Evidence map›Paper›PMID 37874436›Full record

ArticleAIDS and behavior2024

Physician-Patient Interaction Quality Mediates the Association Between HIV-Related Stigma and HIV-Prevention Behaviors Among Sexual Minority Men in Zambia.

Abhishek Aggarwal, Ran Zhang, Shan Qiao, Bo Wang, Clementina Lwatula, Anitha Menon, Jan Ostermann, Xiaoming Li, Gary Harper

Abstract read
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In one paragraph

Article in AIDS and behavior, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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.

Abhishek AggarwalDepartment of Health Promotion, Education and Behavior, University of South Carolina, Columbia, USA.ORCID http://orcid.org/0000-0002-9808-8084
Ran ZhangDepartment of Health Promotion, Education and Behavior, University of South Carolina, Columbia, USA.
Shan QiaoDepartment of Health Promotion, Education and Behavior, University of South Carolina, Columbia, USA. shanqiao@mailbox.sc.edu.ORCID http://orcid.org/0000-0003-1834-1834
Bo WangPopulation and Quantitative Health Sciences, University of Massachusetts, Boston, USA.
Clementina LwatulaDepartment of Psychology, University of Zambia, Lusaka, Zambia.
Anitha MenonDepartment of Psychology, University of Zambia, Lusaka, Zambia.
Jan OstermannDepartment of Health Service Policy and Management, University of South Carolina, Columbia, USA.
Xiaoming LiDepartment of Health Promotion, Education and Behavior, University of South Carolina, Columbia, USA.
Gary HarperDepartment of Health Behavior and Health Education, University of Michigan, Ann Arbor, USA.

Funding

Intersecting stigma against MSM in clinical settings in ZambiaR21TW011064 · FIC · UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA · PI HARPER, GARY W, QIAO, SHAN · 2019 to 2020
$361k
NIH HHS R21TW011064
6 · The paper itself

Abstract

HIV-related stigma is a major challenge to HIV prevention for sexual minority men (SMM) in Zambia, but little is known about the underlying mechanisms. This study aimed to investigate whether physician-patient interaction quality mediates the relationship between HIV-related stigma and HIV-prevention behaviors among SMM. Data were collected using a cross-sectional survey from 194 SMM (aged: mean = 24.08, SD = 4.27) across four districts in Zambia between February and November 2021. Participants were asked about their demographic characteristics, HIV-related stigma, SMM-related stigma, physician-patient interaction quality, HIV-testing intention, and use of pre-exposure prophylaxis (PrEP). Path analysis was used to test the mediation effect of physician-patient interaction quality in the associations of HIV-related stigma/SMM-related stigma with HIV-testing intention and current PrEP use. Higher self-reported physician-patient interaction quality was negatively associated with HIV-related stigma (β = - 0.444, z = - 2.223, p < 0.05), and positively associated with HIV-testing intention (β = 0.039, z = 5.121, p < 0.001) and current PrEP use (β = 0.008, z = 2.723, p < 0.01). HIV-related stigma among SMM had a significant and negative indirect effect on HIV-testing intention (β = - 0.017, z = - 2.006, p < 0.05), and current PrEP use (β = - 0.004, z = - 2.009, p < 0.05) through physician-patient interaction quality. Contrary to our expectations, SMM-related stigma did not have a significant and negative indirect effect on HIV prevention behaviors through physician-patient interaction quality. Health interventions need to improve physician-patient interaction quality by offering healthcare provider training, targeting HIV-related stigma in healthcare settings, and devising inclusive healthcare policies to promote HIV prevention efforts.

Indexed as

HIV InfectionsPhysician-Patient RelationsSexual and Gender MinoritiesSocial StigmaAdultCross-Sectional StudiesHomosexuality, MaleHumansIntentionMalePre-Exposure ProphylaxisYoung AdultZambiaHIV-related stigmaHIV-testingPhysician–patient interaction qualityPrEPSexual minority menZambia

Identifiers

PMID37874436

What OpenQuestion holds

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Registered trials

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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.