Evidence map›Paper›PMID 33034421›Full record

Trial reportJournal of the International AIDS Society2020

An open-label, randomized crossover study to evaluate the acceptability and preference for contraceptive options in female adolescents, 15 to 19 years of age in Cape Town, as a proxy for HIV prevention methods (UChoose).

Katherine Gill, Anna-Ursula Happel, Tanya Pidwell, Andrea Mendelsohn, Menna Duyver, Leigh Johnson, Landon Meyer, Catherine Slack, Ann Strode, Eve Mendel and 9 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of the International AIDS Society, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 3 pooled it
0.6field-weighted citation impact, top 19% 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

35 citing papers in PubMed, 3 syntheses or guidelines pooled it, 45 citations in OpenAlex.

  1. Pooled it
  2. Hormonal contraception for women at risk of HIV infection.The Cochrane database of systematic reviews · 2025
    Pooled it
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  5. Persistent, Asymptomatic Colonization withMicrobiology spectrum · 2022
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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

19 authors at 9 institutions in 2 countries.

Katherine GillDesmond Tutu HIV Centre, University of Cape Town, Cape Town, South Africa.ORCID 0000-0002-3372-9506
Anna-Ursula HappelInstitute of Infectious Diseases and Molecular Medicine, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa.
Tanya PidwellDesmond Tutu HIV Centre, University of Cape Town, Cape Town, South Africa.
Andrea MendelsohnDesmond Tutu HIV Centre, University of Cape Town, Cape Town, South Africa.
Menna DuyverDesmond Tutu HIV Centre, University of Cape Town, Cape Town, South Africa.
Leigh JohnsonCentre for Infectious Diseases Epidemiology and Research, School of Public Health and Family Medicine, University of Cape Town, Cape Town, South Africa.
Landon MeyerCentre for Infectious Diseases Epidemiology and Research, School of Public Health and Family Medicine, University of Cape Town, Cape Town, South Africa.
Catherine SlackHIV AIDS Vaccines Ethics Group, University of KwaZulu-Natal, Durban, South Africa.ORCID 0000-0002-6608-0248
Ann StrodeHIV AIDS Vaccines Ethics Group, University of KwaZulu-Natal, Durban, South Africa.
Eve MendelDesmond Tutu HIV Centre, University of Cape Town, Cape Town, South Africa.
Lauren FynnDesmond Tutu HIV Centre, University of Cape Town, Cape Town, South Africa.
Melissa WallaceCancer Association of South Africa, Johannesburg, South Africa.
Hans SpiegelDepartment of Health and Human Services, Kelly Government Solutions, Contractor to National Institute of Allergy and Infectious Diseases, National Institutes of Health, Rockville, MD, USA.
Heather JaspanInstitute of Infectious Diseases and Molecular Medicine, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa.
Jo-Ann PassmoreInstitute of Infectious Diseases and Molecular Medicine, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa.
Sybil HosekStroger Hospital of Cook County, Chicago, IL, USA.
Dionne SmitMSD (Pty) Ltd, Halfway House, South Africa.
Alex RinehartViiV Healthcare, Research Triangle Park, NC, USA.
Linda-Gail BekkerDesmond Tutu HIV Centre, University of Cape Town, Cape Town, South Africa.ORCID 0000-0002-0755-4386
Desmond Tutu HIV Foundation · ZAUniversity of Cape Town · ZACentre for the AIDS Programme of Research in South Africa · ZACancer Association of South Africa · ZAInfectious Disease Research Institute · USJohn H. Stroger, Jr. Hospital of Cook County · USNational Health Laboratory Service · ZANational Institutes of Health · USTriangle · US

Funding

CHAMPS: Choices for Adolescent Methods of Prevention in South AfricaR01AI094586 · NIAID · DESMOND TUTU HIV FOUNDATION · PI BEKKER, LINDA-GAIL GAIL · 2011 to 2014
$2.5M
NIAID NIH HHS R01 AI094586NIH HHS R01 AI094586
6 · The paper itself

Abstract

introductionYoung women in Southern Africa have extremely high HIV incidence rates necessitating the availability of female-controlled prevention methods. Understanding adolescent preference for seeking contraception would improve our understanding of acceptability, feasibility and adherence to similar modes of delivery for HIV prevention.

methodsUChoose was an open-label randomized crossover study over 32 weeks which aimed to evaluate the acceptability and preference for contraceptive options in healthy, HIV-uninfected, female adolescents aged 15 to 19 years, as a proxy for similar HIV prevention methods. Participants were assigned to a contraceptive method for a period of 16 weeks in the form of a bi-monthly injectable contraceptive, monthly vaginal Nuvaring

resultsOf the 180 participants screened, 130 were enrolled and randomized to the Nuvaring

conclusionsAdherence to daily COC was difficult for adolescents in this cohort and the least favoured potential HIV prevention option. While some preferred vaginal ring use, these data suggest that long-acting injectables would be the preferred prevention method for adolescent girls and young women. This study highlights the need for additional options for HIV prevention in youth.

Indexed as

Contraceptive Devices, FemaleEthinyl EstradiolAdministration, IntravaginalAdolescentAfrica, SouthernContraceptive Agents, HormonalContraceptives, Oral, CombinedCross-Over StudiesDesogestrelDrug CombinationsFemaleHIV InfectionsHumansInjections, IntramuscularPatient PreferencePatient SatisfactionContraceptive Agents, HormonalContraceptives, Oral, CombinedDesogestrelDrug CombinationsEthinyl EstradiolNuvaRingadherenceadolescent girlsHIV prevention; youth; South Africapreference

Identifiers

PMID33034421
PMCPMC7545920
OpenAlexW3092075993

What OpenQuestion holds

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LicenceCC BY
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.