Evidence map›Paper›PMID 36141757›Full record

ArticleInternational journal of environmental research and public health2022

Examining Barriers to Medication Adherence and Retention in Care among Women Living with HIV in the Face of Homelessness and Unstable Housing.

Sofia B Fernandez, Cindy Lopez, Cynthia Ibarra, Diana M Sheehan, Robert A Ladner, Mary Jo Trepka

Open access · goldAbstract read
In one paragraph

Article in International journal of environmental research and public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
5.6field-weighted citation impact, top 4% 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

14 citing papers in PubMed, 21 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

6 authors at 1 institution in 1 country.

Sofia B FernandezSchool of Social Work, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, FL 33199, USA.
Cindy LopezResearch Center in Minority Institutions (RCMI), Florida International University, Miami, FL 33199, USA.
Cynthia IbarraDepartment of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, FL 33199, USA.
Diana M SheehanResearch Center in Minority Institutions (RCMI), Florida International University, Miami, FL 33199, USA.
Robert A LadnerBehavioral Science Research Corp., Coral Gables, FL 33134, USA.
Mary Jo TrepkaResearch Center in Minority Institutions (RCMI), Florida International University, Miami, FL 33199, USA.
Florida International University · US

Funding

The FIU Research Center in a Minority Institution (FIU-RCMI)U54MD012393 · NIMHD · FLORIDA INTERNATIONAL UNIVERSITY · PI Shanna L Burke · 2017 to 2026
$32.1M
Women-centered HIV care practices that facilitate HIV care retention and viral suppression in the presence of adverse sociocultural factorsR01MD013563 · NIMHD · FLORIDA INTERNATIONAL UNIVERSITY · PI TREPKA, MARY JO · 2018 to 2022
$2.4M
NIMHD NIH HHS R01 MD013563NIMHD NIH HHS U54 MD012393
6 · The paper itself

Abstract

Despite advances in biomedical treatments, women living with HIV (WLH) who experience homelessness and housing instability suffer suboptimal HIV outcomes, even when linked to treatment. The purpose of this study was to explore experiences of housing instability among WLH and to understand its role in their ability to adhere to antiretroviral medication and remain retained in care. Sixteen women who were linked to Ryan White Program HIV care in South Florida participated in in-depth interviews. The findings focus around four larger themes: difficulty storing medication, privacy- and stigma-related issues, inconsistent access to medication and health care disruptions, and competing and unmet physical and mental health needs. Findings underscore the importance of strategies that are responsive to the disruption of routines and are sensitive to privacy issues in shared dwelling spaces; the proactive inquiry of behavioral and environmental considerations when prescribing antiretroviral medication; and the identification and treatment of comorbid conditions. This study provides evidence for strategies to facilitate self-management and improve modifiable system realities to augment larger-level policy and funding shifts that are critically needed to end the epidemic among vulnerable populations living with HIV.

Indexed as

HIV InfectionsIll-Housed PersonsRetention in CareAnti-Retroviral AgentsFemaleHousingHumansMedication AdherenceAnti-Retroviral Agentshomelessnesshousing instabilitymedication adherenceretention in carewomen living with HIV

Identifiers

PMID36141757
PMCPMC9517674
OpenAlexW4296588705

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.