Evidence map›Paper›PMID 27392003›Full record

ArticleAIDS care2016

Equity in adherence to antiretroviral therapy among economically vulnerable adolescents living with HIV in Uganda.

Laura Gauer Bermudez, Larissa Jennings, Fred M Ssewamala, Proscovia Nabunya, Claude Mellins, Mary McKay

Abstract read
In one paragraph

Article in AIDS care, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing 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

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

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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

6 authors.

Laura Gauer Bermudeza Columbia University School of Social Work, International Center for Child Health and Asset Development , New York , NY , USA.
Larissa Jenningsb Department of International Health, Social and Behavioral Interventions Program , Johns Hopkins Bloomberg School of Public Health , Baltimore , MD , USA.
Fred M Ssewamalaa Columbia University School of Social Work, International Center for Child Health and Asset Development , New York , NY , USA.
Proscovia Nabunyac School of Social Service Administration , University of Chicago , Chicago , IL , USA.
Claude Mellinsd HIV Center for Clinical and Behavioral Studies , New York State Psychiatric Institute and Columbia University Medical Center , New York , NY , USA.
Mary McKaye McSilver Institute for Poverty Policy and Research, Silver School of Social Work , New York University , New York , NY , USA.

Funding

The Statistics, Data Science, and Data Management (SDM) CoreP30MH043520 · NIMH · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI MILTON L WAINBERG · 2003 to 2026
$48.2M
Suubi+Adherence-R2: Examining the longitudinal HIV treatment adherence among youth living with HIV (YLHIV) transitioning into young adulthoodR01HD074949 · NICHD · WASHINGTON UNIVERSITY · PI NABUNYA, PROSCOVIA, SENSOY BAHAR, OZGE · 2012 to 2024
$7.7M
Development CoreP2CHD058486 · NICHD · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI Jennifer S Hirsch, Julien O Teitler · 2014 to 2026
$4.3M
Minority Populations Prevention Researcher TrainingR25HD045810 · NICHD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI NEILANDS, TORSTEN BRIAN · 2003 to 2018
$4.3M
Scaling up a family strengthening EBP to reduce child disruptive behavior problems in SSAU19MH110001 · NIMH · WASHINGTON UNIVERSITY · PI MCKAY, MARY MCKERNAN · 2016 to 2020
$3.9M
NICHD NIH HHS P2C HD058486NICHD NIH HHS R01 HD074949NICHD NIH HHS R25 HD045810NIMH NIH HHS P30 MH043520NIMH NIH HHS U19 MH110001
6 · The paper itself

Abstract

Studies from sub-Saharan Africa indicate that children made vulnerable by poverty have been disproportionately affected by HIV with many exposed via mother-to-child transmission. For youth living with HIV, adherence to life-saving treatment regimens are likely to be affected by the complex set of economic and social circumstances that challenge their families and also exacerbate health problems. Using baseline data from the National Institute of Child and Human Development (NICHD) funded Suubi+Adherence study, we examined the extent to which individual and composite measures of equity predict self-reported adherence among Ugandan adolescents aged 10-16 (n = 702) living with HIV. Results showed that greater asset ownership, specifically familial possession of seven or more tangible assets, was associated with greater odds of self-reported adherence (OR 1.69, 95% CI: 1.00-2.85). Our analyses also indicated that distance to the nearest health clinic impacts youth's adherence to an ARV regimen. Youth who reported living nearest to a clinic were significantly more likely to report optimal adherence (OR 1.49, 95% CI: 0.92-2.40). Moreover, applying the composite equity scores, we found that adolescents with greater economic advantage in ownership of household assets, financial savings, and caregiver employment had higher odds of adherence by a factor of 1.70 (95% CI: 1.07-2.70). These findings suggest that interventions addressing economic and social inequities may be beneficial to increase antiretroviral therapy (ART) uptake among economically vulnerable youth, especially in sub-Saharan Africa. This is one of the first studies to address the question of equity in adherence to ART among economically vulnerable youth with HIV.

Indexed as

Healthcare DisparitiesPovertyAdolescentAmbulatory Care FacilitiesCaregiversChildCross-Sectional StudiesFemaleHIV InfectionsHumansMaleMedication AdherenceSelf ReportUgandaART adherenceassetsEquityHIVSuubiUgandayouth

Identifiers

PMID27392003
PMCPMC4940111

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.