Evidence map›Paper›PMID 27637497›Full record

ArticleAIDS and behavior2017

Changes in Health and Antiretroviral Adherence Among HIV-Infected Adults in Kenya: Qualitative Longitudinal Findings from a Livelihood Intervention.

Sheri D Weiser, Abigail M Hatcher, Lee L Hufstedler, Elly Weke, Shari L Dworkin, Elizabeth A Bukusi, Rachel L Burger, Stephen Kodish, Nils Grede, Lisa M Butler and 1 more

Registry-linked trialAbstract read
In one paragraph

Article in AIDS and behavior, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03191253 (Changing Health Through Food Support), which is not on this map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 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.

NCT03191253 nacompletednot on this map

Changing Health Through Food Support (CHEFS): Pilot RCT to Identify Potential Health Impacts of Providing Comprehensive, Medically-appropriate Food Support to Low-income Urban Adults Living With HIV (PLHIV)

TypeinterventionalSponsorUniversity of California, San FranciscoRan2016 to 2017Enrolled191ConditionsHIV/AIDSArmsMedically-appropriate meals and groceries
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

11 authors.

Sheri D WeiserDivision of HIV, ID, and Global Medicine, Department of Medicine, University of California San Francisco (UCSF), Box 0874, 995 Potrero Avenue, San Francisco, CA, 94110, USA. Sheri.Weiser@ucsf.edu.
Abigail M HatcherDivision of HIV, ID, and Global Medicine, Department of Medicine, University of California San Francisco (UCSF), Box 0874, 995 Potrero Avenue, San Francisco, CA, 94110, USA.
Lee L HufstedlerDivision of HIV, ID, and Global Medicine, Department of Medicine, University of California San Francisco (UCSF), Box 0874, 995 Potrero Avenue, San Francisco, CA, 94110, USA.
Elly WekeCentre for Microbiology Research, Kenya Medical Research Institute (KEMRI), Nairobi, Kenya.
Shari L DworkinCenter of Expertise in Women's Health & Empowerment, University of California Global Health Institute, San Francisco, CA, USA.
Elizabeth A BukusiCentre for Microbiology Research, Kenya Medical Research Institute (KEMRI), Nairobi, Kenya.
Rachel L BurgerDepartment of Obstetrics, Gynecology & Reproductive Sciences, UCSF, San Francisco, CA, USA.
Stephen KodishJohns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Nils GredeWorld Food Program, San Salvador, El Salvador.
Lisa M ButlerInstitute for Collaboration on Health, Intervention, and Policy, University of Connecticut, Storrs, CT, USA.
Craig R CohenCenter of Expertise in Women's Health & Empowerment, University of California Global Health Institute, San Francisco, CA, USA.

Funding

Ujima Mentoring ProgramP30MH062246 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MALLORY O JOHNSON · 2001 to 2026
$57.4M
Pilot Agricultural Intervention for Food Security and HIV Outcomes in KenyaR34MH094215 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI COHEN, CRAIG R, WEISER, SHERI DAWN · 2011 to 2013
$533k
NIMH NIH HHS P30 MH062246NIMH NIH HHS R34 MH094215
6 · The paper itself

Abstract

This longitudinal qualitative study sought to understand how and why a livelihood intervention affected the health and health behaviors of HIV-infected Kenyan adults. The intervention included a microfinance loan, agricultural and financial training, and a human-powered water pump. In-depth interviews were conducted at two time points with intervention and control participants and program staff. We double coded interviews (n = 117) and used thematic content analysis of transcripts following an integrative inductive-deductive approach. Intervention participants described improvements in HIV health, including increased CD4 counts and energy, improved viral suppression, and fewer HIV-related symptoms. Better health was linked to improved clinic attendance and ART adherence through several mechanisms: (1) reductions in food insecurity and abject hunger; (2) improved financial stability; (3) improved productivity which enhanced social support; (4) better control over work situations; and, (5) renewed desire to prioritize their own health. Livelihood interventions may improve health by influencing upstream determinants of health behavior including food security and poverty.

Indexed as

Financial SupportFood SupplyMedication AdherencePovertyVocational EducationAdultAgricultureAnti-HIV AgentsCD4 Lymphocyte CountEfficiencyFemaleHIV InfectionsHumansHungerKenyaLongitudinal StudiesAnti-HIV AgentsAdherenceFood insecurityHIV/AIDSKenyaLivelihood interventionQualitative research

Identifiers

PMID27637497
PMCPMC5953204

What OpenQuestion holds

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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.