Evidence map›Paper›PMID 31644499›Full record

Trial reportSexually transmitted diseases2019

Male Partner Linkage to Clinic-Based Services for Sexually Transmitted Infections and Human Immunodeficiency Virus Services Following Couple Home-Based Education and Testing.

Jennifer Mark, John Kinuthia, Alfred O Osoti, Molly A Gone, Victor Asila, Daisy Krakowiak, Monisha Sharma, Saloni Parikh, Quy T Ton, Barbra A Richardson and 2 more

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Sexually transmitted diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.4field-weighted citation impact, top 36% 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

4 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
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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

12 authors at 3 institutions in 2 countries.

Jennifer MarkFrom the Department of Epidemiology, University of Washington, Seattle, WA.
John KinuthiaDepartment of Research and Programs.
Alfred O OsotiFrom the Department of Epidemiology, University of Washington, Seattle, WA.
Molly A GoneDepartment of Obstetrics and Gynaecology, University of Nairobi.
Victor AsilaDepartment of Obstetrics and Gynaecology, University of Nairobi.
Daisy KrakowiakFrom the Department of Epidemiology, University of Washington, Seattle, WA.
Monisha SharmaFrom the Department of Epidemiology, University of Washington, Seattle, WA.
Saloni ParikhComputer Science and Engineering and Public Health.
Quy T TonAllina Health, Minneapolis, MN.
Barbra A RichardsonDepartment of Biostatistics.
Carey FarquharFrom the Department of Epidemiology, University of Washington, Seattle, WA.
Alison C RoxbyDepartment of Medicine, University of Washington, Seattle, WA.
University of Nairobi · KEUniversity of Washington · USKenyatta National Hospital · KE

Funding

University of Washington/Fred Hutch Center for AIDS ResearchP30AI027757 · NIAID · UNIVERSITY OF WASHINGTON · PI EDWIN ROBERTO ORELLANA · 1988 to 2026
$104.9M
NPGH LEADERs YR12: OBSSR (Greenberg, Ngwafong Mukere) & NIBIB (Lee)D43TW009345 · FIC · UNIVERSITY OF WASHINGTON · PI Dibyadyuti Datta, Chandy C. John · 2017 to 2026
$15.2M
Northern/Pacific Universities Global Health Research Training ConsortiumR25TW009345 · FIC · UNIVERSITY OF WASHINGTON · PI KOLARS, JOSEPH C., NERURKAR, VIVEK RAMCHANDRA · 2012 to 2016
$5.9M
HIV Testing and Educating Male Partners to Improve Maternal and Infant OutcomesR01HD075108 · NICHD · UNIVERSITY OF WASHINGTON · PI FARQUHAR, CAREY · 2012 to 2013
$684k
Gestational diabetes mellitus, gestational hypertension and risk of metabolic syndromeK43TW010363 · FIC · UNIVERSITY OF NAIROBI · PI OSOTI, ALFRED ONYANGO · 2016 to 2020
$566k
FIC NIH HHS K43 TW010363FIC NIH HHS R25 TW009345NIAID NIH HHS P30 AI027757NICHD NIH HHS R01 HD075108
6 · The paper itself

Abstract

backgroundHome-based human immunodeficiency virus (HIV) testing and education has increased HIV test uptake and access to health services among men. We studied how a home-based antenatal intervention influenced male partner utilization of clinic-based HIV and sexually transmitted infection (STI) services, linkage to HIV care and medical circumcision.

methodsWe conducted a secondary analysis within a randomized controlled trial of pregnant women attending antenatal care in Kenya. Women and their male partners received either a home-based couple intervention or an invitation letter for clinic-based couple HIV testing. The home-based intervention included education on STI symptoms, STI and HIV treatment and male circumcision for HIV prevention. Male self-reported outcomes were compared using relative risks at 6 months postpartum.

resultsAmong 525 women, we reached 487 (93%) of their male partners; 247 men in the intervention arm and 240 men in the control arm. Men who received the intervention were more likely to report an STI consultation (n = 47 vs. 16; relative risk, 1.59; 95% confidence interval, 1.33-1.89). Among 23 men with newly diagnosed HIV, linkage to HIV care was reported by 4 of 15 in the intervention (3 men had missing linkage data) and 3 of 5 men in the control arms (relative risk, 0.66; 95% confidence interval, 0.34-1.29). Although the intervention identified 3 times more men with new HIV infection, the study lacked power to find significant differences in linkage to HIV care. Few eligible men sought medical circumcision (4 of 72 intervention and 2 of 88 control).

conclusionsHome-based couple education and testing increased STI consultations among male partners of pregnant women, but appeared insufficient to overcome the barriers involved in linkage to HIV care and medical circumcision.

Indexed as

Sexual PartnersAdultCircumcision, MaleFemaleHealth EducationHIVHIV InfectionsHumansKenyaMalePregnancyPregnant PeoplePrenatal CarePrevalenceSexually Transmitted DiseasesSyphilis

Identifiers

PMID31644499
PMCPMC8083059
OpenAlexW2981374186

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.