Evidence map›Paper›PMID 36376835›Full record

SynthesisBMC infectious diseases2022

Why do men who have sex with men practice condomless sex? A systematic review and meta-synthesis.

Yan Shen, Ci Zhang, Maritta A Valimaki, Hanzhu Qian, Leila Mohammadi, Yuanyuan Chi, Xianhong Li

Abstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in BMC infectious diseases, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Eviction as a community health exposure.Social science & medicine (1982) · 2024
    Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Condom-Related Stigma Scale among Men Who Have Sex with Men in China: Development and Psychometric Tests.International journal of environmental research and public health · 2023
    Article
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.

Yan ShenXiangya School of Nursing, Central South University, Changsha, Hunan, China.
Ci ZhangXiangya School of Nursing, Central South University, Changsha, Hunan, China.
Maritta A ValimakiXiangya School of Nursing, Central South University, Changsha, Hunan, China.
Hanzhu QianSchool of Public Health, Yale University, New Haven, CT, USA.
Leila MohammadiCollege of Medicine and Public Health, Flinders University, Adelaide, SA, Australia.
Yuanyuan ChiXiangya School of Nursing, Central South University, Changsha, Hunan, China.
Xianhong LiXiangya School of Nursing, Central South University, Changsha, Hunan, China. xianhong_li@csu.edu.cn.

Funding

National Natural Science Foundation of China 72074226
6 · The paper itself

Abstract

backgroundDespite a large amount of behavioral interventions to reduce human immunodeficiency virus (HIV)-related high-risk sexual behaviors, consistent condom use remains suboptimal among men who have sex with men (MSM). However, current databases are lack of synthesized evidence to explain why MSM practiced condomless sex.

objectiveOur study aims to conduct a systematic review and meta-synthesis of 39 eligible qualitative studies to explore the barriers to condom use among MSM.

methodsA systematic review and meta-synthesis of qualitative studies (1994-2021). On March 4, 2021, a comprehensive search was conducted in 14 electronic databases. The study was conducted based on the Joanna Briggs Institute's recommendations.

resultsThematic analysis produced six synthesized themes, which were classified into three levels according to the Social-ecology Model. Individual level barriers to condom use included physical discomfort, lack of HIV/STI-related knowledge and substance use; interpersonal-level barrier was mainly the condom stigma, namely regarding using condom as symbols of distrust or HIV/sexually transmitted infections (STIs) prevention, or as violating traditional cognition of sex, or as an embarrassing topic; environmental/structural-level barriers included situational unavailability, unaffordability of condoms and power imbalance in the sexual relationship.

conclusionThis meta-synthesis offered in-depth understanding of condom use barriers for MSM and could guide the development of multifactorial interventions according to the identified barriers, especially targeting to reduce condom stigma, which has not been focused and intervened previously.

Indexed as

HIV InfectionsSexual and Gender MinoritiesSexually Transmitted DiseasesCondomsHomosexuality, MaleHumansMaleSexual BehaviorSexual PartnersUnsafe SexBarrierCondom useHuman immunodeficiency virusMen who have sex with menMeta-synthesisQualitative study

Identifiers

PMID36376835
PMCPMC9661788

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.