Evidence map›Paper›PMID 37429976›Full record

ArticleJournal of general internal medicine2023

Individual and Health System Factors for Uptake of Pre-exposure Prophylaxis Among Young Black and Latino Gay Men.

Elí A Andrade, Georgianna Stoukides, Anthony F Santoro, Alison Karasz, Julia Arnsten, Viraj V Patel

Open access · bronzeAbstract read
In one paragraph

Article in Journal of general internal medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 9% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

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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 4 institutions in 1 country.

Elí A AndradeDivision of General Internal Medicine, Montefiore Health System, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA.ORCID http://orcid.org/0000-0002-5777-7107
Georgianna StoukidesNew York Institute of Technology College of Osteopathic Medicine, New York, NY, USA.
Anthony F SantoroHIV Center for Clinical and Behavioral Studies, Columbia University, New York, NY, USA.
Alison KaraszChan Medical School, University of Massachusetts, North Worcester, MA, USA.
Julia ArnstenDivision of General Internal Medicine, Montefiore Health System, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA.
Viraj V PatelDivision of General Internal Medicine, Montefiore Health System, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA. vpatel@montefiore.org.
Albert Einstein College of Medicine · USNew York Institute of Technology · USNew York Psychoanalytic Society and Institute · USUniversity of Massachusetts Chan Medical School · US

Funding

Patient and Population Health Outcomes Research SWGP30AI124414 · NIAID · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI Vinayaka R. Prasad · 2017 to 2026
$28.3M
Immunology/Pathology CoreP30AI051519 · NIAID · YESHIVA UNIVERSITY · PI PORCELLI, STEVEN A · 2003 to 2013
$18.6M
Social Media Based Peer Led Intervention to Facilitate PrEP in YMSM of ColorK23MH102118 · NIMH · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI PATEL, VIRAJ V · 2014 to 2018
$953k
NIAID NIH HHS P30 AI051519NIAID NIH HHS P30 AI124414NIH HHS K23MH102118NIH HHS P30AI051519NIMH NIH HHS K23 MH102118
6 · The paper itself

Abstract

backgroundYoung Black and Latino men who have sex with men (YBLMSM) have the highest rates of new HIV infections in the USA and use PrEP at lower rates than White MSM.

objectiveTo explore YBLMSM's perspectives and experiences of PrEP use to identify factors enabling or impeding uptake.

designQualitative study using semi-structured interviews conducted between August 2015 and April 2016.

participantsBlack and Latino MSM, 18-20 years of age, who live, socialize, or work in the Bronx, and were fluent in English or Spanish. APPROACH: We used a thematic analysis to identify themes related to not taking PrEP and PrEP uptake. KEY

resultsHalf the participants (n = 9) were currently using PrEP, a majority had Medicaid (n = 13), all reported having a PCP, all identified English as their primary language (n = 15), and all identified as gay. Salient themes included concerns over-side effects, stigma related to HIV and sexuality, mistrust of medical providers, provider's refusal to prescribe PrEP, and insurance and cost.

conclusionsModifiable barriers for PrEP uptake and persistence were reported by most participants, with an emphasis on PrEP misinformation and the pervasiveness of intersectional stigma, providers' low awareness, and hesitant attitudes towards PrEP and barriers created by insurance companies. Supportive infrastructures for PrEP providers and patients are needed.

Indexed as

Anti-HIV AgentsHealth Services AccessibilityHIV InfectionsPre-Exposure ProphylaxisAdolescentBlack or African AmericanHispanic or LatinoHomosexuality, MaleHumansMaleNew York CitySexual and Gender MinoritiesYoung AdultAnti-HIV Agentsdelivery of healthcarepre-exposure prophylaxisracial and ethnic minoritiessexual and gender minorities

Identifiers

PMID37429976
PMCPMC10507000
OpenAlexW4383754023

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.