Evidence map›Paper›PMID 24580127›Full record

ArticleCulture, health & sexuality2014

'It means there is doubt in the house': perceptions and experiences of HIV testing in rural Malawi.

Amy A Conroy

Abstract read
In one paragraph

Article in Culture, health & sexuality, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
–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

25 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

1 author.

Amy A Conroya Department of Health and Behavioral Sciences, University of Colorado Denver , Denver , USA.

Funding

Virology CoreP30AI027763 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Monica Gandhi · 1988 to 2026
$93.6M
Ujima Mentoring ProgramP30MH062246 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MALLORY O JOHNSON · 2001 to 2026
$57.4M
TRAINEESHIPS IN AIDS PREVENTION STUDIEST32MH019105 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Carol Suzanne Camlin, Glenn-Milo Santos · 1989 to 2026
$15.3M
Young Adults' Strategies for Navigating Reproduction in an AIDS EpidemicR01HD058366 · NICHD · PENNSYLVANIA STATE UNIVERSITY, THE · PI TRINITAPOLI, JENNY A · 2008 to 2012
$2.7M
The Relationship Between HIV and Fertility in a Context of Expanding ART AccessR01HD077873 · NICHD · UNIVERSITY OF CHICAGO · PI TRINITAPOLI, JENNY A · 2013 to 2017
$1.8M
Understanding the Role of Relationship Power in HIV Testing Behavior: A Study ofF31MH093260 · NIMH · UNIVERSITY OF COLORADO DENVER · PI CONROY, AMY ANNE · 2010 to 2012
$59k
NIAID NIH HHS P30 AI027763NICHD NIH HHS R01 HD058366NICHD NIH HHS R01-HD058366NICHD NIH HHS R01 HD077873NIMH NIH HHS F31 MH093260NIMH NIH HHS F31-MH093260NIMH NIH HHS P30 MH062246NIMH NIH HHS T32 MH019105NIMH NIH HHS T32-MH19105
6 · The paper itself

Abstract

Research on HIV testing decision-making overlooks a complex array of interpersonal factors that go beyond HIV risk and extend into the realms of intimacy, love and marriage. The current study draws upon two sets of qualitative data, semi-structured interviews and focus-group discussions, to investigate how romantic relationships shape HIV testing perceptions and experiences in rural Malawi. It invokes the classical works of symbolic interactionism to frame how people create meaning around the act of HIV testing that fits with their everyday lives. Pre-marital HIV testing was considered an acceptable method to confirm a partner's trustworthiness and commitment to the relationship. However, during marriage, a spontaneous discussion of HIV testing signified a breach of fidelity or that a partner could not be trusted. This belief was transposed such that an HIV test could also be used to confirm a person's moral character in the face of infidelity accusations and gossip. Thus, HIV testing during marriage was labelled as an unusual event, one reserved for special or problematic circumstances, rather than for regular screening of disease. A discussion of how these findings can inform HIV testing programmes and policy in sub-Saharan Africa is provided.

Indexed as

AIDS SerodiagnosisAttitude to HealthAdolescentExtramarital RelationsFocus GroupsHumansInterpersonal RelationsInterviews as TopicMalawiMarriageRural PopulationYoung AdultcouplesHIV testinginfidelityMalawimarriage

Identifiers

PMID24580127
PMCPMC3991518

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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.