Evidence map›Paper›PMID 40197987›Full record

ArticleThe Journal of the Association of Nurses in AIDS Care : JANAC

"Taking Charge and Being Responsible": A Qualitative Study of Meaning Making and Motivations for Preexposure Prophylaxis Adherence Among Gay, Bisexual, and Other Sexual Minoritized Men Engaged in Alcohol Misuse in Kentucky.

Lesley M Harris, Blake D Skidmore, Nqobile Nzama, Mifleh Al Araydeh, Jelani C Kerr, Martin T Hall, Andrea Reyes-Vega, Harideep Samanapally, Asmaa Bkhet, Smita Ghare and 1 more

Abstract read
In one paragraph

Article in The Journal of the Association of Nurses in AIDS Care : JANAC. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

11 authors.

Lesley M HarrisLesley M. Harris, PhD, MSW, is an Associate Professor, Raymond A. Kent School of Social Work and Family Science, University of Louisville, Louisville, Kentucky, USA.ORCID 0000-0002-1981-064
Blake D SkidmoreLesley M. Harris, PhD, MSW, is an Associate Professor, Raymond A. Kent School of Social Work and Family Science, University of Louisville, Louisville, Kentucky, USA.
Nqobile NzamaLesley M. Harris, PhD, MSW, is an Associate Professor, Raymond A. Kent School of Social Work and Family Science, University of Louisville, Louisville, Kentucky, USA.ORCID 0009-0002-9338-2230
Mifleh Al AraydehLesley M. Harris, PhD, MSW, is an Associate Professor, Raymond A. Kent School of Social Work and Family Science, University of Louisville, Louisville, Kentucky, USA.
Jelani C KerrLesley M. Harris, PhD, MSW, is an Associate Professor, Raymond A. Kent School of Social Work and Family Science, University of Louisville, Louisville, Kentucky, USA.
Martin T HallLesley M. Harris, PhD, MSW, is an Associate Professor, Raymond A. Kent School of Social Work and Family Science, University of Louisville, Louisville, Kentucky, USA.ORCID 0000-0002-0923-4554
Andrea Reyes-VegaLesley M. Harris, PhD, MSW, is an Associate Professor, Raymond A. Kent School of Social Work and Family Science, University of Louisville, Louisville, Kentucky, USA.ORCID 0000-0003-1633-6097
Harideep SamanapallyLesley M. Harris, PhD, MSW, is an Associate Professor, Raymond A. Kent School of Social Work and Family Science, University of Louisville, Louisville, Kentucky, USA.ORCID 0000-0002-1319-7549
Asmaa BkhetLesley M. Harris, PhD, MSW, is an Associate Professor, Raymond A. Kent School of Social Work and Family Science, University of Louisville, Louisville, Kentucky, USA.
Smita GhareLesley M. Harris, PhD, MSW, is an Associate Professor, Raymond A. Kent School of Social Work and Family Science, University of Louisville, Louisville, Kentucky, USA.
Shirish BarveLesley M. Harris, PhD, MSW, is an Associate Professor, Raymond A. Kent School of Social Work and Family Science, University of Louisville, Louisville, Kentucky, USA.

Funding

Alcohol Misuse, Gut Microbial Dysbiosis and PrEP Care Continuum: Application and Efficacy of SBIRT InterventionR01AA030485 · NIAAA · UNIVERSITY OF LOUISVILLE · PI SHIRISH S BARVE, Lesley Beth Harris · 2022 to 2026
$3.4M
Examining HIV-related Stigma and HIV Testing Among Formerly Incarcerated African American YouthK01MH119942 · NIMH · UNIVERSITY OF LOUISVILLE · PI KERR, JELANI · 2020 to 2023
$639k
NIAAA NIH HHS R01 AA030485NIMH NIH HHS K01 MH119942
6 · The paper itself

Abstract

abstractOur qualitative study explores meaning making and motivation for preexposure prophylaxis (PrEP) adherence and engagement among gay, bisexual, and other sexual minoritized men (GBSMM) who misuse alcohol. Nineteen interviews with 10 participants who screened positive for harmful alcohol consumption (Alcohol Use Disorders Identification Test scores > 8) indicated that PrEP meaning making contributes to mental well-being, serving as a stabilizing ritual. Motivation for engagement included a commitment to proactive health management and personal and community safety. In the analysis, meaning making and motivation converged through themes of (a) identity affirmation, (b) accountability for self-care, (c) peace of mind, and (d) agency. Complementary themes included relationship dynamics and strategies for adherence. Participants' alcohol use was also explored, examining its intersections with the themes and understandings of PrEP and social well-being. Recommendations include integrating motivational enhancements into the care continuum to increase PrEP adherence and engagement with clinical care and community support among patients misusing alcohol.

Indexed as

Alcohol-Related DisordersHIV InfectionsPatient CompliancePre-Exposure ProphylaxisSexual and Gender MinoritiesAdultCommunity SupportHumansKentuckyMaleMiddle AgedMotivationPrevalenceQualitative Researchalcohol misuseengagement in carehealth care routinesidentitymeaning makingPrEP adherence

Identifiers

PMID40197987
PMCPMC12453664

What OpenQuestion holds

Textmetadata
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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.