Evidence map›Paper›PMID 32193812›Full record

ArticleArchives of sexual behavior2021

Disclosure of Same-Sex Sexual Practices to Family and Healthcare Providers by Men Who Have Sex with Men and Transgender Women in Nigeria.

Afoke Kokogho, Senate Amusu, Stefan D Baral, Manhattan E Charurat, Sylvia Adebajo, Olumide Makanjuola, Veronica Tonwe, Casey Storme, Nelson L Michael, Merlin L Robb and 4 more

Abstract read
In one paragraph

Article in Archives of sexual behavior, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing 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

21 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

14 authors.

Afoke KokoghoU.S. Army Medical Research Directorate-Africa, Nairobi, Kenya.
Senate AmusuU.S. Army Medical Research Directorate-Africa, Nairobi, Kenya.
Stefan D BaralJohns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Manhattan E CharuratInstitute of Human Virology, University of Maryland, Baltimore, MD, USA.
Sylvia AdebajoPopulation Council Nigeria, Abuja, Nigeria.
Olumide MakanjuolaThe Initiative for Equal Rights, Lagos, Nigeria.
Veronica TonweHenry M. Jackson Foundation for the Advancement of Military Medicine, Bethesda, MD, 20817, USA.
Casey StormeHenry M. Jackson Foundation for the Advancement of Military Medicine, Bethesda, MD, 20817, USA.
Nelson L MichaelCenter for Infectious Disease Research, Walter Reed Army Institute of Research, Silver Spring, MD, USA.
Merlin L RobbHenry M. Jackson Foundation for the Advancement of Military Medicine, Bethesda, MD, 20817, USA.
Julie A AkeU.S. Military HIV Research Program, Walter Reed Army Institute of Research, Silver Spring, MD, USA.
Rebecca G NowakInstitute of Human Virology, University of Maryland, Baltimore, MD, USA.
Trevor A CrowellHenry M. Jackson Foundation for the Advancement of Military Medicine, Bethesda, MD, 20817, USA. tcrowell@hivresearch.org.ORCID http://orcid.org/0000-0001-5947-265X
TRUST/RV368 Study Group

Funding

UM-IHV AITRP in NigeriaD43TW001041 · FIC · UNIVERSITY OF MARYLAND BALTIMORE · PI CHARURAT, MANHATTAN E · 1998 to 2015
$9.2M
Validation of Stigma Metrics for Marginalized Men R01MH110358 · NIMH · JOHNS HOPKINS UNIVERSITY · PI BARAL, STEFAN DAVID · 2017 to 2021
$3.6M
Building TRUSTR01AI120913 · NIAID · UNIVERSITY OF MARYLAND BALTIMORE · PI CHARURAT, MANHATTAN E · 2015 to 2019
$3.3M
TRUSTR01MH099001 · NIMH · UNIVERSITY OF MARYLAND BALTIMORE · PI CHARURAT, MANHATTAN E · 2012 to 2014
$2.9M
Epidemiology Research Training for Public Health Impact in Nigeria (Epi-Nigeria)D43TW010051 · FIC · UNIVERSITY OF MARYLAND BALTIMORE · PI ABIMIKU, ALASH'LE G., CHARURAT, MANHATTAN E · 2016 to 2020
$1.5M
Role of anal microbiota, local cytokines and HIV in persistence of high-risk human papillomavirusK07CA225403 · NCI · UNIVERSITY OF MARYLAND BALTIMORE · PI NOWAK, REBECCA G. · 2018 to 2022
$677k
FIC NIH HHS D43 TW001041FIC NIH HHS D43 TW010051NCI NIH HHS K07 CA225403NIAID NIH HHS R01 AI120913NIMH NIH HHS R01 MH099001NIMH NIH HHS R01 MH110358
6 · The paper itself

Abstract

Disclosure of same-sex sexual practices by men who have sex with men (MSM) and transgender women (TGW) may facilitate appropriate healthcare engagement, including risk assessment for HIV and other sexually transmitted infections (STIs), and negotiation of condom use with partners. However, disclosure may also generate stigma. In these cross-sectional analyses, MSM and TGW were categorized based on self-report of disclosure to family members and healthcare providers (HCP) at enrollment into the TRUST/RV368 study of comprehensive HIV and STI care programs in Abuja and Lagos, Nigeria. Multivariable Poisson regression models with robust error variance were used to estimate relative risk of disclosure with 95% confidence intervals. Pearson's chi-squared test was used to compare condom use and stigma indicators by disclosure status. Of 2557 participants who answered baseline questions about disclosure, 384 (15.0%) had ever disclosed to a family member and 733 (28.7%) to HCP, including 192 (7.5%) who disclosed to both. Higher education, prevalent HIV infections, and residence in Lagos were each associated with increased likelihood of disclosure to family and HCP. Older participants were more likely to disclose to HCP but not family. Participants who made a disclosure to family or HCP were more likely to report condom use during anal sex as well as perceived and experienced stigma that included healthcare avoidance, blackmail, assault, and sexual violence as compared to participants who had not disclosed. Improved disclosure practices within safe spaces may enhance engagement of MSM and TGW in healthcare and HIV prevention services.

Indexed as

HIV InfectionsSexual and Gender MinoritiesTransgender PersonsCohort StudiesCross-Sectional StudiesDisclosureFemaleHealth PersonnelHomosexuality, MaleHumansMaleNigeriaSexual BehaviorSocial StigmaAIDSGender and sexual minoritiesNigeriaSexual orientationStigmaTransgender

Identifiers

PMID32193812
PMCPMC8017753

What OpenQuestion holds

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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.