Evidence map›Paper›PMID 31851706›Full record

ArticlePloS one2019

"That's all Fake": Health professionals stigma and physical healthcare of people living with Serious Mental Illness.

Eliut Rivera-Segarra, Nelson Varas-Díaz, Axel Santos-Figueroa

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07529509 (Abriendo Caminos), which is not on this map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
4.3field-weighted citation impact, top 6% 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.

NCT07529509 narecruitingnot on this mapstarted 2026, after this paper: background citation

Abriendo Caminos: Engaging Latino Communities Through Culturally Responsive Peer Delivered Motivational Interviewing

TypeinterventionalSponsorYale UniversityRan2026 to 2027Enrolled30ConditionsSerious Mental IllnessArmsCulturally responsive motivational interviewing
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 41 citations in OpenAlex.

  1. End-of-life care for people with severe and persistent mental illness and a life-limiting disease: An umbrella review.European psychiatry : the journal of the Association of European Psychiatrists · 2025
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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

3 authors at 3 institutions in 2 countries.

Eliut Rivera-SegarraSchool of Behavioral and Brain Sciences, Ponce Health Sciences University, Ponce, Puerto Rico.ORCID 0000-0001-8643-9273
Nelson Varas-DíazDepartment of Global and Sociocultural Studies, Florida International University, Miami, United States of America.
Axel Santos-FigueroaDepartment of Psychology, University of Puerto Rico, Mayagüez Campus, Mayagüez, Puerto Rico.
Florida International University · USPonce Health Sciences University · PRUniversity of Puerto Rico-Mayaguez · PR

Funding

The Role of Midbrain to Prelimbic Cortex Glutamatergic projections in Stress-induced Drug SeekingU54MD007579 · NIMHD · PONCE SCHOOL OF MEDICINE · PI Emmanuel Antonio Cruz, Kenira J Thompson · 2019 to 2026
$35.9M
VIRAL SEQUENCES IN PEDIATRIC HIV INFECTION IN PRG12MD007579 · NIMHD · PONCE SCHOOL OF MEDICINE · PI TORRES-RUIZ, JOSE A · 2012 to 2018
$15.9M
Training Program for Scientists Conducting Research to Reduce HIV Health DisparitR25MH067127 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Emily A Arnold, Torsten Brian Neilands · 2003 to 2026
$5.4M
HIV/AIDS Stigma Behaviors in Clinical EncountersK02DA035122 · NIDA · UNIVERSITY OF PUERTO RICO RIO PIEDRAS · PI VARAS-DIAZ, NELSON · 2014 to 2018
$578k
NIDA NIH HHS K02 DA035122NIMHD NIH HHS G12 MD007579NIMHD NIH HHS U54 MD007579
6 · The paper itself

Abstract

backgroundPeople living with a Serious Mental Illness (SMI) die earlier than the general population due to preventable medical conditions. Latinos living with SMI are a particularly vulnerable population with higher prevalence of chronic medical conditions. Stigma has been identified as a factor that fosters health inequities for Latinos/as with SMI, particularly Puerto Ricans. Although personal and social consequences of stigmatization have been well documented, research regarding the role of cultural factors on healthcare interactions is scarce. Furthermore, little research has focused on addressing stigma from the perspective of healthcare professionals.

methodsWe investigated this process through a qualitative design using semi-structured individual interviews with 11 healthcare professionals (8 physicians and 3 nurses) in Puerto Rico. We conducted a thematic analysis to analyze the data.

resultsFollowing a thematic analysis, we found three main themes and nine sub-themes related to the stigmatization process. Some participants reported perceptions of dangerousness and uneasiness, social distance and inadequate care. Participants also emphasized a lack of medical training regarding SMI within the Puerto Rican context.

conclusionsThese findings support the need to develop culturally appropriate public health interventions targeting healthcare professionals in order to address stigma and eliminate health disparities among Latinos/as with SMI.

Indexed as

Attitude of Health PersonnelSocial StigmaAdultFemaleHumansInterviews as TopicMaleMental DisordersMiddle AgedPuerto RicoYoung Adult

Identifiers

PMID31851706
PMCPMC6919598
OpenAlexW2995891399

What OpenQuestion holds

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LicenceCC BY
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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.