Evidence map›Paper›PMID 24747951›Full record

ArticlePloS one2014

Predictors of extra-marital partnerships among women married to fishermen along Lake Victoria in Kisumu County, Kenya.

Zachary Kwena, Isaac Mwanzo, Chris Shisanya, Carol Camlin, Janet Turan, Lilian Achiro, Elizabeth Bukusi

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03135067 (Secondary Distribution of HIV Self-tests), which is not on this map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
3.2field-weighted citation impact, top 8% 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.

NCT03135067 nacompletednot on this mapstarted 2017, after this paper: background citation

Secondary Distribution of HIV Self-tests: an Innovative Strategy for Promoting Partner Testing and Reducing HIV Risk

TypeinterventionalSponsorUniversity of PennsylvaniaRan2017 to 2020Enrolled2,102ConditionsHuman Immunodeficiency VirusArmsProvision of multiple self-tests
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 29 citations in OpenAlex.

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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

7 authors at 4 institutions in 2 countries.

Zachary KwenaCenter for Microbiology Research, Kenya Medical Research Institute, Kisumu, Kenya.
Isaac MwanzoDepartment of Community Health, Kenyatta University, Nairobi, Kenya.
Chris ShisanyaDepartment of Geography, Kenyatta University, Nairobi, Kenya.
Carol CamlinDepartment of Obstetrics, Gynecology and Reproductive Sciences, University of California at San Francisco, San Francisco, California, United States of America.
Janet TuranDepartment of Health Care Organization and Policy, University of Alabama at Birmingham, Birmingham, Alabama, United States of America.
Lilian AchiroCenter for Microbiology Research, Kenya Medical Research Institute, Kisumu, Kenya.
Elizabeth BukusiCenter for Microbiology Research, Kenya Medical Research Institute, Kisumu, Kenya.
Kenya Medical Research Institute · KEKenyatta University · KEUniversity of Alabama at Birmingham · USUniversity of California, San Francisco · US

Funding

Virology CoreP30AI027763 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI STEVEN Grant DEEKS · 1988 to 2026
$93.6M
Identifying Opportunities for HIV Prevention Among Female Migrants in KenyaK01MH093205 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI CAMLIN, CAROL SUZANNE · 2011 to 2015
$857k
NIAID NIH HHS P30 AI027763NIMH NIH HHS K01 MH093205
6 · The paper itself

Abstract

backgroundThe vulnerability of women to HIV infection makes establishing predictors of women's involvement in extra-marital partnerships critical. We investigated the predictors of extra-marital partnerships among women married to fishermen.

methodsThe current analyses are part of a mixed methods cross-sectional survey of 1090 gender-matched interviews with 545 couples and 12 focus group discussions (FGDs) with 59 couples. Using a proportional to size simple random sample of fishermen as our index participants, we asked them to enrol in the study with their spouses. The consenting couples were interviewed simultaneously in separate private rooms. In addition to socio-economic and demographic data, we collected information on sexual behaviour including extra-marital sexual partnerships. We analysed these data using descriptive statistics and multivariate logistic regression. For FGDs, couples willing to participate were invited, consented and separated for simultaneous FGDs by gender-matched moderators. The resultant audiofiles were transcribed verbatim and translated into English for coding and thematic content analysis using NVivo 9.

resultsThe prevalence of extra-marital partnerships among women was 6.2% within a reference time of six months. Factors that were independently associated with increased likelihood of extra-marital partnerships were domestic violence (aOR, 1.45; 95% CI 1.09-1.92), women reporting being denied a preferred sex position (aOR, 3.34; 95% CI 1.26-8.84) and spouse longer erect penis (aOR, 1.34; 95% CI 1.00-1.78). Conversely, women's age--more than 24 years (aOR, 0.33; 95% CI 0.14-0.78) and women's increased sexual satisfaction (aOR, 0.92; 95% CI 0.87-0.96) were associated with reduced likelihood of extra-marital partnerships.

conclusionDomestic violence, denial of a preferred sex positions, longer erect penis, younger age and increased sexual satisfaction were the main predictors of women's involvement in extra-marital partnerships. Integration of sex education, counselling and life skills training in couple HIV prevention programs might help in risk reduction.

Indexed as

MarriageSexual BehaviorFemaleFocus GroupsHumansKenyaMale

Identifiers

PMID24747951
PMCPMC3991629
OpenAlexW2094978379

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.