Evidence map›Paper›PMID 29285638›Full record

SynthesisAIDS and behavior2018

The Use of Online Posts to Identify Barriers to and Facilitators of HIV Pre-exposure Prophylaxis (PrEP) Among Men Who Have Sex with Men: A Comparison to a Systematic Review of the Peer-Reviewed Literature.

Alisse Hannaford, Madeleine Lipshie-Williams, Joanna L Starrels, Julia H Arnsten, Jessica Rizzuto, Phillip Cohen, Damon Jacobs, Viraj V Patel

Abstract readSystematic Review
In one paragraph

Synthesis in AIDS and behavior, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 2 pooled it
5.0field-weighted citation impact, top 4% 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

42 citing papers in PubMed, 2 syntheses or guidelines pooled it, 94 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Validation of the PrEP Use Self-Efficacy (PrEP-Use) Scale Among Sexual Minority Men.AIDS education and prevention : official publication of the International Society for AIDS Education · 2025
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  16. PrEP Persistence Support and Monitoring in Areas of High HIV Burden in the Midwestern United States.AIDS education and prevention : official publication of the International Society for AIDS Education · 2023
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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 at 2 institutions in 1 country.

Alisse HannafordIcahn School of Medicine at Mount Sinai, New York, NY, USA. Alisse.hannaford@icahn.mssm.edu.ORCID 0000-0002-0276-9820
Madeleine Lipshie-WilliamsAlbert Einstein College of Medicine and Montefiore Medical Center, Bronx, NY, USA.
Joanna L StarrelsAlbert Einstein College of Medicine and Montefiore Medical Center, Bronx, NY, USA.
Julia H ArnstenAlbert Einstein College of Medicine and Montefiore Medical Center, Bronx, NY, USA.
Jessica RizzutoIcahn School of Medicine at Mount Sinai, New York, NY, USA.
Phillip CohenIcahn School of Medicine at Mount Sinai, New York, NY, USA.
Damon JacobsLicensed Marriage and Family Therapist, New York, NY, USA.
Viraj V PatelAlbert Einstein College of Medicine and Montefiore Medical Center, Bronx, NY, USA.
Albert Einstein College of Medicine · USIcahn School of Medicine at Mount Sinai · US

Funding

Patient and Population Health Outcomes Research SWGP30AI124414 · NIAID · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI Kathryn M. Anastos · 2017 to 2026
$28.3M
Core-010UL1TR001073 · NCATS · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI KELLER, MARLA J, SHAMOON, HARRY · 2013 to 2017
$21.3M
Prescription opioid use, misuse, disorders and HIV outcomesR01DA039046 · NIDA · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI STARRELS, JOANNA L. · 2015 to 2018
$2.4M
Social Media Based Peer Led Intervention to Facilitate PrEP in YMSM of ColorK23MH102118 · NIMH · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI PATEL, VIRAJ V · 2014 to 2018
$953k
NCATS NIH HHS UL1 TR001073NIAID NIH HHS P30 AI124414NIDA NIH HHS R01 DA039046NIH HHS K23MH102118NIH HHS R01DA039046NIMHD NIH HHS L60 MD009329NIMH NIH HHS K23 MH102118
6 · The paper itself

Abstract

Pre-exposure prophylaxis (PrEP) remains an under-utilized HIV prevention tool among men who have sex with men (MSM). To more comprehensively elucidate barriers and facilitators to PrEP use among US MSM, we conducted a systematic review of peer-reviewed published articles and content analysis of online posts about PrEP. We searched peer-reviewed databases (Medline, Web of Science, Google Scholar) using MESH headings and keywords about PrEP and/or HIV prevention from 2005 to 2015. We included original studies among MSM in the US that reported on barriers, facilitators, or other factors related to PrEP use. We also searched online posts and associated comments (news articles, opinion pieces, blogs and other social media posts) in diverse venues (Facebook, Slate Outward, Huffington Post Gay Voices, Queerty, and My PrEP Experience blog) to identify posts about PrEP. We used content analysis to identify themes and compare potential differences between the peer-reviewed literature and online posts. We identified 25 peer-reviewed articles and 28 online posts meeting inclusion criteria. We identified 48 unique barriers and 46 facilitators to using PrEP. These 94 themes fit into six overarching categories: (1) access (n = 14), (2) attitudes/beliefs (n = 24), (3) attributes of PrEP (n = 13), (4) behaviors (n = 11), (5) sociodemographic characteristics (n = 8), and (6) social network (n = 6). In all categories, analysis of online posts resulted in identification of a greater number of unique themes. Thirty-eight themes were identified in the online posts that were not identified in the peer-reviewed literature. We identified barriers and facilitators to PrEP in online posts that were not identified in a systematic review of the peer-reviewed literature. By incorporating data both from a systematic review of peer-reviewed articles and from online posts, we have identified salient and novel information about barriers to and facilitators of PrEP use. Traditional research approaches may not comprehensively capture current factors important for designing and implementing PrEP related interventions.

Indexed as

Pre-Exposure ProphylaxisSocial MediaAdultAnti-HIV AgentsEligibility DeterminationHealth Knowledge, Attitudes, PracticeHealth Services AccessibilityHIV InfectionsHomosexuality, MaleHumansInternetMaleSafe SexSexual PartnersSurveys and QuestionnairesUnsafe SexAnti-HIV AgentsBarriers to careHIVMen who have sex with menPre-exposure prophylaxis

Identifiers

PMID29285638
PMCPMC5991474
OpenAlexW2779928107

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.