Evidence map›Paper›PMID 31918605›Full record

Trial reportJournal of the International Association of Providers of AIDS Care

Women's Decision-Making about PrEP for HIV Prevention in Drug Treatment Contexts.

Yilu Qin, Carolina Price, Ronnye Rutledge, Lisa Puglisi, Lynn M Madden, Jaimie P Meyer

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in Journal of the International Association of Providers of AIDS Care. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 21% 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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 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

6 authors at 2 institutions in 1 country.

Yilu QinInternal Medicine Primary Care Residency Program, HIV Training Track, Yale School of Medicine, New Haven, CT, USA.ORCID 0000-0003-3781-3307
Carolina PriceAIDS Program, Yale School of Medicine, New Haven, CT, USA.
Ronnye RutledgeAIDS Program, Yale School of Medicine, New Haven, CT, USA.
Lisa PuglisiDepartment of Medicine, Section of General Medicine, Yale School of Medicine, New Haven, CT, USA.
Lynn M MaddenAIDS Program, Yale School of Medicine, New Haven, CT, USA.
Jaimie P MeyerAIDS Program, Yale School of Medicine, New Haven, CT, USA.ORCID 0000-0001-5735-385X
Yale University · USBrigham and Women's Hospital · US

Funding

Doris Duke Charitable Foundation 2017080NIMHD NIH HHS L60 MD008852
6 · The paper itself

Abstract

Despite pre-exposure prophylaxis's (PrEP) efficacy for HIV prevention, uptake has been low among women with substance use disorders (SUDs) and attributed to women's lack of awareness. In semistructured interviews with 20 women with SUD and 15 key stakeholders at drug treatment centers, we assessed PrEP awareness and health-related decision-making. Women often misestimated their own HIV risk and were not aware of PrEP as a personally relevant option. Although women possessed key decision-making skills, behavior was ultimately shaped by their level of motivation to engage in HIV prevention. Motivation was challenged by competing priorities, minimization of perceived risk, and anticipated stigma. Providers were familiar but lacked experience with PrEP and were concerned about women's abilities to action plan in early recovery. HIV prevention for women with SUD should focus on immediately intervenable targets such as making PrEP meaningful to women and pursuing long-term systemic changes in policy and culture. Efforts can be facilitated by partnering with drug treatment centers to reach women and implement PrEP interventions.

Indexed as

Decision MakingHealth Knowledge, Attitudes, PracticePre-Exposure ProphylaxisAdultAnti-HIV AgentsFemaleHIV InfectionsHumansMiddle AgedPilot ProjectsSocial StigmaSubstance-Related DisordersWomen's Health ServicesAnti-HIV AgentsHIV preventionPrEPsubstance usewomen

Identifiers

PMID31918605
PMCPMC7099671
OpenAlexW2999375063

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.