Evidence map›Paper›PMID 28482821›Full record

ArticleBMC pregnancy and childbirth2017

Understanding coping strategies during pregnancy and the postpartum period: a qualitative study of women living with HIV in rural Uganda.

Scholastic Ashaba, Angela Kaida, Bridget Frances Burns, Kasey O'Neil, Emma Dunkley, Christina Psaros, Jasmine Kastner, Alexander C Tsai, David R Bangsberg, Lynn T Matthews

Open access · goldAbstract read
In one paragraph

Article in BMC pregnancy and childbirth, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 2 pooled it
2.6field-weighted citation impact, top 11% of its field
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

27 citing papers in PubMed, 2 syntheses or guidelines pooled it, 40 citations in OpenAlex.

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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

10 authors at 6 institutions in 3 countries.

Scholastic AshabaDepartment of Psychiatry, Mbarara University of Science and Technology, Mbarara, Uganda. sashaba@must.ac.ug.
Angela KaidaFaculty of Health Sciences, Simon Fraser University, Burnaby, Canada.
Bridget Frances BurnsMGH Global Health, Massachusetts General Hospital, Boston, MA, USA.
Kasey O'NeilMGH Global Health, Massachusetts General Hospital, Boston, MA, USA.
Emma DunkleyFaculty of Health Sciences, Simon Fraser University, Burnaby, Canada.
Christina PsarosDepartment of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.
Jasmine KastnerResearch Institute McGill University Health Centre Montreal, Montreal, Canada.
Alexander C TsaiDepartment of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.
David R BangsbergMGH Global Health, Massachusetts General Hospital, Boston, MA, USA.
Lynn T MatthewsMGH Global Health, Massachusetts General Hospital, Boston, MA, USA.
Harvard University · USMGH Institute of Health Professions · USSimon Fraser University · CAMassachusetts General Hospital · USMbarara University of Science and Technology · UGMcGill University Health Centre · CA

Funding

Virology CoreP30AI027763 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI STEVEN Grant DEEKS · 1988 to 2026
$93.6M
TB PREVENTION AND HIV IN THE HOMELESS--AN INTERVENTIONR01MH054907 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI BANGSBERG, DAVID ROY · 1995 to 2014
$20.7M
West Coast AIDS and Cancer Specimen Resource (ACSR)U01CA066529 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MCGRATH, MICHAEL SHANNON · 1994 to 2012
$16.1M
Mbarara University Research Training Initiative (MURTI)D43TW010128 · FIC · MBARARA UNIVERSITY/SCIENCE/ TECHNOLOGY · PI OBUA, CELESTINO · 2015 to 2019
$3.5M
Modeling the Impact of HIV Prevention InterventionsR01MH087328 · NIMH · HARVARD SCHOOL OF PUBLIC HEALTH · PI SEAGE, GEORGE R · 2010 to 2013
$2.7M
Behavioral Aspects of Low-cost Medical Devices to Improve HIV CareK23MH099916 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI SIEDNER, MARK J · 2013 to 2017
$917k
Periconception HIV risk reduction for HIV-discordant couples in UgandaK23MH095655 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI MATTHEWS, LYNN T · 2011 to 2015
$854k
Mentoring Patient Oriented Adherence Research in UgandaK24MH087227 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI BANGSBERG, DAVID ROY · 2009 to 2013
$776k
Fertility desire and pregnancy in a cohort of discordant Ugandan couples on ARTR21HD069194 · NICHD · SIMON FRASER UNIVERSITY · PI KAIDA, ANGELA KANANA · 2011 to 2012
$303k
FIC NIH HHS D43 TW010128NCI NIH HHS U01 CA066529NIAID NIH HHS P30 AI027763NICHD NIH HHS R21 HD069194NIMH NIH HHS K23 MH095655NIMH NIH HHS K23 MH099916NIMH NIH HHS K24 MH087227NIMH NIH HHS R01 MH054907NIMH NIH HHS R01 MH087328
6 · The paper itself

Abstract

backgroundIn sub-Saharan Africa, 58% of adults living with HIV are women. In Uganda, HIV prevalence is 8.3% for women compared to 6.1% for men. Access to antiretroviral therapy (ART) and prevention of mother to child transmission (PMTCT) programs have enabled women living with HIV (WLWH) to have children with minimal risk of perinatal transmission. Nevertheless, pregnant WLWH face many challenges. We explored women's perceptions of how they cope with the challenges of pregnancy and the postpartum period as HIV-infected women.

methodsWe conducted semi-structured interviews with postpartum WLWH accessing ART who had a pregnancy within 2 years prior to recruitment between February-August, 2014. Childbearing associated stressors and coping strategies were discussed. We used content analysis to identify major themes and NVivo 10 software facilitated data analysis.

resultsTwenty women were interviewed with median age 33 (IQR: 28-35) years, CD4 cell count 677 cells/mm

conclusionsThe results highlight coping strategies used by WLWH to manage the myriad challenges faced during pregnancy and the postpartum period. Intervention programs for WLWH must emphasize psychosocial care and incorporate strategies that address psychosocial challenges in the HIV care package in order to optimize well-being. Additionally policies that support networks of WLWH should be put in place and funding support should be provided through existing funding mechanisms in order to respond to the needs and challenges of WLWH. Programmes that support WLWH for economic empowerment and improved livelihoods should be strengthened across all regions in the country.

Indexed as

Adaptation, PsychologicalAdultFemaleHIV InfectionsHumansPostpartum PeriodPregnancyPregnancy Complications, InfectiousQualitative ResearchRural PopulationUgandaCoping strategiesHIVPostpartumPregnancyRural UgandaWomen

Identifiers

PMID28482821
PMCPMC5423027
OpenAlexW2612848770

What OpenQuestion holds

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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.