancouver, BC, Canada.
Nathan J LachowskyBritish Columbia Centre for Excellence in HIV/AIDS, Vancouver, BC, Canada.
Zishan CuiBritish Columbia Centre for Excellence in HIV/AIDS, Vancouver, BC, Canada.
Paul SeredaBritish Columbia Centre for Excellence in HIV/AIDS, Vancouver, BC, Canada.
Allison CarterBritish Columbia Centre for Excellence in HIV/AIDS, Vancouver, BC, Canada.
Julio S G MontanerBritish Columbia Centre for Excellence in HIV/AIDS, Vancouver, BC, Canada.
Robert S HoggBritish Columbia Centre for Excellence in HIV/AIDS, Vancouver, BC, Canada.
Eric A RothCentre for Addiction Research of British Columbia, University of Victoria, Victoria, BC, Canada.
David M MooreBritish Columbia Centre for Excellence in HIV/AIDS, Vancouver, BC, Canada.
AIDS Vancouver · CAUniversity of British Columbia · CAUniversity of Victoria · CA

Funding

Seek and Treat for Optimal Prevention of HIV & AIDS (STOP HIV/AIDS) in BCR01DA036307 · NIDA · UNIVERSITY OF BRITISH COLUMBIA · PI MONTANER, JULIO SERGIO GONZALEZ · 2013 to 2017
$3.0M
HAART optimism, drug use and risky sexual behavior among MSM in British Columbia.R01DA031055 · NIDA · SIMON FRASER UNIVERSITY · PI HOGG, ROBERT S · 2011 to 2015
$2.0M
CIHR 143342CIHR MOP-107544CIHR PJT-153139NIDA NIH HHS R01 DA031055NIDA NIH HHS R01 DA036307
6 · The paper itself

Abstract

backgroundWe evaluated attitudes toward treatment as prevention (TasP) among gay, bisexual, and other men who have sex with men (GBM) in Vancouver, Canada.

methodsSexually active GBM, aged ≥16 years, were recruited between 2012 and 2015 using respondent-driven sampling. At each 6-month follow-up, participants completed a computer-administered questionnaire and nursing visit. Repeated-measures latent class analysis, grouped by self-reported serostatus, identified patterns of TasP endorsement by considering TasP-related awareness, attitudes, and behavior. Binary logistic regression identified covariates of class membership. Bivariate interactions with visit number identified factors associated with longitudinal changes in class membership.

resultsA total of 774 men provided 2590 observations. Of these, 698 enrolled in the cohort, 575 had at least 1 follow-up visit. Among these, the median follow-up time was 1.98 years (Q1-Q2: 1.49-2.49 years). Repeated-measures latent class analysis identified 3 classes: "unaware" (64.2% HIV negative/unknown vs. 29.2% of HIV positive), "skeptical" (29.7% vs. 23.1%), and "believing" (6.1% vs. 47.7%). Membership in classes representing higher TasP endorsement was associated with greater odds of condomless anal sex and having more sexual partners. Age, sexual orientation, ethnicity, substance use, and social time spent with other GBM were also associated with class membership. Longitudinally, class membership was stable among HIV-positive men but shifted toward greater TasP endorsement among HIV-negative/unknown men. For HIV-negative/unknown men, increasing endorsement was positively associated with greater education, being employed, being in a relationship, and substance use and inversely associated with recent serodiscordant condomless anal sex or sexually transmitted infection diagnosis.

conclusionsOver time, disparities in TasP diffusion by HIV status have lessened, although continue to persist across other key social strata.

Indexed as

Health Knowledge, Attitudes, PracticeAdolescentAdultCanadaCohort StudiesFollow-Up StudiesHIV InfectionsHomosexuality, MaleHumansMaleRisk-TakingSexual and Gender MinoritiesSexual BehaviorSexually Transmitted DiseasesSexual PartnersSubstance-Related Disorders

Identifiers

PMID28991882
PMCPMC5753790
OpenAlexW2764284270

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.