Evidence map›Paper›PMID 32207327›Full record

ArticleAIDS care2021

"Now that PrEP is reducing the risk of transmission of HIV, why then do you still insist that we use condoms?" the condom quandary among PrEP users and health care providers in Kenya.

Elizabeth M Irungu, Kenneth Ngure, Kenneth K Mugwanya, Merceline Awuor, Annabelle Dollah, Fernandos Ongolly, Nelly Mugo, Elizabeth Bukusi, Elizabeth Wamoni, Josephine Odoyo and 6 more

Open access · greenAbstract read
In one paragraph

Article in AIDS care, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
0.3field-weighted citation impact, top 28% 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

15 citing papers in PubMed, 23 citations in OpenAlex.

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  8. Use of preexposure prophylaxis and condom purchasing decisions.Journal of the experimental analysis of behavior · 2024
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  9. Article
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  11. "Frontiers in reproductive health · 2023
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  14. "Condoms Are Boring": Navigating Relationship Dynamics, Gendered Power, and Motivations for Condomless Sex Amongst Adolescents and Young People in South Africa.International journal of sexual health : official journal of the World Association for Sexual Health · 2021
    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

16 authors at 2 institutions in 2 countries.

Elizabeth M IrunguCentre for Clinical Research, Kenya Medical Research Institute, Nairobi, Kenya.ORCID 0000-0002-7401-3758
Kenneth NgureDepartment of Global Health, University of Washington.
Kenneth K MugwanyaDepartment of Global Health, University of Washington.
Merceline AwuorCentre for Microbiology Research, Kenya Medical Research Institute.
Annabelle DollahCentre for Microbiology Research, Kenya Medical Research Institute.
Fernandos OngollyCentre for Clinical Research, Kenya Medical Research Institute, Nairobi, Kenya.
Nelly MugoCentre for Clinical Research, Kenya Medical Research Institute, Nairobi, Kenya.
Elizabeth BukusiDepartment of Global Health, University of Washington.
Elizabeth WamoniCentre for Clinical Research, Kenya Medical Research Institute, Nairobi, Kenya.
Josephine OdoyoCentre for Microbiology Research, Kenya Medical Research Institute.
Jennifer F MortonDepartment of Global Health, University of Washington.
Gena BarnabeeDepartment of Global Health, University of Washington.
Irene MukuiNational AIDS and STI Control Program.
Jared M BaetenDepartment of Global Health, University of Washington.
Gabrielle O'MalleyDepartment of Global Health, University of Washington.
Partners Scale-Up Project Team
University of Washington · USKenya Medical Research Institute · KE

Funding

University of Washington/Fred Hutch Center for AIDS ResearchP30AI027757 · NIAID · UNIVERSITY OF WASHINGTON · PI CONNIE L CELUM · 1988 to 2026
$104.9M
Optimizing Antiretroviral-Based HIV Prevention for HIV Serodiscordant CouplesR01MH095507 · NIMH · UNIVERSITY OF WASHINGTON · PI BAETEN, JARED · 2011 to 2020
$6.1M
A differentiated care model to improve the efficiency of PrEP delivery in KenyaR00MH118134 · NIMH · UNIVERSITY OF WASHINGTON · PI MUGWANYA, KENNETH KIGGUNDU · 2019 to 2021
$743k
A differentiated care model to improve the efficiency of PrEP delivery in KenyaK99MH118134 · NIMH · UNIVERSITY OF WASHINGTON · PI MUGWANYA, KENNETH KIGGUNDU · 2018 to 2018
$123k
NIAID NIH HHS P30 AI027757NIMH NIH HHS K99 MH118134NIMH NIH HHS R00 MH118134NIMH NIH HHS R01 MH095507
6 · The paper itself

Abstract

Communication around condom use in the context of PrEP services presents a potential conundrum for patients and providers. Within the Partners Scale-Up Project, which supports integration of PrEP delivery in HIV care clinics, we interviewed 41 providers and 61 PrEP users and identified themes relating to condom messaging and use. Most providers counselled PrEP initiators to always use both PrEP and condoms, except when trying to conceive. However, others reported contexts and rationales for not emphasizing condom use. Providers reported that PrEP users were sometimes confused, even frustrated, with their insistence on using condoms in addition to PrEP. PrEP users generally regarded PrEP as a more feasible and desirable HIV prevention method than condoms, enabling increased sexual pleasure and conception, and reducing the conflict and stigma associated with condom use. Innovative approaches to condom counselling in PrEP programs are needed.

Indexed as

AdultAgedCondomsFemaleHealth PersonnelHIV InfectionsHumansInterviews as TopicKenyaMaleMiddle AgedPre-Exposure ProphylaxisQualitative ResearchSexual Partnerscondomshealth care providersHIV serodiscordant couplesKenyaPrEP scale uppublic HIV care clinics

Identifiers

PMID32207327
PMCPMC7511416
OpenAlexW3012774271

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.