Evidence map›Paper›PMID 29705931›Full record

Trial reportAIDS and behavior2018

Structural Network Position and Performance of Health Leaders Within an HIV Prevention Trial.

Marta I Mulawa, Thespina J Yamanis, Lusajo J Kajula, Peter Balvanz, Suzanne Maman

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in AIDS and behavior, 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. Measurement and evaluation of community engagement in complex, chronic medical conditions: HIV and obesity as exemplar conditions.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025
    Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. 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

5 authors.

Marta I MulawaDuke Global Health Institute, Duke University, 310 Trent Drive, Room 334, Durham, 27710, NC, USA. marta.mulawa@duke.edu.
Thespina J YamanisSchool of International Service, American University, Washington, DC, USA.
Lusajo J KajulaDepartment of Psychiatry and Mental Health, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Peter BalvanzDepartment of Health Behavior, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, USA.
Suzanne MamanDepartment of Health Behavior, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, USA.

Funding

Social and Behavioral Sciences CoreP30AI064518 · NIAID · DUKE UNIVERSITY · PI GEORGIA Doris TOMARAS · 2005 to 2026
$50.5M
Ruth L. Kirschstein National Research Service Award (NRSA)- T32T32AI007392 · NIAID · DUKE UNIVERSITY · PI Amy Lynn Corneli, Guido Ferrari · 1990 to 2026
$9.8M
Training Program in HIV Prevention Research EthicsR25DA031608 · NIDA · FORDHAM UNIVERSITY · PI FISHER, CELIA B · 2011 to 2025
$4.9M
A Multilevel Intervention to Reduce HIV Risk among Networks of Men in TanzaniaR01MH098690 · NIMH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI MAMAN, SUZANNE · 2012 to 2016
$2.7M
Focused Training in Social Networks and HealthR25HD079352 · NICHD · DUKE UNIVERSITY · PI MOODY, JAMES · 2015 to 2024
$1.6M
National Institute of Allergy and Infectious Diseases T32AI007392National Institute of Child Health and Human Development R25HD079352National Institute of Mental Health R01MH098690NIAID NIH HHS P30 AI064518NIAID NIH HHS T32 AI007392NICHD NIH HHS R25 HD079352NIDA NIH HHS R25 DA031608NIMH NIH HHS R01 MH098690
6 · The paper itself

Abstract

The effectiveness of peer leaders in promoting health may depend on the position they occupy within their social networks. Using sociocentric (whole network) and behavioral data from the intervention arm of a cluster-randomized HIV prevention trial in Dar es Salaam, Tanzania, we used generalized linear models with standardized predictors to examine the association between heath leaders' baseline structural network position (i.e., in-degree and betweenness centrality) and their 12-month self-reported (1) confidence in educating network members about HIV and gender-based violence (GBV) and (2) number of past-week conversations about HIV and GBV. As in-degree centrality increased, leaders reported fewer HIV-related conversations. As betweenness centrality increased, leaders reported greater number of conversations about GBV. Network position was not significantly associated with confidence in discussing either topic. Our results suggest that peer leaders who occupy spaces between sub-groups of network members may be more effective in engaging their peers in sensitive or controversial topics like GBV than more popular peer leaders.

Indexed as

Hierarchy, SocialLeadershipOutcome Assessment, Health CareAdolescentAdultCluster AnalysisCross-Sectional StudiesFemaleGender-Based ViolenceHealth EducationHealth PromotionHIV InfectionsHumansLinear ModelsMaleMiddle AgedHIV preventionNetwork positionPopular opinion leaderTanzania

Identifiers

PMID29705931
PMCPMC6076845

What OpenQuestion holds

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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.