Evidence map›Paper›PMID 33954892›Full record

ArticleInternational journal of behavioral medicine2022

Examining Factors Associated with Gender Identity Among Individuals Disengaged from HIV Care in Argentina.

Pablo D Radusky, Ines Aristegui, Lissa N Mandell, Emanuel Dell'Isola, Virginia Zalazar, Nadir Cardozo, María L Alcaide, Stephen M Weiss, Deborah L Jones, Omar Sued

Open access · greenAbstract read
In one paragraph

Article in International journal of behavioral medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.4field-weighted citation impact, top 12% 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

12 citing papers in PubMed, 16 citations in OpenAlex.

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  12. HIV and Substance Use in Latin America: A Scoping Review.International journal of environmental research and public health · 2022
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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

10 authors at 2 institutions in 2 countries.

Pablo D RaduskyResearch Department, Fundación Huésped, Buenos Aires, Argentina. pablo.radusky@huesped.org.ar.ORCID http://orcid.org/0000-0001-8969-6988
Ines AristeguiResearch Department, Fundación Huésped, Buenos Aires, Argentina.ORCID http://orcid.org/0000-0002-1196-5620
Lissa N MandellDepartment of Psychiatry and Behavioral Sciences, University of Miami Miller School of Medicine, Miami, FL, USA.ORCID http://orcid.org/0000-0003-1180-1711
Emanuel Dell'IsolaResearch Department, Fundación Huésped, Buenos Aires, Argentina.
Virginia ZalazarResearch Department, Fundación Huésped, Buenos Aires, Argentina.ORCID http://orcid.org/0000-0001-7004-3610
Nadir CardozoResearch Department, Fundación Huésped, Buenos Aires, Argentina.
María L AlcaideDivision of Infectious Diseases, Department of Medicine, University of Miami Miller School of Medicine, Miami, FL, USA.ORCID http://orcid.org/0000-0003-4648-0145
Stephen M WeissDepartment of Psychiatry and Behavioral Sciences, University of Miami Miller School of Medicine, Miami, FL, USA.ORCID http://orcid.org/0000-0001-6266-6148
Deborah L JonesDepartment of Psychiatry and Behavioral Sciences, University of Miami Miller School of Medicine, Miami, FL, USA.ORCID http://orcid.org/0000-0002-0309-0334
Omar SuedResearch Department, Fundación Huésped, Buenos Aires, Argentina.ORCID http://orcid.org/0000-0001-5818-770X
Fundación Huésped · ARUniversity of Miami · US

Funding

Positive Connections: COPA2R01MH110242 · NIMH · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI JONES, DEBORAH LYNNE · 2016 to 2019
$2.3M
NIMH NIH HHS R01 MH110242
6 · The paper itself

Abstract

backgroundTransgender women (TGW) consistently show lower adherence to antiretroviral treatment (ART), than cisgender people (CP) living with HIV. This study examined sociodemographic and psychosocial factors associated with gender identity among individuals disengaged from HIV care in Argentina.

methodsData for this study was obtained at baseline from the Conexiones y Opciones Positivas en la Argentina 2 (COPA2) study. Forty-one TGW and 360 CP (177 male, 183 female) disengaged from HIV care completed questionnaires assessing sociodemographic information, severity of depressive symptoms, substance and alcohol use, patient-provider relationship quality, self-efficacy, ART adherence motivation, self-reported adherence, and treatment-related factors. Analyses included chi-square tests exploring the association between categorical variables and gender identity, and ANCOVAs comparing groups controlling for age.

resultsBeing a TGW was associated with having only public health insurance; substance use, particularly cocaine; substance-related problems; and hazardous drinking. TGW showed more negative consequences related to substance use, more hazardous alcohol use, lower patient-provider relationship quality, and lower self-reported adherence, than CP.

conclusionsHarm reduction should be a key component in HIV care for TGW to address substance use. Health care teams should receive formal training in patient-provider communication skills and trans-specific competencies to enhance TGW's adherence and retention. Public policies to address structural factors that negatively affect TGW's adherence to ART are also needed.

Indexed as

HIV InfectionsTransgender PersonsAnti-Retroviral AgentsArgentinaFemaleGender IdentityHumansMaleMedication AdherenceAnti-Retroviral AgentsAdherenceArgentinaHIV careRetentionTransgender women

Identifiers

PMID33954892
PMCPMC8901250
OpenAlexW3157536004

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.