Evidence map›Paper›PMID 40913818›Full record

ArticleVaccine2025

Latent class and time-to-event analyses of social determinants of health and COVID-19 vaccine uptake among Black women living with HIV.

Devina J Boga, Michael Robinson, Manasa Tirupathi, Reyanna St Juste, Kimberly Lazarus, Kayla Etienne, Mya Wright, Rachelle Reid, Naysha Shahid, C Mindy Nelson and 7 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Vaccine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

17 authors.

Devina J BogaDepartment of Psychology, University of Miami, Coral Gables, FL, USA; Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, FL, USA.
Michael RobinsonDepartment of Psychology, University of Miami, Coral Gables, FL, USA.
Manasa TirupathiDepartment of Psychology, University of Miami, Coral Gables, FL, USA.
Reyanna St JusteDepartment of Psychology, University of Miami, Coral Gables, FL, USA.
Kimberly LazarusDepartment of Psychology, University of Miami, Coral Gables, FL, USA.
Kayla EtienneDepartment of Psychology, University of Miami, Coral Gables, FL, USA.
Mya WrightDepartment of Psychology, University of Miami, Coral Gables, FL, USA.
Rachelle ReidDepartment of Psychology, University of Miami, Coral Gables, FL, USA.
Naysha ShahidDepartment of Psychology, University of Miami, Coral Gables, FL, USA.
C Mindy NelsonDepartment of Public Health Sciences, University of Miami Miller School of Medicine, Miami, FL, USA.
Tulay Koru-SengulDepartment of Public Health Sciences, University of Miami Miller School of Medicine, Miami, FL, USA.
Steven A SafrenDepartment of Psychology, University of Miami, Coral Gables, FL, USA.
Gail IronsonDepartment of Psychology, University of Miami, Coral Gables, FL, USA.
Allan RodriguezClinical Immunology - Infectious Diseases University of Miami Miller School of Medicine, USA.
Ian WrightDepartment of Economics, University of Miami School of Business, Miami, FL, USA.
Daniel FeasterDepartment of Public Health Sciences, University of Miami Miller School of Medicine, Miami, FL, USA.
Sannisha K DaleDepartment of Psychology, University of Miami, Coral Gables, FL, USA. Electronic address: skd52@miami.edu.

Funding

The University of Miami AIDS Research Center on Mental Health and HIV/AIDS - Center for HIV & Research in Mental Health (CHARM)Research Core & MHD-CEP30MH133399 · NIMH · UNIVERSITY OF MIAMI CORAL GABLES · PI Victoria Behar-Zusman · 2023 to 2026
$8.9M
Understanding Intersectional Discrimination and Adversities among Black Queer Women Living with HIVR01MH121194 · NIMH · UNIVERSITY OF MIAMI CORAL GABLES · PI DALE, SANNISHA K. · 2021 to 2024
$2.8M
Culturally-focused HIV Advancements through the Next Generation for Equity (CHANGE) Training ProgramT32MH126772 · NIMH · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI DALE, SANNISHA K, FEASTER, DANIEL J · 2021 to 2025
$1.1M
Monitoring Microaggressions and Adversities to Generate Interventions for Change (MMAGIC) for Black Women Living with HIVR56MH121194 · NIMH · UNIVERSITY OF MIAMI CORAL GABLES · PI DALE, SANNISHA K. · 2019 to 2019
$677k
NIMH NIH HHS P30 MH133399NIMH NIH HHS R01 MH121194NIMH NIH HHS R56 MH121194NIMH NIH HHS T32 MH126772
6 · The paper itself

Abstract

Existing inequities are exacerbated during the COVID-19 pandemic. Similar to HIV, COVID-19 disproportionately affects Black and other communities of color. Among Black women living with HIV (BWLWH) this study examined the relationship between community level and individual level social determinants of health and time to COVID-19 vaccine uptake. Utilizing longitudinal data collected between February 2021 and May 2023, pre-pandemic experiences of microaggressions, economic stability, health behaviors, resilience, self-efficacy and trauma/violence were modeled using latent class (LCA) and time-to-event (TTE) analyses methods to identify which classes emerge and how these determinants may influence COVID-19 vaccination uptake. Among 152 BWLWH, 75 % were vaccinated by 232 days (95 %CI: 202-441 days) after vaccine availability. A total of 25 women did not get vaccinated or were lost to follow up by the end of the study period. The primary reason for not getting a vaccine (endorsed by 76 % of unvaccinated women) was lack of trust in the government and institutions developing the vaccine. The LCA resulted in a 2-class solution. Class 1 exhibited lower scores for microaggressions and trauma/violence while reporting slightly higher economic stability, higher self-efficacy, resilience, self-care, and medication adherence. Women in Class 2 had higher probabilities for experiencing more microaggressions, trauma/violence, slightly less economic stability, and less resilience, self-efficacy, self-care, and medication adherence. The TTE analysis included 134 women, no significant difference was found between classes for COVID-19 vaccine uptake, but a pattern was observed with Class 2 taking longer to get the vaccine. Efforts to promote vaccine uptake must take into account and address community level and individual level social determinants of health.

Indexed as

Black or African AmericanCOVID-19COVID-19 VaccinesHIV InfectionsSocial Determinants of HealthAdultFemaleHumansLatent Class AnalysisLongitudinal StudiesMiddle AgedSARS-CoV-2VaccinationCOVID-19 VaccinesBlack womenCOVID-19Health equityHIVVaccine

Identifiers

PMID40913818
PMCPMC13069493

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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.