Evidence map›Paper›PMID 30179530›Full record

ArticleAIDS patient care and STDs2018

Improving HIV Care Engagement in the South from the Patient and Provider Perspective: The Role of Stigma, Social Support, and Shared Decision-Making.

Barbara S Taylor, Laura Fornos, Jesse Tarbutton, Jana Muñoz, Julie A Saber, Delia Bullock, Roberto Villarreal, Ank E Nijhawan

Abstract read
In one paragraph

Article in AIDS patient care and STDs, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 1 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

40 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  12. Patient and Care Partner Perspective on Potential Undertreatment of Patients With Mild Cognitive Impairment for Cardiovascular Disease.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2024
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  17. Nothing About Us Without Us: Involving Youth Living With HIV in a Virtual Advisory Board.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 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.

Barbara S Taylor1 Department of Medicine, Division of Infectious Diseases, UT Health Science Center San Antonio , San Antonio, Texas.
Laura Fornos2 Department of Research and Information Management, University Health System , San Antonio, Texas.
Jesse Tarbutton3 Department of Medicine, Division of Infectious Diseases, UT Southwestern Medical Center , Dallas, Texas.
Jana Muñoz4 Round Rock Cancer Center , Baylor Scott & White Health, Round Rock, Texas.
Julie A Saber5 HIV/STD Care Services Group , Texas Department of State Health Services, Austin, Texas.
Delia Bullock1 Department of Medicine, Division of Infectious Diseases, UT Health Science Center San Antonio , San Antonio, Texas.
Roberto Villarreal2 Department of Research and Information Management, University Health System , San Antonio, Texas.
Ank E Nijhawan3 Department of Medicine, Division of Infectious Diseases, UT Southwestern Medical Center , Dallas, Texas.

Funding

Reducing Readmissions and Improving Outcomes in HIV-Infected PatientsK23AI112477 · NIAID · UT SOUTHWESTERN MEDICAL CENTER · PI NIJHAWAN, ANK ELISABETH · 2015 to 2018
$703k
The Impact of Mobility on HIV Care in New York City and the Dominican RepublicK23AI081538 · NIAID · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI TAYLOR, BARBARA S · 2009 to 2013
$645k
NIAID NIH HHS K23 AI081538NIAID NIH HHS K23 AI112477
6 · The paper itself

Abstract

Initial linkage to medical care is a critical step in the HIV care continuum leading to improved health outcomes, reduced morbidity and mortality, and decreased HIV transmission risk. We explored differences in perspectives on engagement in HIV care between people living with HIV who attended (Arrived) their initial medical provider visit (IMV) and those who did not (Missed), and between patients and providers. The study was conducted in two large majority/minority HIV treatment centers in the United States (US) south, a geographical region disproportionately impacted by HIV. The Theory of Planned Behavior informed semistructured interviews eliciting facilitators and barriers to engagement in care from 53 participants: 40 patients in a structured sample of 20 Missed and 20 Arrived, and 13 care providers. Using Grounded Theory to frame analysis, we found similar perspectives for all groups, including beliefs in the following: patients' control over care engagement, a lack of knowledge regarding HIV within the community, and the impact of structural barriers to HIV care such as paperwork, transportation, housing, and substance use treatment. Differences were noted by care engagement status. Missed described HIV-related discrimination, depression, and lack of social support. Arrived worried what others think about their HIV status. Providers focused on structural barriers and process, while patients focused on relational aspects of HIV care and personal connection with clinics. Participants proposed peer navigation and increased contact from clinics as interventions to reduce missed IMV. Context-appropriate interventions informed by these perspectives are needed to address the expanding southern HIV epidemic.

Indexed as

Continuity of Patient CareDecision MakingHealth Services AccessibilitySocial StigmaSocial SupportAdolescentAdultAnti-HIV AgentsDelivery of Health CareFemaleFocus GroupsGrounded TheoryHealth BehaviorHealthcare DisparitiesHIV InfectionsHumansAnti-HIV Agentscare continuumcare engagementHIVqualitative researchsocialstigma

Identifiers

PMID30179530
PMCPMC6121178

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.