Evidence map›Paper›PMID 33468072›Full record

ArticleBMC public health2021

Reproductive intentions and corresponding use of safer conception methods and contraception among Ugandan HIV clients in serodiscordant relationships.

Glenn J Wagner, Deborah Mindry, Emily A Hurley, Jolly Beyeza-Kashesya, Violet Gwokyalya, Sarah Finocchario-Kessler, Rhoda K Wanyenze, Mastula Nanfuka, Mahlet G Tebeka, Kathy Goggin

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03167879 (Integrating Counseling to Transform HIV Family Planning Services), which is not on this map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 31% 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.

NCT03167879 nacompletednot on this map

Integrating Counseling to Transform HIV Family Planning Services

TypeinterventionalSponsorRANDRan2017 to 2020Enrolled389ConditionsSafer Conception Intervention TrialArmssafer conception counseling
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. "AIDS care · 2026
    Article
  3. "Sexual and reproductive health matters · 2024
    Article
  4. Article
  5. Article
  6. Article
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

10 authors at 7 institutions in 2 countries.

Glenn J WagnerRAND Corporation, 1776 Main St, Santa Monica, CA, 90407, USA. gwagner@rand.org.ORCID 0000-0001-9081-3299
Deborah MindryUC Global Health Institute, Center for Women's Health Gender and Empowerment, Los Angeles, CA, USA.
Emily A HurleyChildren's Mercy Research Institute, Children's Mercy Kansas City, Kansas City, USA.
Jolly Beyeza-KashesyaMulago Hospital Department of Obstetrics and Gynaecology, Makerere University College of Health Sciences, Kampala, Uganda.
Violet GwokyalyaDepartment of Disease Control and Environmental Health, Makerere University School of Public Health, Kampala, Uganda.
Sarah Finocchario-KesslerDepartment of Family Medicine, University of Kansas Medical Center, Kansas City, USA.
Rhoda K WanyenzeDepartment of Disease Control and Environmental Health, Makerere University School of Public Health, Kampala, Uganda.
Mastula NanfukaThe AIDS Support Organization, Kampala, Uganda.
Mahlet G TebekaRAND Corporation, 1776 Main St, Santa Monica, CA, 90407, USA.
Kathy GogginChildren's Mercy Research Institute, Children's Mercy Kansas City, Kansas City, USA.
Makerere University · UGRAND Corporation · USKansas City Public Schools · USMercy Research · USMulago Hospital · UGThe AIDS Support Organization · UGUniversity of Kansas Medical Center · US

Funding

Integrating Counseling to Transform HIV Family Planning Services R01HD090981 · NICHD · RAND CORPORATION · PI GOGGIN, KATHY J, WAGNER, GLENN JOHN · 2016 to 2020
$2.6M
Eunice Kennedy Shriver National Institute of Child Health and Human Development 5R01HD090981NICHD NIH HHS R01 HD090981
6 · The paper itself

Abstract

contextAmong people living with HIV in Uganda, desires to have a child and unplanned pregnancies are both common, while utilization of safer conception methods (SCM) and modern contraceptives are low.

methodsThree hundred eighty-nine HIV clients who reported considering childbearing with their uninfected partner enrolled in a safer conception counseling intervention trial in Uganda. Multiple regression analysis and baseline data were used to examine correlates of reproductive intentions and behaviors, including use of safer conception methods and contraception.

resultsMost (n = 313; 80.5%) reported that both they and their partner wanted to have a child now, which was associated with being married, in a longer relationship, not having a child with partner, greater SCM knowledge, lower internalized childbearing stigma, and higher perceived community stigma of childbearing. However, just 117 reported trying to conceive in the prior 6 months, which was associated with being female, not having a child with their partner, less decision-making control within the relationship, and greater perceived cultural acceptability of SCM. Among those who had tried to conceive in the past 6 months, 14 (11.9%) used SCM, which was associated with greater control in decision making. Of the 268 who were not trying to conceive, 69 (25.7%) were using a modern contraceptive, which was associated with being in a shorter relationship, less control over decision-making, more positive attitudes towards contraception and lower depression.

conclusionMethods to promote reproductive goals are underused by HIV serodiscordant couples, and relationships characteristics and childbearing-related stigma appear to be most influential and thus targets for intervention.

trial registrationClinicaltrials.gov, NCT03167879 ; date registered May 23, 2017.

Indexed as

HIV InfectionsIntentionChildContraceptionFemaleHumansPregnancyReproductionSexual PartnersUgandaContraceptionFamily planningHIVSafer conception methodsSerodiscordant

Identifiers

PMID33468072
PMCPMC7814634
OpenAlexW3122676700

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.