Evidence map›Paper›PMID 33422864›Full record

ArticleDrug and alcohol dependence2021

Willingness to initiate pre-exposure prophylaxis (PrEP) and its use among opioid-dependent individuals in drug treatment.

Zhao Ni, Frederick L Altice, Jeffrey A Wickersham, Michael M Copenhaver, Elizabeth E DiDomizio, LaRon E Nelson, Roman Shrestha

Open access · greenAbstract read
In one paragraph

Article in Drug and alcohol dependence, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 22% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

  1. Pooled it
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  13. Correlates of Transactional Sex Among Black Men and Women Who Misuse Opioids.Health education & behavior : the official publication of the Society for Public Health Education · 2024
    Article
  14. Article
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  17. Race, trust, and COVID-19 vaccine hesitancy in people with opioid use disorder.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2022
    Article
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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

7 authors at 2 institutions in 1 country.

Zhao NiYale University School of Medicine, Section of Infectious Diseases, New Haven, CT, USA. Electronic address: zhao.ni@yale.edu.
Frederick L AlticeYale University School of Medicine, Section of Infectious Diseases, New Haven, CT, USA; Institute for Collaboration on Health, Intervention, & Policy, University of Connecticut, Storrs, CT, USA; Yale University School of Public Health, Division of Epidemiology of Microbial Diseases, New Haven, CT, USA.
Jeffrey A WickershamYale University School of Medicine, Section of Infectious Diseases, New Haven, CT, USA; Institute for Collaboration on Health, Intervention, & Policy, University of Connecticut, Storrs, CT, USA.
Michael M CopenhaverInstitute for Collaboration on Health, Intervention, & Policy, University of Connecticut, Storrs, CT, USA; Department of Allied Health Sciences, University of Connecticut, Storrs, CT, USA.
Elizabeth E DiDomizioYale University School of Medicine, Section of Infectious Diseases, New Haven, CT, USA.
LaRon E NelsonYale University School of Nursing, New Haven, CT, USA.
Roman ShresthaYale University School of Medicine, Section of Infectious Diseases, New Haven, CT, USA; Institute for Collaboration on Health, Intervention, & Policy, University of Connecticut, Storrs, CT, USA.
Yale University · USUniversity of Connecticut · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Secondary HIV Prevention and Adherence Among HIV-infected Drug UsersR01DA032290 · NIDA · UNIVERSITY OF CONNECTICUT STORRS · PI COPENHAVER, MICHAEL · 2012 to 2016
$3.1M
Enhancing Health Outcomes Among HIV+ Substance AbusersK24DA017072 · NIDA · YALE UNIVERSITY · PI ALTICE, FREDERICK LEWIS · 2003 to 2012
$1.5M
Optimizing HIV Prevention Among Opioid-Dependent PersonsK24DA051344 · NIDA · UNIVERSITY OF CONNECTICUT STORRS · PI MICHAEL COPENHAVER · 2020 to 2026
$1.3M
Training in MHealth Prevention with MSMK01DA051346 · NIDA · YALE UNIVERSITY · PI SHRESTHA, ROMAN · 2020 to 2024
$862k
Training in Drug Abuse & HIV Prevention for Female & Transgender Sex WorkersK01DA038529 · NIDA · YALE UNIVERSITY · PI WICKERSHAM, JEFFREY ALLEN · 2014 to 2018
$838k
Integrated Rapid Access to HIV Prevention Program for People Who Inject Drugs (RAPID)R21DA051934 · NIDA · YALE UNIVERSITY · PI SHRESTHA, ROMAN · 2020 to 2021
$457k
NCATS NIH HHS UL1 TR001863NIDA NIH HHS K01 DA038529NIDA NIH HHS K01 DA051346NIDA NIH HHS K24 DA017072NIDA NIH HHS K24 DA051344NIDA NIH HHS R01 DA032290NIDA NIH HHS R21 DA051934
6 · The paper itself

Abstract

backgroundPeople who use drugs (PWUD) continue to experience a disproportionate HIV burden due to drug- and sex-related risk behaviors. Pre-exposure prophylaxis (PrEP) is highly effective at preventing HIV infection, but very little is known about PrEP use among PWUD and their willingness to initiate PrEP.

methodsWe conducted a cross-sectional survey among 234 HIV-negative, opioid-dependent individuals recruited from an urban methadone clinic. Participants were assessed using an audio-computer assisted self-interview technique. Bivariate and multiple logistic regressions were used to explore independent correlates of actual PrEP use and willingness to initiate PrEP.

resultsOne-fourth (25.6 %) of participants had previously used PrEP. Over two-thirds (67.1 %) of participants had previously heard of PrEP, and 65.0 % were willing to take it. In multivariable logistic regression analyses, the number of times participants engaged in HIV testing (aOR = 1.66, p < 0.01) and whether they visited a healthcare provider (aOR=20.81, p = 0.02) were associated with a higher likelihood of PrEP use, while perceived HIV risk (aOR=2.71, p < 0.01) and previous use of PrEP (aOR=3.57, p < 0.01) were significantly associated with willingness to initiate PrEP.

conclusionPrEP use was low among PWUD, but their willingness to initiate PrEP was moderate, which indicated a significant discrepancy between actual PrEP use and willingness to use it. Our findings highlight the importance of healthcare providers engaging opioid-dependent individuals in discussions about PrEP and the need for innovative strategies to increase their awareness of PrEP and modify their perceptions of HIV risk.

Indexed as

AdolescentAdultAnalgesics, OpioidCross-Sectional StudiesFemaleHIV InfectionsHomosexuality, MaleHumansLogistic ModelsMaleMethadoneOpiate Substitution TreatmentPatient Acceptance of Health CarePharmaceutical PreparationsPre-Exposure ProphylaxisSurveys and QuestionnairesAnalgesics, OpioidMethadonePharmaceutical PreparationsHIV preventionOpioid-dependentOpioid use disorderPeople who use drugs (PWUD)Pre-exposure prophylaxis (PrEP)Sexual risk behaviorSubstance use

Identifiers

PMID33422864
PMCPMC7946167
OpenAlexW3120410226

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.