Evidence map›Paper›PMID 30607892›Full record

Observational studyJournal of neurovirology2019

Headache prevalence and its functional impact among HIV-infected adults in rural Rakai District, Uganda.

Sachal Sohail, Gertrude Nakigozi, Aggrey Anok, James Batte, Alice Kisakye, Richard Mayanja, Noeline Nakasujja, Kevin R Robertson, Ronald H Gray, Maria J Wawer and 2 more

Abstract readObservational Study
In one paragraph

Observational study in Journal of neurovirology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 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.

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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Burden of headache in a HIV-positive population of sub-Saharan Africa.Cephalalgia : an international journal of headache · 2022
    Article
  5. South African men and women living with HIV have similar distributions of pain sites.African journal of primary health care & family medicine · 2022
    Article
  6. Article
  7. 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.

Sachal SohailKing Edward Medical University, Lahore, Pakistan.
Gertrude NakigoziRakai Health Sciences Program, Kalisizo, Uganda.
Aggrey AnokRakai Health Sciences Program, Kalisizo, Uganda.
James BatteRakai Health Sciences Program, Kalisizo, Uganda.
Alice KisakyeRakai Health Sciences Program, Kalisizo, Uganda.
Richard MayanjaRakai Health Sciences Program, Kalisizo, Uganda.
Noeline NakasujjaDepartment of Psychiatry, Makerere University, Kampala, Uganda.
Kevin R RobertsonDepartment of Neurology, University of North Carolina Chapel Hill, Chapel Hill, NC, USA.
Ronald H GrayDepartment of Epidemiology, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA.
Maria J WawerDepartment of Epidemiology, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA.
Ned SacktorDepartment of Neurology, Johns Hopkins University School of Medicine, Meyer 6-113, 600 N. Wolfe Street, Baltimore, MD, 21287, USA.
Deanna SaylorDepartment of Neurology, Johns Hopkins University School of Medicine, Meyer 6-113, 600 N. Wolfe Street, Baltimore, MD, 21287, USA. deanna@jhmi.edu.ORCID 0000-0002-9297-0244

Funding

Vaccine Response and Immunotherapeutics SWGP30AI094189 · NIAID · JOHNS HOPKINS UNIVERSITY · PI Richard E. Chaisson · 2012 to 2026
$67.0M
Therapeutic CoreP30MH075673 · NIMH · JOHNS HOPKINS UNIVERSITY · PI Barbara Stauch Slusher · 2006 to 2026
$33.2M
Research Education Program for Residents and Fellows in Neurology - PorrasR25NS065729 · NINDS · JOHNS HOPKINS UNIVERSITY · PI HILLIS, ARGYE E. · 2009 to 2024
$3.3M
Neurologic Sequelae of HIV Subtype A and D Infection and ART Rakai UgandaR01MH099733 · NIMH · JOHNS HOPKINS UNIVERSITY · PI SACKTOR, NED C, WAWER, MARIA J · 2013 to 2017
$3.0M
Translational Research in Neuro-AIDS and Mental HealthR25MH080661 · NIMH · JOHNS HOPKINS UNIVERSITY · PI MCARTHUR, JUSTIN CHARLES. · 2007 to 2019
$2.9M
Mental Health and Cognition in HIV Infection in Rakai UgandaR01MH120693 · NIMH · JOHNS HOPKINS UNIVERSITY · PI PAUL, ROBERT HARRIS, RUBIN, LEAH HELANE · 2019 to 2023
$2.9M
NIAID NIH HHS P30 AI094189NIMH NIH HHS P30 MH075673NIMH NIH HHS R01 MH099733NIMH NIH HHS R01 MH120693NIMH NIH HHS R25 MH080661NINDS NIH HHS L30 NS088658NINDS NIH HHS R25 NS065729
6 · The paper itself

Abstract

Headache is common, but its prevalence and impact in sub-Saharan Africa and especially in HIV+ individuals is relatively unknown. We sought to determine the prevalence and functional impact of headache among HIV-infected (HIV+) adults in a cross-sectional observational cohort study in rural Rakai District, Uganda. Participants completed a sociodemographic survey, depression screen, functional status assessments, and answered the headache screening question, "Do you have headaches?" Participants responding affirmatively were assessed with the ID Migraine tool for diagnosis of migraine and Headache Impact Test-6 to determine functional impact of headache. Characteristics of participants with and without headaches and with and without functional impairment were compared using t tests for continuous variables, chi-square tests for categorical variables, and multivariate logistic regression. Of 333 participants, 51% were males, mean age was 37 (SD 9) years, 94% were on antiretroviral therapy (ART) and mean CD4 count was 403 (SD 198) cells/μL. Headache prevalence was 28%. Among those reporting headache, 19% met criteria for migraine, 55% reported functional impairment, and 37% reported substantial or severe impact of headache. In multivariate analyses, female sex (odds ratio (OR) 2.58) and depression (OR 2.49) were associated with increased odds and ART (OR 0.33) with decreased odds of headache. Participants with substantial/severe functional impact were more likely to meet criteria for depression (32% vs 9%). In conclusion, headache prevalence in HIV+ rural Ugandans was lower than global averages but still affected more than one quarter of participants and was associated with significant functional impairment.

Indexed as

AdultCognitive DysfunctionCross-Sectional StudiesDepressionFemaleHeadacheHIVHIV InfectionsHumansMaleMiddle AgedOdds RatioPrevalenceRural PopulationSex FactorsSurveys and QuestionnairesAfricaEpidemiologyHeadacheHIVMigraine

Identifiers

PMID30607892
PMCPMC6506364

What OpenQuestion holds

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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.