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A Closer Look at Racism and Heterosexism in Medical Students’ Clinical Decision-Making Related to HIV Pre-Exposure Prophylaxis (PrEP): Implications for PrEP Education

Overview of attention for article published in AIDS and Behavior, November 2017
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About this Attention Score

  • In the top 25% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (89th percentile)
  • High Attention Score compared to outputs of the same age and source (91st percentile)

Mentioned by

blogs
1 blog
twitter
11 X users
facebook
1 Facebook page
wikipedia
1 Wikipedia page

Citations

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67 Dimensions

Readers on

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163 Mendeley
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Title
A Closer Look at Racism and Heterosexism in Medical Students’ Clinical Decision-Making Related to HIV Pre-Exposure Prophylaxis (PrEP): Implications for PrEP Education
Published in
AIDS and Behavior, November 2017
DOI 10.1007/s10461-017-1979-z
Pubmed ID
Authors

Sarah K. Calabrese, Valerie A. Earnshaw, Douglas S. Krakower, Kristen Underhill, Wilson Vincent, Manya Magnus, Nathan B. Hansen, Trace S. Kershaw, Kenneth H. Mayer, Joseph R. Betancourt, John F. Dovidio

Abstract

Social biases among healthcare providers could limit PrEP access. In this survey study of 115 US medical students, we examined associations between biases (racism and heterosexism) and PrEP clinical decision-making and explored prior PrEP education as a potential buffer. After viewing a vignette about a PrEP-seeking MSM patient, participants reported anticipated patient behavior (condomless sex, extra-relational sex, and adherence), intention to prescribe PrEP to the patient, biases, and background characteristics. Minimal evidence for racism affecting clinical decision-making emerged. In unadjusted analyses, heterosexism indirectly affected prescribing intention via all anticipated behaviors, tested as parallel mediators. Participants expressing greater heterosexism more strongly anticipated increased risk behavior and adherence problems, which were associated with lower prescribing intention. The indirect effect via condomless sex remained significant adjusting for background characteristics. Prior PrEP education did not buffer any indirect effects. Heterosexism may compromise PrEP provision to MSM and should be addressed in PrEP-related medical education.

X Demographics

X Demographics

The data shown below were collected from the profiles of 11 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 163 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 163 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 26 16%
Student > Ph. D. Student 20 12%
Researcher 15 9%
Student > Doctoral Student 11 7%
Student > Bachelor 11 7%
Other 29 18%
Unknown 51 31%
Readers by discipline Count As %
Medicine and Dentistry 33 20%
Social Sciences 23 14%
Nursing and Health Professions 19 12%
Psychology 18 11%
Arts and Humanities 3 2%
Other 9 6%
Unknown 58 36%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 17. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 30 May 2022.
All research outputs
#2,053,788
of 24,228,883 outputs
Outputs from AIDS and Behavior
#270
of 3,613 outputs
Outputs of similar age
#46,321
of 445,774 outputs
Outputs of similar age from AIDS and Behavior
#8
of 84 outputs
Altmetric has tracked 24,228,883 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 91st percentile: it's in the top 10% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 3,613 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 7.0. This one has done particularly well, scoring higher than 92% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 445,774 tracked outputs that were published within six weeks on either side of this one in any source. This one has done well, scoring higher than 89% of its contemporaries.
We're also able to compare this research output to 84 others from the same source and published within six weeks on either side of this one. This one has done particularly well, scoring higher than 91% of its contemporaries.