Evidence map›Paper›PMID 25432877›Full record

Trial reportAIDS and behavior2015

Understanding Adherence to Daily and Intermittent Regimens of Oral HIV Pre-exposure Prophylaxis Among Men Who Have Sex with Men in Kenya.

Peter Mwangi Mugo, Eduard J Sanders, Gaudensia Mutua, Elisabeth van der Elst, Omu Anzala, Burc Barin, David R Bangsberg, Frances H Priddy, Jessica E Haberer

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in AIDS and behavior, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 6 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

33 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Pooled it
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  5. Pooled it
  6. Substance Use and HIV Risk Among Men Who Have Sex With Men in Africa: A Systematic Review.Journal of acquired immune deficiency syndromes (1999) · 2017
    Pooled it
  7. Trial
  8. Trial
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  10. Article
  11. Article
  12. Article
  13. Mobility and HIV care engagement: a research agenda.Journal of the International AIDS Society · 2023
    Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. 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

9 authors.

Peter Mwangi MugoCenter for Geographic Medicine - Coast, Kenya Medical Research Institute, Kilifi, Kenya, pmugo@kemri-wellcome.org.
Eduard J Sanders
Gaudensia Mutua
Elisabeth van der Elst
Omu Anzala
Burc Barin
David R Bangsberg
Frances H Priddy
Jessica E Haberer

Funding

Wellcome Trust 092654
6 · The paper itself

Abstract

A qualitative assessment of Kenyan men who have sex with men taking daily and intermittent oral HIV pre-exposure prophylaxis (PrEP) found stigma, sex work, mobility, and alcohol impacted adherence. We analyzed quantitative data from the same cohort to explore different definitions of intermittent adherence. Volunteers were randomized to daily emtricitabine/tenofovir or placebo, or intermittent (prescription: Mondays/Fridays/after sex, maximum 1 dose/day) emtricitabine/tenofovir or placebo (2:1:2:1), and followed for 4 months. By electronic monitoring, median adherence for daily dosing was 80 %. Median adherence for intermittent dosing was 71 % per a "relaxed" definition (accounting for off-prescription dosing) and 40 % per a "strict" definition (limited to the prescription). Factors associated with lower adherence included travel, transactional sex, and longer follow-up; higher adherence was associated with daily dosing and an income. The definition of intermittent dosing strongly affects interpretation of adherence. These findings suggest interventions should address challenges of mobility, sex work, and long-term PrEP.

Indexed as

Drug MonitoringHomosexuality, MaleAdministration, OralAnti-HIV AgentsDose-Response Relationship, DrugDrug Administration ScheduleEmtricitabineFemaleHIV InfectionsHumansKenyaMaleMiddle AgedOutcome Assessment, Health CarePre-Exposure ProphylaxisSocioeconomic FactorsAnti-HIV AgentsEmtricitabineTenofovir

Identifiers

PMID25432877
PMCPMC4415948

What OpenQuestion holds

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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.