Evidence map›Paper›PMID 24290059›Full record

ArticleInternational journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics2014

Predictors of unknown HIV serostatus at the time of labor and delivery in Kampala, Uganda.

Sam Ononge, Charles Karamagi, Clemensia Nakabiito, Julius Wandabwa, Florence Mirembe, Godfrey Z Rukundo, Larissa Jennings

Abstract read
In one paragraph

Article in International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Article
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.

Sam OnongeDepartment of Obstetrics and Gynaecology, Makerere University College of Health Sciences, Kampala, Uganda; Clinical Epidemiology Unit, Makerere University College of Health Sciences, Kampala, Uganda. Electronic address: ononge2006@yahoo.com.
Charles KaramagiClinical Epidemiology Unit, Makerere University College of Health Sciences, Kampala, Uganda; Department of Paediatrics and Child Health, Makerere University College of Health Sciences, Kampala, Uganda.
Clemensia NakabiitoDepartment of Obstetrics and Gynaecology, Makerere University College of Health Sciences, Kampala, Uganda.
Julius WandabwaDepartment of Obstetrics and Gynaecology, Walter Sisulu University, Mthatha, South Africa.
Florence MirembeDepartment of Obstetrics and Gynaecology, Makerere University College of Health Sciences, Kampala, Uganda.
Godfrey Z RukundoDepartment of Psychiatry, Mbarara University of Science and Technology, Mbarara, Uganda.
Larissa JenningsDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA.

Funding

Medical Education for Services to All Ugandans (MESAU)R24TW008886 · FIC · MAKERERE UNIVERSITY COLLEGE OF HEALTH SCIENCES · PI SEWANKAMBO, NELSON K · 2010 to 2015
$9.2M
FIC NIH HHS 5R24TW00 8886FIC NIH HHS R24 TW008886
6 · The paper itself

Abstract

objectiveTo determine factors associated with an unknown HIV serostatus among pregnant women admitted in labor to Mulago Hospital, Kampala, Uganda.

methodsIn total, 665 pregnant women admitted to Mulago Hospital were interviewed about their sociodemographic characteristics, obstetric history, access to prenatal care, fears regarding HIV testing, and knowledge about modes of mother-to-child-transmission (MTCT). Knowledge of the HIV serostatus was assessed by self-report and verified by prenatal card review.

resultsThe prevalence of unknown HIV serostatus at the time of labor was 27.1%. Factors associated with an unknown HIV serostatus included high parity (odds ratio [OR] 1.9; 95% confidence interval [CI], 1.16-3.14), preterm delivery (OR 2.60; 95% CI, 1.06-6.34), prenatal care at a private clinic (OR 12.87; 95% CI, 5.68-29.14), residence more than 5 km from the nearest prenatal clinic (OR 2.86; 95% CI, 1.18-17.9), high knowledge about MTCT (OR 0.25; 95% CI, 0.07-0.86), and fears related to disclosing the test result to the partner (OR 3.60; 95% CI, 1.84-7.06).

conclusionThe high prevalence of unknown HIV serostatus among women in labor highlights the need to improve accessibility to HIV testing services early during pregnancy to be able to take advantage of antiretroviral therapy.

Indexed as

Attitude to HealthAdolescentAdultAIDS SerodiagnosisCross-Sectional StudiesDelivery, ObstetricFemaleHealth Services AccessibilityHIV SeropositivityHumansLabor, ObstetricPregnancyPregnancy Complications, InfectiousPrenatal CarePrevalenceUgandaDeliveryLaborPrevention of mother-to-child transmissionUnknown HIV serostatus

Identifiers

PMID24290059
PMCPMC4121428

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Registered trials

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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.