Evidence map›Paper›PMID 31296195›Full record

ArticleBMC public health2019

Challenges with seeking HIV care services: perspectives of older adults infected with HIV in western Kenya.

Jepchirchir Kiplagat, Ann Mwangi, Charles Chasela, Susann Huschke

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 3 pooled it
2.2field-weighted citation impact, top 13% 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

31 citing papers in PubMed, 3 syntheses or guidelines pooled it, 51 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  4. Trial
  5. Article
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  20. The Impact of Human Immunodeficiency Virus and Menopause on Bone Mineral Density: A Longitudinal Study of Urban-Dwelling South African Women.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2023
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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

4 authors at 2 institutions in 3 countries.

Jepchirchir KiplagatCollege of Health Sciences, School of Medicine, Moi University, Eldoret, Kenya. chiri2809@gmail.com.ORCID http://orcid.org/0000-0002-7836-2138
Ann MwangiCollege of Health Sciences, School of Medicine, Moi University, Eldoret, Kenya.
Charles ChaselaFaculty of Health Sciences, School of Public Health, University of the Witwatersrand, Johannesburg, South Africa.
Susann HuschkeFaculty of Health Sciences, School of Public Health, University of the Witwatersrand, Johannesburg, South Africa.
Moi University · KEUniversity of the Witwatersrand · ZA

Funding

Consortium of Advanced Research Training in Africa CARTA PhD Fellowship
6 · The paper itself

Abstract

backgroundWhile younger adults (15-49 years) form the majority of the population living with HIV, older adults (≥50 years) infected with HIV face multiple challenges related to the aging process and HIV. We explored the experiences of older persons infected with HIV at the Academic Model Providing Access to Healthcare (AMPATH) program in western Kenya to understand the challenges faced when seeking HIV care services.

methodsBetween November 2016 and April 2017, a total of 57 adults aged 50 years and above were recruited from two AMPATH facilities - one rural and one urban facility. A total of 25 in-depth interviews and four focus group discussions were conducted, audio-recorded, transcribed and thematic analysis performed.

resultsStudy participants raised unique challenges with seeking HIV care that include visits to multiple healthcare providers to manage HIV and comorbidities and as a result impact on their adherence to medication and clinical visits. Challenges with inadequate quality of facilities and poor patient-provider communication were also raised. Participants' preference for matched gender and older age for care providers that serve older patients were identified.

conclusionResults indicate multiple challenges faced by older adults that need attention in ensuring continuous engagement in HIV care. Targeted HIV care for older adults would, therefore, significantly improve their access to and experience of HIV care. Of key importance is the integration of other chronic diseases into HIV care and employing staff that matches the needs of older adults.

Indexed as

Health Services AccessibilityAgedFemaleFocus GroupsHIV InfectionsHumansKenyaMaleMiddle AgedPatient Acceptance of Health CareQualitative ResearchChallengesComorbiditiesEngagement in careExperiencesHIVKenyaOlder adults

Identifiers

PMID31296195
PMCPMC6624873
OpenAlexW2960932907

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.