Evidence map›Paper›PMID 26882367›Full record

ReviewPediatric research2016

Seeking wider access to HIV testing for adolescents in sub-Saharan Africa.

Nadia A Sam-Agudu, Morenike O Folayan, Echezona E Ezeanolue

2 registry-linked trialsAbstract readReview
PubMed Publisher
In one paragraph

Review in Pediatric research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 81 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
81citing papers in PubMed, 1 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.

NCT03874663 completednot on this mapstarted 2018, after this paper: background citation

Acceptability and Performance of HIV Self-Testing in a Youth Population in Nigeria

TypeobservationalSponsorWashington University School of MedicineRan2018 to 2020Enrolled652ConditionsHIV PreventionArmsDirectly assisted oral HIV self-testing (HIVST)
NCT04070287 early_phase1completednot on this mapstarted 2019, after this paper: background citation

Innovative Tools to Expand HIV Self-Testing

TypeinterventionalSponsorWashington University School of MedicineRan2019 to 2020Enrolled388ConditionsHIV/AIDS, Sexually Transmitted DiseasesArmsSMART Pack, Luv Box, Bili Vibes, BeterDoc, IUNGO
3 · Its place in the literature

Who cites it

81 citing papers in PubMed, 1 synthesis or guideline pooled it.

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21 more citing papers are in PubMed but not listed here.

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

3 authors.

Nadia A Sam-AguduClinical Department, Institute of Human Virology Nigeria, Abuja, Nigeria.
Morenike O FolayanDepartment of Child Dental Health and Institute of Public Health, Obafemi Awolowo University, Ile Ife, Nigeria.
Echezona E EzeanolueDepartment of Pediatrics, University of Nevada Las Vegas, Las Vegas, Nevada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

More than 80% of the HIV-infected adolescents live in sub-Saharan Africa. Acquired immune deficiency syndrome (AIDS)-related mortality has increased among adolescents 10-19 y old. The impact is highest in sub-Saharan Africa, where >80% of HIV-infected adolescents live. The World Health Organization has cited inadequate access to HIV testing and counseling (HTC) as a contributing factor to AIDS-related adolescent deaths, most of which occur in sub-Saharan Africa. This review focuses on studies conducted in high adolescent HIV-burden countries targeted by the "All In to End Adolescent AIDS" initiative, and describes barriers to adolescent HTC uptake and coverage. Fear of stigma and family reaction, fear of the impact of a positive diagnosis, perceived risk with respect to sexual exposure, poor attitudes of healthcare providers, and parental consent requirements are identified as major impediments. Most-at-risk adolescents for HIV infection and missed opportunities for testing include, those perinatally infected, those with early sexual debut, high mobility and multiple/older partners, and pregnant and nonpregnant females. Regional analyses show relatively low adolescent testing rates and more restrictive consent requirements for HTC in West and Central Africa as compared to East and southern Africa. Actionable recommendations for widening adolescent access to HTC and therefore timely care include minimizing legal consent barriers, healthcare provider training, parental education and involvement, and expanding testing beyond healthcare facilities.

Indexed as

AdolescentAdolescent MedicineAfrica South of the SaharaAge FactorsChildCommunicable Disease ControlCounselingFemaleHealth Services AccessibilityHIV InfectionsHumansInformed ConsentMaleParentsPregnancySexual Behavior

Identifiers

PMID26882367

What OpenQuestion holds

Textmetadata
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.