Evidence map›Paper›PMID 31658201›Full record

SynthesisJournal of acquired immune deficiency syndromes (1999)2019

Testing the Testers: Are Young Men Who Have Sex With Men Receiving Adequate HIV Testing and Counseling Services?

José A Bauermeister, Jesse M Golinkoff, Willey Y Lin, Kristina F Claude, Keith J Horvath, Nadia Dowshen, Anderson Schlupp, William J Vickroy, Kimberly Desir, Alexander V Lopez and 11 more

Registry-linked trialOpen access · hybridAbstract readMeta-Analysis
In one paragraph

Synthesis in Journal of acquired immune deficiency syndromes (1999), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03132415 (Get Connected), which is not on this map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.0field-weighted citation impact, top 24% 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.

NCT03132415 nacompletednot on this map

Get Connected: Linking YMSM to Adequate Care Through a Multilevel, Tailored WebApp Intervention

TypeinterventionalSponsorUniversity of PennsylvaniaRan2017 to 2022Enrolled285ConditionsHIV InfectionsArmsGet Connected, HIV Test Locator
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 17 citations in OpenAlex.

  1. Trial
  2. Factors Associated with Medical Mistrust Among Sexual and Gender Minority Young Adults.Sexuality research & social policy : journal of NSRC : SR & SP · 2026
    Article
  3. A Qualitative Study of First HIV Test Experiences Among Sexual and Gender Minority Adolescents.Sexuality research & social policy : journal of NSRC : SR & SP · 2024
    Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. HIV Testing Program Activities and Challenges in Four U.S. Urban Areas.AIDS education and prevention : official publication of the International Society for AIDS Education · 2022
    Article
  9. Article
  10. Article
  11. Review
  12. Article
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

21 authors at 7 institutions in 1 country.

José A BauermeisterSchool of Nursing, University of Pennsylvania, Philadelphia, PA.
Jesse M GolinkoffSchool of Nursing, University of Pennsylvania, Philadelphia, PA.
Willey Y LinSchool of Nursing, University of Pennsylvania, Philadelphia, PA.
Kristina F ClaudeSchool of Medicine, University of North Carolina-Chapel Hill, Chapel Hill, NC.
Keith J HorvathDivision of Epidemiology & Community Health, University of Minnesota, Minneapolis, MN.
Nadia DowshenCraig Dalsimer Division of Adolescent Medicine, Children's Hospital of Philadelphia, Philadelphia, PA.
Anderson SchluppCraig Dalsimer Division of Adolescent Medicine, Children's Hospital of Philadelphia, Philadelphia, PA.
William J VickroyCraig Dalsimer Division of Adolescent Medicine, Children's Hospital of Philadelphia, Philadelphia, PA.
Kimberly DesirCraig Dalsimer Division of Adolescent Medicine, Children's Hospital of Philadelphia, Philadelphia, PA.
Alexander V LopezCraig Dalsimer Division of Adolescent Medicine, Children's Hospital of Philadelphia, Philadelphia, PA.
Marné CastilloCraig Dalsimer Division of Adolescent Medicine, Children's Hospital of Philadelphia, Philadelphia, PA.
Mary TanneyCraig Dalsimer Division of Adolescent Medicine, Children's Hospital of Philadelphia, Philadelphia, PA.
Taylor A WimblyRollins School of Public Health, Emory University, Atlanta, GA.
Kingsley LeungRollins School of Public Health, Emory University, Atlanta, GA.
Patrick S SullivanRollins School of Public Health, Emory University, Atlanta, GA.
Dalisa L SantiagoDepartment of Pediatric Immunology, Allergy and Retrovirology, Baylor's College of Medicine, Houston, TX.
Rogelio HernandezDepartment of Pediatric Immunology, Allergy and Retrovirology, Baylor's College of Medicine, Houston, TX.
Mary E PaulDepartment of Pediatric Immunology, Allergy and Retrovirology, Baylor's College of Medicine, Houston, TX.
Lisa Hightow-WeidmanSchool of Medicine, University of North Carolina-Chapel Hill, Chapel Hill, NC.
Sonia LeeMaternal and Pediatric Infectious Disease Branch, Eunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda, MD.
Rob StephensonSchool of Nursing, University of Michigan-Ann Arbor, Ann Arbor, MI.
Children's Hospital of Philadelphia · USBaylor College of Medicine · USEmory University · USUniversity of Pennsylvania · USUniversity of North Carolina at Chapel Hill · USEunice Kennedy Shriver National Institute of Child Health and Human Development · USUniversity of Minnesota · US

