Evidence map›Paper›PMID 28482927›Full record

ArticleAIDS research and therapy2017

The developmental effects of HIV and alcohol: a comparison of gestational outcomes among babies from South African communities with high prevalence of HIV and alcohol use.

Kirsten A M Donald, Anne Fernandez, Kasey Claborn, Caroline Kuo, Nastassja Koen, Heather Zar, Dan J Stein

Open access · goldAbstract read
In one paragraph

Article in AIDS research and therapy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
2.8field-weighted citation impact, top 10% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
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 at 5 institutions in 2 countries.

Kirsten A M DonaldDepartment of Paediatrics and Child Health, Institute of Child Health Building, Red Cross War Memorial Children's Hospital, 5th Floor, Klipfontein Road, Rondebosch, Cape Town, 7700, South Africa. kirsty.donald@uct.ac.za.
Anne FernandezCenter for Alcohol and Addiction Studies, Brown University School of Public Health, Providence, RI, USA.
Kasey ClabornCenter for Alcohol and Addiction Studies, Brown University School of Public Health, Providence, RI, USA.
Caroline KuoCenter for Alcohol and Addiction Studies, Brown University School of Public Health, Providence, RI, USA.
Nastassja KoenDepartment of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa.
Heather ZarDepartment of Paediatrics and Child Health, Institute of Child Health Building, Red Cross War Memorial Children's Hospital, 5th Floor, Klipfontein Road, Rondebosch, Cape Town, 7700, South Africa.
Dan J SteinDepartment of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa.
South African Medical Research Council · ZAUniversity of Cape Town · ZABrown University · USProvidence College · USRed Cross War Memorial Children's Hospital · ZA

Funding

ALCOHOL INTERVENTION/TREATMENT OUTCOME RESEARCH TRAININGT32AA007459 · NIAAA · BROWN UNIVERSITY · PI ROBERT MIRANDA, PETER M. MONTI · 1986 to 2026
$13.3M
Partnerships for the Next Generation of HIV Social Science in South AfricaR24HD077976 · NICHD · BROWN UNIVERSITY · PI COLVIN, CHRISTOPHER JAMES, LURIE, MARK NATHAN · 2013 to 2017
$1.9M
Adherence Intervention for HIV-infected Drug UsersK23DA039037 · NIDA · UNIVERSITY OF TEXAS AT AUSTIN · PI CLABORN, KASEY R · 2015 to 2019
$919k
Family Prevention of HIV Risk and Depression in HIV-endemic South AfricaK01MH096646 · NIMH · BROWN UNIVERSITY · PI KUO, CAROLINE CHIA · 2012 to 2016
$871k
NIAAA NIH HHS T32 AA007459NICHD NIH HHS R24 HD077976NIDA NIH HHS K23 DA039037NIMH NIH HHS K01 MH096646NIMH NIH HHS L30 MH098313
6 · The paper itself

Abstract

backgroundThere is growing evidence of the negative impact of alcohol on morbidity and mortality of individuals living with HIV but limited evidence of in utero effects of HIV and alcohol on exposure on infants.

methodsWe conducted a population-based birth cohort study (N = 667 mother-infant dyads) in South Africa to investigate whether maternal alcohol use and HIV affected gestational outcomes. Descriptive data analysis was conducted for all variables using frequency distributions, measures of central tendency, and estimates of variance. Hierarchical multiple regression was conducted to determine whether maternal alcohol use, maternal HIV status and other risk factors (socioeconomic status, smoking, depression) predicted infant outcomes.

resultsOur results showed severity of recent alcohol use and lifetime alcohol use predicted low birth weight. Similarly lifetime alcohol use predicted shorter infant length, smaller head length, smaller head circumference, and early gestational age. However, HIV status was not a significant predictor of gestational outcomes.

conclusionsThe unexpected finding that maternal HIV status did not predict any of the gestational outcomes may be due to high rates of ART usage among HIV-infected mothers. The potentially negative effects of HIV on gestational outcomes may have been attenuated by improved maternal health due to high coverage of antiretroviral treatment in South Africa. Interventions are needed to reduce alcohol consumption among pregnant mothers and to support healthy growth and psychosocial development of infants.

Indexed as

Infant, Low Birth WeightAlcohol DrinkingAnti-HIV AgentsFemaleFetal Alcohol Spectrum DisordersFetal Growth RetardationHIV InfectionsHumansInfantPregnancySouth AfricaAnti-HIV AgentsAlcoholGestational outcomesHIVPregnancySouth Africa

Identifiers

PMID28482927
PMCPMC5422965
OpenAlexW2612817886

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.