Evidence map›Paper›PMID 36026586›Full record

ArticleJournal of medical Internet research2022

Engagement With HIV and COVID-19 Prevention: Nationwide Cross-sectional Analysis of Users on a Geosocial Networking App.

Thomas W Gaither, John T Sigalos, Raphael J Landovitz, Jesse N Mills, Mark S Litwin, Sriram V Eleswarapu

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of medical Internet research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
0.1field-weighted citation impact, top 59% 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it, 1 citations in OpenAlex.

  1. Pooled it
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 1 institution in 1 country.

Thomas W GaitherDepartment of Urology, David Geffen School of Medicine at UCLA, University of California, Los Angeles, Los Angeles, CA, United States.ORCID 0000-0003-0451-8344
John T SigalosDepartment of Urology, David Geffen School of Medicine at UCLA, University of California, Los Angeles, Los Angeles, CA, United States.ORCID 0000-0001-9458-9626
Raphael J LandovitzDivision of Infectious Diseases, Department of Medicine, David Geffen School of Medicine at UCLA, University of California, Los Angeles, Los Angeles, CA, United States.ORCID 0000-0002-1442-714X
Jesse N MillsDepartment of Urology, David Geffen School of Medicine at UCLA, University of California, Los Angeles, Los Angeles, CA, United States.ORCID 0000-0002-7833-7071
Mark S LitwinDepartment of Urology, David Geffen School of Medicine at UCLA, University of California, Los Angeles, Los Angeles, CA, United States.ORCID 0000-0002-2318-344X
Sriram V EleswarapuDepartment of Urology, David Geffen School of Medicine at UCLA, University of California, Los Angeles, Los Angeles, CA, United States.ORCID 0000-0003-1852-4833
University of California, Los Angeles · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGeosocial networking (GSN) apps play a pivotal role in catalyzing sexual partnering, especially among men who have sex with men.

objectiveTo quantify the prevalence and disparities in disclosure of pre-exposure prophylaxis (PrEP) use and COVID-19 vaccination among GSN app users, mostly men who have sex with men, in the United States.

methodsWeb-based Grindr profiles from the top 50 metropolitan areas as well as the 50 most rural counties in the United States by population were randomly sampled. Grindr provides an option to disclose current PrEP use (HIV positive, HIV negative, or HIV negative with PrEP use). The free text in all profiles was analyzed, and any mention of COVID-19 vaccination was recorded. Multivariable logistic regression to assess independent associations with PrEP disclosure and COVID-19 vaccination was performed. Imputation analyses were used to test the robustness of the results.

resultsWe evaluated 1889 urban and 384 rural profiles. Mean age among urban profiles was 32.9 (SD 9.6) years; mean age among rural profiles was 33.5 (SD 12.1) years (P=.41). Among the urban profiles, 16% reported being vaccinated against COVID-19 and 23% reported PrEP use compared to 10% and 8% in rural profiles, respectively (P=.002 and P<.001, respectively). Reporting COVID-19 vaccination (adjusted odds ratio [aOR] 1.7, 95% CI 1.2-2.4), living in an urban center (aOR 3.2, 95% CI 1.8-5.7), and showing a face picture as part of the Grindr profile (aOR 4.0, 95% CI 2.3-7.0) were positively associated with PrEP disclosure. Self-identified Black and Latino users were less likely to report PrEP use (aOR 0.6, 95% CI 0.4-0.9 and aOR 0.5, 95% CI 0.4-0.9, respectively). Reporting PrEP use (aOR 1.7, 95% CI 1.2-2.4), living in an urban center (aOR 2.5, 95% CI 1.4-4.5), having a "discreet" status (aOR 1.6, 95% CI 1.0-2.5), and showing a face picture (aOR 2.7, 95% CI 1.5-4.8) were positively associated with reporting COVID-19 vaccination on their profile. Users in the southern United States were less likely to report COVID-19 vaccination status than those in the northeast United States (aOR 0.6, 95% CI 0.3-0.9).

conclusionsVariations in PrEP disclosure are associated with race, whereas COVID-19 vaccination disclosure is associated with geographic area. However, rural GSN users were less likely to report both PrEP use and COVID-19 vaccination. The data demonstrate a need to expand health preventative services in the rural United States for sexual minorities. GSN platforms may be ideal for deployment of preventative interventions to improve access for this difficult-to-reach population.

Indexed as

COVID-19HIV InfectionsMobile ApplicationsPre-Exposure ProphylaxisSexual and Gender MinoritiesAdultCOVID-19 VaccinesCross-Sectional StudiesFemaleHomosexuality, MaleHumansMaleSocial NetworkingUnited StatesCOVID-19 VaccinesCOVID-19digital applicationdigital surveillancegeosocial networkgeosocial networking appshealth platformmen who have sex with menmobile healthpre-exposure prophylaxispublic healthruralsurveillancesurveillance platformvaccination

Identifiers

PMID36026586
PMCPMC9512083
OpenAlexW4224321515

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.