Evidence map›Paper›PMID 34014430›Full record

ArticleAIDS and behavior2021

The Influence of PrEP-Related Stigma and Social Support on PrEP-Use Disclosure among Women Who Inject Drugs and Social Network Members.

Marisa Felsher, Karley Dutra, Brent Monseur, Alexis M Roth, Carl Latkin, Oluwaseun Falade-Nwulia

Open 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. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
0.8field-weighted citation impact, top 24% 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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 16 citations in OpenAlex.

  1. Pooled it
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  15. The Impact of Providers as Health Discussants on Black Women's Interest in PrEP for HIV Prevention.Journal of the International Association of Providers of AIDS Care
    Article
  16. Review
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

6 authors at 4 institutions in 1 country.

Marisa FelsherDivision of Infectious Diseases, Johns Hopkins University School of Medicine, 4940 Eastern Ave, Baltimore, MD, 21224, USA. mfelshe1@jh.edu.ORCID http://orcid.org/0000-0002-8475-7136
Karley DutraDepartment of Obstetrics and Gynecology, Thomas Jefferson University Hospital, 833 Chestnut Street, Philadelphia, PA, 19107, USA.
Brent MonseurDepartment of Obstetrics and Gynecology, Stanford Hospital and Clinics, 300 Pasteur Dr, Stanford, CA, 94305, USA.
Alexis M RothDepartment of Community Health and Prevention, Dornsife School of Public Health, Drexel University, 3215 Market Street, Philadelphia, PA, 19104, USA.
Carl LatkinBloomberg School of Public Health, Johns Hopkins University, 615 N. Wolfe Street, Baltimore, MD, 21205, USA.
Oluwaseun Falade-NwuliaDivision of Infectious Diseases, Johns Hopkins University School of Medicine, 4940 Eastern Ave, Baltimore, MD, 21224, USA.
Johns Hopkins University · USDrexel University · USStanford Health Care · USThomas Jefferson University Hospital · US

Funding

Focused Training in Social Networks and HealthR25HD079352 · NICHD · DUKE UNIVERSITY · PI MOODY, JAMES · 2015 to 2024
$1.6M
Packaging Pre-Exposure Prophylaxis (PrEP) to Prevent HIV Transmission among Women who Inject DrugsR21DA043417 · NIDA · DREXEL UNIVERSITY · PI ROTH, ALEXIS MARIE · 2017 to 2018
$442k
NICHD NIH HHS R25 HD079352NIDA NIH HHS R21DA043417NIH HHS R25HD079352
6 · The paper itself

Abstract

Pre-exposure prophylaxis (PrEP) is a promising but underutilized HIV prevention strategy for Women who Inject Drugs (WWID). Stigma and disclosure concerns have been key barriers to PrEP use among women in PrEP efficacy trials. Social support has been found to buffer against some PrEP stigma, though these factors have been largely unexplored among WWID. Investigating how WWID disclose PrEP use is important given evidence that disclosure is associated with higher adherence. We aimed to identify the impact of stigma and support on PrEP disclosure within social networks of WWID participating in a PrEP demonstration project in Philadelphia, PA, USA. PrEP-using WWID ≥ 18 years completed social network surveys. Generalized estimating equations were used to account for the correlation of network structure. Thirty-nine WWID (i.e. egos) named an average of 9.5 ± 3.3 network members (i.e. alters), for a total sample of 371 unique relationships. Egos disclosed their PrEP use to an average of 4.0 alters (SD = 2.8). Related to PrEP stigma, participants had 0.4 times decreased odds of PrEP disclosure with alters who would disapprove of them taking PrEP (95% CI: 0.1-0.9). Related to support, participants had 2.5 times higher odds of disclosure among peers who could provide PrEP advice (95% CI: 1.0-6.0). Interventions that increase social support and decrease stigma are pivotal for increasing PrEP use disclosure among WWID.

Indexed as

Anti-HIV AgentsHIV InfectionsPharmaceutical PreparationsPre-Exposure ProphylaxisDisclosureFemaleHumansSocial NetworkingSocial StigmaSocial SupportAnti-HIV AgentsPharmaceutical PreparationsHIVPre-exposure prophylaxisSocial networksWomen who inject drugs

Identifiers

PMID34014430
PMCPMC8602776
OpenAlexW3163942510

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.