Evidence map›Paper›PMID 27866288›Full record

ArticleAIDS and behavior2017

Impact of Sexual Trauma on HIV Care Engagement: Perspectives of Female Patients with Trauma Histories in Cape Town, South Africa.

Melissa H Watt, Alexis C Dennis, Karmel W Choi, Nonceba Ciya, John A Joska, Corne Robertson, Kathleen J Sikkema

2 registry-linked trialsAbstract 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 2 registered trials, which are not on this map. Cited by 29 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 4 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.

NCT04115813 nacompletednot on this map

Transitioning Adolescents to HIV Self-Management in Zambia (Known as: Project YES: Youth Engaging for Success)

TypeinterventionalSponsorJohns Hopkins Bloomberg School of Public HealthRan2017 to 2019Enrolled276ConditionsHIV/AIDSArmsProject YES! Youth Engaging for Success
NCT04793217 nacompletednot on this mapstarted 2021, after this paper: background citation

Project Someleze: A Randomized Trial of ImpACT+, a Coping Intervention to Improve Clinical and Mental Health Outcomes Among HIV-infected Women With Sexual Trauma in South Africa

TypeinterventionalSponsorColumbia UniversityRan2021 to 2025Enrolled350ConditionsHIV, Trauma ExposureArmsImproving AIDS Care After Trauma +, Adapted Problem-Solving Therapy
3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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  8. Childhood Sexual Trauma, Substance Use, and Antiretroviral Therapy Adherence Among Older Adults Living With HIV: A Mediational Analysis.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2025
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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

7 authors.

Melissa H WattDuke Global Health Institute, Duke University, Box 90519, Durham, NC, 27708, USA. melissa.watt@duke.edu.
Alexis C DennisDuke Global Health Institute, Duke University, Box 90519, Durham, NC, 27708, USA.
Karmel W ChoiDuke Global Health Institute, Duke University, Box 90519, Durham, NC, 27708, USA.
Nonceba CiyaDepartment of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa.
John A JoskaDepartment of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa.
Corne RobertsonDepartment of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa.
Kathleen J SikkemaDuke Global Health Institute, Duke University, Box 90519, Durham, NC, 27708, USA.

Funding

Social and Behavioral Sciences CoreP30AI064518 · NIAID · DUKE UNIVERSITY · PI Nwora Lance Okeke · 2005 to 2026
$50.5M
UCLA Implementation Science and Substance Use Research and Education (ISSURE) ProgramR25DA035692 · NIDA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI TIMOTHY W FONG, GAIL E. WYATT · 2013 to 2026
$3.9M
Improving the health of South African women with traumatic stress in HIV careR34MH102001 · NIMH · DUKE UNIVERSITY · PI SIKKEMA, KATHLEEN J · 2014 to 2016
$581k
NIAID NIH HHS P30 AI064518NIDA NIH HHS R25 DA035692NIMH NIH HHS R34 MH102001
6 · The paper itself

Abstract

South African women have disproportionately high rates of both sexual trauma and HIV. To understand how sexual trauma impacts HIV care engagement, we conducted in-depth qualitative interviews with 15 HIV-infected women with sexual trauma histories, recruited from a public clinic in Cape Town. Interviews explored trauma narratives, coping behaviors and care engagement, and transcripts were analyzed using a constant comparison method. Participants reported multiple and complex traumas across their lifetimes. Sexual trauma hindered HIV care engagement, especially immediately following HIV diagnosis, and there were indications that sexual trauma may interfere with future care engagement, via traumatic stress symptoms including avoidance. Disclosure of sexual trauma was limited; no women had disclosed to an HIV provider. Routine screening for sexual trauma in HIV care settings may help to identify individuals at risk of poor care engagement. Efficacious treatments are needed to address the psychological and behavioral sequelae of trauma.

Indexed as

Adaptation, PsychologicalSexual BehaviorAdolescentAdultBlack PeopleFemaleHIV InfectionsHumansInterviews as TopicMaleMiddle AgedQualitative ResearchSex OffensesSocial EnvironmentSouth AfricaStress Disorders, Post-TraumaticAdherenceHIVSexual violenceSouth AfricaTraumatic stress

Identifiers

PMID27866288
PMCPMC5438301

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.