Evidence map›Paper›PMID 31452148›Full record

ArticleJournal of racial and ethnic health disparities2020

Internalized HIV-Related Stigma and Breast Health Beliefs Among African-American Women Receiving Care for HIV in the USA.

Katrin Fabian, Yamilé Molina, Christopher G Kemp, Paul E Nevin, Katryna McCoy, Jane M Simoni, Michele Andrasik, Susan E Cohn, Sandy Micci, Deepa Rao

Open access · greenAbstract read
In one paragraph

Article in Journal of racial and ethnic health disparities, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 90% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Review
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 at 6 institutions in 1 country.

Katrin FabianDepartment of Global Health, University of Washington, Seattle, WA, USA.
Yamilé MolinaCommunity Health Sciences Division, University of Illinois at Chicago, 1601 West Taylor Street, Chicago, IL, 60612, USA. Ymolin2@uic.edu.
Christopher G KempDepartment of Global Health, University of Washington, Seattle, WA, USA.
Paul E NevinDepartment of Global Health, University of Washington, Seattle, WA, USA.
Katryna McCoySchool of Nursing & Health Studies, University of Washington Bothell, Bothell, WA, USA.
Jane M SimoniDepartment of Global Health, University of Washington, Seattle, WA, USA.
Michele AndrasikFred Hutchinson Cancer Research Center, Seattle, WA, USA.
Susan E CohnDepartment of Medicine, Northwestern University, Chicago, IL, USA.
Sandy MicciCORE Center/Division of Infectious Diseases, Stroger Hospital of Cook County, Chicago, IL, USA.
Deepa RaoDepartment of Global Health, University of Washington, Seattle, WA, USA.
University of Washington · USFred Hutch Cancer Center · USJohn H. Stroger, Jr. Hospital of Cook County · USNorthwestern University · USUniversity of Illinois Chicago · USUniversity of Washington Bothell · US

Funding

University of Washington/Fred Hutch Center for AIDS ResearchP30AI027757 · NIAID · UNIVERSITY OF WASHINGTON · PI Judith Tsui · 1988 to 2026
$104.9M
Biobehavioral Cancer Prevention and Control Training ProgramR25CA092408 · NCI · UNIVERSITY OF WASHINGTON · PI PATRICK, DONALD LEE · 2001 to 2015
$7.1M
Reducing HIV Stigma to Improve Health Outcomes for African-American WomenR01MH098675 · NIMH · UNIVERSITY OF WASHINGTON · PI RAO, DEEPA · 2012 to 2016
$2.6M
Empowering Latinas to Obtain Breast Cancer ScreeningsK01CA193918 · NCI · UNIVERSITY OF ILLINOIS AT CHICAGO · PI MOLINA, YAMILE · 2016 to 2020
$729k
NCI NIH HHS K01 CA193918NCI NIH HHS R25 CA092408NIAID NIH HHS P30 AI027757NIMH NIH HHS R01 MH098675
6 · The paper itself

Abstract

objectivesAfrican-American women suffer disproportionately from HIV, breast cancer, and other illnesses. Little is known about the relationship between internalized HIV-related stigma and health beliefs related to other illnesses, including breast cancer. Our study examined (1) the relationship between internalized HIV-related stigma and breast health beliefs over time and (2) the moderating effects of participating in a stigma reduction intervention and/or social support.

methodsData from 239 African-American women receiving care for HIV in Chicago, IL, or Birmingham, AL, enrolled in the Unity randomized controlled trial, were used in this secondary analysis. Threat of breast cancer was measured in terms of perceived susceptibility, fear, and adverse consequences as well as an overall perceived threat of breast cancer. We used multivariate models with generalized estimating equations to examine the relationship between internalized HIV-related stigma and breast health beliefs across three time points (baseline, immediately post-workshop, and at 12-month follow-up) and to examine if the study arm (HIV stigma reduction vs. breast cancer education) or social support moderated the relationship.

resultsInternalized HIV-related stigma was associated with greater overall perceived threat (p < 0.001), susceptibility (p = 0.03), fear (p < 0.001), and perceived adverse consequences (p < 0.001) of breast cancer. These associations remained consistent across study arms and across all levels of social support.

conclusionsFuture studies that examine co-morbid health conditions among African-American women living with HIV should consider the impact of HIV-related stigma on attitudes and beliefs related to co-morbid conditions.

Indexed as

Health Knowledge, Attitudes, PracticeSocial StigmaAnti-HIV AgentsBlack or African AmericanBreast NeoplasmsFemaleHIV InfectionsHumansMiddle AgedUnited StatesAnti-HIV AgentsAfrican–American womenBreast cancerHIVStigma

Identifiers

PMID31452148
PMCPMC6980483
OpenAlexW2971301825

What OpenQuestion holds

Textmetadata
LicenceTDM
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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.