Evidence map›Paper›PMID 35876984›Full record

ArticleJournal of racial and ethnic health disparities2023

Exploring the Impact of Experiences with Everyday and Major Discrimination and HIV-Related Stigma on Engagement in HIV Care Among Older African Americans Living with HIV.

Timothy N Crawford, Sydney Silverstein, Tiffani Spaulding, Desby Cheribin, Tamiel Murray, Josef Rivera, Katherine Wilcher

Open access · greenAbstract read
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In one paragraph

Article in Journal of racial and ethnic health disparities, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.2field-weighted citation impact, top 20% 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

7 citing papers in PubMed, 12 citations in OpenAlex.

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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 1 institution in 1 country.

Timothy N CrawfordWright State University Boonshoft School of Medicine, Dayton, OH, USA. Timothy.crawford@wright.edu.ORCID 0000-0001-8005-4495
Sydney SilversteinWright State University Boonshoft School of Medicine, Dayton, OH, USA.
Tiffani SpauldingWright State University Boonshoft School of Medicine, Dayton, OH, USA.
Desby CheribinWright State University Boonshoft School of Medicine, Dayton, OH, USA.
Tamiel MurrayWright State University Boonshoft School of Medicine, Dayton, OH, USA.
Josef RiveraWright State University Boonshoft School of Medicine, Dayton, OH, USA.
Katherine WilcherWright State University Boonshoft School of Medicine, Dayton, OH, USA.
Wright State University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe purpose of this pilot study was to explore the effect of HIV-related stigma and everyday major experiences of discrimination on medication and clinic visit adherence among older African Americans living with HIV in Ohio.

methodsWe collected data from 53 individuals who were living with HIV in Ohio, ≥ 50 years of age, and who identified as Black or African American. We conducted logistic regression models to examine the impact of HIV-related stigma and experiences of discrimination on medication and visit adherence. Each model controlled for age, time since diagnosis, and sexual orientation.

resultsThe average age was 53.6 ± 2.1 years and 94.3% were men. Almost half (49.1%) of the participants reported poor medication adherence and almost a third (31.4%) reported poor visit adherence. HIV-related stigma (adjusted odds ratio (aOR) = 1.39; 95% confidence interval (CI) = 1.02-1.89) and major experiences of discrimination (aOR = 1.70; 95% CI = 1.11-2.60) were associated with a greater odds of poor medication adherence. Additionally, major experiences of discrimination were associated with a threefold increase in the odds of poor visit adherence (aOR = 3.24; 95% CI = 1.38-7.64).

conclusionsHIV-related stigma and major experiences of discrimination impede optimal medication and HIV clinic visit adherence for older African Americans living with HIV. To reduce the impact of stigma and discrimination on HIV care engagement, our first step must be in understanding how intersecting forms of stigma and discrimination impact engagement among older African Americans living with HIV.

Indexed as

Ambulatory CareBlack or African AmericanHIV InfectionsPatient ComplianceSocial DiscriminationSocial StigmaBlack PeopleDrug MonitoringFemaleHumansMaleMedication AdherenceMiddle AgedOhioPilot ProjectsRacismDiscriminationHIVMedication adherenceStigmaVisit adherence

Identifiers

PMID35876984
OpenAlexW4287510228

What OpenQuestion holds

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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.