Evidence map›Paper›PMID 24929834›Full record

Trial reportAIDS and behavior2014

Factors shaping initial decision-making to self-test amongst cohabiting couples in urban Blantyre, Malawi.

Moses Kumwenda, Alister Munthali, Mackwellings Phiri, Daniel Mwale, Tore Gutteberg, Eleanor MacPherson, Sally Theobald, Liz Corbett, Nicola Desmond

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

Trial report in AIDS and behavior, 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 61 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed, 9 pooled it
5.0field-weighted citation impact, top 4% 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

61 citing papers in PubMed, 9 syntheses or guidelines pooled it, 78 citations in OpenAlex.

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1 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

9 authors at 5 institutions in 3 countries.

Moses KumwendaPathology and Medical Laboratory Sciences, College of Medicine, University of Malawi, Private Bag 360 Chichiri, Blantyre 3, Malawi, kumwenda@gmail.com.
Alister Munthali
Mackwellings Phiri
Daniel Mwale
Tore Gutteberg
Eleanor MacPherson
Sally Theobald
Liz Corbett
Nicola Desmond
University of Malawi · MWLiverpool School of Tropical Medicine · GBLondon School of Hygiene & Tropical Medicine · GBUiT The Arctic University of Norway · NOUniversity of Liverpool · GB

Funding

Wellcome Trust 091769Wellcome Trust 100890
6 · The paper itself

Abstract

In sub-Saharan Africa, most new HIV infections occur in stable relationships, making couples testing an important intervention for HIV prevention. We explored factors shaping the decision-making of cohabiting couples who opted to self-test in Blantyre, Malawi. Thirty-four self-tested participants (17 couples) were interviewed. Motivators for HIV self-testing (HIVST) emerged at three main levels. Individual motivations included perceived benefits of access to treatment, and self-checking of serostatus in the hope of having been cured by prolonged treatment or faith-healing. HIVST was considered convenient, confidential, reassuring and an enabling new way to test with one's partner. Partnership motivations included both positive (mutual encouragement) and negative (suspected infidelity) aspects. For women, long-term health and togetherness were important goals that reinforced motivations for couples testing, whereas men often needed persuasion despite finding HIVST more flexible and less onerous than facility-based testing. Internal conflict prompted some partners to use HIVST as a way of disclosing their previously concealed HIV positive serostatus. Thus, the implementation of community-based HIVST should acknowledge and appropriately respond to decision-making processes within couples, which are shaped by gender roles and relationship dynamics.

Indexed as

Decision MakingAdultExtramarital RelationsFamily CharacteristicsFemaleHealth Knowledge, Attitudes, PracticeHIV InfectionsHIV SeropositivityHumansInterviews as TopicLongitudinal StudiesMalawiMaleMass ScreeningMotivationQualitative Research

Identifiers

PMID24929834
PMCPMC4102820
OpenAlexW2154415503

What OpenQuestion holds

Textmetadata
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.