Evidence map›Paper›PMID 33506305›Full record

ArticleAIDS and behavior2021

HIV and Substance Use Stigma, Intersectional Stigma and Healthcare Among HIV-Positive PWID in Russia.

Marina V Vetrova, Debbie M Cheng, Sally Bendiks, Natalia Gnatienko, Christine Lloyd-Travaglini, Wenqing Jiang, Jason Luoma, Elena Blokhina, Evgeny Krupitsky, Dmitry Lioznov and 4 more

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in AIDS and behavior, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06682468 (Achieving Equity in Patient Outcome Reporting for Timely Assessments of Life With HIV and Substance Use), which is not on this map. Cited by 37 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 2 pooled it
2.5field-weighted citation impact, top 9% 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.

NCT06682468 naactive not recruitingnot on this mapstarted 2025, after this paper: background citation

Achieving Equity in Patient Outcome Reporting for Timely Assessments of Life With HIV and Substance Use

TypeinterventionalSponsorUniversity of ChicagoRan2025 to 2026Enrolled900ConditionsSubstance Use Disorders, HIVArmsPopulation level patient portal based substance involvement screening, Usual Care Substance Use Involvement Screening
3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 2 syntheses or guidelines pooled it, 46 citations in OpenAlex.

  1. Interventions to reduce self-stigma in people who use drugs: A systematic review.Journal of substance use and addiction treatment · 2024
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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 at 6 institutions in 3 countries.

Marina V VetrovaLaboratory of Clinical Psychopharmacology of Addictions, First Pavlov State Medical, University of Saint Petersburg, 6-8 Lev Tolstoy Street, St. Petersburg, Russia, 197022. mvetrova111@gmail.com.ORCID http://orcid.org/0000-0002-9698-0327
Debbie M ChengSchool of Public Health, Boston University, Boston, USA.
Sally BendiksBoston Medical Center, Boston, USA.
Natalia GnatienkoBoston Medical Center, Boston, USA.
Christine Lloyd-TravagliniSchool of Public Health, Boston University, Boston, USA.
Wenqing JiangSchool of Public Health, Boston University, Boston, USA.
Jason LuomaPortland Psychotherapy Clinic, Research, & Training Center, Portland, OR, USA.
Elena BlokhinaLaboratory of Clinical Psychopharmacology of Addictions, First Pavlov State Medical, University of Saint Petersburg, 6-8 Lev Tolstoy Street, St. Petersburg, Russia, 197022.
Evgeny KrupitskyLaboratory of Clinical Psychopharmacology of Addictions, First Pavlov State Medical, University of Saint Petersburg, 6-8 Lev Tolstoy Street, St. Petersburg, Russia, 197022.
Dmitry LioznovLaboratory of Clinical Psychopharmacology of Addictions, First Pavlov State Medical, University of Saint Petersburg, 6-8 Lev Tolstoy Street, St. Petersburg, Russia, 197022.
Maria L EkstrandCenter for AIDS Prevention Studies, School of Medicine, University of California San Francisco, San Francisco, CA, USA.
Anita RajCenter on Gender Equity and Health, University of California San Diego, San Diego, CA, USA.
Jeffrey H SametBoston Medical Center, Boston, USA.
Karsten LunzeBoston Medical Center, Boston, USA.
Boston University · USFirst Pavlov State Medical University of St. Petersburg · RUBoston Medical Center · USOregon Clinic · USUniversity of California San Diego · USUniversity of California, San Francisco · US

Funding

Translational ScienceP30AI042853 · NIAID · MIRIAM HOSPITAL · PI CURT G BECKWITH · 1998 to 2026
$51.7M
URBAN ARCH 4/5 Russia Cohort-Targeting HIV-comorbidities with Pharmacotherapy to Reduce Alcohol and Tobacco Use in HIV-infected RussiansU01AA020780 · NIAAA · BOSTON MEDICAL CENTER · PI FREIBERG, MATTHEW S, SAMET, JEFFREY H. · 2011 to 2021
$4.4M
URBAN ARCH (2/5) Biostatistics and Data Management Core (BDM)U24AA020779 · NIAAA · BOSTON UNIVERSITY MEDICAL CAMPUS · PI CHENG, DEBBIE M. · 2011 to 2020
$3.6M
URBAN ARCH (1/5) Administrative Coordinating Core (Admin Core)U24AA020778 · NIAAA · BOSTON MEDICAL CENTER · PI SAMET, JEFFREY H. · 2011 to 2020
$3.5M
Zinc for HIV Disease among Alcohol Users -An RCT in the Russia ARCH CohortU01AA021989 · NIAAA · BOSTON MEDICAL CENTER · PI FREIBERG, MATTHEW S, SAMET, JEFFREY H. · 2012 to 2016
$3.3M
Stigma, Risk Behaviors and Health Care among HIV-infected Russian People Who Inject DrugsR00DA041245 · NIDA · BOSTON MEDICAL CENTER · PI LUNZE, KARSTEN · 2018 to 2020
$906k
Stigma, Risk Behaviors and Health Care among HIV-infected Russian People Who Inject DrugsK99DA041245 · NIDA · BOSTON MEDICAL CENTER · PI LUNZE, KARSTEN · 2016 to 2017
$355k
NIAAA NIH HHS U01AA0020780NIAAA NIH HHS U01 AA020780NIAAA NIH HHS U01 AA021989NIAAA NIH HHS U01AA021989NIAAA NIH HHS U24 AA020778NIAAA NIH HHS U24AA020778NIAAA NIH HHS U24 AA020779NIAAA NIH HHS U24AA020779NIAID NIH HHS P30 AI042853NIDA NIH HHS 2018 NIDA INVESTNIDA NIH HHS 4R00DA041245NIDA NIH HHS K99 DA041245NIDA NIH HHS K99DA041245NIDA NIH HHS R00 DA041245Providence/Boston Center for AIDS Research P30AI042853
6 · The paper itself

Abstract

Little is known about the intersection of HIV stigma and substance use stigma. Using data from 188 HIV-positive people who inject drugs (PWID) in Russia, we examined the associations of these stigmas and their interaction with access and utilization of healthcare. While substance use stigma was significantly associated with poor access to care (AOR 2.31, 95%CI 1.50-3.57), HIV stigma was not. HIV stigma was associated with lower inpatient care utilization (AOR 0.32, 95%CI 0.14-0.65), while substance use stigma was not. We did not detect a significant interaction between the two forms of stigma for either of the primary outcomes. However, those with high levels of both substance use stigma and HIV stigma had higher odds of poor general access to healthcare (AOR 1.86, 95%CI 1.19-2.92), and lower odds of recent general outpatient (AOR 0.52, 95%CI 0.32-0.85) and any inpatient (AOR 0.48, 95%CI 0.22-0.99) care utilization compared to those with low levels of both types of stigma. Interventions addressing both substance use and HIV stigma in general healthcare settings might improve care in this HIV key population.

Indexed as

HIV InfectionsSubstance Abuse, IntravenousDelivery of Health CareHealth FacilitiesHumansRussiaSocial StigmaHealth services accessibilityHIVKey and vulnerable populationStigmaSubstance-related disorders

Identifiers

PMID33506305
PMCPMC8316484
OpenAlexW3125558708

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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.