Evidence map›Paper›PMID 26945585›Full record

ArticleAIDS and behavior2016

Social Context of Adherence in an Open-Label 1 % Tenofovir Gel Trial: Gender Dynamics and Disclosure in KwaZulu-Natal, South Africa.

Kathleen M MacQueen, Sarah Dlamini, Brian Perry, Eunice Okumu, Steve Sortijas, Chitra Singh, Diantha Pillay, Alesha Majors, Sonja Jerome, Sharon Watson and 3 more

Abstract read
In one paragraph

Article 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 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing 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.

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

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

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Generating CHARISMA: Development of an Intervention to Help Women Build Agency and Safety in Their Relationships While Using PrEP for HIV Prevention.AIDS education and prevention : official publication of the International Society for AIDS Education · 2019
    Review
  10. Article
  11. Article
  12. 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

13 authors.

Kathleen M MacQueenGlobal Health Research, FHI 360, 359 Blackwell Street, Suite 200, Durham, NC, 27701, USA. kmacqueen@fhi360.org.
Sarah DlaminiCAPRISA, University of KwaZulu-Natal, Durban, South Africa.
Brian PerryGlobal Health Research, FHI 360, 359 Blackwell Street, Suite 200, Durham, NC, 27701, USA.
Eunice OkumuGlobal Health Research, FHI 360, 359 Blackwell Street, Suite 200, Durham, NC, 27701, USA.
Steve SortijasGlobal Health Research, FHI 360, 359 Blackwell Street, Suite 200, Durham, NC, 27701, USA.
Chitra SinghCAPRISA, University of KwaZulu-Natal, Durban, South Africa.
Diantha PillayCAPRISA, University of KwaZulu-Natal, Durban, South Africa.
Alesha MajorsGlobal Health Research, FHI 360, 359 Blackwell Street, Suite 200, Durham, NC, 27701, USA.
Sonja JeromeGlobal Health Research, FHI 360, 359 Blackwell Street, Suite 200, Durham, NC, 27701, USA.
Sharon WatsonGlobal Health Research, FHI 360, 359 Blackwell Street, Suite 200, Durham, NC, 27701, USA.
Salim Abdool KarimCAPRISA, University of KwaZulu-Natal, Durban, South Africa.
Quarraisha Abdool KarimCAPRISA, University of KwaZulu-Natal, Durban, South Africa.
Leila E MansoorCAPRISA, University of KwaZulu-Natal, Durban, South Africa.

Funding

Virology, Immunology, and Microbiology CoreP30AI050410 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DAVID M. MARGOLIS · 2001 to 2026
$76.9M
NIAID NIH HHS P30 AI050410
6 · The paper itself

Abstract

CAPRISA 008, an open-label extension study of tenofovir gel with coitally-related dosing, provided an opportunity to explore the relationship between product adherence and gender dynamics in a context where women knew they were receiving an active product with evidence of HIV prevention effectiveness. Interviews with 63 CAPRISA 008 participants and 13 male partners in KwaZulu-Natal, South Africa, highlighted that the process of negotiating gel use was determined in part by relationship dynamics including the duration of the relationship, the living situation, an evaluation of the relationship (e.g., partner intimacy and relationship expectations) and culturally-defined steps for formalizing the relationship. While disclosure facilitated adherence for many, others reported using the gel effectively with no disclosure, and in some situations disclosure was a barrier to adherence. Women should be supported in their choice about what to disclose and have opportunity to use this and similar products without their partners' knowledge or acquiescence.

Indexed as

Gender IdentityInterpersonal RelationsPre-Exposure ProphylaxisSelf DisclosureAdolescentAdultAnti-HIV AgentsFemaleGelsHIV InfectionsHumansMaleMedication AdherenceNegotiatingSex FactorsSouth AfricaAnti-HIV AgentsGelsTenofovirAdherenceDisclosureGender dynamicsMicrobicideTenofovir gel

Identifiers

PMID26945585
PMCPMC5069327

What OpenQuestion holds

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LicenceCC BY
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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.