Evidence map›Paper›PMID 27000039›Full record

ArticleJournal of community health2016

Exploring Pathways Between HIV+ Status and Excellent Overall Health Among Kenyan Women: Family Functioning, Meaningfulness of Life, Seroconcordance, Social Support and Considering the Need for Integrated Care.

Michael L Goodman, Hani Serag, Stanley Gitari, Philip H Keiser, Matthew Dacso, Ben G Raimer

Abstract read
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In one paragraph

Article in Journal of community health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

6 authors.

Michael L GoodmanUniversity of Texas Medical Branch, Galveston, TX, 77550, USA. migoodma@utmb.edu.ORCID 0000-0003-1779-4698
Hani SeragUniversity of Texas Medical Branch, Galveston, TX, 77550, USA.
Stanley GitariMaua Methodist Hospital, Maua, Meru County, Kenya.
Philip H KeiserUniversity of Texas Medical Branch, Galveston, TX, 77550, USA.
Matthew DacsoUniversity of Texas Medical Branch, Galveston, TX, 77550, USA.
Ben G RaimerUniversity of Texas Medical Branch, Galveston, TX, 77550, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

As people living with HIV/AIDS (PLWHA) live longer, and HIV incidence declines, health systems are transitioning from vertical-only care delivery to horizontal integration with social and other services. This is essential to responding to the chronic nature of the disease, and health systems must respond to full-breadth of socio-economic conditions facing PLWHA. We use excellent self-rated health as a referent, and assess the role of non-biomedical conditions in mediating HIV+ status and excellent overall health among a large community sample of Kenyan women. After controlling for age and wealth, we found significant mediation by social support, partner HIV status, meaningfulness of life, family functioning, food sufficiency, and monthly income. If the goal of health systems is to help all people attain the highest level of health, integrating vertical HIV services with socio-economic support and empowerment may be required. Further investigation of the relative contribution of social support, family functioning, food and financial sufficiency should be conducted longitudinally, ideally in collaboration with HIV clinical services.

Indexed as

Delivery of Health Care, IntegratedFamily RelationsHealth Services Needs and DemandHealth StatusHIV SeropositivitySocial SupportAdultCross-Sectional StudiesFemaleHealth ServicesHumansInterviews as TopicKenyaQualitative ResearchHIVKenyaMediation analysisOverall wellnessWomen

Identifiers

What OpenQuestion holds

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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.