Evidence map›Paper›PMID 31166984›Full record

Trial reportPloS one2019

Impact of male partner involvement on mother-to-child transmission of HIV and HIV-free survival among HIV-exposed infants in rural South Africa: Results from a two phase randomised controlled trial.

Sibusiso Sifunda, Karl Peltzer, Violeta J Rodriguez, Lissa N Mandell, Tae Kyoung Lee, Shandir Ramlagan, Maria L Alcaide, Stephen M Weiss, Deborah L Jones

Registry-linked trialOpen access · goldAbstract readClinical Trial, Phase IClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02085356 (Implementing Comprehensive PMTCT and HIV Prevention for South African Couples), which is not on this map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
3.9field-weighted citation impact, top 7% 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.

NCT02085356 nacompletednot on this map

Implementing Comprehensive PMTCT and HIV Prevention for South African Couples

TypeinterventionalSponsorUniversity of MiamiRan2014 to 2018Enrolled1,967ConditionsHIV, PregnancyArmsProtect your family
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

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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

9 authors at 3 institutions in 2 countries.

Sibusiso SifundaSocial Aspects of Public Health (SAPH) Research Programme, Human Sciences Research Council, Pretoria, South Africa.ORCID 0000-0002-8766-7240
Karl PeltzerSocial Aspects of Public Health (SAPH) Research Programme, Human Sciences Research Council, Pretoria, South Africa.
Violeta J RodriguezDepartment of Psychiatry & Behavioral Sciences, University of Miami Miller School of Medicine, Miami, FL, United States of America.
Lissa N MandellDepartment of Psychiatry & Behavioral Sciences, University of Miami Miller School of Medicine, Miami, FL, United States of America.
Tae Kyoung LeeDepartment of Public Health Sciences, University of Miami Miller School of Medicine, Miami, FL, United States of America.
Shandir RamlaganSocial Aspects of Public Health (SAPH) Research Programme, Human Sciences Research Council, Pretoria, South Africa.ORCID 0000-0001-9906-4474
Maria L AlcaideDepartment of Medicine, Division of Infectious Diseases, University of Miami Miller School of Medicine, Miami, FL, United States of America.
Stephen M WeissDepartment of Psychiatry & Behavioral Sciences, University of Miami Miller School of Medicine, Miami, FL, United States of America.
Deborah L JonesDepartment of Psychiatry & Behavioral Sciences, University of Miami Miller School of Medicine, Miami, FL, United States of America.
University of Miami · USHuman Sciences Research Council · ZAFord Foundation · US

Funding

University of Miami Developmental Center for AIDS Research (D-CFAR)P30AI073961 · NIAID · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI GWENDOLYN Barbara SCOTT · 2007 to 2026
$33.8M
Implementing Comprehensive PMTCT and HIV Prevention for South African CouplesR01HD078187 · NICHD · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI JONES, DEBORAH LYNNE, PELTZER, KARL F · 2013 to 2017
$2.8M
NIAID NIH HHS P30 AI073961NICHD NIH HHS R01 HD078187
6 · The paper itself

Abstract

backgroundThe Sub-Saharan Africa region still remains the epicentre of the global HIV/AIDS epidemic. With regards to new paediatric HIV infections, almost 90% of new HIV infections are among children (aged 0-14 years), largely through mother to child transmission. Male Partner Involvement in Prevention of Mother to Child Transmission programmes is now strongly advocated as being key in improving infant outcomes. This study describes the role of Male Partner Involvement on infant HIV infection and mortality survival in the first year among HIV-exposed infants born from HIV positive mothers.

methodsThis study was a two-phase, two condition (intervention or control) longitudinal study as part of a clinic-randomized Prevention of Mother to Child Transmission controlled trial. For Phase 1, female participants were recruited without their male partners. In Phase 2, both female and male participants were enrolled in the study as couples in order to encourage active Male Partner Involvement during pregnancy. Participants had two assessments prenatally (8-24 weeks and 32 weeks) and three assessments postnatally (6 weeks, 6 months, and 12 months).

resultsAbout 1424 women were eligible for recruitment into the study and 18 eligible women declined to participate. All women had a partner; 54% were unmarried, 26% were cohabiting, and 20% were married. Just over half (55%) of the women had been diagnosed with HIV during the current pregnancy. Phase 1 had significantly more HIV-infected infants than Phase 2 at 12-months postpartum (aOR = 4.55 [1.38, 15.07]). Increased depressive symptoms were associated with infant HIV infection at 12-months (aOR = 1.06 [1.01, 1.10]). Phase 1 also had a significantly greater proportion of dead and HIV-infected infants than Phase 2 at 12-months (aOR = 1.98 [1.33, 2.94]).

conclusionMale partner involvement in antenatal care is critical in ensuring infant survival and HIV infection among children born to HIV-positive mothers. This study highlights the high risk of ante-and-post natal depression and underscores the need of screening for depression during pregnancy.

trial registrationClinicalTrials.Gov; Trial Number NCT02085356.

Indexed as

HIV-1Rural PopulationAdultDisease-Free SurvivalFemaleHIV InfectionsHumansInfantInfant, NewbornInfectious Disease Transmission, VerticalMalePregnancyPregnancy Complications, InfectiousSouth AfricaSurvival Rate

Identifiers

PMID31166984
PMCPMC6550447
OpenAlexW2948630027

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.