Evidence map›Paper›PMID 28777265›Full record

ArticleJournal of acquired immune deficiency syndromes (1999)2017

"I Did Not Want to Give Birth to a Child Who has HIV": Experiences Using PrEP During Pregnancy Among HIV-Uninfected Kenyan Women in HIV-Serodiscordant Couples.

Jillian Pintye, Kristin M Beima-Sofie, Grace Kimemia, Kenneth Ngure, Susan Brown Trinidad, Renee A Heffron, Jared M Baeten, Josephine Odoyo, Nelly Mugo, Elizabeth A Bukusi and 2 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of acquired immune deficiency syndromes (1999), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 2 pooled it
3.1field-weighted citation impact, top 8% 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

47 citing papers in PubMed, 2 syntheses or guidelines pooled it, 52 citations in OpenAlex.

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  15. COVID-19 vaccine hesitancy among pregnant and postpartum Kenyan women.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2023
    Observational
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  18. "Frontiers in reproductive health · 2023
    Article
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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

12 authors at 6 institutions in 3 countries.

Jillian PintyeDepartments of *Global Health; and †Nursing, University of Washington, Seattle, WA; ‡Partners in Health Research and Development, Thika, Kenya; §Jomo Kenyatta University of Agriculture and Technology, Nairobi, Kenya; Departments of ‖Bioethics and Humanities; ¶Epidemiology; and #Medicine, University of Washington, Seattle, WA; **Kenya Medical Research Institute, Nairobi, Kenya; and ††Nuffield Department of Population Health, The Ethox Centre, University of Oxford, Oxford, United Kingdom.
Kristin M Beima-Sofie
Grace Kimemia
Kenneth Ngure
Susan Brown Trinidad
Renee A Heffron
Jared M Baeten
Josephine Odoyo
Nelly Mugo
Elizabeth A Bukusi
Maureen C Kelley
Grace C John-Stewart
Center for Global Health · USKenya Medical Research Institute · KEUniversity of Washington · USJomo Kenyatta University of Agriculture and Technology · KEPartners for Health and Development in Africa · KEUniversity of Oxford · GB

Funding

University of Washington/Fred Hutch Center for AIDS ResearchP30AI027757 · NIAID · UNIVERSITY OF WASHINGTON · PI CONNIE L CELUM · 1988 to 2026
$104.9M
VENEREAL DISEASET32AI007140 · NIAID · UNIVERSITY OF WASHINGTON · PI Julia Cook Dombrowski · 1985 to 2026
$19.4M
Optimizing Antiretroviral-Based HIV Prevention for HIV Serodiscordant CouplesR01MH095507 · NIMH · UNIVERSITY OF WASHINGTON · PI BAETEN, JARED · 2011 to 2020
$6.1M
Delivering PrEP in PregnancyR01AI125498 · NIAID · UNIVERSITY OF WASHINGTON · PI JOHN-STEWART, GRACE C. · 2016 to 2020
$3.6M
Pediatric HIV-1 in Africa: Pathogenesis and ManagementK24HD054314 · NICHD · UNIVERSITY OF WASHINGTON · PI JOHN-STEWART, GRACE C. · 2006 to 2016
$1.2M
Adherence to Pre-Exposure Prophylaxis for HIV Prevention in PregnancyF32NR017125 · NINR · UNIVERSITY OF WASHINGTON · PI PINTYE, JILLIAN · 2017 to 2017
$61k
NIAID NIH HHS P30 AI027757NIAID NIH HHS R01 AI125498NIAID NIH HHS T32 AI007140NICHD NIH HHS K24 HD054314NIMH NIH HHS R01 MH095507NINR NIH HHS F32 NR017125Wellcome Trust
6 · The paper itself

Abstract

objectivesThe perceptions, motivations, and beliefs of HIV-uninfected women about pre-exposure prophylaxis (PrEP) use during pregnancy can influence its uptake and adherence. This study elicited the views of HIV-uninfected women with personal experience taking PrEP during pregnancy.

designQualitative interviews were conducted with HIV-uninfected women who had personal experience taking PrEP while pregnant.

methodsSemistructured interviews were conducted with 21 HIV-uninfected Kenyan women in HIV-serodiscordant couples enrolled in an open-label PrEP demonstration project who became pregnant while using PrEP and continued PrEP through their pregnancy. Interviews were audio-recorded and transcribed into English. A qualitative descriptive analysis was performed, using a constant comparison approach to identify key themes related to PrEP use in pregnancy.

resultsDesire to remain HIV uninfected and have an HIV-free infant were strong motivators influencing continued use of PrEP during pregnancy. Supporting HIV-infected partners and childbearing within an HIV-serodiscordant relationship were also motivators. Women had challenges distinguishing normal pregnancy symptoms from PrEP side effects and were concerned that observed side effects could be signs of danger for the infant related to PrEP exposure. Health care providers were important conduits of knowledge about PrEP, and continuity of PrEP providers throughout pregnancy facilitated adherence.

conclusionsHIV-uninfected women in HIV-serodiscordant couples were motivated to use PrEP during pregnancy to remain HIV uninfected and to have an HIV-free child but had concerns about side effects. Health care providers will be important for PrEP messaging and adherence support in this unique population.

Indexed as

Health Knowledge, Attitudes, PracticePre-Exposure ProphylaxisAdultAnti-HIV AgentsChildFemaleHIV InfectionsHIV SeronegativityHumansKenyaMotivationPatient Acceptance of Health CarePregnancySexual PartnersYoung AdultAnti-HIV Agents

Identifiers

PMID28777265
PMCPMC5634917
OpenAlexW2742635606

What OpenQuestion holds

Textmetadata
LicenceTDM
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.