Evidence map›Paper›PMID 30196332›Full record

ArticleAIDS and behavior2018

HIV Disclosure Among Pregnant Women Initiating ART in Cape Town, South Africa: Qualitative Perspectives During the Pregnancy and Postpartum Periods.

Melissa H Watt, Elizabeth T Knippler, Brandon A Knettel, Kathleen J Sikkema, Nonceba Ciya, Landon Myer, John A Joska

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 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
1.9field-weighted citation impact, top 15% 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

18 citing papers in PubMed, 29 citations in OpenAlex.

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  18. Complexities of HIV Disclosure in Patients Newly Entering HIV Care: A Qualitative Analysis.The Journal of the Association of Nurses in AIDS Care : JANAC
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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

7 authors at 3 institutions in 2 countries.

Melissa H WattDuke Global Health Institute, Duke University, Box 90519, Durham, NC, 27708-0086, USA. melissa.watt@duke.edu.
Elizabeth T KnipplerDuke Global Health Institute, Duke University, Box 90519, Durham, NC, 27708-0086, USA.
Brandon A KnettelDuke Global Health Institute, Duke University, Box 90519, Durham, NC, 27708-0086, USA.
Kathleen J SikkemaDuke Global Health Institute, Duke University, Box 90519, Durham, NC, 27708-0086, USA.
Nonceba CiyaDepartment of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa.
Landon MyerDivision of Epidemiology & Biostatistics, School of Public Health & Family Medicine, University of Cape Town, Cape Town, South Africa.
John A JoskaDepartment of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa.
Duke University · USUniversity of Cape Town · ZADuke Institute for Health Innovation · US

Funding

Social and Behavioral Sciences CoreP30AI064518 · NIAID · DUKE UNIVERSITY · PI GEORGIA Doris TOMARAS · 2005 to 2026
$50.5M
UCLA Implementation Science and Substance Use Research and Education (ISSURE) ProgramR25DA035692 · NIDA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI TIMOTHY W FONG, GAIL E. WYATT · 2013 to 2026
$3.9M
Improving the health of South African women with traumatic stress in HIV careR34MH102001 · NIMH · DUKE UNIVERSITY · PI SIKKEMA, KATHLEEN J · 2014 to 2016
$581k
Postpartum HIV care engagement in the context of Option B+ in TanzaniaR21AI124344 · NIAID · DUKE UNIVERSITY · PI MMBAGA, BLANDINA THEOPHIL, WATT, MELISSA H · 2016 to 2017
$314k
Center for AIDS Research, Duke University P30 AI064518National Institute of Mental Health R34 MH102001National Institute on Drug Abuse R25 DA035692NIAID NIH HHS P30 AI064518NIAID NIH HHS R21 AI124344NIDA NIH HHS R25 DA035692NIMH NIH HHS R34 MH102001
6 · The paper itself

Abstract

For women enrolled in prevention of mother-to-child transmission (PMTCT) programs, non-disclosure of their HIV status can be a significant barrier to sustained HIV care engagement. To explore decision-making surrounding HIV disclosure among HIV-infected pregnant women, we conducted repeated in-depth interviews during pregnancy and postpartum with 20 women recruited from a PMTCT clinic in Cape Town, South Africa. Three domains were examined using thematic analysis: (1) disclosure experiences, (2) challenges associated with partner disclosure, and (3) implications of nondisclosure. All women had disclosed to someone by the time of the baby's birth, typically limiting their disclosure to trusted individuals. Only half of participants disclosed to the father of the child. Nondisclosure, particularly to partners, was a significant source of worry and stress. Women used pregnancy as an explanation for using medication and attending frequent clinic appointments, and recognized impending challenges in the postpartum period when this excuse would no longer apply. Results suggest that PMTCT programs have a key role to play in helping individuals to make decisions about HIV disclosure, and assisting patients to navigate the disclosure process, especially with partners.

Indexed as

Self DisclosureAdultFemaleHIV InfectionsHumansInfantInfectious Disease Transmission, VerticalInterviews as TopicMothersPostpartum PeriodPregnancyPregnancy Complications, InfectiousPregnant PeopleQualitative ResearchSexual PartnersSouth AfricaDisclosureHIVOption B+PMTCTPregnancySouth Africa

Identifiers

PMID30196332
PMCPMC6209531
OpenAlexW2891599185

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.