Funding

Virus & Reservoirs CoreP30AI045008 · NIAID · UNIVERSITY OF PENNSYLVANIA · PI DAVID S METZGER · 1999 to 2026
$78.6M
Virology, Immunology, and Microbiology CoreP30AI050410 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DAVID M. MARGOLIS · 2001 to 2026
$76.9M
Virology and Molecular Biomarkers CoreP30AI050409 · NIAID · EMORY UNIVERSITY · PI Ann M Chahroudi, Colleen F Kelley · 2002 to 2026
$74.0M
The UNC/Emory Center for Innovative Technology (iTech) across the prevention and care continuumU19HD089881 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI HIGHTOW-WEIDMAN, LISA B, SULLIVAN, PATRICK SEAN · 2016 to 2022
$35.8M
Penn Mental Health AIDS Research CenterP30MH097488 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI Karine Dube · 2013 to 2026
$23.5M
The CFAR Social & Behavioral Science Research Network National Scientific MeetingR13HD074468 · NICHD · UNIVERSITY OF PENNSYLVANIA · PI BLANK, MICHAEL B · 2012 to 2017
$385k
NIAID NIH HHS P30 AI045008NIAID NIH HHS P30 AI050409NIAID NIH HHS P30 AI050410NICHD NIH HHS R13 HD074468NICHD NIH HHS U19 HD089881NIMH NIH HHS P30 MH097488
6 · The paper itself

Abstract

backgroundThe United States Centers for Disease Control and Prevention promote HIV testing every 6 months among young men who have sex with men (YMSM) to facilitate entry into the HIV prevention and care continuum. Willingness to be tested may be influenced by testing services' quality. Using a novel mystery shopper methodology, we assessed YMSM's testing experiences in 3 cities and recommend service delivery improvements.

methodsWe assessed YMSM's experiences at HIV testing sites in Philadelphia (n = 30), Atlanta (n = 17), and Houston (n = 19). YMSM (18-24) were trained as mystery shoppers and each site was visited twice. After each visit, shoppers completed a quality assurance survey to evaluate their experience. Data were pooled across sites, normed as percentages, and compared across cities.

resultsAcross cites, visits averaged 30 minutes (SD = 25.5) and were perceived as welcoming and friendly (70.9%). YMSM perceived most sites respected their privacy and confidentiality (84.3%). YMSM noted deficiencies in providers' competencies with sexual minorities (63.4%) and comfort during the visit (65.7%). Sites underperformed on Lesbian, Gay, Bisexual, Transgender visibility (49.6%) and medical forms inclusivity (57.95%). Sites on average did not discuss YMSM's relationship context (49.8%) nor provide risk reduction counseling (56.8%) or safer sex education (24.3%). Sites delivered pre-exposure prophylaxis information and counseling inconsistently (58.8%).

conclusionsTesting sites' variable performance underscores the importance of improving HIV testing services for YMSM. Strategies are recommended for testing sites to promote cultural sensitivity: funding staff trainings, creating systems to assess adherence to testing guidelines and best practices, and implementing new service delivery models.

Indexed as

Homosexuality, MaleAdultCounselingCulturally Competent CareHealthcare DisparitiesHealth Care SurveysHealth Services AccessibilityHIV InfectionsHumansMaleMass ScreeningPreventive Health ServicesQuality Assurance, Health CareUnited States

Identifiers

PMID31658201
PMCPMC6820705
OpenAlexW2982297620

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.