Evidence map›Paper›PMID 28058565›Full record

ArticleAIDS and behavior2017

Gender, HIV Testing and Stigma: The Association of HIV Testing Behaviors and Community-Level and Individual-Level Stigma in Rural South Africa Differ for Men and Women.

Sarah Treves-Kagan, Alison M El Ayadi, Audrey Pettifor, Catherine MacPhail, Rhian Twine, Suzanne Maman, Dean Peacock, Kathleen Kahn, Sheri A Lippman

Abstract 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. Cited by 78 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
78citing 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.

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

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

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  17. "African geographical review · 2024
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18 more citing papers are in PubMed but not listed here.

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

9 authors.

Sarah Treves-KaganDepartment of Medicine, Center for AIDS Prevention Studies, University of California, San Francisco, San Francisco, CA, USA. kagan.sarah@gmail.com.ORCID http://orcid.org/0000-0003-0369-6288
Alison M El AyadiDepartment of Obstetrics, Gynecology and Reproductive Sciences, Bixby Center for Global Reproductive Health, University of California, San Francisco, San Francisco, CA, USA.
Audrey PettiforGillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Catherine MacPhailWits Reproductive Health and HIV Institute (WRHI), Faculty of Health Sciences, School of Clinical Medicine, University of the Witwatersrand, Johannesburg, South Africa.
Rhian TwineMRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Suzanne MamanGillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Dean PeacockSonke Gender Justice, Cape Town, South Africa.
Kathleen KahnMRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Sheri A LippmanDepartment of Medicine, Center for AIDS Prevention Studies, University of California, San Francisco, San Francisco, CA, USA.

Funding

Ujima Mentoring ProgramP30MH062246 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Sheri Ann Lippman · 2001 to 2026
$57.4M
Research Services CoreP2CHD050924 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI KAREN B GUZZO · 2015 to 2026
$9.6M
Effects of Cash Transfer and Community Mobilization in Young South African WomenR01MH087118 · NIMH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI PETTIFOR, AUDREY · 2009 to 2013
$2.5M
Comprehensive Reintegration Assistance for Women with Obstetric FistulaK99HD086232 · NICHD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI EL AYADI, ALISON M · 2016 to 2017
$316k
Toward Understanding Community Mobilization for HIV Prevention in the African ConR21MH090887 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI LIPPMAN, SHERI ANN · 2010 to 2011
$301k
National Institute of Mental Health 1R01MH087118-01National Institute of Mental Health 1R21MH090887-01NICHD NIH HHS K99 HD086232NICHD NIH HHS P2C HD050924NIMH NIH HHS P30 MH062246NIMH NIH HHS R01 MH087118NIMH NIH HHS R21 MH090887South African Medical Research Council N/AUniversity of the Witwatersrand, Johannesburg N/AWellcome TrustWellcome Trust 058893/Z/99/A; 069683/Z/02/Z; 085477/Z/08/Z; 085477/B/08/Z
6 · The paper itself

Abstract

Stigma remains a significant barrier to HIV testing in South Africa. Despite being a social construct, most HIV-stigma research focuses on individuals; further the intersection of gender, testing and stigma is yet to be fully explored. We examined the relationship between anticipated stigma at individual and community levels and recent testing using a population-based sample (n = 1126) in Mpumalanga, South Africa. We used multi-level regression to estimate the potential effect of reducing community-level stigma on testing uptake using the g-computation algorithm. Men tested less frequently (OR 0.22, 95% CI 0.14-0.33) and reported more anticipated stigma (OR 5.1, 95% CI 2.6-10.1) than women. For men only, testing was higher among those reporting no stigma versus some (OR 1.40, 95% CI 0.97-2.03; p = 0.07). For women only, each percentage point reduction in community-level stigma, the likelihood of testing increased by 3% (p < 0.01). Programming should consider stigma reduction in the context of social norms and gender to tailor activities appropriately.

Indexed as

Social StigmaAdultAIDS SerodiagnosisAttitude to HealthFemaleHIV InfectionsHumansInterviews as TopicMaleMass ScreeningMiddle AgedPerceptionRural PopulationSex FactorsSouth AfricaCommunityGenderHIVRuralSouth AfricaStigma

Identifiers

PMID28058565
PMCPMC5498263

What OpenQuestion holds

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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.