Evidence map›Paper›PMID 25976760›Full record

ArticleBMJ open2015

Exploring risk of experiencing intimate partner violence after HIV infection: a qualitative study among women with HIV attending postnatal services in Swaziland.

Claire Mulrenan, Manuela Colombini, Natasha Howard, Joshua Kikuvi, Susannah H Mayhew, Integra Initiative

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BMJ open, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01694862 (Integra Initiative to Assess the Benefits and Costs of Integrating Sexual and Reproductive Health and HIV Services in Kenya and Swaziland), which is not on this map. Cited by 34 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 2 pooled it
10.2field-weighted citation impact, top 1% 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.

NCT01694862 nacompletednot on this map

Integra Initiative to Assess the Benefits and Costs of Integrating Sexual and Reproductive Health and HIV Services in Kenya and Swaziland

TypeinterventionalSponsorLondon School of Hygiene and Tropical MedicineRan2009 to 2013Enrolled4,763ConditionsPregnancy, HIVArmsIntegrated FP/PNC service delivery
3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 2 syntheses or guidelines pooled it, 76 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  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

6 authors at 1 institution in 1 country.

Claire MulrenanDepartment of Global Health and Development, London School of Hygiene and Tropical Medicine (LSHTM), London, UK.
Manuela ColombiniDepartment of Global Health and Development, London School of Hygiene and Tropical Medicine (LSHTM), London, UK.
Natasha HowardDepartment of Global Health and Development, London School of Hygiene and Tropical Medicine (LSHTM), London, UK.ORCID http://orcid.org/0000-0003-4174-7349
Joshua KikuviDepartment of Global Health and Development, London School of Hygiene and Tropical Medicine (LSHTM), London, UK.
Susannah H MayhewDepartment of Global Health and Development, London School of Hygiene and Tropical Medicine (LSHTM), London, UK.
Integra Initiative
London School of Hygiene & Tropical Medicine · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo explore risks of experiencing intimate partner violence (IPV) after HIV infection among women with HIV in a postnatal care setting in Swaziland.

designA qualitative semistructured in-depth interview study, using thematic analysis with deductive and inductive coding, of IPV experiences after HIV infection extracted from service-integration interview transcripts.

settingSwaziland.

participants19 women with HIV, aged 18-44, were purposively sampled for an in-depth interview about their experiences of services, HIV and IPV from a quantitative postnatal cohort participating in an evaluation of HIV and reproductive health services integration in Swaziland.

resultsResults indicated that women were at risk of experiencing IPV after HIV infection, with 9 of 19 disclosing experiences of physical violence and/or coercive control post-HIV. IPV was initiated through two key pathways: (1) acute interpersonal triggers (eg, status disclosure, mother-to-child transmission of HIV) and (2) chronic normative tensions (eg, fertility intentions, initiating contraceptives).

conclusionsThe results highlight a need to mitigate the risk of IPV for women with HIV in shorter and longer terms in Swaziland. While broader changes are needed to resolve gender disparities, practical steps can be institutionalised within health facilities to reduce, or avoid increasing, IPV pathways for women with HIV. These might include mutual disclosure between partners, greater engagement of Swazi males with HIV services, and promoting positive masculinities that support and protect women. TRIAL REGISTRATION NUMBER: NCT01694862.

Indexed as

AdultEswatiniFemaleHealth SurveysHIV InfectionsHumansInterviews as TopicIntimate Partner ViolencePostnatal CarePrevalenceQualitative ResearchRisk Factorsviolence against women

Identifiers

PMID25976760
PMCPMC4442192
OpenAlexW1911588088

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.