Evidence map›Paper›PMID 36654873›Full record

ArticleTherapeutic advances in infectious disease

The prevalence, incidence, and recurrence of intimate partner violence and its association with adverse childhood experiences among pregnant and breastfeeding women living with HIV in Malawi.

Steven P Masiano, Tapiwa A Tembo, Xiaoying Yu, Elizabeth Wetzel, Mtisunge Mphande, Mike Chitani, Angella Mkandawire, Innocent Khama, Alick Mazenga, Elaine Abrams and 2 more

Open access · goldAbstract read
In one paragraph

Article in Therapeutic advances in infectious disease. 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
0.8field-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

3 citing papers in PubMed, 3 citations in OpenAlex.

  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

12 authors at 4 institutions in 1 country.

Steven P MasianoDepartment of Quantitative Health Sciences, Lerner Research Institute, Cleveland Clinic, Cleveland, OH 44195, USA.ORCID https://orcid.org/0000-0002-2163-7313
Tapiwa A TemboBaylor College of Medicine Children's Foundation Malawi, PBag B397, Lilongwe 3, Malawi.
Xiaoying YuDepartment of Biostatistics & Data Science, School of Public and Population Health, The University of Texas Medical Branch, Galveston, TX, USA.
Elizabeth WetzelBaylor College of Medicine Children's Foundation Malawi, Lilongwe, Malawi.
Mtisunge MphandeBaylor College of Medicine Children's Foundation Malawi, Lilongwe, Malawi.
Mike ChitaniBaylor College of Medicine Children's Foundation Malawi, Lilongwe, Malawi.
Angella MkandawireBaylor College of Medicine Children's Foundation Malawi, Lilongwe, Malawi.
Innocent KhamaBaylor College of Medicine Children's Foundation Malawi, Lilongwe, Malawi.
Alick MazengaBaylor College of Medicine Children's Foundation Malawi, Lilongwe, Malawi.
Elaine AbramsICAP, Mailman School of Public Health, Columbia University, New York, NY, USA.
Saeed AhmedBaylor College of Medicine Children's Foundation Malawi, Lilongwe, Malawi.
Maria H KimBaylor College of Medicine Children's Foundation Malawi, Lilongwe, Malawi.
Baylor College of Medicine · USCleveland Clinic · USColumbia University · USThe University of Texas Medical Branch at Galveston · US

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
2022 International Conference on HIV Treatment, Pathogenesis, and Prevention Research (INTEREST)R13AI170098 · NIAID · DUKE UNIVERSITY · PI FERRARI, GUIDO · 2022 to 2022
$70k
FIC NIH HHS D43 TW010060NIAID NIH HHS R13 AI170098NICHD NIH HHS K12 HD052023NIMH NIH HHS R01 MH115793
6 · The paper itself

Abstract

Background: Intimate partner violence (IPV) is associated with suboptimal HIV treatment outcomes, but its distribution and risk factors among certain subpopulations of people living with HIV in resource-limited settings are not well known. We examined the prevalence, incidence, and recurrence of IPV and its association with adverse childhood experiences (ACEs) among pregnant/breastfeeding women living with HIV in Malawi. Methods: This study used longitudinal data for 455 pregnant women living with HIV continuously enrolled in the VITAL Start trial. IPV was assessed at baseline and months 1, 6, and 12 using the widely validated WHO IPV survey. Forms of IPV assessed were physical IPV, emotional IPV, and sexual IPV measured as prevalence, incidence, and recurrence. ACE histories were assessed using WHO's ACE International Questionnaire (ACE-IQ) tool. Logistic and log-binomial regressions were used in multivariable analyses that controlled for factors such as depression and alcohol use. Results: Participants' mean age was 27.6 ± 5.7 years. Forty-three percent (43%) reported IPV prevalence, 13% reported IPV incidence, and another 13% reported IPV recurrence, with emotional IPV being the most commonly reported IPV type. Over 96% reported experiencing ⩾1 ACE. In regression analysis, cumulative ACE scores were significantly associated with IPV prevalence and IPV recurrence and in both cases, the magnitude of association was greatest for sexual IPV compared with physical IPV and emotional IPV. ACE scores were not significantly associated with IPV incidence. Conclusions: IPV is highly prevalent among pregnant women living with HIV and continues to occur throughout the pregnancy and postpartum period; its graded relationship with ACEs is a concern in resource-limited settings where HIV/AIDS remains a public health concern. Strategies aimed to address the needs of pregnant/breastfeeding women living with HIV may benefit from the regular screening of this population for IPV and ACE, including in antenatal care clinics.

Indexed as

adverse childhood experiencesHIVincidenceintimate partner violenceIPVpregnant women living with HIVprevalencerecurrenceresource-limited settings

Identifiers

PMID36654873
PMCPMC9841851
OpenAlexW4316038571

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.