Evidence map›Paper›PMID 31194578›Full record

ArticleAIDS patient care and STDs2019

Undocumented African Immigrants' Experiences of HIV Testing and Linkage to Care.

Jonathan Ross, Matthew J Akiyama, Deepika Slawek, Jennifer Stella, Kim Nichols, Mulusew Bekele, Chinazo O Cunningham, Oni J Blackstock

Open access · greenAbstract read
In one paragraph

Article in AIDS patient care and STDs, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 4 pooled it
1.7field-weighted citation impact, top 16% 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

17 citing papers in PubMed, 4 syntheses or guidelines pooled it, 26 citations in OpenAlex.

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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 5 institutions in 1 country.

Jonathan Ross1 Division of General Internal Medicine, Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, New York.
Matthew J Akiyama1 Division of General Internal Medicine, Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, New York.
Deepika Slawek1 Division of General Internal Medicine, Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, New York.
Jennifer Stella2 Division of Hospital Medicine, Zuckerberg San Francisco General/University of California, San Francisco, San Francisco, California.
Kim Nichols3 African Services Committee, New York, New York.
Mulusew Bekele3 African Services Committee, New York, New York.
Chinazo O Cunningham1 Division of General Internal Medicine, Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, New York.
Oni J Blackstock4 New York City Department of Health and Mental Hygiene, New York, New York.
Africa Center · USAlbert Einstein College of Medicine · USMontefiore Medical Center · USNew York City Department of Health and Mental Hygiene · USSan Francisco General Hospital · US

Funding

Patient and Population Health Outcomes Research SWGP30AI124414 · NIAID · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI Vilma Gabbay · 2017 to 2026
$28.3M
Minimizing losses from HIV care under universal treatment in RwandaK23MH114752 · NIMH · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI ROSS, JONATHAN · 2017 to 2021
$995k
Mentoring researchers on drug abuse and HIVK24DA036955 · NIDA · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI CUNNINGHAM, CHINAZO · 2014 to 2019
$911k
Advance Care Coordination and Enhanced Linkage and Retention Among Transitional Re-Entrants Living with Hepatitis C-The HCV-ACCELERATE TrialK99DA043011 · NIDA · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI AKIYAMA, MATTHEW · 2017 to 2018
$369k
NIAID NIH HHS P30 AI124414NIDA NIH HHS K24 DA036955NIDA NIH HHS K99 DA043011NIMH NIH HHS K23 MH114752
6 · The paper itself

Abstract

In the United States, undocumented African immigrants living with HIV enter care late, potentially leading to adverse individual and population health outcomes, yet little is known about the specific experiences of HIV diagnosis and linkage to care among this population. We conducted individual, semi-structured interviews with adults who were undocumented African immigrants living with HIV in New York City. Interviews explored perspectives regarding individual, social, institutional, and societal barriers and facilitators of HIV testing and linkage to care. Of 14 participants from 9 different African countries, 9 were women and the median age was 44 years (interquartile range: 42-50). Participants described fear of discovery by immigration authorities as a substantial barrier to HIV testing and linking to initial medical appointments. Actual and perceived structural barriers to both testing and care linkage included difficulty obtaining health insurance and a belief that undocumented immigrants are ineligible for any health services. Participants also expressed reluctance to be tested because of HIV-related stigma within the immigrant communities that they heavily relied on. After diagnosis, however, participants overwhelmingly described a positive role of health and social service providers in facilitating linkage to HIV care. Concerns about immigration status and HIV-related stigma are significant barriers to HIV testing and linkage to care among undocumented African immigrants. Multilevel efforts to reduce stigma and increase awareness of available services could enhance rates of HIV testing and care linkage in this population.

Indexed as

Health Services AccessibilityAdultAfricaContinuity of Patient CareFemaleHealth Knowledge, Attitudes, PracticeHIV InfectionsHumansInsurance, HealthInterviews as TopicMaleMass ScreeningMiddle AgedNew York CityPatient Acceptance of Health CareQualitative ResearchAfrican immigrantsHIVHIV testinglinkage to careundocumented immigrants

Identifiers

PMID31194578
PMCPMC6602100
OpenAlexW2950653608

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.