ArticleEpidemiology (Cambridge, Mass.)2021
Social Networks and HIV Care Outcomes in Rural Kenya and Uganda.
Article in Epidemiology (Cambridge, Mass.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The key design features and effectiveness of social network interventions for HIV testing and linkage services in low- and middle-income countries: a systematic review and meta-analysis.Journal of the International AIDS Society · 2025Pooled it
- Community Connectedness and Its Association with Stigma and Viral Suppression Among MSM with HIV: Findings from HPTN 078.AIDS and behavior · 2026Article
- Social network isolation and cohesion and their association with HIV clustering among Black and Latino sexual minority men: implications for public health strategy.Scientific reports · 2026Article
- Family relationships, perceived stigma, and social isolation among people living with HIV/AIDS: a cross-sectional study in China.BMC public health · 2026Article
- Intersecting Burdens: Pain and Psychosocial Stressors in Women with HIV and Type 2 Diabetes - Insights from the MACS/WIHS Combined Cohort Study.Research square · 2026Article
- A multilevel social network approach to studying multiple disease-prevention behaviors.Scientific reports · 2025Article
- Social networks and HIV treatment adherence among people with HIV initiating treatment in rural Uganda and peri-urban South Africa.SSM - population health · 2024Article
- Social realities in remote villages: Infant and young child feeding in Kirewa, Uganda.PLOS global public health · 2024Article
- The Association Between Social Network Characteristics and Tuberculosis Infection Among Adults in 9 Rural Ugandan Communities.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2023Article
- Article
- Influence of Social Support Network and Perceived Social Support on the Subjective Wellbeing of Mothers of Children With Autism Spectrum Disorder.Frontiers in psychology · 2022Article
Corrections and comments
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Authors and funding
12 authors.
Funding
Abstract
backgroundSocial isolation among HIV-positive persons might be an important barrier to care. Using data from the SEARCH Study in rural Kenya and Uganda, we constructed 32 community-wide, sociocentric networks and evaluated whether less socially connected HIV-positive persons were less likely to know their status, have initiated treatment, and be virally suppressed.
methodsBetween 2013 and 2014, 168,720 adult residents in the SEARCH Study were census-enumerated, offered HIV testing, and asked to name social contacts. Social networks were constructed by matching named contacts to other residents. We characterized the resulting networks and estimated risk ratios (aRR) associated with poor HIV care outcomes, adjusting for sociodemographic factors and clustering by community with generalized estimating equations.
resultsThe sociocentric networks contained 170,028 residents (nodes) and 362,965 social connections (edges). Among 11,239 HIV-positive persons who named ≥1 contact, 30.9% were previously undiagnosed, 43.7% had not initiated treatment, and 49.4% had viral nonsuppression. Lower social connectedness, measured by the number of persons naming an HIV-positive individual as a contact (in-degree), was associated with poorer outcomes in Uganda, but not Kenya. Specifically, HIV-positive persons in the lowest connectedness tercile were less likely to be previously diagnosed (Uganda-West aRR: 0.89 [95% confidence interval (CI): 0.83, 0.96]; Uganda-East aRR: 0.85 [95% CI: 0.76, 0.96]); on treatment (Uganda-West aRR: 0.88 [95% CI: 0.80, 0.98]; Uganda-East aRR: 0.81 [0.72, 0.92]), and suppressed (Uganda-West aRR: 0.84 [95% CI: 0.73, 0.96]; Uganda-East aRR: 0.74 [95% CI: 0.58, 0.94]) than those in the highest connectedness tercile.
conclusionsHIV-positive persons named as a contact by fewer people may be at higher risk for poor HIV care outcomes, suggesting opportunities for targeted interventions.
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