Evidence map›Paper›PMID 29779162›Full record

ArticleAIDS and behavior2018

Beyond Social Desirability Bias: Investigating Inconsistencies in Self-Reported HIV Testing and Treatment Behaviors Among HIV-Positive Adults in North West Province, South Africa.

Alyssa C Mooney, Chadwick K Campbell, Mary-Jane Ratlhagana, Jessica S Grignon, Sipho Mazibuko, Emily Agnew, Hailey Gilmore, Scott Barnhart, Adrian Puren, Starley B Shade and 2 more

Abstract read
In one paragraph

Article 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 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
5.6field-weighted citation impact, top 3% 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

30 citing papers in PubMed, 1 synthesis or guideline pooled it, 65 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Why Are They Leaving? Factors Associated With Attrition After Testing Among Young South Africans Recently Diagnosed With HIV: An Observational Study.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2025
    Observational
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. 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

12 authors at 4 institutions in 2 countries.

Alyssa C MooneyDepartment of Epidemiology and Biostatistics, University of California, San Francisco, CA, USA. Alyssa.Mooney@ucsf.edu.
Chadwick K CampbellCenter for AIDS Prevention Studies, Department of Medicine, University of California, San Francisco, CA, USA.
Mary-Jane RatlhaganaInternational Training and Education Center for Health (I-TECH) South Africa, Pretoria, Republic of South Africa.
Jessica S GrignonInternational Training and Education Center for Health (I-TECH) South Africa, Pretoria, Republic of South Africa.
Sipho MazibukoInternational Training and Education Center for Health (I-TECH) South Africa, Pretoria, Republic of South Africa.
Emily AgnewCenter for AIDS Prevention Studies, Department of Medicine, University of California, San Francisco, CA, USA.
Hailey GilmoreCenter for AIDS Prevention Studies, Department of Medicine, University of California, San Francisco, CA, USA.
Scott BarnhartInternational Training and Education Center for Health (I-TECH) South Africa, Pretoria, Republic of South Africa.
Adrian PurenNational Institute for Communicable Diseases/NHLS, Johannesburg, Republic of South Africa.
Starley B ShadeDepartment of Epidemiology and Biostatistics, University of California, San Francisco, CA, USA.
Teri LieglerDepartment of Medicine, University of California, San Francisco, CA, USA.
Sheri A LippmanCenter for AIDS Prevention Studies, Department of Medicine, University of California, San Francisco, CA, USA.
University of California, San Francisco · USSan Francisco AIDS Foundation · USUniversity of Washington · USUniversity of the Witwatersrand · ZA

Funding

Virology CoreP30AI027763 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MALLORY O JOHNSON · 1988 to 2026
$93.6M
CDC HHS 5U2GGH000324-02NIAID NIH HHS P30 AI027763
6 · The paper itself

Abstract

This mixed-methods study used qualitative interviews to explore discrepancies between self-reported HIV care and treatment-related behaviors and the presence of antiretroviral medications (ARVs) in a population-based survey in South Africa. ARV analytes were identified among 18% of those reporting HIV-negative status and 18% of those reporting not being on ART. Among participants reporting diagnosis over a year prior, 19% reported multiple HIV tests in the past year. Qualitative results indicated that participant misunderstandings about their care and treatment played a substantial role in reporting inaccuracies. Participants conflated the term HIV test with CD4 and viral load testing, and confusion with terminology was compounded by recall difficulties. Data entry errors likely also played a role. Frequent discrepancies between biomarkers and self-reported data were more likely due to poor understanding of care and treatment and biomedical terminology than intentional misreporting. Results indicate a need for improving patient-provider communication, in addition to incorporating objective measures of treatment and care behaviors such as ARV analytes, to reduce inaccuracies.

Indexed as

Self ReportSocial DesirabilityAdultAnti-Retroviral AgentsBehavior TherapyBiasComprehensionCounselingFemaleHealth Knowledge, Attitudes, PracticeHIV InfectionsHumansMaleQualitative ResearchSerologic TestsSouth AfricaAnti-Retroviral AgentsAdherenceAntiretroviral treatmentBiasHIVMeasurement errorSouth Africa

Identifiers

PMID29779162
PMCPMC13310556
OpenAlexW2804099663

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.