Evidence map›Paper›PMID 26927422›Full record

ArticleBMC public health2016

'Everyone has a secret they keep close to their hearts': challenges faced by adolescents living with HIV infection at the Kenyan coast.

Amina Abubakar, Fons J R Van de Vijver, Ronald Fischer, Amin S Hassan, Joseph K Gona, Judith Tumaini Dzombo, Grace Bomu, Khamis Katana, Charles R Newton

Open access · goldAbstract read
In one paragraph

Article in BMC public health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 66 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
66citing papers in PubMed, 6 pooled it
9.7field-weighted citation impact, top 2% 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

66 citing papers in PubMed, 6 syntheses or guidelines pooled it, 114 citations in OpenAlex.

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  17. Lived Experiences of Adolescents with HIV in Rwanda: A Phenomenology Study.Rwanda journal of medicine and health sciences · 2024
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6 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

9 authors at 4 institutions in 7 countries.

Amina AbubakarCentre for Geographic Medicine (Coast), Kenya Medical Research Institute, Kilifi, Kenya. AAbubakar@kemri-wellcome.org.
Fons J R Van de VijverTilburg University, Tilburg, Netherlands.
Ronald FischerVictoria University of Wellington, Wellington, New Zealand.
Amin S HassanCentre for Geographic Medicine (Coast), Kenya Medical Research Institute, Kilifi, Kenya.
Joseph K GonaCentre for Geographic Medicine (Coast), Kenya Medical Research Institute, Kilifi, Kenya.
Judith Tumaini DzomboCentre for Geographic Medicine (Coast), Kenya Medical Research Institute, Kilifi, Kenya.
Grace BomuCentre for Geographic Medicine (Coast), Kenya Medical Research Institute, Kilifi, Kenya.
Khamis KatanaCentre for Geographic Medicine (Coast), Kenya Medical Research Institute, Kilifi, Kenya.
Charles R NewtonCentre for Geographic Medicine (Coast), Kenya Medical Research Institute, Kilifi, Kenya.
Kenya Medical Research Institute · KEAarhus University · DKThe University of Queensland · AUTilburg University · NL

Funding

Wellcome Trust 092654/Z/10/A
6 · The paper itself

Abstract

backgroundThe upsurge in the uptake of antiretroviral therapy (ART) has led to a significant increase in the survival of vertically acquired HIV infected children, many of whom are currently living into adolescence and early adulthood. However little if anything is known of the lived experiences and the challenges faced by HIV positive adolescents in the African context. We set out to investigate psychosocial challenges faced by HIV infected adolescents on the Kenyan coast.

methodsA total of 44 participants (12 HIV-infected adolescents, 7 HIV uninfected adolescents, and 25 key informants) took part in this qualitative study, using individually administered in-depth interviews. A framework approach was used to analyze the data using NVIVO software.

resultsWe observed that the challenges faced by adolescents in rural Kenya could be placed into six major themes: poverty, poor mental and physical health, the lack of a school system that is responsive to their needs, challenges in how to disclose to peers and family members, high levels of stigma in its various forms, and challenges of medical adherence leading to the need for close monitoring.

conclusionIn this African community, vertically acquired HIV-infected adolescents face a complex set of social, economic and medical challenges. Our study points to the urgent need to develop multisectorial intervention support programmes to fully address these challenges.

Indexed as

Adaptation, PsychologicalAdolescentChildCross-Sectional StudiesDisclosureFemaleHealth StatusHIV InfectionsHumansKenyaMaleMedication AdherencePovertyQualitative ResearchSchoolsSocial Stigma

Identifiers

PMID26927422
PMCPMC4772469
OpenAlexW2291949907

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.