Evidence map›Paper›PMID 22835224›Full record

ArticleAIDS care2013

Socio-cultural and economic antecedents of adolescent sexual decision-making and HIV-risk in rural Uganda.

Ingrid T Katz, Michele L Ybarra, Monique A Wyatt, Julius P Kiwanuka, David R Bangsberg, Norma C Ware

Registry-linked trialAbstract read
In one paragraph

Article in AIDS care, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00906178 (CyberSenga), which is not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
4.2field-weighted citation impact, top 6% 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.

NCT00906178 phase1completednot on this map

CyberSenga: Harnessing the Power of the Internet to Prevent HIV in Ugandan Youth

TypeinterventionalSponsorCenter for Innovative Public Health ResearchRan2007 to 2011Enrolled366ConditionsSexual Abstinence, Condom UseArmsCyberSenga
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 21 citations in OpenAlex.

  1. A Randomized Controlled Trial to Increase HIV Preventive Information, Motivation, and Behavioral Skills in Ugandan Adolescents.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2015
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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

6 authors at 5 institutions in 2 countries.

Ingrid T KatzDivision of Women's Health, Brigham and Women's Hospital, Boston, MA, USA. ikatz2@partners.org
Michele L Ybarra
Monique A Wyatt
Julius P Kiwanuka
David R Bangsberg
Norma C Ware
Harvard University · USCenter for Innovative Public Health Research · USHarvard Global Health Institute · USMbarara University of Science and Technology · UGRagon Institute of MGH, MIT and Harvard · US

Funding

The impact of HIV viral diversity and cellular immunity on HIV pathogenesisP30AI060354 · NIAID · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI ROBERT A. PARKER · 2004 to 2026
$94.4M
HARVARD CLINICAL AND TRANSLATIONAL SCIENCE CENTER (UL1)UL1RR025758 · NCRR · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2008 to 2011
$91.4M
TB PREVENTION AND HIV IN THE HOMELESS--AN INTERVENTIONR01MH054907 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI BANGSBERG, DAVID ROY · 1995 to 2014
$20.7M
CyberSenga: Harnessing the power of the internet to prevent HIV in Ugandan youthR01MH080662 · NIMH · CENTER FOR INNOVATIVE PUBLIC HEALTH RESEARCH · PI YBARRA, MICHELE L. · 2007 to 2011
$2.0M
HIV Treatment Refusal Among Adults Presenting for Testing in Soweto, South AfricaK23MH097667 · NIMH · BRIGHAM AND WOMEN'S HOSPITAL · PI KATZ, INGRID T. · 2012 to 2016
$922k
Mentoring Patient Oriented Adherence Research in UgandaK24MH087227 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI BANGSBERG, DAVID ROY · 2009 to 2013
$776k
Mentoring in Qualitative Methods for Patient-Oriented Research on HIV CareK24MH090894 · NIMH · HARVARD MEDICAL SCHOOL · PI WARE, NORMA C · 2010 to 2014
$756k
HIV Outcomes Research and Training in UgandaK24AA015287 · NIAAA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI BANGSBERG, DAVID ROY · 2004 to 2008
$680k
NCRR NIH HHS UL1 RR025758NIAAA NIH HHS K24 AA015287NIAID NIH HHS P30 AI060354NIMH NIH HHS 5R01MH080662-02NIMH NIH HHS K23 MH097667NIMH NIH HHS K24 MH087227NIMH NIH HHS K24 MH090894NIMH NIH HHS R01 MH054907NIMH NIH HHS R01 MH080662
6 · The paper itself

Abstract

With more than half of new infections occurring among youth, HIV/AIDS remains a major contributor to morbidity and mortality in Uganda. Semi-structured interviews were performed with 48 adolescents and 15 adult key informants in a rural Ugandan community to identify influences on adolescent sexual decision-making. Inductive data analytic methods revealed five thematic influences: (1) social pressure, (2) decline of the Senga (a familial figure who traditionally taught female adolescents about how to run a household), (3) cultural barriers to condom use, (4) knowledge of HIV transmission and modes of prevention, and (5) a moral injunction against sex before marriage. Influences were classified as HIV/AIDS risk and protective factors and organized to form an explanatory framework of adolescent sexual risk-taking. Risk factors pull youth toward risky behavior, while protective factors push them away. Predominance of risk over protective influences explains persistent sexual risk-taking by Ugandan youth. HIV prevention programs designed for Ugandan adolescents should take competing factors and sociocultural and economic influences into account.

Indexed as

Decision MakingHealth Knowledge, Attitudes, PracticeSocioeconomic FactorsAdolescentAdolescent BehaviorAdultAgedCultureFemaleHIV InfectionsHumansInterviews as TopicMaleMiddle AgedParent-Child RelationsPeer Group

Identifiers

PMID22835224
PMCPMC3488357
OpenAlexW2078659092

What OpenQuestion holds

Textmetadata
LicenceTDM
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.