Evidence map›Paper›PMID 30422078›Full record

ArticleCulture, health & sexuality2019

Masculinity and engagement in HIV care among male fisherfolk on HIV treatment in Uganda.

Katelyn M Sileo, Elizabeth Reed, Williams Kizito, Jennifer A Wagman, Jamila K Stockman, Rhoda K Wanyenze, Harriet Chemusto, William Musoke, Barbara Mukasa, Susan M Kiene

Open access · greenAbstract read
In one paragraph

Article in Culture, health & sexuality, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 2 pooled it
6.4field-weighted citation impact, top 4% 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

28 citing papers in PubMed, 2 syntheses or guidelines pooled it, 47 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  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. Article
  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

10 authors at 4 institutions in 2 countries.

Katelyn M Sileoa San Diego State University School of Public Health , San Diego , CA , USA.ORCID 0000-0003-3714-2945
Elizabeth Reeda San Diego State University School of Public Health , San Diego , CA , USA.
Williams Kizitoc Mildmay Uganda , Kampala , Uganda.
Jennifer A Wagmanb University of California San Diego , La Jolla , CA , USA.
Jamila K Stockmanb University of California San Diego , La Jolla , CA , USA.
Rhoda K Wanyenzed Makerere School of Public Health , Makerere University , Kampala , Uganda.
Harriet Chemustoc Mildmay Uganda , Kampala , Uganda.
William Musokec Mildmay Uganda , Kampala , Uganda.
Barbara Mukasac Mildmay Uganda , Kampala , Uganda.
Susan M Kienea San Diego State University School of Public Health , San Diego , CA , USA.
Mildmay Uganda · UGSan Diego State University · USUniversity of California San Diego · USMakerere University · UG

Funding

University of California Launching Future Leaders in Global Health Research Training ProgramD43TW009343 · FIC · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI CRAIG R COHEN, Sung-Jae Lee · 2017 to 2026
$14.7M
Training Program in Substance Use, HIV and Related InfectionsT32DA023356 · NIDA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Natasha Martin, Steffanie A Strathdee · 2007 to 2026
$7.8M
University of California Global Health Institute Program for Fellows and ScholarsR25TW009343 · FIC · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI COHEN, CRAIG R, STRATHDEE, STEFFANIE A. · 2012 to 2017
$6.4M
ESTIMA: Empowerment of Sex workers To Increase Social and Economic MobilityK01MH099969 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI REED, ELIZABETH ANN · 2014 to 2017
$729k
FIC NIH HHS D43 TW009343FIC NIH HHS R25 TW009343NIDA NIH HHS T32 DA023356NIMH NIH HHS K01 MH099969
6 · The paper itself

Abstract

This study explored the intersection of masculinity and HIV care engagement among fishermen and other male fisherfolk on antiretroviral therapy (ART) in Wakiso District, Uganda. We conducted 30 in-depth interviews with men on ART recruited from HIV treatment sites and used a thematic analysis approach. Since HIV diagnosis and ART initiation, men had adopted masculine identities more conducive to HIV care engagement. The masculine roles of worker and provider, husband and sexual partner and the appearance of physical strength were compromised by HIV, but restored by ART's positive effects on health. Peers also emerged as facilitators to HIV care, with men supporting each other to seek testing and treatment. However, structural and occupational barriers to HIV care associated with the masculine role of worker remained a barrier to care engagement. Findings suggest that emphasising the benefits of ART in bolstering men's ability to fulfil the roles important to them may improve the effectiveness of HIV testing and treatment messaging for men. Differentiated care models that address structural-level barriers to care, and community-level gender-transformative programming to help fishermen engage in HIV care, may be beneficial.

Indexed as

FisheriesMasculinityAdultAnti-Retroviral AgentsHIV InfectionsHumansInterviews as TopicMaleMass ScreeningMedication AdherenceSexual PartnersSpousesAnti-Retroviral AgentsfisherfolkHIV/AIDSmasculinityUganda

Identifiers

PMID30422078
PMCPMC6513725
OpenAlexW2900500393

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.