Evidence map›Paper›PMID 37392342›Full record

ArticleJournal of behavioral medicine2023

Discrimination and adherence in a cross-sectional study of Latino sexual minority men with HIV: Coping with discrimination as a mediator and coping self-efficacy as a moderator.

Joanna L Barreras, Laura M Bogart, Sarah MacCarthy, David J Klein, David W Pantalone

Erratum issuedOpen access · hybridAbstract read
In one paragraph

Article in Journal of behavioral medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.0field-weighted citation impact, top 26% 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, 5 citations in OpenAlex.

  1. Trial
  2. Article
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  5. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 1 country.

Joanna L BarrerasSchool of Social Work, California State University Long Beach, 1250 Bellflower Boulevard, Long Beach, CA, 90840, USA. Joanna.Barreras@csulb.edu.ORCID 0000-0002-6622-4547
Laura M BogartRAND Corporation, 1776 Main Street, Santa Monica, CA, 90407, USA.
Sarah MacCarthyDepartment of Health Behavior, University of Alabama, 1665 University Boulevard, Birmingham, AL, 35294, USA.
David J KleinRAND Corporation, 1776 Main Street, Santa Monica, CA, 90407, USA.
David W PantaloneDepartment of Psychology, University of Massachusetts Boston, 100 Morrissey Boulevard, Boston, MA, 02125, USA.
RAND Corporation · USBienestar · USUniversity of Alabama · USUniversity of Massachusetts Boston · US

Funding

Virology and Molecular Biomarkers CoreP30AI050409 · NIAID · EMORY UNIVERSITY · PI Carlos del Rio · 2002 to 2026
$74.0M
UCLA Rapid, Relevant, Rigorous Implementation Science HubP30MH058107 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI RAPHAEL J LANDOVITZ · 1997 to 2026
$53.5M
Promoting Reductions in Intersectional Stigma to Improve HIV Testing and PrEP Use Among Latino Sexual Minority MenR01MH121256 · NIMH · RAND CORPORATION · PI BOGART, LAURA M · 2019 to 2023
$3.8M
Pilot Intervention for Discrimination and Mistrust Among HIV Positive Black MenR34MH096544 · NIMH · RAND CORPORATION · PI BOGART, LAURA M · 2012 to 2014
$912k
Siempre Seguiré: A Pilot Intervention to Improve Coping with Discrimination and Adherence among HIV-Positive Latino MSMR34MH113413 · NIMH · RAND CORPORATION · PI BOGART, LAURA M · 2017 to 2019
$672k
NIAID NIH HHS P30 AI050409NIMH NIH HHS P30 MH058107NIMH NIH HHS R01 MH121256NIMH NIH HHS R34 MH096544NIMH NIH HHS R34 MH113413
6 · The paper itself

Abstract

Discrimination is associated with antiretroviral therapy non-adherence and reduced well-being among people with HIV. We examined the potential for coping to mediate the associations between intersectional discrimination and non-adherence and coping self-efficacy (confidence in one's ability to cope with discrimination) as a moderator that may buffer the negative effects of discrimination on non-adherence in a cross-sectional convenience sample of 82 Latino sexual minority men with HIV. In bivariate linear regressions, discrimination targeting Latino ethnic origin, undocumented residency status, and sexual orientation were each significantly associated with lower self-reported antiretroviral therapy non-adherence (percentage of prescribed doses taken in the last month) and greater use of disengagement coping (denial, substance use, venting, self-blame, behavioral disengagement). Associations between discrimination targeting Latino ethnicity and non-adherence, and discrimination targeting undocumented residency status and non-adherence, were each mediated by disengagement coping responses. Moderation analyses highlighted significant discrimination by coping self-efficacy interaction effects-both coping self-efficacy for problem solving and stopping unpleasant emotions/thoughts each moderated the associations between Latino discrimination and adherence, between undocumented residency status discrimination and adherence, and between HIV discrimination and adherence. Coping self-efficacy for getting social support moderated the association between undocumented residency status discrimination and adherence. Further, the interaction coefficients across models indicated that the negative effects of discrimination on adherence were attenuated at higher levels of coping self-efficacy. Findings highlight the need for structural interventions that reduce-and ultimately eliminate-discrimination, and interventions that address the harmful effects of discrimination and adherence improvement interventions to enhance coping skills among people faced with intersectional discrimination.

Indexed as

Adaptation, PsychologicalHispanic or LatinoHIV InfectionsMedication AdherenceSelf EfficacySocial DiscriminationAnti-HIV AgentsCross-Sectional StudiesHumansMalePsychological Well-BeingSexual and Gender MinoritiesUnited StatesAnti-HIV AgentsAdherenceAntiretroviral therapyCopingHIV/AIDSIntersectional stigma and discriminationLatino/x/eSexual minority men

Identifiers

PMID37392342
PMCPMC10577103
OpenAlexW4382796307

What OpenQuestion holds

Textmetadata
LicenceTDM
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.