Evidence map›Paper›PMID 29614104›Full record

ArticlePloS one2018

Structural barriers to HIV prevention among men who have sex with men (MSM) in Vietnam: Diversity, stigma, and healthcare access.

Morgan M Philbin, Jennifer S Hirsch, Patrick A Wilson, An Thanh Ly, Le Minh Giang, Richard G Parker

Registry-linked trialAbstract read
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04379206 (Social Network Approach for Increasing Testing Coverage Among Men Who Have Sex With Men), which is not on this map. Cited by 41 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 3 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.

NCT04379206 completednot on this mapstarted 2021, after this paper: background citation

Social Network Approach for Increasing Testing Coverage Among Men Who Have Sex With Men

TypeobservationalSponsorChinese University of Hong KongRan2021 to 2021Enrolled463ConditionsHIV InfectionsArmsHIV self-test kit, Graphical User Interface
3 · Its place in the literature

Who cites it

41 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  7. Inconsistent condom use among men who have sex with men in Brazil: the role of trusting the sexual partner.Revista brasileira de epidemiologia = Brazilian journal of epidemiology · 2026
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  11. We are treated differently: Experiences of men who have sex with men in South African clinics.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2025
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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

6 authors.

Morgan M PhilbinDepartment of Sociomedical Sciences, Mailman School of Public Health, Columbia University, New York, New York, United States of America.ORCID 0000-0001-7608-7921
Jennifer S HirschDepartment of Sociomedical Sciences, Mailman School of Public Health, Columbia University, New York, New York, United States of America.
Patrick A WilsonDepartment of Sociomedical Sciences, Mailman School of Public Health, Columbia University, New York, New York, United States of America.
An Thanh LyCenter for Research and Training on HIV/AIDS (CREATA), Hanoi Medical University, Hanoi, Vietnam.
Le Minh GiangCenter for Research and Training on HIV/AIDS (CREATA), Hanoi Medical University, Hanoi, Vietnam.
Richard G ParkerDepartment of Sociomedical Sciences, Mailman School of Public Health, Columbia University, New York, New York, United States of America.

Funding

Social Science Training and Research SMS-HMU PartnershipR24HD056691 · NICHD · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI HIRSCH, JENNIFER S, PARKER, RICHARD G · 2007 to 2017
$4.5M
Development CoreP2CHD058486 · NICHD · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI Jennifer S Hirsch, Julien O Teitler · 2014 to 2026
$4.3M
Columbia Population Research CenterR24HD058486 · NICHD · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI GARFINKEL, IRWIN · 2009 to 2013
$1.1M
Assessing the Impact of State-Level Policies on Drug Use and HIV Risk for YMSMK01DA039804 · NIDA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI PHILBIN, MORGAN MARI · 2016 to 2020
$888k
NICHD NIH HHS P2C HD058486NICHD NIH HHS R24 HD056691NICHD NIH HHS R24 HD058486NIDA NIH HHS K01 DA039804NIH HHS K01DA039804ANIH HHS R24 HD056691
6 · The paper itself

Abstract

Men who have sex with men (MSM) in Vietnam experience disproportionate rates of HIV infection. To advance understanding of how structural barriers may shape their engagement with HIV prevention services, we draw on 32 in-depth interviews and four focus groups (n = 31) conducted with MSM in Hanoi between October 2015- March 2016. Three primary factors emerged: (1) Diversity, both in relation to identity and income; Vietnamese MSM described themselves as segregated into Bóng kín (hidden, often heterosexually-identified MSM) and Bóng lộ ('out,' transgender, or effeminate MSM). Lower-income, 'hidden' MSM from rural areas were reluctant to access MSM-targeted services; (2) Stigma: MSM reported being stigmatized by the healthcare system, family, and other MSM; and (3) Healthcare access: this was limited due to economic barriers and lack of MSM-friendly services. Our research suggests the need for multiple strategies to reach diverse types of MSM as well as to address barriers in access to health services such as stigma and costs. While a great deal has been written about the diversity of MSM in relation to gender performance and sexual identities, our research points to the substantial structural-level barriers that must be addressed in order to achieve meaningful and effective HIV prevention for MSM worldwide.

Indexed as

Health Services AccessibilitySocial StigmaAdolescentAdultHIV InfectionsHomosexuality, MaleHumansMaleMiddle AgedSex FactorsSexualitySocioeconomic FactorsVietnamYoung Adult

Identifiers

PMID29614104
PMCPMC5882136

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.