Evidence map›Paper›PMID 37701971›Full record

ArticleJournal of the International Association of Providers of AIDS Care

Pathways Between Intersectional Stigma and HIV Treatment Engagement Among Men Who Have Sex with Men (MSM) in India.

Kiran Bhutada, Venkatesan Chakrapani, Fazlur R Gulfam, Jonathan Ross, Sarit A Golub, Steven A Safren, Rita Prasad, Viraj V Patel

Open access · goldAbstract read
In one paragraph

Article in Journal of the International Association of Providers of AIDS Care. 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
1.7field-weighted citation impact, top 15% 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

6 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
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  6. STI Care Beyond Biomedical Models: Addressing Stigma, Gender, and Psychosocial Dimensions.Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine
    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

8 authors at 5 institutions in 2 countries.

Kiran BhutadaAlbert Einstein College of Medicine, Montefiore Health System Bronx, NY, USA.ORCID 0000-0001-5646-5155
Venkatesan ChakrapaniCentre for Sexuality and Health Research and Policy (C-SHaRP), C-ShaRP, Chennai, India Chennai, India.
Fazlur R GulfamIndia HIV/AIDS Alliance New Delhi, India.
Jonathan RossAlbert Einstein College of Medicine, Montefiore Health System Bronx, NY, USA.
Sarit A GolubHunter College New York, NY, USA.
Steven A SafrenUniversity of Miami Coral Gables Miami, FL, USA.
Rita PrasadIndia HIV/AIDS Alliance New Delhi, India.
Viraj V PatelAlbert Einstein College of Medicine, Montefiore Health System Bronx, NY, USA.
Albert Einstein College of Medicine · USIndia HIV/AIDS Alliance · INCentre for Sexuality and Health Research and Policy · INHunter College · USUniversity of Miami · 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
Impact of multiple stigmas on HIV care continuum outcomes for key populationsR21MH118102 · NIMH · ALBERT EINSTEIN COLLEGE OF MEDICINE · PI PATEL, VIRAJ V · 2019 to 2020
$420k
NIAID NIH HHS P30 AI124414NIMH NIH HHS R21 MH118102
6 · The paper itself

Abstract

In India and other low-and-middle-income countries, little is known about how intersectional stigma affects MSM engagement in ART. Informed by the Health Stigma and Discrimination Framework, we qualitatively examined how multiple stigmas influence ART engagement among Indian MSM. We conducted 3 focus groups (N = 22) with MSM living with HIV, aged 21-58 years, in Delhi and Hyderabad to identify potential intervention targets and solutions to improve treatment outcomes. Framework analysis and techniques were used to code and analyze translated audio-recordings. Findings revealed enacted stigma, associated with HIV and MSM identity, manifested as familial shame and healthcare discrimination, inhibiting access to support, and decreasing HIV care engagement. Anticipated stigma led to worry about disclosure and societal repercussions. Community-Based-Organizations, ART centers, and family members were primary sources of support, leading to increased ART initiation and retention. Potential solutions included using MSM peer-counselors, increasing social support, and providing HIV education to the general community.

Indexed as

HIV InfectionsSexual and Gender MinoritiesFocus GroupsHomosexuality, MaleHumansMaleSocial StigmaadherenceHIV/AIDSintersectional stigmamen who have sex with menretention

Identifiers

PMID37701971
PMCPMC10501078
OpenAlexW4386704222

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.