Evidence map›Paper›PMID 29678993›Full record

ArticleBMJ open2018

Qualitative longitudinal study of episodic disability experiences of older women living with HIV in Ontario, Canada.

Patricia Solomon, Kelly K O'Brien, Stephanie Nixon, Lori Letts, Larry Baxter, Nicole Gervais

Abstract read
In one paragraph

Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
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.

Patricia SolomonSchool of Rehabilitation Science, McMaster University, Hamilton, Ontario, Canada.
Kelly K O'BrienDepartment of Physical Therapy, University of Toronto, Toronto, Ontario, Canada.
Stephanie NixonDepartment of Physical Therapy, University of Toronto, Toronto, Ontario, Canada.
Lori LettsSchool of Rehabilitation Science, McMaster University, Hamilton, Ontario, Canada.
Larry BaxterCommunity HIV Volunteer, Halifax, Nova Scotia, Canada.
Nicole GervaisSchool of Rehabilitation Science, McMaster University, Hamilton, Ontario, Canada.

Funding

CIHR HHP 131556
6 · The paper itself

Abstract

objectivesTo examine the episodic disability experiences of older women living with HIV over time.

designQualitative longitudinal study, conducting semistructured in-depth interviews on four occasions over a 20-month time frame. Inductive thematic analyses were conducted cross-sectionally and longitudinally.

settingParticipants were recruited from HIV community organisations in Canada.

participants10 women aged 50 years or older living with HIV for more than 6 years.

resultsTwo major themes related to the episodic nature of the women's disability. Women were living with multiple and complex sources of uncertainty over time including: unpredictable health challenges, worrying about cognition, unreliable weather, fearing stigma and the effects of disclosure, maintaining housing and adequate finances, and fulfilling gendered and family roles. Women describe strategies to deal with uncertainty over time including withdrawing and limiting activities and participation and engaging in meaningful activities.

conclusionsThis longitudinal study highlighted the disabling effects of HIV over time in which unpredictable fluctuations in illness and health resulted in uncertainty and worrying about the future. Environmental factors, such as stigma and weather, may put older women living with HIV at a greater risk for social isolation. Strategies to promote dealing with uncertainty and building resilience are warranted.

Indexed as

UncertaintyComorbidityCross-Sectional StudiesFearFemaleForecastingHIV InfectionsHumansLongitudinal StudiesMiddle AgedOntarioPersons with DisabilitiesQualitative ResearchRisk FactorsRoleSocial Isolationepisodic disabilityHIVlongitudinal analysis

Identifiers

PMID29678993
PMCPMC5914902

What OpenQuestion holds

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LicenceCC BY-NC
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.