Evidence map›Paper›PMID 26837632›Full record

Trial reportAIDS and behavior2016

Does Integrating Family Planning into HIV Services Improve Gender Equitable Attitudes? Results from a Cluster Randomized Trial in Nyanza, Kenya.

Sara J Newmann, Corinne H Rocca, Jennifer M Zakaras, Maricianah Onono, Elizabeth A Bukusi, Daniel Grossman, Craig R Cohen

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in AIDS and behavior, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 3 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

9 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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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

7 authors.

Sara J NewmannDepartment of Obstetrics, Gynecology and Reproductive Sciences, School of Medicine, Bixby Center for Global Reproductive Health, University of California, San Francisco, San Francisco, CA, USA. sara.newmann@ucsf.edu.
Corinne H RoccaDepartment of Obstetrics, Gynecology and Reproductive Sciences, School of Medicine, Bixby Center for Global Reproductive Health, University of California, San Francisco, San Francisco, CA, USA.
Jennifer M ZakarasDepartment of Obstetrics, Gynecology and Reproductive Sciences, School of Medicine, Bixby Center for Global Reproductive Health, University of California, San Francisco, San Francisco, CA, USA.
Maricianah OnonoKenya Medical Research Institute, Nairobi, Kenya.
Elizabeth A BukusiKenya Medical Research Institute, Nairobi, Kenya.
Daniel GrossmanDepartment of Obstetrics, Gynecology and Reproductive Sciences, School of Medicine, Bixby Center for Global Reproductive Health, University of California, San Francisco, San Francisco, CA, USA.
Craig R CohenDepartment of Obstetrics, Gynecology and Reproductive Sciences, School of Medicine, Bixby Center for Global Reproductive Health, University of California, San Francisco, San Francisco, CA, USA.

Funding

UCSF/Kaiser-DOR Program for Developing Independent Women's Health ResearchersK12HD052163 · NICHD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI ADLER, NANCY E, BRINDIS, CLAIRE D. · 2005 to 2023
$9.3M
NICHD NIH HHS K12 HD052163
6 · The paper itself

Abstract

This study investigated whether integrating family planning (FP) services into HIV care was associated with gender equitable attitudes among HIV-positive adults in western Kenya. Surveys were conducted with 480 women and 480 men obtaining HIV services from 18 clinics 1 year after the sites were randomized to integrated FP/HIV services (N = 12) or standard referral for FP (N = 6). We used multivariable regression, with generalized estimating equations to account for clustering, to assess whether gender attitudes (range 0-12) were associated with integrated care and with contraceptive use. Men at intervention sites had stronger gender equitable attitudes than those at control sites (adjusted mean difference in scores = 0.89, 95 % CI 0.03-1.74). Among women, attitudes did not differ by study arm. Gender equitable attitudes were not associated with contraceptive use among men (AOR = 1.06, 95 % CI 0.93-1.21) or women (AOR = 1.03, 95 % CI 0.94-1.13). Further work is needed to understand how integrating FP into HIV care affects gender relations, and how improved gender equity among men might be leveraged to improve contraceptive use and other reproductive health outcomes.

Indexed as

AdolescentAdultAnti-HIV AgentsCluster AnalysisContraceptionContraception BehaviorCounselingDelivery of Health Care, IntegratedFamily Planning ServicesFemaleHealth Knowledge, Attitudes, PracticeHIV InfectionsHumansKenyaMaleSex FactorsAnti-HIV AgentsFamily planningGender equityHIVIntegrated servicesSub-Saharan Africa

Identifiers

PMID26837632
PMCPMC6657527

What OpenQuestion holds

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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.