Evidence map›Paper›PMID 32028952›Full record

ArticleBMC women's health2020

A cross-sectional evaluation of HIV testing practices among women in the rural Dominican Republic.

Madeline C Montgomery, Zachary Alholm, Alexi Almonte, Kevin J Sykes, Gregory Rudolph, Brandon Cusick, Laura Castello, Genoviva Sowemimo-Coker, Irene Tang, Sarah Haberlack and 1 more

Open access · goldAbstract readEvaluation Study
In one paragraph

Article in BMC women's health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.1field-weighted citation impact, top 50% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. 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

11 authors at 2 institutions in 1 country.

Madeline C MontgomeryDepartment of Medicine, Brown University, Providence, RI, USA.
Zachary AlholmUniversity of Kansas Medical Center, Kansas City, Kansas, USA.
Alexi AlmonteDepartment of Medicine, Brown University, Providence, RI, USA.
Kevin J SykesUniversity of Kansas Medical Center, Kansas City, Kansas, USA.
Gregory RudolphWorld Outreach Foundation, Kansas City, MO, USA.
Brandon CusickWorld Outreach Foundation, Kansas City, MO, USA.
Laura CastelloWorld Outreach Foundation, Kansas City, MO, USA.
Genoviva Sowemimo-CokerDepartment of Medicine, Brown University, Providence, RI, USA.
Irene TangDepartment of Medicine, Brown University, Providence, RI, USA.
Sarah HaberlackDepartment of Medicine, Brown University, Providence, RI, USA.
Philip A ChanDepartment of Medicine, Brown University, Providence, RI, USA. Philip_Chan@brown.edu.ORCID 0000-0003-0964-5895
Brown University · USUniversity of Kansas Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Dominican Republic (DR) ranks among nations with the highest burden of HIV in the Caribbean. Cultural and gender roles in rural areas of the DR may place women at increased HIV risk. However, little is known about sexual health and HIV testing behaviors among women in the rural DR.

methodsWe conducted a needs assessment among a systematic sample of adult women in a rural DR community in 2016. Demographic and behavioral attributes related to HIV testing, sexual health, and healthcare utilization were evaluated. Poisson regression analysis was used to identify demographics and behaviors associated with having had a previous HIV test. Significance was defined as a p-value < 0.05.

resultsAmong 105 women evaluated, 77% knew someone with HIV and 73% of women reported that they would be very or extremely likely to take an HIV test if offered. Only 68% reported a previous HIV test, including 47% who were tested over 2 years prior. Barriers to HIV testing included low risk perception (23%), distance or requisite travel (13%), and discomfort being tested (11%). Women who had never been tested for HIV were more likely than those who had been tested to be older (p = 0.03), to have a lower level of education (p = 0.04), and to have never been tested for other sexually transmitted infections (STI; p <  0.01). In the Poisson multiple regression model, the only significant predictor of having had an HIV test was having had an STI test (p = 0.03).

conclusionsIn the rural DR, numerous barriers contribute to low prevalence of HIV testing among women. Most women report willingness to have an HIV test and many engage in routine health care, indicating that this population may benefit from incorporating HIV testing and other sexual health promotion activities into routine medical care.

Indexed as

AdolescentAdultAIDS SerodiagnosisCross-Sectional StudiesDominican RepublicFemaleHIV InfectionsHumansLogistic ModelsMiddle AgedNeeds AssessmentPatient Acceptance of Health CarePrevalenceRural PopulationSexually Transmitted DiseasesSurveys and QuestionnairesDominican RepublicHIVHIV testingSTIsWomen

Identifiers

PMID32028952
PMCPMC7006117
OpenAlexW3012860079

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.