Evidence map›Paper›PMID 34027688›Full record

ArticleJournal of aging and health2022

From "Secret" to "Sensitive Issue": Shifting Ideas About HIV Disclosure Among Middle-Aged and Older Rural South Africans in the Era of Antiretroviral Treatment.

Enid Schatz, Ifeolu David, Nicole Angotti, F Xavier Gómez-Olivé, Sanyu A Mojola

Open access · greenAbstract read
In one paragraph

Article in Journal of aging and health, 2022. 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.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 30% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 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.

Enid SchatzUniversity of Missouri14716, Columbia, MO, USA.ORCID 0000-0003-3963-2745
Ifeolu DavidUniversity of Missouri14716, Columbia, MO, USA.
Nicole Angotti37708MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
F Xavier Gómez-Olivé37708MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Sanyu A Mojola37708MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
University of the Witwatersrand · ZAAmerican University · USUniversity of Missouri · US

Funding

University of Colorado Population CenterP2CHD066613 · NICHD · UNIVERSITY OF COLORADO · PI JANE A MENKEN · 2015 to 2026
$3.7M
Partnership for Social Science AIDS Research in South African's Era of ART RollouR24AG032112 · NIA · UNIVERSITY OF COLORADO · PI MENKEN, JANE A · 2007 to 2011
$1.6M
HIV after 40 in Rural South Africa: Aging in the Context of an HIV/AIDS EpidemicR01AG049634 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MOJOLA, SANYU AMIMO · 2016 to 2020
$1.3M
NIA NIH HHS R01 AG049634NIA NIH HHS R24 AG032112NICHD NIH HHS P2C HD066613Wellcome Trust 058893/Z/99/AWellcome Trust 069683/Z/02/ZWellcome Trust 085477/B/08/ZWellcome Trust 085477/Z/08/Z
6 · The paper itself

Abstract

objectiveAs HIV shifts from "death sentence" to "chronic condition," disclosure of HIV status to intimate partners and family is a significant component of both prevention and treatment adherence. While disclosure is closely considered in many studies, few examine middle-aged and older persons' (age 40+) perspectives or practices. We trace older rural South Africans' views on HIV disclosure to their partners and family members in a high prevalence community over a period of extensive antiretroviral treatment (ART) rollout.

methodsCommunity focus group discussions (FGD) conducted in 2013 and 2018 show shifts in older persons' thinking about HIV disclosure.

findingsOur FGD participants saw fewer negative consequences of disclosure in 2018 than in 2013, and highlighted positive outcomes including building trust (partners) as well as greater support for medication collection and adherence (family). DISCUSSION: Particularly as the epidemic ages in South Africa and globally, tracing changes in older persons' views on disclosure is an important step in developing messaging that could enhance treatment as prevention and ART adherence.

Indexed as

DisclosureHIV InfectionsAgedAged, 80 and overAnti-Retroviral AgentsHumansMiddle AgedRural PopulationSexual PartnersAnti-Retroviral Agentsagingantiretroviral treatmentHIV disclosureSouth Africa

Identifiers

PMID34027688
PMCPMC9367629
OpenAlexW3164806444

What OpenQuestion holds

Textmetadata
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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.