Evidence map›Paper›PMID 36723770›Full record

ArticleAIDS and behavior2023

Stigma and HIV Treatment Outcomes Among Transgender Women Sex Workers in the Dominican Republic.

Clare Barrington, Tamar Goldenberg, Yeycy Donastorg, Hoisex Gomez, Martha Perez, Deanna Kerrigan

Abstract read
PubMed Publisher
In one paragraph

Article in AIDS and behavior, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.6field-weighted citation impact, top 19% 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

9 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Article
  3. Intersectional discrimination, mental health, and health care access among transgender women in Brazil.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2025
    Article
  4. Stigmas experienced by sexual and gender minority people with HIV in the Dominican Republic: a qualitative study.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2025
    Article
  5. Article
  6. Article
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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 3 institutions in 3 countries.

Clare BarringtonDepartment of Health Behavior, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, 27599, Chapel Hill, NC, USA. cbarring@email.unc.edu.ORCID http://orcid.org/0000-0001-7802-4051
Tamar GoldenbergDepartment of Public Health Education, University of North Carolina Greensboro, Greensboro, US.
Yeycy DonastorgHIV Vaccine Research Unit, Instituto Dermatológico y Cirugía de Piel Dr. Huberto Bogaert Díaz, Santo Domingo, Dominican Republic.
Hoisex GomezHIV Vaccine Research Unit, Instituto Dermatológico y Cirugía de Piel Dr. Huberto Bogaert Díaz, Santo Domingo, Dominican Republic.
Martha PerezHIV Vaccine Research Unit, Instituto Dermatológico y Cirugía de Piel Dr. Huberto Bogaert Díaz, Santo Domingo, Dominican Republic.
Deanna KerriganDepartment of Prevention and Community Health, Milken Institute School of Public Health, George Washington University, Washington, DC, US.
Instituto Dermatológico y Cirugía de Piel "Dr. Huberto Bogaert Díaz" · DOUniversity of North Carolina at Chapel Hill · USMilken Institute · US

Funding

POPULATION STUDIEST32HD007168 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI ELIZABETH A FRANKENBERG · 1985 to 2026
$13.8M
Research Services CoreP2CHD050924 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI KAREN B GUZZO · 2015 to 2026
$9.6M
Stigma, Cohesion and HIV Outcomes Among Vulnerable Women Across Epidemic SettingsR01MH110158 · NIMH · JOHNS HOPKINS UNIVERSITY · PI KERRIGAN, DEANNA L · 2016 to 2020
$3.6M
Eunice Kennedy Shriver National Institute of Child Health and Human Development P2C HD050924Eunice Kennedy Shriver National Institute of Child Health and Human Development T32 HD007168National Institute of Mental Health R01MH110158 S1
6 · The paper itself

Abstract

Trans women experience multiple forms of intersecting stigma due to trans identity, HIV, and sex work, which can negatively affect their health. There is limited understanding of the relationships between stigma and HIV care and treatment outcomes. We assessed associations between multiple forms and types of stigma and HIV treatment outcomes among trans women who conduct sex work in Santo Domingo, Dominican Republic using cross-sectional survey data. Most participants had received HIV care (91%) and were currently taking anti-retroviral therapy (ART) (84%). Only 64% were virally suppressed. Nearly one-third (32%) had interrupted ART at some point; those who had never interrupted ART were more likely to be suppressed. Drug use was associated with ART interruption. Higher enacted HIV stigma was associated with current ART use. Higher enacted HIV stigma and higher anticipated sex work stigma were associated with ART adherence. Higher trans stigma was associated with being virally suppressed. Findings highlight the importance of addressing multiple forms of stigma at the individual and clinic levels to improve and sustain viral suppression. Future research is needed to assess if unexpected associations between stigma and HIV outcomes reflect processes of resilience. Future research is also needed to assess the pathways between drug use, ART interruption, and viral suppression among trans women.

Indexed as

HIV InfectionsSex WorkersTransgender PersonsCross-Sectional StudiesDominican RepublicFemaleHumansMaleSocial StigmaTreatment OutcomeHIVResilienceSex workSocial determinantsStigmaTransgender women

Identifiers

PMID36723770
OpenAlexW4318755154

What OpenQuestion holds

Textmetadata
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.