Evidence map›Paper›PMID 32270233›Full record

ArticleInternational journal of public health2020

HIV vulnerability among adolescent girls and young women: a multi-country latent class analysis approach.

Sanyukta Mathur, Nanlesta Pilgrim, Sangram Kishor Patel, Jerry Okal, Victor Mwapasa, Effie Chipeta, Maurice Musheke, Bidhubhusan Mahapatra, Julie Pulerwitz

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in International journal of public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07132905 (Randomized Pilot Trial of Church-Based Problem-Solving Therapy for Adolescent Girls and Young Women With a History of Gender-Based Violence in Zambia), which is not on this map. Cited by 43 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 1 pooled it
10.0field-weighted citation impact, top 2% 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.

NCT07132905 naactive not recruitingnot on this mapstarted 2025, after this paper: background citation

Randomized Pilot Trial of Church-Based Problem-Solving Therapy for Adolescent Girls and Young Women With a History of Gender-Based Violence in Zambia

TypeinterventionalSponsorUniversity of California, San FranciscoRan2025 to 2026Enrolled180ConditionsHIV, Common Mental Health Problems, PTSD - Post Traumatic Stress Disorder, Depression DisorderArmsMpata Yathu ("Our Space")
3 · Its place in the literature

Who cites it

43 citing papers in PubMed, 1 synthesis or guideline pooled it, 66 citations in OpenAlex.

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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

9 authors at 5 institutions in 4 countries.

Sanyukta MathurPopulation Council, 4301 Connecticut Ave, Suite 280, Washington, DC, USA. smathur@popcouncil.org.
Nanlesta PilgrimIndependent Consultant, Washington, DC, USA.
Sangram Kishor PatelPopulation Council, New Delhi, India.
Jerry OkalPopulation Council, Nairobi, Kenya.
Victor MwapasaCentre for Reproductive Health, College of Medicine, Blantyre, Malawi.
Effie ChipetaCentre for Reproductive Health, College of Medicine, Blantyre, Malawi.
Maurice MushekeIndependent Consultant, Lusaka, Zambia.
Bidhubhusan MahapatraPopulation Council, New Delhi, India.
Julie PulerwitzPopulation Council, 4301 Connecticut Ave, Suite 280, Washington, DC, USA.
Population Council · USPopulation Council Institute · INBritish Council · KEIndependent Sector · USRight to Care · ZM

Funding

Bill and Melinda Gates Foundation OPP1136778
6 · The paper itself

Abstract

objectivesTo stem the HIV epidemic among adolescent girls and young women (AGYW, 15-24 years), prevention programs need to reach AGYW who are most at risk. We examine whether individual- and household-level factors could be used to define HIV vulnerability for AGYW.

methodsWe surveyed out-of-school AGYW in urban and peri-urban Kenya (N = 1014), in urban Zambia (N = 846), and in rural Malawi (N = 1654) from October 2016 to 2017. LCA identified classes based on respondent characteristics, attitudes and knowledge, and household characteristics. Multilevel regressions examined associations between class membership and HIV-related health outcomes.

resultsWe identified two latent classes-high and low HIV vulnerability profiles-among AGYW in each country; 32% of the sample in Kenya, 53% in Malawi, and 51% in Zambia belonged to the high vulnerability group. As compared to AGYW with a low-vulnerability profile, AGYW with a high-vulnerability profile had significantly higher odds of HIV-related outcomes (e.g., very early sexual debut, transactional sex, sexual violence from partners).

conclusionsOut-of-school AGYW had differential vulnerability to HIV. Interventions should focus on reaching AGYW in the high HIV vulnerability profiles.

Indexed as

Women's HealthAdolescentAfrica South of the SaharaFemaleHealth Knowledge, Attitudes, PracticeHIV InfectionsHumansLatent Class AnalysisSex OffensesSexual BehaviorSocioeconomic FactorsYoung AdultCondom useGender equityIPVSTITransactional sex

Identifiers

PMID32270233
PMCPMC7274997
OpenAlexW3016023995

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.