Evidence map›Paper›PMID 26639115›Full record

ArticleJournal of the International AIDS Society2015

Social protection: potential for improving HIV outcomes among adolescents.

Lucie D Cluver, Rebecca J Hodes, Lorraine Sherr, F Mark Orkin, Franziska Meinck, Patricia Lim Ah Ken, Natalia E Winder-Rossi, Jason Wolfe, Marissa Vicari

Abstract read
In one paragraph

Article in Journal of the International AIDS Society, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 2 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

41 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  9. HIV care policy in India: A review of social security schemes.Journal of family medicine and primary care · 2022
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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.

Lucie D CluverCentre for Evidence-Based Intervention, Department of Social Policy & Intervention, University of Oxford, Oxford, UK.
Rebecca J HodesAIDS and Society Research Unit, Centre for Social Science Research, University of Cape Town, Cape Town, South Africa.
Lorraine SherrHealth Psychology Unit, Department of Infection & Population Health, University College London, London, UK.
F Mark OrkinSchool of Clinical Medicine and DST-NRF Centre of Excellence in Human Development, University of the Witwatersrand, Johannesburg, South Africa.
Franziska MeinckCentre for Evidence-Based Intervention, Department of Social Policy & Intervention, University of Oxford, Oxford, UK.
Patricia Lim Ah KenHIV and AIDS Section, UNICEF, New York, USA.
Natalia E Winder-RossiUNICEF Regional Office for Eastern and Southern Africa, Nairobi, Kenya.
Jason WolfeOffice of HIV/AIDS, Bureau for Global Health, US Agency for International Development, Washington, DC, USA.
Marissa VicariCollaborative Initiative for Paediatric HIV Education and Research (CIPHER), International AIDS Society, Geneva, Switzerland.

Funding

European Research Council 313421
6 · The paper itself

Abstract

introductionAdvances in biomedical technologies provide potential for adolescent HIV prevention and HIV-positive survival. The UNAIDS 90-90-90 treatment targets provide a new roadmap for ending the HIV epidemic, principally through antiretroviral treatment, HIV testing and viral suppression among people with HIV. However, while imperative, HIV treatment and testing will not be sufficient to address the epidemic among adolescents in Southern and Eastern Africa. In particular, use of condoms and adherence to antiretroviral therapy (ART) remain haphazard, with evidence that social and structural deprivation is negatively impacting adolescents' capacity to protect themselves and others. This paper examines the evidence for and potential of interventions addressing these structural deprivations. DISCUSSION: New evidence is emerging around social protection interventions, including cash transfers, parenting support and educational support ("cash, care and classroom"). These interventions have the potential to reduce the social and economic drivers of HIV risk, improve utilization of prevention technologies and improve adherence to ART for adolescent populations in the hyper-endemic settings of Southern and Eastern Africa. Studies show that the integration of social and economic interventions has high acceptability and reach and that it holds powerful potential for improved HIV, health and development outcomes.

conclusionsSocial protection is a largely untapped means of reducing HIV-risk behaviours and increasing uptake of and adherence to biomedical prevention and treatment technologies. There is now sufficient evidence to include social protection programming as a key strategy not only to mitigate the negative impacts of the HIV epidemic among families, but also to contribute to HIV prevention among adolescents and potentially to remove social and economic barriers to accessing treatment. We urge a further research and programming agenda: to actively combine programmes that increase availability of biomedical solutions with social protection policies that can boost their utilization.

Indexed as

Social SupportAdolescentAfrica, EasternFemaleHIV InfectionsHumansMaleMass ScreeningRisk Reduction BehavioradherenceadolescentsHIV/AIDSHIV preventionsocial protection

Identifiers

PMID26639115
PMCPMC4670837

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.