Evidence map›Paper›PMID 36084050›Full record

Trial reportPloS one2022

Adoption of HIV pre-exposure prophylaxis among women at high risk of HIV infection in Kenya.

Cedric H Bien-Gund, Perez Ochwal, Noora Marcus, Elizabeth F Bair, Sue Napierala, Suzanne Maman, Kawango Agot, Harsha Thirumurthy

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.0field-weighted citation impact, top 23% 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

8 citing papers in PubMed, 11 citations in OpenAlex.

  1. Trial
  2. Article
  3. Observational
  4. Article
  5. Article
  6. Article
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  8. 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

8 authors at 4 institutions in 2 countries.

Cedric H Bien-GundDivision of Infectious Diseases, Department of Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, United States of America.ORCID 0000-0003-0182-5680
Perez OchwalImpact Research and Development Organisation, Kisumu, Kenya.
Noora MarcusDivision of Health Policy, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, United States of America.
Elizabeth F BairDivision of Health Policy, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, United States of America.
Sue NapieralaWomen's Global Health Imperative, RTI International, Berkeley, CA, United States of America.
Suzanne MamanDepartment of Health Behavior, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States of America.
Kawango AgotImpact Research and Development Organisation, Kisumu, Kenya.
Harsha ThirumurthyDivision of Health Policy, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, United States of America.ORCID 0000-0002-3308-7603
University of Pennsylvania · USImpact Research and Development Organization · KERTI International · USUniversity of North Carolina at Chapel Hill · US

Funding

Infectious Diseases Epidemiology Training GrantT32AI055435 · NIAID · UNIVERSITY OF PENNSYLVANIA · PI LAUTENBACH, EBBING · 2003 to 2023
$6.9M
Secondary distribution of HIV self-tests: an innovative strategy for promoting male partner testing and reducing riskR01MH111602 · NIMH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI THIRUMURTHY, HARSHA · 2016 to 2020
$3.2M
NIAID NIH HHS T32 AI055435NIMH NIH HHS R01 MH111602
6 · The paper itself

Abstract

In 2017, Kenya became one of the first African countries to provide pre-exposure prophylaxis (PrEP) in its national HIV prevention plan. We sought to characterize factors associated with PrEP uptake and persistence among a cohort of women at risk of HIV infection during the early stages of PrEP scale-up in Kenya. HIV-negative women ≥18 years with ≥2 sexual partners in the past 4 weeks were recruited as part of an ongoing cluster randomized trial of an HIV self-testing intervention. PrEP use was assessed at baseline and at 6- and 12-month follow-up visits. Between June 2017 and August 2018, 2,086 were enrolled and had complete baseline data. 138 (6.6%) reported PrEP use during the first year of the study. Although PrEP use increased, persistence on PrEP was low, and less than half of individuals reported continuing PrEP at follow-up visits. In multivariate analyses, PrEP use was associated with recent STIs, having an HIV-positive primary partner, having regular transactional sex in the past 12 months, and being a female sex worker. In the early stages of PrEP scale-up in Kenya, uptake increased modestly among women with risk factors for HIV infection, but overall uptake and persistence was low.

Indexed as

Anti-HIV AgentsHIV InfectionsPre-Exposure ProphylaxisSex WorkersFemaleHumansKenyaAnti-HIV Agents

Identifiers

PMID36084050
PMCPMC9462728
OpenAlexW4295047658

What OpenQuestion holds

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LicenceCC BY
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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.