Evidence map›Paper›PMID 35291385›Full record

ArticleMalawi medical journal : the journal of Medical Association of Malawi2021

The relationship between intimate partner violence and HIV outcomes among pregnant women living with HIV in Malawi.

Elizabeth C Wetzel, Tapiwa Tembo, Elaine J Abrams, Alick Mazenga, Mike J Chitani, Saeed Ahmed, Xiaoying Yu, Maria H Kim

Abstract read
In one paragraph

Article in Malawi medical journal : the journal of Medical Association of Malawi, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
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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

8 authors.

Elizabeth C WetzelBaylor College of Medicine International Pediatric AIDS Initiative, Texas Children's Hospital, Houston, United States of America (USA).
Tapiwa TemboBaylor College of Medicine - Children's Foundation Malawi, Lilongwe, Malawi.
Elaine J AbramsICAP at Columbia University, Mailman School of Public Health and Department of Pediatrics, Vagelos College of Physicians & Surgeons, Columbia University, New York, USA.
Alick MazengaBaylor College of Medicine - Children's Foundation Malawi, Lilongwe, Malawi.
Mike J ChitaniBaylor College of Medicine - Children's Foundation Malawi, Lilongwe, Malawi.
Saeed AhmedBaylor College of Medicine International Pediatric AIDS Initiative, Texas Children's Hospital, Houston, United States of America (USA).
Xiaoying YuUniversity of Texas Medical Branch at Galveston, Galveston, USA.
Maria H KimBaylor College of Medicine International Pediatric AIDS Initiative, Texas Children's Hospital, Houston, United States of America (USA).

Funding

UTMB WOMEN'S HEALTH RESEARCH SCHOLARS PROGRAMK12HD052023 · NICHD · UNIVERSITY OF TEXAS MEDICAL BR GALVESTON · PI BERENSON, ABBEY B · 2005 to 2023
$8.1M
Malawi HIV Implementation Research Scientist Training Program (MHIRST)D43TW010060 · FIC · UNIV OF NORTH CAROLINA CHAPEL HILL · PI MINA CHRISTINE HOSSEINIPOUR, Victor Mwapasa · 2015 to 2026
$3.8M
VITAL Start (Video-intervention to Inspire Treatment Adherence for Life): Brief facility based video intervention to improve retention and adherence to ART among pregnant and breastfeeding womenR01MH115793 · NIMH · BAYLOR COLLEGE OF MEDICINE · PI AHMED, SAEED · 2018 to 2022
$2.6M
FIC NIH HHS D43 TW010060NICHD NIH HHS K12 HD052023NIMH NIH HHS R01 MH115793
6 · The paper itself

Abstract

Background: Intimate partner violence (IPV) is a global public health concern particularly in pregnancy where IPV can have negative health implications for the mother and child. Data suggest IPV disproportionately affects pregnant women living with HIV (PWLWH) compared to those without HIV. HIV-related outcomes are worse among women experiencing IPV. Despite this knowledge, there is paucity of data concerning PWLWH and IPV in Malawi, where there is a high HIV prevalence (10.6%). Objectives: We aim to characterize IPV amongst PWLWH in Malawi and describe its relationship to demographic characteristics, psychosocial factors, and HIV-related outcomes. Methods: This analysis used data from the VITAL Start pilot study, which is a video-based intervention targeting retention and ART adherence amongst PWLWH in Malawi. PWLWH not on ART were recruited at antenatal clinic and given study questionnaires to assess demographics, IPV, and psychosocial factors. Questionnaires were also administered at one-month follow-up to assess outcomes related to HIV. Descriptive statistics and logistic regression models were used to explore the risk factors associated with IPV. Results: Thirty-nine percent of participants reported ever experiencing IPV from their current partner. The majority (53%) reporting IPV experienced more than one type of violence. IPV was associated with being married (p=0.04) and depression (p<0.0001) in the univariable analysis. For women retained at one-month, IPV was associated with reporting a missed ART dose in the past month but not with adherence measured by pill count. Conclusions: A large proportion of PWLWH experienced IPV from their current partner and IPV was associated with worse self-reported ART adherence at one-month follow-up. Further evidence is needed to understand how IPV impacts PWLWH throughout postpartum and beyond. Given the detrimental impact on health outcomes among PWLWH in Malawi, additional focus on IPV is essential to identify mechanisms to prevent, screen, and manage IPV among this population.

Indexed as

HIV InfectionsIntimate Partner ViolenceFemaleHumansInfant, NewbornMalawiPilot ProjectsPregnancyPregnant PeopleSurveys and QuestionnairesabuseadherenceHIVIPVMalawiviolence

Identifiers

PMID35291385
PMCPMC8892998

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.