Evidence map›Paper›PMID 29170681›Full record

ArticleVulnerable children and youth studies2017

Education, substance use, and HIV risk among orphaned adolescents in Eastern Zimbabwe.

E L Pufall, J W Eaton, L Robertson, P Mushati, C Nyamukapa, S Gregson

Open access · hybridAbstract read
In one paragraph

Article in Vulnerable children and youth studies, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
3.0field-weighted citation impact, top 9% 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

8 citing papers in PubMed, 18 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

6 authors at 2 institutions in 2 countries.

E L PufallDepartment of Infectious Disease Epidemiology, Imperial College London, London, UK.
J W EatonDepartment of Infectious Disease Epidemiology, Imperial College London, London, UK.
L RobertsonDepartment of Infectious Disease Epidemiology, Imperial College London, London, UK.
P MushatiBiomedical Research and Training Institute, Harare, Zimbabwe.
C NyamukapaDepartment of Infectious Disease Epidemiology, Imperial College London, London, UK.
S GregsonDepartment of Infectious Disease Epidemiology, Imperial College London, London, UK.ORCID 0000-0003-2707-0714
Imperial College London · GBBiomedical Research and Training Institute · ZW

Funding

Wellcome Trust
6 · The paper itself

Abstract

There is a growing interest in education as a means to reduce HIV infection in vulnerable children in sub-Saharan Africa; however, the mechanisms by which education reduces HIV infection remain uncertain. Substance use has been associated with high-risk sexual behaviour and could lie on the causal pathway between education and HIV risk. Therefore, we used multivariable regression to measure associations between: (i) orphanhood and substance use (alcohol, recreational drugs, and smoking), (ii) substance use and sexual risk behaviours, and (iii) school enrolment and substance use, in adolescents aged 15-19 years, in Eastern Zimbabwe. We found substance use to be low overall (6.4%, 3.2%, and 0.9% of males reported alcohol, drug, and cigarette use; <1% of females reported any substance use), but was more common in male maternal and double orphans than non-orphans. Substance use was positively associated with early sexual debut, number of sexual partners, and engaging in transactional sex, while school enrolment was associated with lower substance use in males. We conclude that education may reduce sexual risk behaviours and HIV infection rates among male adolescents in sub-Saharan Africa, in part, by reducing substance abuse.

Indexed as

alcoholdrugsHIVOrphanssmokingZimbabwe

Identifiers

PMID29170681
PMCPMC5679749
OpenAlexW2681056694

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.