Evidence map›Paper›PMID 36527003›Full record

ArticleBMC public health2022

Association of anticipated HIV testing stigma and provider mistrust on preference for HIV self-testing among cisgender men who have sex with men in the Philippines.

Olivia T Sison, Emmanuel S Baja, Amiel Nazer C Bermudez, Ma Irene N Quilantang, Godofreda V Dalmacion, Ernest Genesis Guevara, Rhoda Myra Garces-Bacsal, Charlotte Hemingway, Miriam Taegtmeyer, Don Operario and 1 more

Abstract read
In one paragraph

Article in BMC public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

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

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. In-vitro ACE-1 Inhibitory Activity ofActa medica Philippina · 2026
    Article
  6. Article
  7. HIV Self-Test Experiences and Implementation Considerations Among Transgender Women in the Philippines: Getting Ready for Scale-Up.AIDS education and prevention : official publication of the International Society for AIDS Education · 2025
    Article
  8. Review
  9. Review
  10. 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

11 authors.

Olivia T SisonDepartment of Epidemiology, Brown University School of Public Health, Providence, RI, USA. otsison@up.edu.ph.
Emmanuel S BajaInstitute of Clinical Epidemiology, National Institutes of Health, University of the Philippines Manila, Manila, Metro Manila, Philippines.
Amiel Nazer C BermudezDepartment of Epidemiology, Brown University School of Public Health, Providence, RI, USA.
Ma Irene N QuilantangThe Philippine Health Initiative for Research, Service, and Training, Brown University Global Health Initiative, Providence, RI, USA.
Godofreda V DalmacionDepartment of Clinical Epidemiology, College of Medicine, University of the Philippines Manila, Manila, Metro Manila, Philippines.
Ernest Genesis GuevaraInstitute of Clinical Epidemiology, National Institutes of Health, University of the Philippines Manila, Manila, Metro Manila, Philippines.
Rhoda Myra Garces-BacsalDepartment of Special Education, College of Education, United Arab Emirates University, P.O. Box 15551, Al Ain, UAE.
Charlotte HemingwayDepartment of International Public Health, Liverpool School of Tropical Medicine, Pembroke Palace Liverpool, Liverpool, L3 5QA, UK.
Miriam TaegtmeyerDepartment of International Public Health, Liverpool School of Tropical Medicine, Pembroke Palace Liverpool, Liverpool, L3 5QA, UK.
Don OperarioThe Philippine Health Initiative for Research, Service, and Training, Brown University Global Health Initiative, Providence, RI, USA.
Katie B BielloDepartment of Epidemiology, Brown University School of Public Health, Providence, RI, USA.

Funding

Translational ScienceP30AI042853 · NIAID · MIRIAM HOSPITAL · PI CURT G BECKWITH, DEBBIE M. CHENG · 1998 to 2026
$51.7M
Training Program for Scientists Conducting Research to Reduce HIV Health DisparitR25MH067127 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Emily A Arnold, Torsten Brian Neilands · 2003 to 2026
$5.4M
Brown University and University of the Philippines Training Program for the Prevention of HIV in Vulnerable PopulationsD43TW010565 · FIC · BROWN UNIVERSITY · PI CU-UVIN, SUSAN · 2017 to 2021
$1.5M
FIC NIH HHS D43 TW010565Medical Research Council MR/N019202/1NIAID NIH HHS P30 AI042853NIMH NIH HHS R25 MH067127
6 · The paper itself

Abstract

backgroundNew HIV infections in the Philippines are increasing at an alarming rate. However, over three quarters of men who have sex with men (MSM) have never been tested for HIV. HIV self-testing (HIVST) may increase overall testing rates by removing barriers, particularly fear of stigmatization and mistrust of providers. This study aimed to determine if these factors are associated with preference for HIVST among Filipino cisgender MSM (cis-MSM), and whether there is an interaction between anticipated HIV testing stigma and provider mistrust on preference for HIVST.

methodsWe conducted secondary analysis of a one-time survey of 803 cis-MSM who were recruited using purposive sampling from online MSM dating sites and MSM-themed bar locations in Metro Manila, Philippines. Summary statistics were computed to describe participant characteristics. Multivariable modified Poisson regression analyses were conducted to determine if anticipated HIV testing stigma and provider mistrust were associated with preference for HIVST among cis-MSM. Other variables such as age, education, monthly income, relationship status, HIV serostatus, and knowing where to get HIV testing were the minimal sufficient adjustment set in the analyses.

resultsAverage age of participants was 28.6 years (SD = 8.0); most had received college degrees (73%) and were employed (80%). Most respondents (81%) preferred facility-based testing, while 19% preferred HIVST. A high percentage of participants reported anticipated HIV testing stigma (66%) and provider mistrust (44%). Anticipated HIV testing stigma (aPR = 1.51; 95% CI = 1.01-2.25, p = 0.046) and provider mistrust (aPR = 1.49; 95% CI = 1.07-2.09, p = 0.020) were independently associated with a preference for HIVST. There was a positive, additive interaction between provider mistrust and anticipated HIV testing stigma on preference for HIVST (RERI = 1.13, 95% CI: 0.20-2.06; p = 0.017), indicating that the association between anticipated HIV testing stigma and preference for HIVST is greater among those with provider mistrust compared to those without provider mistrust.

conclusionsHIVST should be offered as a supplement to traditional facility-based HIV testing services in the Philippines to expand testing and reach individuals who may not undergo testing due to anticipated HIV testing stigma and provider mistrust.

Indexed as

HIV InfectionsSexual and Gender MinoritiesAdultHIVHIV TestingHomosexuality, MaleHumansMalePhilippinesSelf-TestingAnticipated HIV testing stigmaHIV self-testingMen who have sex with men (MSM)PhilippinesProvider mistrust

Identifiers

PMID36527003
PMCPMC9756449

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.