Evidence map›Paper›PMID 25487430›Full record

ArticleSexually transmitted infections2015

Engaging young adult clients of community pharmacies for HIV screening in Coastal Kenya: a cross-sectional study.

Peter M Mugo, Henrieke A B Prins, Elizabeth W Wahome, Grace M Mwashigadi, Alexander N Thiong'o, Evanson Gichuru, Anisa Omar, Susan M Graham, Eduard J Sanders

Open access · hybridAbstract read
In one paragraph

Article in Sexually transmitted infections, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
0.5field-weighted citation impact, top 33% 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.

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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 24 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

9 authors at 4 institutions in 4 countries.

Peter M MugoKenya Medical Research Institute, Kilifi, Kenya.
Henrieke A B PrinsKenya Medical Research Institute, Kilifi, Kenya.
Elizabeth W WahomeKenya Medical Research Institute, Kilifi, Kenya.
Grace M MwashigadiKenya Medical Research Institute, Kilifi, Kenya.
Alexander N Thiong'oKenya Medical Research Institute, Kilifi, Kenya.
Evanson GichuruKenya Medical Research Institute, Kilifi, Kenya.
Anisa OmarMinistry of Health, Kilifi, Kenya.
Susan M GrahamKenya Medical Research Institute, Kilifi, Kenya University of Washington, Seattle, USA.
Eduard J SandersKenya Medical Research Institute, Kilifi, Kenya Oxford University, Headington, UK University of Amsterdam, Amsterdam, The Netherlands.
Kenya Medical Research Institute · KEMinistry of Health · KEUniversity of Amsterdam · NLUniversity of Washington · US

Funding

University of Washington/Fred Hutch Center for AIDS ResearchP30AI027757 · NIAID · UNIVERSITY OF WASHINGTON · PI Kenneth Sherr · 1988 to 2026
$104.9M
Provider and Peer Support Intervention to Improve ART Adherence among Kenyan MenR34MH099946 · NIMH · UNIVERSITY OF WASHINGTON · PI GRAHAM, SUSAN MARIE · 2013 to 2015
$627k
NIAID NIH HHS P30 AI027757NIMH NIH HHS 1R34MH099946-01NIMH NIH HHS R34 MH099946Wellcome Trust #077092Wellcome Trust 092654
6 · The paper itself

Abstract

backgroundAdults in developing countries frequently use community pharmacies as the first and often only source of care. The objective of this study was to assess the success of pharmacy referrals and uptake of HIV testing by young adult clients of community pharmacies in the context of a screening programme for acute HIV-1 infection (AHI).

methodsWe requested five pharmacies to refer clients meeting predefined criteria (ie, 18-29 years of age and requesting treatment for fever, diarrhoea, sexually transmitted infection (STI) symptoms or body pains) for HIV-1 testing and AHI screening at selected clinics. Using multivariable logistical regression, we determined client characteristics associated with HIV-1 test uptake.

resultsFrom February through July 2013, 1490 pharmacy clients met targeting criteria (range of weekly averages across pharmacies: 4-35). Of these, 1074 (72%) accepted a referral coupon, 377 (25%) reported at a study clinic, 353 (24%) were HIV-1 tested and 127 (9%) met criteria for the AHI study. Of those tested, 14 (4.0%) were HIV-1 infected. Test uptake varied significantly by referring pharmacy and was higher for clients who presented at the pharmacy without a prescription versus those with a prescription, and for clients who sought care for STI symptoms.

conclusionsAbout a quarter of targeted pharmacy clients took up HIV-1 testing. Clients seeking care directly at the pharmacy (ie, without a prescription) and those with STI symptoms were more likely to take up HIV-1 testing. Engagement of adult pharmacy clients for HIV-1 screening may identify undiagnosed individuals and offers opportunities for HIV-1 prevention research.

Indexed as

Community Pharmacy ServicesMass ScreeningAdultCross-Sectional StudiesFemaleHealth LiteracyHIV InfectionsHumansKenyaMalePatient Acceptance of Health CareProgram EvaluationSexually Transmitted DiseasesDEVELOPING WORLDHEALTH SERV RESEARCHHIV TESTINGPRIMARY CAREREFERRAL

Identifiers

PMID25487430
PMCPMC4440841
OpenAlexW2097878805

What OpenQuestion holds

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LicenceCC BY
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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.