Evidence map›Paper›PMID 29087744›Full record

ArticleAIDS patient care and STDs2017

Potential Healthcare Insurance and Provider Barriers to Pre-Exposure Prophylaxis Utilization Among Young Men Who Have Sex with Men.

Sarah J Marks, Roland C Merchant, Melissa A Clark, Tao Liu, Joshua G Rosenberger, Jose Bauermeister, Kenneth H Mayer

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in AIDS patient care and STDs, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing 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

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

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Post-Exposure Prophylaxis and Methamphetamine Use among Young Sexual Minority Men: The P18 Cohort Study.International journal of environmental research and public health · 2022
    Article
  18. Social-Ecological Barriers to Access to Healthcare for Adolescents: A Scoping Review.International journal of environmental research and public health · 2021
    Article
  19. Article
  20. Article
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

7 authors.

Sarah J Marks1 Department of Emergency Medicine, Alpert Medical School, Brown University , Providence, Rhode Island.
Roland C Merchant1 Department of Emergency Medicine, Alpert Medical School, Brown University , Providence, Rhode Island.
Melissa A Clark3 Department of Quantitative Health Sciences, Center for Health Policy and Research, University of Massachusetts Medical School , Worcester, Massachusetts.
Tao Liu4 Department of Biostatistics, Center for Statistical Sciences, School of Public Health, Brown University , Providence, Rhode Island.
Joshua G Rosenberger5 Department of Biobehavioral Health, Pennsylvania State University , State College, Pennsylvania.
Jose Bauermeister6 Department of Family and Community Health, University of Pennsylvania , Philadelphia, Pennsylvania.
Kenneth H Mayer7 Fenway Health, Beth Israel Deaconess Medical Center/Harvard Medical School , Boston, Massachusetts.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Young adult men-who-have-sex-with-men (YMSM) continue to have among the highest incidence of HIV infection in the United States. Pre-exposure prophylaxis (PrEP) is an effective and safe method of preventing HIV infection; however, despite US Food and Drug Administration approval, utilization remains low, in part, due to structural barriers, particularly access to healthcare. In this study, we used social media to recruit black, Hispanic, and white HIV-uninfected 18- to 24-year-old YMSM. Participants completed an online survey about their sexual behavior, healthcare access, and previous use of PrEP. Of the 2297 YMSM surveyed, only 3.4% had used PrEP. PrEP use was associated with higher levels of education, living alone, older age, higher levels of sexual activity, and greater healthcare access, specifically having healthcare insurance and a clinic or primary care provider (PCP) from whom they received care. Among PrEP nonusers, 65% met at least one of the US Centers for Disease Control and Prevention recommended indications for PrEP use, and of these, 59% had healthcare insurance and received care in a clinic and/or had a PCP. Multi-variable multi-nomial logistic regression modeling identified disparities in access to healthcare by age, race/ethnicity, education, and region. Specifically, older YMSM, blacks and Hispanics, those with fewer years of formal education, and residents of the southern and the western United States were more likely to lack healthcare access. These results demonstrate both potential opportunities and barriers to the scale-up of PrEP among YMSM.

Indexed as

Homosexuality, MalePre-Exposure ProphylaxisAdultAmbulatory Care FacilitiesBlack or African AmericanBlack PeopleHealth Care CostsHealth Services AccessibilityHispanic or LatinoHIV InfectionsHumansMalePatient Acceptance of Health CareSexual BehaviorSocioeconomic FactorsSurveys and QuestionnaireshealthcareHIVPrEPYMSM

Identifiers

PMID29087744
PMCPMC5665093

What OpenQuestion holds

Textmetadata
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.