Evidence map›Paper›PMID 19283464›Full record

ArticleAIDS and behavior2010

Transportation costs impede sustained adherence and access to HAART in a clinic population in southwestern Uganda: a qualitative study.

David M Tuller, David R Bangsberg, Jude Senkungu, Norma C Ware, Nneka Emenyonu, Sheri D Weiser

Registry-linked trialOpen access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in AIDS and behavior, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03438370 (Outcomes of Differentiated Models of Antiretroviral Treatment), which is not on this map. Cited by 225 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
225citing papers in PubMed, 4 pooled it
10.7field-weighted citation impact, top 1% 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.

NCT03438370 naunknown statusnot on this mapstarted 2017, after this paper: background citation

Outcomes of Differentiated Models of Antiretroviral Treatment (ART) Provision: Multi-Month Dispensing (MMD) of ART in Community ART Distribution for Stable HIV Infected Patients

TypeinterventionalSponsorEquip, LesothoRan2017 to 2019Enrolled5,760ConditionsHIV/AIDSArmsThree monthly ART supply at CAGs, Six monthly ART supply at outreaches
3 · Its place in the literature

Who cites it

225 citing papers in PubMed, 4 syntheses or guidelines pooled it, 378 citations in OpenAlex.

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165 more citing papers are in PubMed but not listed here.

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

6 authors at 5 institutions in 2 countries.

David M TullerSchool of Public Health, University of California at Berkeley, Berkeley, CA, USA. davetuller@berkeley.edu
David R Bangsberg
Jude Senkungu
Norma C Ware
Nneka Emenyonu
Sheri D Weiser
Harvard Global Health Institute · USBerkeley Public Health Division · USHarvard University · USMbarara University of Science and Technology · UGSan Francisco General Hospital · US

Funding

TB PREVENTION AND HIV IN THE HOMELESS--AN INTERVENTIONR01MH054907 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI BANGSBERG, DAVID ROY · 1995 to 2014
$20.7M
Social Integration for Psychiatrically Disabled AdultsR01MH065247 · NIMH · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI WARE, NORMA C · 2003 to 2005
$1.5M
The Impact of Food Insecurity on HIV Outcomes and Sexual Risk Behavior in UgandaK23MH079713 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI WEISER, SHERI DAWN · 2007 to 2011
$921k
Mentoring Patient Oriented Adherence Research in UgandaK24MH087227 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI BANGSBERG, DAVID ROY · 2009 to 2013
$776k
NIMH NIH HHS K23 MH079713NIMH NIH HHS K24 MH087227NIMH NIH HHS R01 MH054907NIMH NIH HHS R01 MH065247PHS HHS R0-1 54907
6 · The paper itself

Abstract

The cost of transportation for monthly clinic visits has been identified as a potential barrier to antiretroviral (ARV) adherence in sub-Saharan Africa and elsewhere, although there is limited data on this issue. We conducted open-ended interviews with 41 individuals living with HIV/AIDS and attending a clinic in Mbarara, Uganda, to understand structural barriers to ARV adherence and clinical care. Almost all respondents cited the need to locate funds for the monthly clinic visit as a constant source of stress and anxiety, and lack of money for transportation was a key factor in cases of missed doses and missed medical appointments. Participants struggled with competing demands between transport costs and other necessities such as food, housing and school fees. Our findings suggest that transportation costs can compromise both ARV adherence and access to care. Interventions that address this barrier will be important to ensure the success of ARV programs in sub-Saharan Africa.

Indexed as

Antiretroviral Therapy, Highly ActiveAdultAmbulatory CareCosts and Cost AnalysisFemaleHealth Services AccessibilityHIV InfectionsHumansMaleMiddle AgedPatient ComplianceQualitative ResearchRural PopulationSocioeconomic FactorsTransportationUganda

Identifiers

PMID19283464
PMCPMC2888948
OpenAlexW2110884710

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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 OpenQuestion graph.