Evidence map›Paper›PMID 32037538›Full record

ArticleInternational journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics2020

Resumption of postpartum sexual activity and menses among HIV-infected women on lifelong antiretroviral treatment compared to HIV-uninfected women in Africa.

Sufia Dadabhai, Bonus Makanani, Nan Hua, Rachel Kawalazira, Frank Taulo, Luis Gadama, Taha E Taha

Open access · greenAbstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.1field-weighted citation impact, top 55% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

7 authors at 2 institutions in 2 countries.

Sufia DadabhaiDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA.
Bonus MakananiDepartment of Obstetrics and Gynecology, College of Medicine, University of Malawi, Blantyre, Malawi.
Nan HuaDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA.
Rachel KawalaziraCollege of Medicine-Johns Hopkins Research Project, Blantyre, Malawi.
Frank TauloDepartment of Obstetrics and Gynecology, College of Medicine, University of Malawi, Blantyre, Malawi.
Luis GadamaDepartment of Obstetrics and Gynecology, College of Medicine, University of Malawi, Blantyre, Malawi.
Taha E TahaDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA.
University of Malawi · MWJohns Hopkins University · US

Funding

Pregnancy Outcomes and Infant Survival in the Era of Universal HAART in AfricaR21HD085874 · NICHD · JOHNS HOPKINS UNIVERSITY · PI TAHA, TAHA E · 2015 to 2016
$447k
NICHD NIH HHS R21 HD085874NIH HHS
6 · The paper itself

Abstract

objectiveTo determine time from delivery to resumption of sexual activity and menses among HIV-infected women on antiretroviral treatment (ART) and HIV-uninfected women.

methodsHIV-infected women on ART and HIV-uninfected women were recruited from five health facilities at delivery and followed prospectively for a maximum of 1 year in Blantyre, Malawi from January 2016 to September 2017. Sociodemographic, clinical, and laboratory data were collected at delivery and 1.5, 3, 6, 9, and 12 months. Descriptive, time to event Kaplan-Meier, and multivariable Cox proportional hazards analyses were conducted.

resultsData on 878 women (460 [52.4%] HIV-uninfected and 418 [47.6%] HIV-infected, P=0.156) who attended at least one follow-up visit were analyzed. Among HIV-uninfected compared to HIV-infected women, respectively, the median number of days to resumption of sexual activity was 180 vs 181; to irregular menses was 82 vs 71; and to regular menses was 245 vs 366. In multivariable models, being married was associated with early resumption of sexual activity (hazard ratio [HR] 1.91, P<0.001), and being HIV-infected and use of an effective method of family planning were associated with later start of regular menses (HR<1.0, P<0.050).

conclusionCounseling of women on reproductive intentions should start early irrespective of HIV infection or use of ART.

Indexed as

AdultAnti-Retroviral AgentsCase-Control StudiesContraceptionFemaleHIV InfectionsHumansMalawiMenstruationPostpartum PeriodProportional Hazards ModelsSexual BehaviorTime FactorsYoung AdultAnti-Retroviral AgentsAfricaAntiretroviral treatmentEffective contraceptive methodsHIVMalawiMensesReproductive intentionsResumption of sexual activity

Identifiers

PMID32037538
PMCPMC7152561
OpenAlexW3004842313

What OpenQuestion holds

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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.