Evidence map›Paper›PMID 41931222›Full record

ArticleAIDS and behavior2026

Intersectional Stigma and Health of People Living with HIV on ART Who Use Alcohol in Southwestern Uganda.

Sarah A Gutin, Esther Atukunda, Fatema Shafie Khorassani, Robin Fatch, Kaku So-Armah, Adah Tumwegamire, Nneka I Emenyonu, Cristina Espinosa da Silva, Christine Ngabirano, Karsten Lunze and 3 more

Abstract read
In one paragraph

Article in AIDS and behavior, 2026. 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

13 authors.

Sarah A GutinDepartment of Community Health Systems, School of Nursing, University of California, San Francisco, 490 Illinois Street, Floor 9, San Francisco, 94143, USA. Sarah.gutin@ucsf.edu.ORCID http://orcid.org/0000-0002-7634-1296
Esther AtukundaDepartment of Pharmacology/Pharmacy, Mbarara University of Science and Technology, Mbarara, Uganda.ORCID http://orcid.org/0000-0002-0045-0138
Fatema Shafie KhorassaniDepartment of Biostatistics, Boston University School of Public Health, Boston, MA, USA.ORCID http://orcid.org/0000-0001-7445-322X
Robin FatchDepartment of Medicine, University of California, San Francisco, San Francisco, CA, USA.
Kaku So-ArmahDepartment of Medicine, Boston Medical Center and Boston University Chobanian and Avedisian School of Medicine, Boston, MA, USA.ORCID http://orcid.org/0000-0003-1505-6384
Adah TumwegamireGlobal Health Collaborative, Mbarara University of Science and Technology, Mbarara, Uganda.ORCID http://orcid.org/0009-0006-7224-9106
Nneka I EmenyonuDepartment of Medicine, University of California, San Francisco, San Francisco, CA, USA.ORCID http://orcid.org/0000-0003-4376-7810
Cristina Espinosa da SilvaDepartment of Medicine, University of California, San Francisco, San Francisco, CA, USA.ORCID http://orcid.org/0000-0003-1684-1616
Christine NgabiranoGlobal Health Collaborative, Mbarara University of Science and Technology, Mbarara, Uganda.ORCID http://orcid.org/0000-0003-0348-316X
Karsten LunzeDepartment of Medicine, Boston Medical Center and Boston University Chobanian and Avedisian School of Medicine, Boston, MA, USA.ORCID http://orcid.org/0000-0001-8495-0350
Julian AdongGlobal Health Collaborative, Mbarara University of Science and Technology, Mbarara, Uganda.
Winnie MuyindikeGlobal Health Collaborative, Mbarara University of Science and Technology, Mbarara, Uganda.ORCID http://orcid.org/0000-0002-6694-2645
Judith A HahnDepartment of Medicine, University of California, San Francisco, San Francisco, CA, USA.ORCID http://orcid.org/0000-0002-2697-8264

Funding

The Role of Alcohol Use in Lung Disease After Treatment for Active TB Disease Among Persons Living with HIVP01AA029541 · NIAAA · BOSTON MEDICAL CENTER · PI SAMET, JEFFREY H. · 2021 to 2025
$7.5M
Integration of a patient-centered mobile health intervention (Support-Moms) into routine antenatal care to improve maternal health in UgandaR01HD111692 · NICHD · MBARARA UNIVERSITY/SCIENCE/ TECHNOLOGY · PI Esther Cathyln Atukunda · 2023 to 2026
$1.9M
Training in Research Program on Alcohol Use by Persons with our at Risk for HIVK24AA022586 · NIAAA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HAHN, JUDITH ALISSA · 2013 to 2023
$1.8M
Couples Advancing Together for Safer Conception (CAT-SC): A couples’-based intervention to improve engagement in sexual and reproductive health services for mobile fisherfolk in KenyaK01MH132435 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Sarah A Gutin · 2023 to 2026
$721k
NIAAA NIH HHS K24 AA022586NIAAA NIH HHS P01 AA029541NICHD NIH HHS R01 HD111692NIMH NIH HHS K01 MH132435NIMH NIH HHS K01MH132435NIMH NIH HHS K24AA022586NIMH NIH HHS P01AA029541
6 · The paper itself

Abstract

HIV, TB, and alcohol use are stigmatized conditions that lead to poor care engagement and health outcomes. Stigmatized traits can operate independently or be intersectional. We examined the relationships between intersectional HIV-, TB-, and alcohol-related stigma on poorer perceived health among people with HIV (PWH) receiving antiretroviral therapy in a study examining TB infection risk among PWH in HIV care in southwestern Uganda (2022-2023). We used proportional odds models to examine associations between high intersectional HIV, TB, and alcohol stigma (defined as above median scores on validated scales) and the outcome of poorer perceived health. Among 379 PWH, 12% described their health status as fair/poor. High intersectional HIV and alcohol stigma was associated with increased odds of poorer perceived health (adjusted odds ratio [aOR] = 1.62; 95% CI: 1.04-2.52), but we found no associations between other HIV, TB, and alcohol stigma intersections and this outcome. We found a significant interaction between intersectional HIV and alcohol stigma and marital status (Wald χ

Indexed as

Alcohol stigmaHIV stigmaIntersectional stigmaTB stigmaUganda

Identifiers

PMID41931222
PMCPMC13218086

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.