Evidence map›Paper›PMID 31899083›Full record

ArticleAnnals of epidemiology2020

Area-level HIV risk and socioeconomic factors associated with willingness to use PrEP among Black people in the U.S. South.

Yusuf Ransome, Laura M Bogart, Ichiro Kawachi, Anna Kaplan, Kenneth H Mayer, Bisola Ojikutu

Abstract read
In one paragraph

Article in Annals of epidemiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–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.

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

16 citing papers in PubMed.

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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

6 authors.

Yusuf RansomeDepartment of Social and Behavioral Sciences, Yale School of Public Health, New Haven, CT. Electronic address: yusuf.ransome@yale.edu.
Laura M BogartPardee RAND Graduate School, RAND Corporation, Santa Monica, CA.
Ichiro KawachiDepartment of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA.
Anna KaplanCambridge Public Health Department, Cambridge, MA.
Kenneth H MayerThe Fenway Institute, Fenway Health, Boston, MA; Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA; Harvard Medical School, Boston, MA.
Bisola OjikutuHarvard Medical School, Boston, MA; Brigham and Women's Hospital, Boston, MA.

Funding

The impact of HIV viral diversity and cellular immunity on HIV pathogenesisP30AI060354 · NIAID · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI RAJESH T GANDHI · 2004 to 2026
$94.4M
UCLA Rapid, Relevant, Rigorous Implementation Science HubP30MH058107 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Nina Thawata Harawa · 1997 to 2026
$53.5M
Impact of social cohesion on functional recovery after earthquake and tsunamiR01AG042463 · NIA · HARVARD SCHOOL OF PUBLIC HEALTH · PI KAWACHI, ICHIRO · 2013 to 2022
$4.9M
The Brown Initiative in HIV and AIDS Clinical Research for Minority CommunitiesR25MH083620 · NIMH · MIRIAM HOSPITAL · PI NUNN, AMY STEWART · 2008 to 2025
$3.7M
Identifying Environmental Factors Promoting HIV/STI Risk in Black Adolescents and Young AdultsK23MH107316 · NIMH · BRIGHAM AND WOMEN'S HOSPITAL · PI OJIKUTU, BISOLA · 2015 to 2019
$912k
Social Capital and Late HIV Diagnosis in the United StatesK01MH111374 · NIMH · YALE UNIVERSITY · PI RANSOME, YUSUF · 2017 to 2021
$749k
NIAID NIH HHS P30 AI060354NIA NIH HHS R01 AG042463NIMH NIH HHS K01 MH111374NIMH NIH HHS K23 MH107316NIMH NIH HHS P30 MH058107NIMH NIH HHS R25 MH083620
6 · The paper itself

Abstract

purposeIn the United States (U.S.), southern states have the highest HIV incidence. Uptake of pre-exposure prophylaxis (PrEP) has been slow among Black people, particularly in the South. We know little about how area-level HIV risk influences one's willingness to use PrEP.

methods169 Black participants across 142 ZIP codes in the South completed the 2016 National Survey on HIV in the Black Community. We performed log-binomial regression to estimate the prevalence risk associated with residing in the upper 25th percentile of increases in new HIV diagnosis (2014-2015) within ZIP code and an individual's willingness to use PrEP, adjusting for individual and area-level covariates.

resultsParticipants were 68% female, mean age of 36 years, and 24% willing to use PrEP. Among the ZIP codes, 23% were within Atlanta, GA. The median increase in new HIV diagnoses was 25 per 100,000 population from 2014 to 2015 (IQR, 14-49). Participants living in ZIP codes within the upper 25th (compared-to-lower 75th) percentile of new HIV diagnoses were more willing to use PrEP (adjusted prevalence ratio (aPR) = 2.02, 95% CI = 1.06-3.86, P = .03). Area-level socioeconomic factors attenuated that association (aPR = 1.63, 95% CI = 0.78-3.39, P = .19).

conclusionsArea-level factors may influence PrEP uptake among Black people in the South.

Indexed as

Residence CharacteristicsSocioeconomic FactorsAdultAnti-HIV AgentsBlack or African AmericanBlack PeopleFemaleHIV InfectionsHumansMaleMiddle AgedPre-Exposure ProphylaxisRisk AssessmentRisk FactorsUnited StatesAnti-HIV AgentsBlack/African AmericansHIVPre-exposure prophylaxis (PrEP)SouthUnited States (U.S.)

Identifiers

PMID31899083
PMCPMC7056502

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Registered trials

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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.