Evidence map›Paper›PMID 28891715›Full record

ArticleAIDS patient care and STDs2017

"Where It Falls Apart": Barriers to Retention in HIV Care in Latino Immigrants and Migrants.

Julie H Levison, Laura M Bogart, Iman F Khan, Dianna Mejia, Hortensia Amaro, Margarita Alegría, Steven Safren

2 registry-linked trialsOpen access · greenAbstract read
In one paragraph

Article in AIDS patient care and STDs, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 52 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 2 pooled it
3.2field-weighted citation impact, top 8% of its field
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.

NCT05358366 nacompletednot on this mapstarted 2022, after this paper: background citation

Infección de Amor (Love Infection): Online Delivery and Pilot Testing of a Dramatized Story Intervention (Telenovela/Soap Opera) for HIV Prevention Among Latinas in North Carolina

TypeinterventionalSponsorUniversity of North Carolina, Chapel HillRan2022 to 2023Enrolled58ConditionsHIV InfectionsArmsInfeccion de Amor (Love Infection)
NCT05929482 nacompletednot on this mapstarted 2023, after this paper: background citation

A Randomized Controlled Pilot Study to Examine the Impact of a Filmed Dramatized Story Intervention (Telenovela/Soap Opera) for HIV Prevention in Latinas.

TypeinterventionalSponsorUniversity of North Carolina, Chapel HillRan2023 to 2025Enrolled95ConditionsHIV InfectionsArmsInfección de Amor (Infectious Love)
3 · Its place in the literature

Who cites it

52 citing papers in PubMed, 2 syntheses or guidelines pooled it, 70 citations in OpenAlex.

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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 at 5 institutions in 1 country.

Julie H Levison1 Division of General Internal Medicine, Massachusetts General Hospital , Boston, Massachusetts.
Laura M Bogart4 Health Unit, RAND Corporation , Santa Monica, California.
Iman F Khan1 Division of General Internal Medicine, Massachusetts General Hospital , Boston, Massachusetts.
Dianna Mejia1 Division of General Internal Medicine, Massachusetts General Hospital , Boston, Massachusetts.
Hortensia Amaro5 Suzanne Dworak-Peck School of Social Work and Department of Preventive Medicine, Keck School of Medicine, University of Southern California , Los Angeles, California.
Margarita Alegría2 Department of Medicine, Massachusetts General Hospital , Boston, Massachusetts.
Steven Safren7 Department of Psychology, University of Miami , Miami, Florida.
Massachusetts General Hospital · USHarvard University · USRAND Corporation · USUniversity of Miami · USUniversity of Southern California · US

Funding

The impact of HIV viral diversity and cellular immunity on HIV pathogenesisP30AI060354 · NIAID · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI ARTHUR Y KIM · 2004 to 2026
$94.4M
UCLA Rapid, Relevant, Rigorous Implementation Science HubP30MH058107 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Sung-Jae Lee · 1997 to 2026
$53.5M
International Latino Research Partnership (ILRP)R01DA034952 · NIDA · MASSACHUSETTS GENERAL HOSPITAL · PI ALEGRIA, MARGARITA · 2013 to 2017
$2.8M
Addressing Barriers to Retention in HIV Care for Hispanic ImmigrantsK23MH100978 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI LEVISON, JULIE · 2014 to 2018
$960k
Addressing psychosocial comorbidities in HIV treatment and preventionK24DA040489 · NIDA · UNIVERSITY OF MIAMI CORAL GABLES · PI SAFREN, STEVEN A · 2016 to 2020
$931k
Pilot Intervention for Discrimination and Mistrust Among HIV Positive Black MenR34MH096544 · NIMH · RAND CORPORATION · PI BOGART, LAURA M · 2012 to 2014
$912k
NIAID NIH HHS P30 AI060354NIDA NIH HHS K24 DA040489NIDA NIH HHS R01 DA034952NIMH NIH HHS K23 MH100978NIMH NIH HHS P30 MH058107NIMH NIH HHS R34 MH096544
6 · The paper itself

Abstract

Latino immigrants in the United States are disproportionately affected by HIV. Barriers to consistent attendance (retention) in HIV primary care constrain opportunities for HIV treatment success, but have not been specifically assessed in this population. We conducted semistructured interviews with 37 HIV-infected Latinos (aged ≥18 years and born in Puerto Rico or a Latin American Spanish-speaking country) and 14 HIV providers in metropolitan Boston (total n = 51). The Andersen Model of Healthcare Utilization informed a semistructured interview guide, which bilingual research staff used to explore barriers to HIV care. We used thematic analysis to explore the processes of retention in care. Six ubiquitous themes were perceived to influence HIV clinic attendance: (1) stigma as a barrier to HIV serostatus disclosure; (2) social support as a safety net during negative life circumstances; (3) unaddressed trauma and substance use leading to interruption in care; (4) a trusting relationship between patient and provider motivating HIV clinic attendance; (5) basic unmet needs competing with the perceived value of HIV care; and (6) religion providing a source of hope and optimism. Cultural subthemes were the centrality of family (familismo), masculinity (machismo), and trusting relationships (confianza). The timing of barriers was acute (e.g., eviction) and chronic (e.g., family conflict). These co-occurring and dynamic constellation of factors affected HIV primary care attendance over time. HIV-infected Latino immigrants and migrants experienced significant challenges that led to interruptions in HIV care. Anticipatory guidance to prepare for these setbacks may improve retention in HIV care in this population.

Indexed as

Emigrants and ImmigrantsSocial StigmaAcculturationAdultCommunication BarriersCounselingFemaleHispanic or LatinoHIV InfectionsHumansInterviews as TopicMalePatient Acceptance of Health CarePatient DropoutsPhysician-Patient RelationsPuerto Ricoforeign-born/immigrantHIV/AIDSLatino/Hispanicqualitative researchretention in care

Identifiers

PMID28891715
PMCPMC5610398
OpenAlexW2754727657

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

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 Socratic graph.