Evidence map›Paper›PMID 32938415›Full record

ArticleBMC public health2020

Impact of attitudes and beliefs on antiretroviral treatment adherence intention among HIV-positive pregnant and breastfeeding women in Zambia.

Jerry John Nutor, Jaime C Slaughter-Acey, Shannon P Marquez, Rose Ann DiMaria-Ghalili, Florence Momplaisir, Kelechi Elizabeth Oladimeji, Loretta S Jemmott

Open access · goldAbstract read
In one paragraph

Article in BMC public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.2field-weighted citation impact, top 37% 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

6 citing papers in PubMed, 13 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

7 authors at 6 institutions in 2 countries.

Jerry John NutorFamily Health Care Nursing Department, School of Nursing, University of California, 2 Koret Way, Suite N431G, San Francisco, CA, 94143-0608, USA. jerry.nutor@ucsf.edu.ORCID http://orcid.org/0000-0002-7562-6281
Jaime C Slaughter-AceyDivision of Epidemiology and Community Health, University of Minnesota, Minneapolis, MN, 55454, USA.
Shannon P MarquezUndergraduate Global Engagement, Columbia University, New York City, NY, 110027, USA.
Rose Ann DiMaria-GhaliliCollege of Nursing and Health Professions, Drexel University, Philadelphia, PA, 19104, USA.
Florence MomplaisirDepartment of Medicine, Hospital of University of the Pennsylvania, Philadelphia, PA, 19102, USA.
Kelechi Elizabeth OladimejiDepartment of Public Health, Faculty of Health Sciences, University of Fort Hare, Alice, Eastern Cape, South Africa.
Loretta S JemmottCollege of Nursing and Health Professions, Drexel University, Philadelphia, PA, 19104, USA.
Drexel University · USColumbia University · USHospital of the University of Pennsylvania · USUniversity of California, San Francisco · USUniversity of Fort Hare · ZAUniversity of Minnesota · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe aim of this study was to investigate if attitudes or behavioral beliefs about antiretroviral therapy (ART) influence ART adherence intention among pregnant and breastfeeding women in Zambia.

methodsWe recruited 150 HIV-positive women receiving ART in urban (Lusaka) and rural (Sinazongwe) districts of Zambia. Generalized modified Poisson regression models were used to assess the extent to which adherence intention was influenced by attitude toward ART or behavioral beliefs about ART.

resultsIntention to adhere to ART differed significantly by income, knowledge about HIV transmission, attitudes, and behavioral beliefs (all Ps < .05). In addition, strong intention to adhere to ART differed by urban (69%) and rural (31%) place of residence (P ≤ .01). In adjusted models, women in the weak adherence intention group were more likely to be older, have less knowledge about HIV transmission, and have a more negative attitude toward ART (PR 0.74; 95% CI 0.67-0.82). Behavioral belief about ART, however, was significant in unadjusted model (PR 0.85; 95% CI 0.76-0.94) but not significant after adjusting for covariates such as age, knowledge of transmission, and district locality.

conclusionCompared to behavioral beliefs, attitudes about ART were more influential for intention to adhere. This knowledge will help inform effective and appropriate ART counseling for pregnant and breastfeeding women at different points along their ART time course.

Indexed as

Anti-HIV AgentsHIV InfectionsBreast FeedingFemaleHumansInfectious Disease Transmission, VerticalIntentionMedication AdherencePregnancyZambiaAnti-HIV AgentsMother-to-child transmission, adherence intention, antiretroviral treatmentPre-natalRuralTheory of planned behavior

Identifiers

PMID32938415
PMCPMC7495861
OpenAlexW3085364725

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LicenceCC BY
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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.