Evidence map›Paper›PMID 32802596›Full record

ArticleInternational journal of MCH and AIDS2020

HIV Serodiscordance among Couples in Cameroon: Effects on Sexual and Reproductive Health.

Constantin Tchakounté, Céline N Nkenfou, Thibau F Tchouangueu, Nicole M Ngoufack, Salomon B Tchuandom, Olivier D Ngono, Jules-Rogers Kuiate, Alexis Ndjolo

Abstract read
In one paragraph

Article in International journal of MCH and AIDS, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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, 1 synthesis or guideline pooled it.

  1. Pooled it
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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

8 authors.

Constantin TchakountéDepartment of Biochemistry, University of Dschang, Dschang-Cameroon, Cameroon.
Céline N NkenfouChantal Biya International Reference Centre (CBIRC) P.O.Box 3077, Messa-Yaoundé, Cameroon.
Thibau F TchouangueuDepartment of Biochemistry, University of Dschang, Dschang-Cameroon, Cameroon.
Nicole M NgoufackChantal Biya International Reference Centre (CBIRC) P.O.Box 3077, Messa-Yaoundé, Cameroon.
Salomon B TchuandomDepartment of Biochemistry, University of Dschang, Dschang-Cameroon, Cameroon.
Olivier D NgonoEcole des Techniciens Medico sanitaires de Yaoundé, Messa-Yaoundé.
Jules-Rogers KuiateDepartment of Biochemistry, University of Dschang, Dschang-Cameroon, Cameroon.
Alexis NdjoloChantal Biya International Reference Centre (CBIRC) P.O.Box 3077, Messa-Yaoundé, Cameroon.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesOne of the main reasons for risky sexual behavior observed in HIV serodiscordant couples despite the knowledge of the partner's status and counselling is childbearing. In Cameroon, there are few reports on HIV serodiscordant couples. This paper describes the influence of HIV on sexual relationships and decision to procreate.

methodsThis cross-sectional study was conducted in five health centers. Self-administered questionnaire was used to collect social and demographic information, while semi-structured in-depth individual and couple interviews were used to explore sexual relationships and decisions about fatherhood/motherhood. Blood samples were collected from the couples and tested for HIV to confirm serodiscordance. The data were analyzed using the GraphPad Prism Version 6 software.

resultsA total of 53/192 (27.6%) HIV serodiscordant couples participated in the study, and 18/74 (24.32%) HIV positive seroconcordant couples and 32/80 HIV negative seroconcordant couples were used as controls. The majority of HIV-positive partners in serodiscordant couples were women (30/53), of whom 25/30 were on antiretroviral therapy. Nearly half of the respondents (23 /53) reported tensions related to serodiscordance, shown by reduced sex frequency. The use of condoms was not systematically observed among seroconcordant and serodiscordant couples with respective proportions of 55.55% and 20.75% (p = 0.0086). Thirty seven out of 53 HIV serodiscordant couples wanted children, among them, seven couples did not have any and expressed their aspiration for parenthood despite fear of infecting one's partner. CONCLUSION AND GLOBAL HEALTH IMPLICATIONS: Sexuality of serodiscordant couples as well as of HIV positive seroconcordant couples was affected by the presence of HIV/AIDS. The desire to procreate may lead couples to adopt risky sexual behaviors. It is important to define specific guidelines for serodiscordant couples in order to improve their sexual life and consequently enable them to procreate with minimal risk of infecting their partner and or to transmit the virus to their baby.

Indexed as

CameroonChildbearingHIVReproductive healthSerodiscordanceSexual health

Identifiers

PMID32802596
PMCPMC7422521

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LicenceCC BY-NC-SA
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Registered trials

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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.