Evidence map›Paper›PMID 25093572›Full record

Trial reportPloS one2014

"Let's talk about sex": a qualitative study of Rwandan adolescents' views on sex and HIV.

Jennifer Ilo Van Nuil, Philippe Mutwa, Brenda Asiimwe-Kateera, Evelyne Kestelyn, Joseph Vyankandondera, Robert Pool, John Ruhirimbura, Chantal Kanakuze, Peter Reiss, Sibyl P M Geelen and 2 more

Abstract readClinical Trial
In one paragraph

Trial report in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Sexual and Reproductive Health Concerns of Adolescents Living with Perinatally Infected HIV in India.Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine
    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

12 authors.

Jennifer Ilo Van NuilRinda Ubuzima, Kigali, Rwanda.
Philippe MutwaDepartment of Global Health and Amsterdam Institute for Global Health and Development, Academic Medical Center, Amsterdam, The Netherlands; Department of Pediatrics, Kigali University Teaching Hospital, Kigali, Rwanda.
Brenda Asiimwe-KateeraDepartment of Global Health and Amsterdam Institute for Global Health and Development, Academic Medical Center, Amsterdam, The Netherlands.
Evelyne KestelynRinda Ubuzima, Kigali, Rwanda; Department of Global Health and Amsterdam Institute for Global Health and Development, Academic Medical Center, Amsterdam, The Netherlands.
Joseph VyankandonderaRinda Ubuzima, Kigali, Rwanda; Department of Obstetrics and Gynecology, King Faisal Hospital, Kigali, Rwanda.
Robert PoolCenter for Social Science and Global Health, University of Amsterdam, Amsterdam, The Netherlands.
John RuhirimburaTreatment and Research on HIV/AIDS Center, Kigali, Rwanda.
Chantal KanakuzeTreatment and Research on HIV/AIDS Center, Kigali, Rwanda.
Peter ReissDepartment of Global Health and Amsterdam Institute for Global Health and Development, Academic Medical Center, Amsterdam, The Netherlands.
Sibyl P M GeelenDepartment of Global Health and Amsterdam Institute for Global Health and Development, Academic Medical Center, Amsterdam, The Netherlands; Utrecht University Children's Hospital, University Medical Center Utrecht, Utrecht, The Netherlands.
Janneke H van de WijgertRinda Ubuzima, Kigali, Rwanda; Department of Global Health and Amsterdam Institute for Global Health and Development, Academic Medical Center, Amsterdam, The Netherlands.
Kimberly R BoerDepartment of Global Health and Amsterdam Institute for Global Health and Development, Academic Medical Center, Amsterdam, The Netherlands; Utrecht University Children's Hospital, University Medical Center Utrecht, Utrecht, The Netherlands; Biomedical Research, Epidemiology Unit, Royal Tropical Institute, Amsterdam, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis qualitative study explored the views and experiences of adolescents with perinatally acquired HIV in Kigali, Rwanda, regarding sex, love, marriage, children and hope for the future.

designThe study enrolled 42 adolescents who had received combination antiretroviral therapy for at least 12 months, and a selection of their primary caregivers. Study methods included 3 multiple day workshops consisting of role-playing and focus group discussions (FGDs) with adolescents, 8 in-depth interviews with adolescents, and one FGD with caregivers.

resultsThe adolescents reported experiencing similar sexual needs and dilemmas as most other adolescents, but with an added layer of complexity due to fears related to HIV transmission and/or rejection by partners. They desired more advice from their parents/caregivers on these topics. Although they struggled with aspects of sex, love, marriage and having children, most agreed that they would find love, be married and have children in the future. The two most discussed HIV-related anxieties were how and when to disclose to a (potential) sex/marriage partner and whether to have children. However, most adolescents felt that they had a right to love and be loved, and were aware of prevention-of-mother-to-child-transmission (PMTCT) options in Rwanda. Adolescents generally spoke about their future role in society in a positive manner.

conclusionStrengthening the life skills of HIV-positive adolescents, especially around HIV disclosure and reduction of HIV transmission, as well as the support skills of parents/caregivers, may not only reduce onward HIV transmission but also improve quality of life by reducing anxiety.

Indexed as

Patient Education as TopicPerceptionAdolescentAdolescent BehaviorAnti-Retroviral AgentsAnxietyCaregiversChildFemaleHIV InfectionsHIV SeropositivityHumansMaleRwandaSelf DisclosureSexual BehaviorAnti-Retroviral Agents

Identifiers

PMID25093572
PMCPMC4122382

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.