ArticleAIDS and behavior2021
Substance Use Stigma, Avoidance Coping, and Missed HIV Appointments Among MSM Who Use Substances.
Article in AIDS and behavior, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers.
What it found
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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.
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Who cites it
40 citing papers in PubMed, 52 citations in OpenAlex.
- Barriers and facilitators to medication-assisted treatment for cocaine use disorder among men who have sex with men: a qualitative study.Addiction science & clinical practice · 2024Trial
- Shame and stigma in association with the HCV cascade to cure among people who inject drugs.Drug and alcohol dependence · 2023Trial
- Development of a Telephone-Delivered Acceptance and Commitment Therapy Intervention for People Living with HIV who are Hazardous Drinkers.AIDS and behavior · 2022Trial
- Prior-Year Substance Use Disorders and Subsequent HIV Retention in Care Among Men Living with HIV Who Have Sex with Men.AIDS and behavior · 2026Article
- Development and Validation of a Provider-Specific Anticipated Stigma Scale for People Who Inject Drugs.AIDS and behavior · 2026Article
- Facilitators, barriers, and strategies for optimizing engagement in recovery community centers among sexual minority people in the U.S. Northeast.Drug and alcohol dependence reports · 2026Article
- Overdose risk in the context of chemsex among gay, bisexual, and other men who have sex with men.Harm reduction journal · 2026Review
- Multiple Discrimination, Substance-Related Coping, and Depression Among Sexual Minority Men with HIV.Journal of homosexuality · 2026Article
- Stigma and anxiety/depression among Chinese older people living with HIV/AIDS: a moderated mediation model of coping strategies and quality of life.Frontiers in public health · 2026Article
- Subjective social status in relation to the associations between internalized stigmas and missed HIV appointments among MSM who use substances.SSM. Mental health · 2025Article
- Associations Between Healthcare Providers' Stigmatizing Attitudes Toward People Living with HIV and People Who Use Drugs: A Canonical Correlation Analysis.AIDS and behavior · 2025Article
- Barriers and pathways to re-engage people with HIV and substance use in medical care: a qualitative study among persons with lived experience.AIDS research and therapy · 2025Article
- Low Risk Perception of Harm From Substance Use and Sexual Behaviors Among Online Help-Seeking Sexual and Gender Minoritized People in San Francisco, California: Cross-Sectional Survey.JMIR formative research · 2025Article
- Adaptive coping, emotions, and antiretroviral therapy adherence among gay, bisexual, and other men who have sex with men (gbMSM) with HIV.Journal of health psychology · 2025Article
- Sexual behavior stigma among cisgender gay, bisexual, and other men who have sex with men in nine NHBS cities across the United States: Burden and associations with PrEP continuum and HIV care continuum outcomes.Stigma and health · 2025Article
- Drug-related stigma among people who inject drugs - development and validation of the drug use stigma scale (DUSS).PloS one · 2025Article
- Protocol for a randomized controlled trial of patient-portal-based screening for substance use among people with HIV.Frontiers in public health · 2025Article
- Exploring Effects of Race and Differential Item Functioning on PrEP Stigma Experiences: Implications for Latent Stigma Measurement in Racially and Sexually Diverse Populations.AIDS and behavior · 2024Article
- Assessment of the HIV Enhanced Access Testing in the Emergency Department (HEATED) program in Nairobi, Kenya: a quasi-experimental prospective study.HIV research & clinical practice · 2024Article
- An Exploratory Study of Overlapping Stigmas and Substance Use Stigma Among Women with Substance Use Histories Who are Incarcerated.Journal of drug issues · 2024Article
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
Abstract
Men who have sex with men (MSM) living with HIV who use substances have multiple stigmatized identities. Theory suggests that internalization of stigma may elicit avoidance behaviors associated with these stigmas, potentially resulting in suboptimal engagement in HIV care. We investigated interrelationships between internalized stigmas related to HIV, sexual orientation, and substance use; avoidance coping; and missed HIV appointments among 202 MSM living with HIV who use substances. Neither HIV nor sexual orientation-related internalized stigmas were associated with missed appointments, however, internalized substance use stigma (SUS) was associated (OR 1.47, 95% CI 1.15, 1.87). The relationship between internalized SUS and missed appointments was partially accounted for by avoidance coping (b = 0.12; bootstrap 95% CI 0.02, 0.25). To better understand the role of SUS, we assessed relationships between enacted and anticipated SUS and missed appointments (OR 2.08, 95% CI 1.52, 2.84 and OR 1.44, 95% CI 1.10, 1.88, respectively). Avoidance coping fully accounted for the relationship between anticipated SUS and missed appointments (b = 0.12; 95% CI 0.02, 0.25). Results suggest that avoidance strategies to manage anticipated SUS may result in substance using MSM forgoing HIV care appointments.
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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.