Evidence map›Paper›PMID 36401159›Full record

ArticleBMC medical research methodology2022

"The problem is that our culture is just so messed up about aging." Recruiting older men who have sex with men (MSM) into research studies: an example from a study of aging, HIV, and anal HPV.

Alexandra L Hernandez, Christopher Scott Weatherly, Sahai Burrowes, Jessica Lopez Jimenez, Ryan Gonzalez, Joel M Palefsky

Open access · goldAbstract read
In one paragraph

Article in BMC medical research methodology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.1field-weighted citation impact, top 22% 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

5 citing papers in PubMed, 7 citations in OpenAlex.

  1. Trial
  2. Trend in the detection rate of syphilis among older adults: time series analysis, Brazil, 2014-2023.Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil · 2026
    Article
  3. Article
  4. Article
  5. 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

6 authors at 2 institutions in 1 country.

Alexandra L HernandezDepartment of Medicine Division of Infectious Diseases, University of California, San Francisco (UCSF), 513 Parnassus Ave, Room S420, Box 0654, 94143, San Francisco, CA, USA. Alexandra.hernandez@ucsf.edu.
Christopher Scott WeatherlyDepartment of Medicine Division of Infectious Diseases, University of California, San Francisco (UCSF), 513 Parnassus Ave, Room S420, Box 0654, 94143, San Francisco, CA, USA.
Sahai BurrowesPublic Health Program, College of Education and Health Sciences, Touro University, Vallejo, CA, USA.
Jessica Lopez JimenezPublic Health Program, College of Education and Health Sciences, Touro University, Vallejo, CA, USA.
Ryan GonzalezDepartment of Medicine Division of Infectious Diseases, University of California, San Francisco (UCSF), 513 Parnassus Ave, Room S420, Box 0654, 94143, San Francisco, CA, USA.
Joel M PalefskyDepartment of Medicine Division of Infectious Diseases, University of California, San Francisco (UCSF), 513 Parnassus Ave, Room S420, Box 0654, 94143, San Francisco, CA, USA.
University of California, San Francisco · USTouro University California · US

Funding

(PQ4) Anal HPV infection and anal HSIL among HIV-infected MSM aged 50+ yearsR01CA206477 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI PALEFSKY, JOEL MICHAEL · 2016 to 2021
$3.4M
NCI NIH HHS R01 CA206477
6 · The paper itself

Abstract

backgroundAnal human papillomavirus (HPV) disproportionately affects men who have sex with men (MSM), particularly those who are older and those living with HIV. After experiencing difficulty recruiting older MSM into a study on aging and anal HPV, we conducted a sub-study to gain feedback on our recruitment methods and explore barriers and facilitators to participating in anal HPV research.

methodsWe conducted focus groups with 30 men who have sex with men (MSM), both HIV-negative and MSM living with HIV, ages 50-75.

resultsWe identified multiple themes that were barriers to participation including: (1) lack of knowledge about human papillomavirus and anal cancer; (2) research focused on anal cancer or discomfort with topics or procedures concerning the anus; (3) stigma including stigma associated with being men who have sex with men, being out, being a receptive partner, and being considered "older" in the gay community; and (4) confidentiality concerns including a fear of breach of confidentiality. Facilitators to participation were also identified; these motivational factors include altruism, wanting recommendations from a doctor, and desire to receive the best available care.

conclusionResearchers seeking to enroll older men who have sex with men should be aware of these barriers and facilitators to participation in order to maximize recruitment.

Indexed as

AlphapapillomavirusAnus DiseasesAnus NeoplasmsHIV InfectionsPapillomavirus InfectionsSexual and Gender MinoritiesAgedAgingAnal CanalFemaleHomosexuality, MaleHumansMaleMiddle AgedPapillomaviridaeSexual BehaviorAnal CancerHIVHPVMSMQualitativeRecruitment

Identifiers

PMID36401159
PMCPMC9675202
OpenAlexW4309343954

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.