Evidence map›Paper›PMID 30993479›Full record

Observational studyAIDS and behavior2019

Barriers and Facilitators of PrEP Adherence for Young Men and Transgender Women of Color.

Sarah Wood, Robert Gross, Judy A Shea, José A Bauermeister, Joshua Franklin, Danielle Petsis, Meghan Swyryn, Linden Lalley-Chareczko, Helen C Koenig, Nadia Dowshen

Registry-linked trialAbstract readObservational Study
In one paragraph

Observational study in AIDS and behavior, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05262426 (Optimizing an mHealth Intervention to Improve Uptake and Adherence of the HIV Pre-exposure Prophylaxis), which is not on this map. Cited by 96 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
96citing papers in PubMed, 4 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.

NCT05262426 naactive not recruitingnot on this mapstarted 2021, after this paper: background citation

Optimizing an mHealth Intervention to Improve Uptake and Adherence of the HIV Pre-exposure Prophylaxis (PrEP) in Vulnerable Adolescents and Emerging Adults

TypeinterventionalSponsorUniversity of Massachusetts, WorcesterRan2021 to 2026Enrolled145ConditionsPre-Exposure ProphylaxisArmsBehavioral: Motivational Enhancement System for PrEP Uptake and Adherence (MES-PrEP), Enhanced YaCool, Standard PrEP Counseling
3 · Its place in the literature

Who cites it

96 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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36 more citing papers are in PubMed but not listed here.

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

10 authors.

Sarah WoodCraig A. Dalsimer Division of Adolescent Medicine, Children's Hospital of Philadelphia, Philadelphia, PA, USA. woodsa@email.chop.edu.ORCID http://orcid.org/0000-0003-2478-4930
Robert GrossUniversity of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.
Judy A SheaUniversity of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.
José A BauermeisterSchool of Nursing, University of Pennsylvania, Philadelphia, PA, USA.
Joshua FranklinCraig A. Dalsimer Division of Adolescent Medicine, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Danielle PetsisCraig A. Dalsimer Division of Adolescent Medicine, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Meghan SwyrynPhiladelphia FIGHT Community Health Centers, Philadelphia, PA, USA.
Linden Lalley-ChareczkoPhiladelphia FIGHT Community Health Centers, Philadelphia, PA, USA.
Helen C KoenigUniversity of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.
Nadia DowshenCraig A. Dalsimer Division of Adolescent Medicine, Children's Hospital of Philadelphia, Philadelphia, PA, USA.

Funding

Virus & Reservoirs CoreP30AI045008 · NIAID · UNIVERSITY OF PENNSYLVANIA · PI DAVID S METZGER · 1999 to 2026
$78.6M
Penn Mental Health AIDS Research CenterP30MH097488 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI Karine Dube · 2013 to 2026
$23.5M
mHealth intervention for ART adherence and sexual risk reduction among HIV+ YMSMK23MH102128 · NIMH · CHILDREN'S HOSP OF PHILADELPHIA · PI DOWSHEN, NADIA L · 2014 to 2018
$875k
Social Support as a Facilitator of Adherence to HIV Pre-Exposure Prophylaxis Among Young MSM of ColorF32MH111341 · NIMH · CHILDREN'S HOSP OF PHILADELPHIA · PI WOOD, SARAH MARIAN · 2016 to 2018
$145k
Center for AIDS Research University of Pennsylvania P30 AI 045008NIAID NIH HHS P30 AI045008NIMH NIH HHS F32 MH111341NIMH NIH HHS K23 MH102128NIMH NIH HHS NIMH F32 MH111341NIMH NIH HHS NIMH K23MH102128NIMH NIH HHS P30 MH097488Penn Mental Health AIDS Research Center P30 MH 097488
6 · The paper itself

Abstract

We aimed to discover barriers and facilitators of HIV pre-exposure prophylaxis (PrEP) adherence in young men and transgender women of color who have sex with men (YMSM/TW). Short-term and sustained adherence were measured by urine tenofovir concentration and pharmacy refills, respectively. Optimal adherence was defined as having both urine tenofovir concentration consistent with dose ingestion within 48 h and pharmacy refills consistent with ≥ 4 doses per week use. Participants completed semi-structured interviews exploring adherence barriers and facilitators. Participants (n = 31) were primarily African-American (68%), mean age 22 years (SD: 1.8), and 48% had optimal adherence. Adherence barriers included stigma, health systems inaccessibility, side effects, competing stressors, and low HIV risk perception. Facilitators included social support, health system accessibility, reminders/routines, high HIV risk perception, and personal agency. Our findings identify targets for intervention to improve PrEP adherence in these populations, including augmenting health activation and improving accuracy of HIV risk perception.

Indexed as

Anti-HIV AgentsBlack or African AmericanCohort StudiesFemaleHealth Knowledge, Attitudes, PracticeHealth Services AccessibilityHispanic or LatinoHIV InfectionsHomosexuality, MaleHumansInterviews as TopicMaleMedication AdherencePhiladelphiaPre-Exposure ProphylaxisQualitative ResearchAnti-HIV AgentsTenofovirAdherenceHIV preventionPre-exposure prophylaxisSocial support

Identifiers

PMID30993479
PMCPMC6790163

What OpenQuestion holds

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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.