Evidence map›Paper›PMID 37407253›Full record

SynthesisHIV medicine2023

Disparities in healthcare access and utilization among people living with HIV in China: A scoping review and meta-analysis.

Wei Ai, Chengxin Fan, Gifty Marley, Rayner K J Tan, Dan Wu, Jason J Ong, Joseph D Tucker, Gengfeng Fu, Weiming Tang

Abstract readMeta-AnalysisScoping Review
In one paragraph

Synthesis in HIV medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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

6 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Wei AiSchool of Public Health, Nanjing Medical University, Nanjing, China.ORCID 0009-0006-3168-3424
Chengxin FanSchool of Public Health, Nanjing Medical University, Nanjing, China.
Gifty MarleyUniversity of North Carolina Project-China, Guangzhou, China.
Rayner K J TanUniversity of North Carolina Project-China, Guangzhou, China.
Dan WuUniversity of North Carolina Project-China, Guangzhou, China.
Jason J OngSchool of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
Joseph D TuckerUniversity of North Carolina Project-China, Guangzhou, China.
Gengfeng FuJiangsu Provincial Center for Disease Control and Prevention, Nanjing, China.
Weiming TangSchool of Public Health, Nanjing Medical University, Nanjing, China.

Funding

Pay-it-forward gonorrhea testing among men who have sex with men: The PIONEER pragmatic randomized controlled trialR01AI158826 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI TANG, WEIMING, TUCKER, JOSEPH DAVID · 2021 to 2025
$3.1M
Mentoring Multidisciplinary Global HIV Patient-Oriented ResearchK24AI143471 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Joseph David Tucker · 2019 to 2026
$1.4M
Enhancing Partner Services among Men Who Have Sex with Men Living With HIV: A Pilot Randomized Controlled TrialR34MH119963 · NIMH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI TANG, WEIMING, TUCKER, JOSEPH DAVID · 2019 to 2021
$568k
NIAID NIH HHS K24 AI143471NIAID NIH HHS R01 AI158826NIMH NIH HHS R34 MH119963
6 · The paper itself

Abstract

backgroundThis review aims to assess the status of healthcare disparities among people living with HIV (PLWH) in China and summarize the factors that drive them.

methodsWe searched PubMed, Web of Science, Cochrane Library, Scopus, China National Knowledge Infrastructure (CNKI) and China Wanfang for studies published in English or Chinese. Studies focusing on any disparities in healthcare services among PLWH in China and published between January 2000 and July 2022 were included.

resultsIn all, 51 articles met the inclusion criteria, with 37 studies reporting HIV-focused care, and 14 reporting non-HIV-focused care. PLWH aged ≥45 years (vs. <45 years), female (vs. male), ethnic minority (vs. Han), and cases attributed to sexual transmission (vs. injecting drug use) were more likely to receive ART. Females living with HIV have higher ART adherence than males. Notably, 20% [95% confidence interval (CI): 9-43%, I

conclusionThis review suggests disparities in access and utilization of healthcare among PLWH. Financial issues and social discrimination were prominent reasons. Creating a supportive social environment and expanding insurance policies could be considered to promote healthcare equity.

Indexed as

HIV InfectionsChinaEthnicityFemaleHealthcare DisparitiesHealth Services AccessibilityHumansMaleMinority Groupsantiretroviral therapyhealthcare disparitieshealthcare utilizationHIV carenon-HIV carePLWH

Identifiers

PMID37407253
PMCPMC10766863

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.