Evidence map›Paper›PMID 37565610›Full record

ArticleSexual and reproductive health matters2023

Joni Lariat, Chido Dziva Chikwari, Ethel Dauya, Valentine T Baumu, Victor Kaisi, Laura Kafata, Esnath Meza, Victoria Simms, Constance Mackworth-Young, Helena Rochford and 5 more

Open access · goldAbstract read
In one paragraph

Article in Sexual and reproductive health matters, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
5.7field-weighted citation impact, top 4% 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

10 citing papers in PubMed, 13 citations in OpenAlex.

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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

15 authors at 3 institutions in 3 countries.

Joni LariatAssociate Lecturer, School of Public Health, University of Sydney, Sydney, Australia.ORCID 0000-0003-1240-6916
Chido Dziva ChikwariAssistant Professor, THRU Zim, Harare, Zimbabwe; Assistant Professor, London School of Hygiene and Tropical Medicine, London, UK.ORCID 0000-0003-1617-3603
Ethel DauyaStudy Coordinator, THRU Zim, Harare, Zimbabwe.ORCID 0000-0003-3241-2512
Valentine T BaumuYouth Researcher, THRU Zim, Harare, Zimbabwe.
Victor KaisiYouth Researcher, THRU Zim, Harare, Zimbabwe.
Laura KafataYouth Researcher, THRU Zim, Harare, Zimbabwe.
Esnath MezaYouth Researcher, THRU Zim, Harare, Zimbabwe.
Victoria SimmsAssociate Professor. THRU Zim, Harare, Zimbabwe; Associate Professor, London School of Hygiene and Tropical Medicine, London, UK.ORCID 0000-0002-4897-458X
Constance Mackworth-YoungAssistant Professor. THRU Zim, Harare, Zimbabwe.ORCID 0000-0002-9725-7931
Helena RochfordResearch Intern, THRU Zim, Harare, Zimbabwe.ORCID 0000-0001-5884-0203
Anna MachihaSTI Coordinator, Ministry of Health and Child Care, Harare, Zimbabwe.ORCID 0000-0002-7934-2040
Tsitsi BandasonData manager, THRU Zim, Harare, Zimbabwe.ORCID 0000-0003-0066-8345
Suzanna C FrancisAssociate Professor, London School of Hygiene and Tropical Medicine, London, UK.ORCID 0000-0002-3724-4813
Rashida A FerrandProfessor, THRU Zim, Harare, Zimbabwe; Professor, London School of Hygiene and Tropical Medicine, London, UK.ORCID 0000-0002-7660-9176
Sarah BernaysAssociate Professor, School of Public Health, University of Sydney, Sydney, Australia; Associate Professor, London School of Hygiene and Tropical Medicine, London, UK.ORCID 0000-0001-7628-8408
London School of Hygiene & Tropical Medicine · GBThe University of Sydney · AUMinistry of Health and Child Welfare · ZW

Funding

Medical Research Council MR/R010161/1Medical Research Council MR/T040327/1Wellcome Trust
6 · The paper itself

Abstract

Partner notification (PN) is considered integral to the management of sexually transmitted infections (STI). Patient-referral is a common PN strategy and relies on index cases notifying and encouraging their partners to access treatment; however, it has shown limited efficacy. We conducted a mixed methods study to understand young people's experiences of PN, particularly the risks and challenges encountered during patient-referral. All young people (16-24 years) attending a community-based sexual and reproductive health service in Zimbabwe who were diagnosed with an STI were counselled and offered PN slips, which enabled their partners to access free treatment at the service. PN slip uptake and partner treatment were recorded. Among 1807 young people (85.0% female) offered PN slips, 745 (41.2%) took up ≥1 PN slip and 103 partners (5.7%) returned for treatment. Most participants described feeling ill-equipped to counsel and persuade their partners to seek treatment. Between June and August 2021, youth researchers conducted in-depth interviews with 41 purposively selected young people diagnosed with an STI to explore their experiences of PN. PN posed considerable social risks, threatening their emotional and physical safety. Except for a minority in long-term, publicly acknowledged relationships, participants did not expect PN would achieve successful outcomes. Public health discourse, which constructs PN as "the right thing to do", influenced participants to adopt narratives that concealed the difficulties of PN and their unmet needs. Urgent interrogation is needed of whether PN is a suitable or constructive strategy to continue pursuing with young people. To improve the outcomes of preventing reinfection and onward transmission of STIs, we must consider developing alternative strategies that better align with young people's lived experiences.

Indexed as

Contact TracingSexually Transmitted DiseasesAdolescentFemaleHumansMaleReferral and ConsultationReinfectionZimbabwepartner notificationpatient-referralrisk hierarchiesrisk landscapesexually transmitted infectionssocial harmsyoung people

Identifiers

PMID37565610
PMCPMC10424614
OpenAlexW4385751645

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.