Evidence map›Paper›PMID 30081960›Full record

Trial reportBMC public health2018

Exploring motivation to notify and barriers to partner notification of sexually transmitted infections in South Africa: a qualitative study.

Julia M Wood, Jane Harries, Moira Kalichman, Seth Kalichman, Koena Nkoko, Catherine Mathews

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.1field-weighted citation impact, top 11% 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

9 citing papers in PubMed, 15 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Investigating causes of the high prevalence of sexually transmitted infections in Du Noon.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2024
    Article
  7. Article
  8. Article
  9. 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 at 4 institutions in 2 countries.

Julia M WoodSchool of Public Health and Family Medicine, University of Cape Town, Observatory, Cape Town, Western Cape, 7925, South Africa. julia.wood00@gmail.com.ORCID 0000-0002-1654-3910
Jane HarriesWomen's Health Research Unit, School of Public Health and Family Medicine, University of Cape Town, Observatory, Cape Town, Western Cape, 7925, South Africa.
Moira KalichmanDepartment of Psychological Sciences, University of Connecticut, 2006 Hillside Road, Storrs, CT, 06269, USA.
Seth KalichmanDepartment of Psychological Sciences, University of Connecticut, 2006 Hillside Road, Storrs, CT, 06269, USA.
Koena NkokoCity of Cape Town, City Health Department Cnr NY 1 Lansdowne Road Fezeka Administration Complex Guguletu, Cape Town, Western Cape, South Africa.
Catherine MathewsSouth African Medical Research Council, Tygerberg, P.O Box 19070, Cape Town, Western Cape, 7505, South Africa.
University of Cape Town · ZAUniversity of Connecticut · USCity of Cape Town · ZASouth African Medical Research Council · ZA

Funding

Enhanced STI/HIV Partner Notification in South AfricaR01HD074560 · NICHD · UNIVERSITY OF CONNECTICUT STORRS · PI KALICHMAN, SETH C · 2013 to 2017
$2.8M
NICHD NIH HHS R01 HD074560
6 · The paper itself

Abstract

backgroundThis article will review qualitative data from intervention-based counselling sessions to explore barriers to partner notification (PN) for South African men and women who have contracted sexually transmitted infections (STIs). This qualitative study took place in a township where there is high STI and HIV prevalence. In addition to reviewing barriers to PN, the study will also identify participants' perceptions about effective PN strategies that are presented during the intervention. Ultimately, the study will assess the intervention's impact on participants' motivation and skills to notify their partners about their STI status.

methodsRelying on recorded counselling sessions from an intervention run by a parent study, this sub- study reviewed 30 transcripts from counselling sessions with 15 men and 15 women. The intervention was a 60 min interactive session where STI and HIV education, risk mitigation, and effective PN strategies were discussed. Participants were between 19 and 41 years old (mean age = 28.4) and lived within the catchment area of a South African township. Recordings were chosen based on verbal responsiveness of the participant and were manually coded for analysis. In addition, two programme counsellors were interviewed about their perceptions of the intervention and their experiences with participants to enhance rigour and reduce potential bias.

resultsBy the conclusion of the intervention session, both male and female participants were motivated to notify their partners face-to-face about their positive STI status. Despite this, misperceptions about the etiology and transmission of STIs, as well as inadequate support from the clinical level and power imbalances amongst men and women emerged as major barriers for the prevention of future STIs.

conclusionsWhile the intervention appears to be successful in facilitating partners' intentions to notify, the data shows significant social and structural barriers that will create difficulties for the prevention of future STIs. Participants' persistent concerns about acquiring HIV or their current positive status affect decision-making and therefore, could be a window of opportunity for health-care providers or lay counsellors to discuss STIs in high prevalence areas.

Indexed as

Contact TracingDisclosureHealth Knowledge, Attitudes, PracticeMotivationSexually Transmitted DiseasesSexual PartnersAdultCounselingFemaleHIV InfectionsHumansMalePrevalenceQualitative ResearchSexismSouth AfricaPartner notificationSexually transmitted infectionsSouth Africa

Identifiers

PMID30081960
PMCPMC6080399
OpenAlexW2887815749

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.