Evidence map›Paper›PMID 37440525›Full record

ArticlePloS one2023

The co-management of HIV and chronic non-communicable diseases in the Dominican Republic: A qualitative study.

Deshira D Wallace, Amarilis Then-Paulino, Gipsy Jiménez Paulino, Flabia Tejada Castro, Stephanie Daniela Castro, Kartika Palar, Kathryn P Derose

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2023. 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 26% 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, 5 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  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

7 authors at 5 institutions in 2 countries.

Deshira D WallaceDepartment of Health Behavior, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States of America.ORCID 0000-0003-1300-6957
Amarilis Then-PaulinoInstituto de Investigación en Salud de la Facultad de Ciencias de la Salud, Facultad de Ciencias de la Salud, Universidad Autónoma de Santo Domingo, Alma Máter, Ciudad Universitaria, Santo Domingo, Dominican Republic.
Gipsy Jiménez PaulinoViceministerio de Garantía de la Calidad, Ministerio de Salud Pública, Santo Domingo, Dominican Republic.
Flabia Tejada CastroIndependent Consultant, Santo Domingo, Dominican Republic.
Stephanie Daniela CastroCenter for Diagnosis, Advanced Medicine, and Telemedicine (CEDIMAT), Santo Domingo, Dominican Republic.
Kartika PalarDepartment of Medicine, Division of HIV, Infectious Disease, and Global Medicine, University of California, San Francisco, San Francisco, California, United States of America.
Kathryn P DeroseDepartment of Health Promotion & Policy, University of Massachusetts Amherst, Amherst, Massachusetts, United States of America.
Instituto Tecnológico de Santo Domingo · DORAND Corporation · USUniversidad Autónoma de Santo Domingo · DOUniversity of California, San Francisco · USUniversity of North Carolina at Chapel Hill · US

Funding

Research BaseP30DK092926 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MARY ELLEN MICHELE HEISLER, ADESUWA B OLOMU · 2011 to 2026
$10.0M
Research Services CoreP2CHD050924 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI KAREN B GUZZO · 2015 to 2026
$9.6M
Promesa: Urban gardening and peer nutritional counseling to improve HIV care outcomes among people with food insecurity in the Dominican RepublicR01MH131447 · NIMH · UNIVERSITY OF MASSACHUSETTS AMHERST · PI Kathryn Pitkin Derose, Kartika Palar · 2023 to 2026
$2.9M
Improving ART Adherence Through Urban Gardening and Peer Nutritional Counseling in the Dominican RepublicR34MH110325 · NIMH · RAND CORPORATION · PI DEROSE, KATHRYN PITKIN · 2016 to 2018
$775k
NICHD NIH HHS P2C HD050924NIDDK NIH HHS P30 DK092926NIMH NIH HHS R01 MH131447NIMH NIH HHS R34 MH110325
6 · The paper itself

Abstract

People living with HIV and a non-communicable disease (NCD) experience multi-level barriers when co-managing multiple conditions. We explored the factors affecting living with multiple chronic conditions in the Dominican Republic. We conducted 21 in-depth interviews from October 2019-February 2020 with Dominican adults who participated in a food security intervention and managed HIV and at least one chronic NCD. Using thematic analysis, we explored participant lived experiences co-managing multiple chronic conditions. All participants (mean age = 45.5 years) were linked to HIV care, but only three were linked to NCD-specific care. Individual-level barriers to managing NCDs included limited education and limited self-efficacy for self-management. Interpersonally, barriers included limited rapport building with an NCD-specific specialist. Structural barriers to managing NCDs were no health insurance, poor referral systems, and limited financial assistance. Health system adaptation requires equitably considering the needs of individuals managing multiple chronic conditions. Key factors to address include patient-provider relationships, improved referral systems, accessibility and availability of specialists, and financial assistance.

Indexed as

HIV InfectionsMultiple Chronic ConditionsNoncommunicable DiseasesAdultDominican RepublicHumansMiddle AgedPersistent InfectionQualitative Research

Identifiers

PMID37440525
PMCPMC10343047
OpenAlexW4384156210

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.