Evidence map›Paper›PMID 29789984›Full record

ArticleAIDS and behavior2018

The Role of HIV Stigma in ART Adherence and Quality of Life Among Rural Women Living with HIV in India.

Maria L Ekstrand, Elsa Heylen, Amanda Mazur, Wayne T Steward, Catherine Carpenter, Kartik Yadav, Sanjeev Sinha, Adey Nyamathi

Registry-linked trialAbstract read
PubMed Full text at PMC Publisher
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. It is linked to trial NCT02136082 (Asha Improving Health and Nutrition of Indian Women With AIDS and Their Children), which is not on this map. Cited by 32 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 2 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.

NCT02136082 nacompletednot on this map

Asha Improving Health and Nutrition of Indian Women With AIDS and Their Children

TypeinterventionalSponsorUniversity of California, Los AngelesRan2013 to 2018Enrolled600ConditionsHIV InfectionArmsAsha Support + Training, Asha Support + Food, Asha Support + Training + Food, Asha Support Only
3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

8 authors.

Maria L EkstrandUniversity of California, San Francisco, 550 16th St, 3rd floor, San Francisco, CA, 94158, USA. maria.ekstrand@ucsf.edu.ORCID http://orcid.org/0000-0001-7587-2899
Elsa HeylenUniversity of California, San Francisco, 550 16th St, 3rd floor, San Francisco, CA, 94158, USA.
Amanda MazurUniversity of California, San Francisco, 550 16th St, 3rd floor, San Francisco, CA, 94158, USA.
Wayne T StewardUniversity of California, San Francisco, 550 16th St, 3rd floor, San Francisco, CA, 94158, USA.
Catherine CarpenterUniversity of California, Los Angeles, USA.
Kartik YadavUniversity of California, Irvine, USA.
Sanjeev SinhaAll India Institute of Medical Sciences, New Delhi, India.
Adey NyamathiUniversity of California, Irvine, USA.

Funding

Asha Improving Health and Nutrition of Indian Women with AIDS and Their ChildrenR01MH098728 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI EKSTRAND, MARIA L., NYAMATHI, ADELINE M · 2013 to 2017
$2.9M
Social Network Intervention to Engage Out-of-Care PLH Into TreatmentR01MH098729 · NIMH · MEDICAL COLLEGE OF WISCONSIN · PI AMIRKHANIAN, YURI A, KELLY, JEFFREY A · 2013 to 2017
$2.8M
National Institute of Mental Health R01MH098729NIMH NIH HHS R01 MH098728NIMH NIH HHS R01 MH098729
6 · The paper itself

Abstract

HIV stigma continues to be a barrier to physical and mental health among people living with HIV globally, especially in vulnerable populations. We examined how stigma is associated with health outcomes and quality of life among rural women living with HIV in South India (N = 600). Interviewer-administered measures assessed multiple dimensions of stigma, as well as loneliness, social support, ART adherence, time since diagnosis, and quality of life. Internalized stigma and a lack of social support were associated with a lower quality of life, while the association between internalized stigma and adherence was mediated by the use of stigma-avoidant coping strategies, suggesting that keeping one's diagnosis a secret may make it more difficult to take one's medications. These findings suggest that these women constitute a vulnerable population who need additional services to optimize their health and who might benefit from peer support interventions and stigma-reduction programs for family and community members.

Indexed as

Medication AdherenceRural PopulationSocial StigmaSocial SupportAdaptation, PsychologicalAdultFemaleHIV InfectionsHumansIndiaLonelinessMaleMiddle AgedQuality of LifeAdherenceHIV stigmaIndiaQuality of lifeRural women

Identifiers

PMID29789984
PMCPMC6499879

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Registered trials

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.