Evidence map›Paper›PMID 30304712›Full record

Trial reportDrug and alcohol dependence2018

Intimate relationships and patterns of drug and sexual risk behaviors among people who inject drugs in Kazakhstan: A latent class analysis.

Phillip L Marotta, Assel Terlikbayeva, Louisa Gilbert, Tim Hunt, Amar Mandavia, Elwin Wu, Nabila El-Bassel

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Drug and alcohol dependence, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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

5 citing papers in PubMed.

  1. Article
  2. Article
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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

7 authors.

Phillip L MarottaColumbia University School of Social Work, 1255 Amsterdam Avenue, New York, NY, 10027, USA; Social Intervention Group, 1255 Amsterdam Avenue, New York, NY, 10027, USA; Global Research Center of Central Asia, 1255 Amsterdam Avenue, New York, NY, 10027, USA. Electronic address: Plm2113@columbia.edu.
Assel TerlikbayevaColumbia University School of Social Work, 1255 Amsterdam Avenue, New York, NY, 10027, USA; Social Intervention Group, 1255 Amsterdam Avenue, New York, NY, 10027, USA; Global Research Center of Central Asia, 1255 Amsterdam Avenue, New York, NY, 10027, USA.
Louisa GilbertColumbia University School of Social Work, 1255 Amsterdam Avenue, New York, NY, 10027, USA; Social Intervention Group, 1255 Amsterdam Avenue, New York, NY, 10027, USA; Global Research Center of Central Asia, 1255 Amsterdam Avenue, New York, NY, 10027, USA.
Tim HuntColumbia University School of Social Work, 1255 Amsterdam Avenue, New York, NY, 10027, USA; Social Intervention Group, 1255 Amsterdam Avenue, New York, NY, 10027, USA; Global Research Center of Central Asia, 1255 Amsterdam Avenue, New York, NY, 10027, USA.
Amar MandaviaTeachers College of Columbia University, Department of Counseling and Clinical Psychology, 428 Horace Mann, New York, NY, 10027, USA; Center for the Study of Social Difference, Columbia University, 1200 Amsterdam Avenue, 767 Schermerhorn Extension, MC 5508, New York, NY, 10027, USA.
Elwin WuColumbia University School of Social Work, 1255 Amsterdam Avenue, New York, NY, 10027, USA; Social Intervention Group, 1255 Amsterdam Avenue, New York, NY, 10027, USA; Global Research Center of Central Asia, 1255 Amsterdam Avenue, New York, NY, 10027, USA.
Nabila El-BasselColumbia University School of Social Work, 1255 Amsterdam Avenue, New York, NY, 10027, USA; Social Intervention Group, 1255 Amsterdam Avenue, New York, NY, 10027, USA; Global Research Center of Central Asia, 1255 Amsterdam Avenue, New York, NY, 10027, USA.

Funding

Couples-Based HIV/STI Prevention for Injecting Drug Users in KazakhstanR01DA022914 · NIDA · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI EL-BASSEL, NABILA · 2008 to 2012
$3.3M
The impact of criminal justice involvement on retention in a behavioral HIV prevention intervention for couples who use drugs in Almaty, KazakhstanF31DA044794 · NIDA · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI MAROTTA, PHILLIP L · 2018 to 2019
$69k
NIDA NIH HHS F31 DA044794NIDA NIH HHS R01 DA022914
6 · The paper itself

Abstract

backgroundMultiple drug and sexual risk behaviors among people who inject drugs (PWID) in intimate relationships increase the risk of HIV and HCV transmission. Using data on PWID in intimate partnerships in Almaty, Kazakhstan, this study performed latent class analysis (LCA) on drug and sexual risk behaviors and estimated associations between dyadic relationship factors and membership in latent classes.

methodsLCA was performed on a sample of 510 PWID (181-females/FWID, 321-males/MWID) to identify levels of drug and sexual risk behaviors. Generalized structural equation modeling with multinomial regressions estimated associations between relationship factors (length risk reduction communication, risk reduction self-efficacy) and class membership after adjusting for substance use severity, overdose, depression, binge drinking, intimate partner violence, structural factors, and sociodemographic characteristics. Models were sex-stratified to include FWID and PWID.

resultsA 3-class model best fit the data and consisted of low, medium, and high-risk classes. GSEM found that greater injection self-efficacy was associated with a lower likelihood of membership in the high-risk class for PWID and FWID. For MWID, greater length of the relationship was associated with a lower likelihood of membership in the medium-risk class. Greater relationship communication was associated with increased risk of membership in the high-risk latent class for MWID.

conclusionsFuture research must investigate if increasing risk reduction and safe sex self-efficacy could reduce drug and sexual risk behaviors and HIV transmission among PWID and their intimate partners. Interventions are needed that reduce power inequities within relationships as a method of increasing self-efficacy, particularly among women.

Indexed as

Interpersonal RelationsLatent Class AnalysisRisk-TakingAdultFemaleHIV InfectionsHumansKazakhstanMaleRisk Reduction BehaviorSafe SexSexual BehaviorSexual PartnersSubstance Abuse, IntravenousCentral AsiaInjection drug useKazakhstanLatent class analysisPeople who inject drugsSex differencesSexual partnershipsSexual risks

Identifiers

PMID30304712
PMCPMC6415908

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.