Evidence map›Paper›PMID 41995920›Full record

ArticleAIDS and behavior2026

Alignment Between HIV Vulnerability and Pre-exposure Prophylaxis Use in a Longitudinal Study of Young, Black Men Who Have Sex with Men.

Zihan Guo, Darren Whitfield, O Winslow Edwards, Carson Bohl, Joanna A Caldwell, Patrick S Sullivan, Jeb Jones

Abstract read
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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

7 authors.

Zihan GuoDepartment of Epidemiology, Emory University, Atlanta, GA, USA.
Darren WhitfieldUniversity of Maryland School of Social Work, Baltimore, MD, USA.
O Winslow EdwardsDepartment of Epidemiology, Emory University, Atlanta, GA, USA.
Carson BohlDepartment of Epidemiology, Emory University, Atlanta, GA, USA.
Joanna A CaldwellDepartment of Epidemiology, Emory University, Atlanta, GA, USA.
Patrick S SullivanDepartment of Epidemiology, Emory University, Atlanta, GA, USA.
Jeb JonesDepartment of Epidemiology, Emory University, Atlanta, GA, USA. jeb.jones@emory.edu.ORCID http://orcid.org/0000-0001-9165-1658

Funding

Assessing Psychosocial Predictors of PrEP Adherence and Persistence Among Young Black MSMR21MH121120 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI JONES, JEB, WHITFIELD, DARREN LOVELL · 2020 to 2021
$457k
NIMH NIH HHS R21MH121120
6 · The paper itself

Abstract

When taken as a daily pill, pre-exposure prophylaxis (PrEP) requires sufficient levels of adherence to confer strong protection against HIV. For protection against HIV transmission via anal sex, this corresponds to at least 4 daily pills per week for those on a daily dosing regimen. Measuring oral PrEP adherence requires valid assessments of pill-taking; it also requires assessments of contemporaneous sexual behavior because PrEP adherence is only functionally relevant in the context of contemporaneous HIV vulnerability. We conducted an online cohort study of Black, PrEP-using men who have sex with men (MSM) to assess the alignment between self-reported PrEP adherence and condom use and concordance between self-reported PrEP adherence and laboratory-assessed adherence. Data collection occurred from 2021 to 2023. Participants completed 11 weekly surveys to report PrEP use and sexual behavior for the preceding 7 days. At the end of follow-up, they were asked to submit a dried blood spot sample for laboratory analysis. There were few periods of self-reported non-adherence, but, among these, condomless sex was frequent. Self-reported adherence was not predictive of laboratory-assessed adherence. Despite their cost, studies of PrEP adherence should incorporate laboratory measurements of adherence whenever feasible.

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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.