Evidence map›Paper›PMID 37325240›Full record

ArticleFrontiers in reproductive health2023

Association of sexual relationship power with PrEP persistence and other sexual health outcomes among adolescent and young women in Kenya and South Africa.

Elzette Rousseau, Linxuan Wu, Renee Heffron, Jared M Baeten, Connie L Celum, Danielle Travill, Sinead Delany-Moretlwe, Linda-Gail Bekker, Elizabeth Bukusi, Victor Omollo and 6 more

Abstract read
In one paragraph

Article in Frontiers in reproductive health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

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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

16 authors.

Elzette RousseauDesmond Tutu HIV Centre, University of Cape Town, Cape Town, South Africa.
Linxuan WuDepartments of Global Health, Medicine and Epidemiology, University of Washington, Seattle, WA, United States.
Renee HeffronDepartments of Global Health, Medicine and Epidemiology, University of Washington, Seattle, WA, United States.
Jared M BaetenDepartments of Global Health, Medicine and Epidemiology, University of Washington, Seattle, WA, United States.
Connie L CelumDepartments of Global Health, Medicine and Epidemiology, University of Washington, Seattle, WA, United States.
Danielle TravillWits RHI, University of the Witwatersrand, Johannesburg, South Africa.
Sinead Delany-MoretlweWits RHI, University of the Witwatersrand, Johannesburg, South Africa.
Linda-Gail BekkerDesmond Tutu HIV Centre, University of Cape Town, Cape Town, South Africa.
Elizabeth BukusiKenya Medical Research Institute, Kisumu, Kenya.
Victor OmolloKenya Medical Research Institute, Kisumu, Kenya.
Ariane van der StratenDepartment of Medicine, Centre for AIDS Prevention Studies, University of California, San Francisco, San Francisco, CA, United States.
Gabrielle O'MalleyDepartments of Global Health, Medicine and Epidemiology, University of Washington, Seattle, WA, United States.
Jessica E HabererHarvard Medical School, Harvard University, Boston, MA, United States.
Jennifer F MortonDepartments of Global Health, Medicine and Epidemiology, University of Washington, Seattle, WA, United States.
Rachel E JohnsonDepartments of Global Health, Medicine and Epidemiology, University of Washington, Seattle, WA, United States.
Sarah T RobertsRTI International, Women's Global Health Imperative (WGHI), Berkeley, CA, United States.

Funding

University of Washington Developmental AIDS Research Center for Mental Health (UW ARCH)P30MH123248 · NIMH · UNIVERSITY OF WASHINGTON · PI RAO, DEEPA · 2021 to 2024
$5.8M
NIMH NIH HHS P30 MH123248
6 · The paper itself

Abstract

Introduction: Gendered power inequalities impact adolescent girls' and young women's (AGYW) sexual and reproductive health (SRH) outcomes. We investigated the influence of sexual relationship power on AGYW's SRH outcomes, including HIV pre-exposure prophylaxis (PrEP) persistence. Methods: The POWER study in Kisumu, Kenya, and Cape Town and Johannesburg, South Africa provided PrEP to 2,550 AGYW (aged 16-25). AGYW's perceived power in their primary sexual relationship was measured among the first 596 participants enrolled using the Sexual Relationship Power Scale's (SRPS) relationship control sub-scale. Multivariable regression was used to test for (1) key sociodemographic and relationship characteristics associated with relationship power; and (2) the association of relationship power with SRH outcomes including PrEP persistence. Results: In this cohort, the mean SRPS score was 2.56 (0.49), 542 (90.9%) initiated PrEP; 192 (35.4%) persisted with PrEP at 1 month of which 46 (24.0% of 192) persisted at 6 months. SRPS were significantly lower among AGYW who cohabited with their sex partner (-0.14, 95% CI: -0.24 to -0.04, Discussion: AGYW's reasons for initiating PrEP and reasons for continuously using PrEP may be different. While low relationship power was associated with perceived HIV vulnerability, AGYW's PrEP persistence may be influenced by more than relationship power.

Indexed as

adolescent girls and young women (AGYW)pre-exposure prophylaxis (PrEP)PrEP persistencesexual and reproductive health outcomessexual relationship power

Identifiers

PMID37325240
PMCPMC10266091

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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.