Evidence map›Paper›PMID 37480041›Full record

ArticleHarm reduction journal2023

Opioid use and HIV treatment services experiences among male criminal justice-involved persons in South Africa: a qualitative study.

Yangxi An, Christopher J Hoffmann, Urvisha Bhoora, Pretty Ndini, Derrick Moyo, Laura Steiner, Sukholuhle Tshuma, Tonderai Mabuto, Jannie Hugo, Jill Owczarzak and 1 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Harm reduction journal, 2023. 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
0.4field-weighted citation impact, top 34% 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, 2 citations in OpenAlex.

  1. Article
  2. Article
  3. Pilot of Methadone for Recently Incarcerated People with Human Immunodeficiency Virus and Opioid Use in South Africa.Journal of correctional health care : the official journal of the National Commission on Correctional Health Care · 2025
    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

11 authors at 4 institutions in 2 countries.

Yangxi An *Krieger School for the Arts and Sciences, Johns Hopkins University, Baltimore, USA.
Christopher J Hoffmann *School of Medicine, Johns Hopkins University, 1550 Orleans St, CRBII 1M11, Baltimore, MD, 21207, USA. choffmann@jhmi.edu.
Urvisha BhooraCommunity Oriented Substance Use Programme, Tshwane, South Africa.
Pretty NdiniAurum Institute, Johannesburg, South Africa.
Derrick MoyoAurum Institute, Johannesburg, South Africa.
Laura SteinerSchool of Medicine, Johns Hopkins University, 1550 Orleans St, CRBII 1M11, Baltimore, MD, 21207, USA.
Sukholuhle TshumaCommunity Oriented Substance Use Programme, Tshwane, South Africa.
Tonderai MabutoAurum Institute, Johannesburg, South Africa.
Jannie HugoCommunity Oriented Substance Use Programme, Tshwane, South Africa.
Jill OwczarzakBloomberg School of Public Health, Johns Hopkins University, Baltimore, USA.
Tessa S MarcusCommunity Oriented Primary Care Research Unit, University of Pretoria, Tshwane, South Africa.
Aurum Institute · ZAJohns Hopkins University · USTshwane University of Technology · ZAUniversity of Pretoria · ZA

Funding

Characterizing medication-assisted opioid use treatment and HIV care delivery for community re-entrants with HIV and opioid use disorder in South AfricaR21TW011689 · FIC · JOHNS HOPKINS UNIVERSITY · PI HOFFMANN, CHRISTOPHER J · 2020 to 2021
$366k
FIC NIH HHS R21 TW011689
6 · The paper itself

Abstract

backgroundOpioid use disorder (OUD) is overrepresented among people with criminal justice involvement; HIV is a common comorbidity in this population. This study aimed to examine how formerly incarcerated men living with HIV and OUD in South Africa experienced HIV and OUD services in correctional facilities and the community.

methodsThree focus group discussions were conducted with 16 formerly incarcerated men living with HIV and OUD in Gauteng, South Africa. Discussions explored available healthcare services in correctional facilities and the community and procedural and practice differences in health care between the two types of settings. Data were analyzed thematically, using a comparative lens to explore the relationships between themes.

resultsParticipants described an absence of medical services for OUD in correctional facilities and the harms caused by opioid withdrawal without medical support during incarceration. They reported that there were limited OUD services in the community and that what was available was not connected with public HIV clinics. Participants perceived correctional and community HIV care systems as readily accessible but suggested that a formal system did not exist to ensure care continuity post-release.

conclusionsOUD was perceived to be medically unaddressed in correctional facilities and marginally attended to in the community. In contrast, HIV treatment was widely available within the two settings. The current model of OUD care in South Africa leaves many of the needs of re-entrants unmet. Integrating harm reduction into all primary care medical services may address some of these needs. Successful HIV care models provide examples of approaches that can be applied to developing and expanding OUD services in South Africa.

Indexed as

HIV InfectionsOpioid-Related DisordersAnalgesics, OpioidCriminal LawHumansMaleSouth AfricaAnalgesics, OpioidCorrectional servicesHarm reductionHIVOpioid use disorderSouth Africa

Identifiers

PMID37480041
PMCPMC10360229
OpenAlexW4385064157

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.