Evidence map›Paper›PMID 31993932›Full record

ArticleMaternal and child health journal2020

Depression and Sexual Trauma Among Adolescent Girls and Young Women in HIV-Prevention Research in Tanzania.

Emily M Cherenack, Elizabeth E Tolley, Sylvia Kaaya, Jennifer Headley, Joy Noel Baumgartner

Open access · greenAbstract read
In one paragraph

Article in Maternal and child health journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
0.2field-weighted citation impact, top 40% 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

5 citing papers in PubMed, 2 syntheses or guidelines pooled it, 8 citations in OpenAlex.

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

5 authors at 3 institutions in 2 countries.

Emily M CherenackDepartment of Psychology and Neuroscience, Duke University, 417 Chapel Drive Box 90086, Durham, NC, 27708, USA. emily.cherenack@duke.edu.ORCID http://orcid.org/0000-0002-8762-2050
Elizabeth E Tolley, FHI 360, 359 Blackwell Street, Durham, NC, 27701, USA.
Sylvia KaayaSchool of Medicine, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Jennifer HeadleyDuke Global Health Institute, Duke University, 310 Trent Drive, Durham, NC, 27710, USA.
Joy Noel BaumgartnerDuke Global Health Institute, Duke University, 310 Trent Drive, Durham, NC, 27710, USA.
Duke University · USFamily Health International 360 · USMuhimbili University of Health and Allied Sciences · TZ

Funding

Adolescent Women & microbicide Trials: Assessing the Challenges and OpportunitiesR01MH086160 · NIMH · FAMILY HEALTH INTERNATIONAL · PI TOLLEY, ELIZABETH ELLEN · 2008 to 2011
$1.2M
NIMH NIH HHS R01 MH086160
6 · The paper itself

Abstract

purposeClinical trials are necessary to test HIV-prevention strategies among adolescent girls and young women in sub-Saharan Africa. Psychosocial risk factors that increase girls' and young women's vulnerability for HIV may also impact their experiences in clinical trials. A better understanding of psychosocial risks among girls and young women enrolled in HIV-prevention research is needed. This analysis explores depression and sexual trauma among adolescent girls and young women enrolled in a mock microbicide trial in Tanzania.

methodsWe collected cross-sectional data from 135 HIV-negative adolescent girls and young women between 15 and 21 in Dar es Salaam, Tanzania enrolled in a mock microbicide trial. Depression, sexual behavior, and sexual trauma were measured. Sexual trauma and demographic variables were entered into a multivariate binomial logistic regression model predicting depression.

findingsOverall, 27% of participants had moderate-to-severe depression. The most commonly endorsed items were anhedonia (lack of interest/pleasure) and low mood, which were reported by 78% of participants. Thoughts of suicide or self-harm were endorsed by 17% of participants. Coerced/forced first sex was reported by 42% of participants. Participants reporting coerced/forced first sex had 3.16 times the likelihood of moderate-to-severe depression.

conclusionsDepression and coerced/forced sex were common among participants in an HIV-prevention mock clinical trial in Tanzania. When enrolling adolescent girls and young women in HIV-prevention trials in sub-Saharan Africa, our research suggests the need for a trauma-informed approach, referrals for trauma and depression, and interventions that address the impact of depression and trauma on HIV prevention, clinical trial adherence, and clinical outcomes.

Indexed as

AdolescentCross-Sectional StudiesDepressionFemaleHealth SurveysHIV InfectionsHumansSex OffensesSexual BehaviorTanzaniaYoung AdultClinical trialsDepressionHIVMental healthSexual traumaTanzania

Identifiers

PMID31993932
PMCPMC7772936
OpenAlexW3004077374

What OpenQuestion holds

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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.