Evidence map›Paper›PMID 32092665›Full record

ArticleThe International journal on drug policy2020

The role of syringe exchange programs and sexual identity in awareness of pre-exposure prophylaxis (PrEP) for male persons who inject drugs.

Suzan M Walters, Bethany Coston, Alan Neaigus, Alexis V Rivera, Lila Starbuck, Valentina Ramirez, Kathleen H Reilly, Sarah L Braunstein

Open access · greenAbstract read
In one paragraph

Article in The International journal on drug policy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
3.8field-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.

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

27 citing papers in PubMed, 38 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

8 authors at 4 institutions in 1 country.

Suzan M WaltersRory Meyers College of Nursing, New York University, New York, NY, United States; Center for Drug Use and HIV/HCV Research, New York, NY, United States. Electronic address: smk556@nyu.edu.
Bethany CostonDepartment of Gender, Sexuality, and Women's Studies, Virginia Commonwealth University, Richmond, VA, United States.
Alan NeaigusDepartment of Epidemiology Joseph L. Mailman School of Public Health, Columbia University, NY, United States.
Alexis V RiveraNew York City Department of Health and Mental Hygiene, New York, NY, United States.
Lila StarbuckNew York City Department of Health and Mental Hygiene, New York, NY, United States.
Valentina RamirezNew York City Department of Health and Mental Hygiene, New York, NY, United States.
Kathleen H ReillyNew York City Department of Health and Mental Hygiene, New York, NY, United States.
Sarah L BraunsteinNew York City Department of Health and Mental Hygiene, New York, NY, United States.
New York City Department of Health and Mental Hygiene · USColumbia University · USNew York University · USVirginia Commonwealth University · US

Funding

BEHAVIORAL SCI TRAINING IN DRUG ABUSE RESEARCHT32DA007233 · NIDA · PUBLIC HEALTH SOLUTIONS · PI GOLDSAMT, LLOYD A · 1985 to 2023
$20.2M
NIDA NIH HHS T32 DA007233
6 · The paper itself

Abstract

backgroundMale persons who inject drugs (male PWID) are at heightened risk for HIV, particularly if they also have sex with men. Pre-exposure prophylaxis (PrEP) could aid in HIV prevention for this population, but PrEP awareness within different sexual identities among male PWID is not well-understood. We report factors associated with greater awareness among male PWID to identify efficient means of awareness dissemination.

methodsData from the 2015 National HIV Behavioral Surveillance (NHBS) system cycle on injection drug use collected in New York City (NYC) were used. Bivariable analyses, using chi-squared statistics, were conducted to examine correlates of awareness of PrEP with socio-demographic, behavioral, and health care variables. Log-linked Poisson regression with robust standard errors was used to estimate adjusted prevalence ratios and determine differences in awareness of PrEP.

resultsAmong a sample of 332 male PWID (i.e., PWID who identified as male, not transgender) we find awareness of PrEP to be low (23%) among male PWID despite 68% reporting condomless vaginal/anal sex and 32% reporting injection equipment sharing in the last twelve months. Multivariable analysis found greater PrEP awareness associated with gay or bisexual identity (aPR: 2.77, 95% CI: 1.81-4.24) and having a conversation about HIV prevention at a syringe exchange program (SEP) (aPR: 2.71, 95% CI: 1.87-3.94) to be associated with increased PrEP awareness.

conclusionWe found low rates of PrEP awareness among male PWID. However, our findings provide insight into information diffusion that can be utilized to increase PrEP awareness among male PWID and among all PWID. We suggest that gay and bisexual social networks and syringe exchange programs are diffusing PrEP awareness among male PWID and can be harnessed to increase PrEP awareness among male PWID.

Indexed as

Health Knowledge, Attitudes, PracticeHomosexuality, MaleNeedle-Exchange ProgramsPre-Exposure ProphylaxisSubstance Abuse, IntravenousAdolescentAdultCross-Sectional StudiesHIV InfectionsHumansMaleMiddle AgedNew York CitySurveys and QuestionnairesYoung AdultHIVMen who have sex with men (MSM)People who inject drugs (PWID)Pre-exposure prophylaxis (PrEP)Social networksSyringe exchange programs

Identifiers

PMID32092665
PMCPMC7245771
OpenAlexW3008290264

What OpenQuestion holds

Textmetadata
LicenceTDM
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.