Evidence map›Paper›PMID 33812750›Full record

Trial reportThe Journal of adolescent health : official publication of the Society for Adolescent Medicine2021

Family Economic Empowerment, Family Social Support, and Sexual Risk-Taking Behaviors Among Adolescents Living With HIV in Uganda: The Suubi+Adherence Study.

Thembekile Shato, Proscovia Nabunya, William Byansi, Ucheoma Nwaozuru, Moses Okumu, Massy Mutumba, Rachel Brathwaite, Christopher Damulira, Flavia Namuwonge, Ozge Sensoy Bahar and 2 more

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 27% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Peer Pressure and Risk-Taking Behaviors Among Adolescent Girls in a Region Impacted by HIV/AIDS in Southwestern Uganda.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2024
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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

12 authors at 5 institutions in 1 country.

Thembekile ShatoInternational Center for Child Health and Development (ICHAD), Brown School, Washington University in St. Louis, St. Louis, Missouri.
Proscovia NabunyaInternational Center for Child Health and Development (ICHAD), Brown School, Washington University in St. Louis, St. Louis, Missouri.
William ByansiInternational Center for Child Health and Development (ICHAD), Brown School, Washington University in St. Louis, St. Louis, Missouri.
Ucheoma NwaozuruInternational Center for Child Health and Development (ICHAD), Brown School, Washington University in St. Louis, St. Louis, Missouri.
Moses OkumuSchool of Social Work, University of North Carolina-Chapel, Chapel Hill, North Carolina.
Massy MutumbaDepartment of Health Behavior and Biological Sciences, University of Michigan School of Nursing, Ann Arbor, Michigan.
Rachel BrathwaiteInternational Center for Child Health and Development (ICHAD), Brown School, Washington University in St. Louis, St. Louis, Missouri.
Christopher DamuliraInternational Center for Child Health and Development (ICHAD), Masaka, Uganda.
Flavia NamuwongeInternational Center for Child Health and Development (ICHAD), Masaka, Uganda.
Ozge Sensoy BaharInternational Center for Child Health and Development (ICHAD), Brown School, Washington University in St. Louis, St. Louis, Missouri.
Torsten B NeilandsDivision of Prevention Science, Center for AIDS Prevention Studies (CAPS), Department of Medicine, University of California San Francisco, San Francisco, California.
Fred M SsewamalaInternational Center for Child Health and Development (ICHAD), Brown School, Washington University in St. Louis, St. Louis, Missouri. Electronic address: fms1@wustl.edu.
Washington University in St. Louis · USSaint Louis University · USSan Francisco AIDS Foundation · USUniversity of Michigan · USUniversity of North Carolina at Chapel Hill · US

Funding

Ujima Mentoring ProgramP30MH062246 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Sheri Ann Lippman · 2001 to 2026
$57.4M
Suubi+Adherence-R2: Examining the longitudinal HIV treatment adherence among youth living with HIV (YLHIV) transitioning into young adulthoodR01HD074949 · NICHD · WASHINGTON UNIVERSITY · PI NABUNYA, PROSCOVIA, SENSOY BAHAR, OZGE · 2012 to 2024
$7.7M
Training Program for Scientists Conducting Research to Reduce HIV Health DisparitR25MH067127 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Emily A Arnold, Torsten Brian Neilands · 2003 to 2026
$5.4M
Strengthening Child Health Research Capacity in Resource Constrained Settings: Researcher Resilience Training (RRT)R25MH118935 · NIMH · WASHINGTON UNIVERSITY · PI SEAN JOE, Mary McKernan McKay · 2018 to 2026
$1.5M
Training LEADers to Accelerate Global Mental Health Disparities in Research (LEAD)T37MD014218 · NIMHD · WASHINGTON UNIVERSITY · PI CAVAZOS-REHG, PATRICIA A, SSEWAMALA, FRED M · 2019 to 2023
$1.3M
NICHD NIH HHS R01 HD074949NIMHD NIH HHS T37 MD014218NIMH NIH HHS P30 MH062246NIMH NIH HHS R25 MH067127NIMH NIH HHS R25 MH118935
6 · The paper itself

Abstract

purposeThis study examined the effect of a family economic empowerment (EE) intervention and family support on sexual risk-taking behaviors among adolescents living with HIV in rural Uganda.

methodsWe used data from the Suubi + Adherence study, a longitudinal cluster randomized clinical trial of 702 adolescents living with HIV aged 10-16 years. Participants were randomly assigned to either the control arm (n = 358) receiving bolstered standard of care or a treatment arm (n = 344) receiving bolstered standard of care plus the family EE intervention. We used mixed-effects models to examine the effect of the EE intervention and family support on sexual risk-taking behaviors at the baseline, 12 months, and 24 months after intervention initiation.

resultsAdolescents in both the intervention and control groups did not differ significantly in their sexual risk-taking attitudes at the baseline and over the 24-month follow-up period. Higher levels of caregiver social support were significantly associated with a decrease in attitudes toward sexual risk-taking (ß = -.40, 95%CI = -.51, -.29). More frequent parent-child communication was significantly associated with increased negative sexual risk-taking attitudes (ß = .21, 95%CI = .16, .26).

conclusionsAlthough we find no direct relationship between family EE and attitudes related to sexual risk-taking behaviors, we find that a supportive family environment can promote positive attitudes related to sexual risk-taking behaviors. The effectiveness of sexual risk reduction interventions would be enhanced by engaging families and strengthening supportive relationships between adolescents and their caregivers.

Indexed as

HIV InfectionsAdolescentHumansRisk-TakingSexual BehaviorSocial SupportUgandaAdolescentsCaregiver-child communicationEconomic empowerment interventionsFamily cohesionFamily supportHIVSuubiUganda

Identifiers

PMID33812750
PMCPMC8403623
OpenAlexW3149717679

What OpenQuestion holds

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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.