Evidence map›Paper›PMID 33435863›Full record

ArticleBMC infectious diseases2021

Socio-demographic associations of HIV among women attending antenatal care in selected rural primary care facilities in South Africa's Eastern Cape province.

Sikhumbuzo A Mabunda, Khuthala Sigovana, Wezile Chitha, Teke Apalata, Sibusiso Nomatshila

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC infectious diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.5field-weighted citation impact, top 35% 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

5 citing papers in PubMed, 12 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

5 authors at 3 institutions in 2 countries.

Sikhumbuzo A MabundaThe George Institute for Global Health and Research, University of New South Wales, Level 5 - 1 King Street, Sydney, Newtown NSW, 2042, Australia. smabunda@georgeinstitute.org.au.ORCID http://orcid.org/0000-0001-9458-3742
Khuthala SigovanaDepartment of Public Health, Walter Sisulu University, Mthatha, South Africa.
Wezile ChithaHealth Systems Enablement & Innovation Unit, University of the Witwatersrand, Johannesburg, South Africa.
Teke ApalataDepartment of Laboratory Medicine, Walter Sisulu University, Mthatha, South Africa.
Sibusiso NomatshilaDepartment of Public Health, Walter Sisulu University, Mthatha, South Africa.
Walter Sisulu University · ZAUniversity of the Witwatersrand · ZAUNSW Sydney · AU

Funding

South African Medical Research Council MRC-RFA-CC01-2014
6 · The paper itself

Abstract

backgroundTo effectively reduce vertical HIV transmission requires a reduction of HIV prevalence and incidence among pregnant women and a full understanding of its epidemiology. The study aimed to determine the prevalence of HIV among women attending antenatal care and further determine spousal support during antenatal care attendance in rural areas in Eastern Cape province, South Africa.

methodsA Cross-sectional study of women attending antenatal care in four Primary Care facilities was conducted using an interviewer-administered questionnaire which collected information on socio-demographic characteristics and medical history. Binomial logistic regression analyses were used to determine factors associated with HIV and to estimate the prevalence ratio (PR). The 95% confidence interval (95%CI) is used for precision of estimates; p≤0.05 for statistical significance.

resultsA total of 343 participants were included in the final analysis. The antenatal HIV prevalence was 38.2% (95%CI: 33.2-43.9). For 75% of the women, the HIV diagnosis was made 141 days before the date of the interview (median=77 days, interquartile range=42-141 days). Participants between the age of 30 to 39 years were 50% more likely to be HIV positive compared to those who were between the age of 20 to 29, these differences were statistically significant (PR=1.5; p-value=0.001). Furthermore, self-employed women were 30% less likely to be HIV positive when compared to unemployed participants, this was also statistically significant (PR=0.7; p-value< 0.0001).

conclusionDespite a 100% antenatal HIV testing rate, the antenatal HIV prevalence remains high in this population, coupled with no spousal attendance in antenatal care. It is important to move beyond awareness about the HIV status to actionable strategies of reducing the HIV incident cases. It is therefore important to remain vigilant and monitor mother-to-child transmission that could be associated with this increased prevalence.

Indexed as

PovertyPrenatal CarePrimary Health CareRural Health ServicesAdolescentAdultCross-Sectional StudiesFemaleHIVHIV InfectionsHumansIncidenceInfectious Disease Transmission, VerticalPregnancyPregnancy Complications, InfectiousPrevalenceAntenatalHIVPrevention of mother-to-child transmission or PMTCTSouth Africa

Identifiers

PMID33435863
PMCPMC7805084
OpenAlexW3119352312

What OpenQuestion holds

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LicenceCC BY
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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.