Evidence map›Paper›PMID 37115734›Full record

ArticlePLOS global public health2023

Exploring the dynamics of the quality of HIV care experienced by female sex workers living in the Dominican Republic.

Tahilin Sanchez Karver, Clare Barrington, Yeycy Donastorg, Martha Perez, Hoisex Gomez, Kathleen R Page, David D Celentano, Katherine Clegg Smith, Deanna Kerrigan

Open access · goldAbstract read
In one paragraph

Article in PLOS global public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.6field-weighted citation impact, top 28% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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

9 authors at 4 institutions in 2 countries.

Tahilin Sanchez KarverDepartment of Health, Behavior and Society, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, United States of America.ORCID https://orcid.org/0000-0001-7362-9377
Clare BarringtonDepartment of Health Behavior, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, North Carolina, United States of America.
Yeycy DonastorgInstituto Dermatológico y Cirugía de la Piel "Dr. Huberto Bogaert Díaz", HIV Vaccine Trials Research Unit, Santo Domingo, Dominican Republic.
Martha PerezInstituto Dermatológico y Cirugía de la Piel "Dr. Huberto Bogaert Díaz", HIV Vaccine Trials Research Unit, Santo Domingo, Dominican Republic.
Hoisex GomezInstituto Dermatológico y Cirugía de la Piel "Dr. Huberto Bogaert Díaz", HIV Vaccine Trials Research Unit, Santo Domingo, Dominican Republic.
Kathleen R PageDivision of Infectious Diseases, Johns Hopkins University School of Medicine, Baltimore, Maryland, United States of America.ORCID https://orcid.org/0000-0002-6859-1973
David D CelentanoDepartment of Epidemiology, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, United States of America.
Katherine Clegg SmithDepartment of Health, Behavior and Society, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, United States of America.
Deanna KerriganDepartment of Prevention and Community Health, Milken Institute School of Public Health, George Washington University, Washington, District of Columbia, United States of America.ORCID https://orcid.org/0000-0001-7401-9159
Johns Hopkins University · USInstituto Dermatológico y Cirugía de Piel "Dr. Huberto Bogaert Díaz" · DOMilken Institute · USUniversity of North Carolina at Chapel Hill · US

Funding

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
NICHD NIH HHS P2C HD050924NIMH NIH HHS R01 MH110158
6 · The paper itself

Abstract

Despite increased attention and efforts to improve HIV care among female sex workers (FSWs), they continue to have suboptimal HIV outcomes. Exploring the socio-structural dynamics related to the quality of HIV care received by FSWs is critical to further strengthen interventions to improve their HIV care continuum outcomes. In this study, we conducted two rounds of qualitative in-depth interviews with 20 FSWs living with HIV in the Dominican Republic to explore how healthcare experiences contributed to their quality of HIV care. Data was analyzed using a thematic analytic approach exploring diverse structural and relational aspects of the quality of HIV care affecting FSWs as they navigate the clinic environment. Results indicated that quality of HIV care was influenced by both structural and relational factors within clinics. At the structural level, insufficient stock of antiretroviral therapy and the financial burden created by HIV care related costs hindered FSWs' satisfaction with their current HIV care and presented a barrier in FSWs' ability to access HIV care services. Quality of care was also closely linked to relational aspects of the HIV care environment, including FSWs' relationship and communication with their clinical providers, as FSWs often expressed their satisfaction with HIV care experiences based on these interpersonal factors. Lastly, personal agency emerged as an important factor contributing to the quality of HIV care, specifically as FSWs' treatment literacy resulted in greater advocacy and demands for quality care. Programmatic efforts should be directed to improving the quality of HIV care experiences of FSWs in the clinic environment. These include addressing resource shortages, promoting positive and effective patient-provider relationships, and facilitating HIV treatment education opportunities for FSWs.

Identifiers

PMID37115734
PMCPMC10146439
OpenAlexW4367310407

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.