Evidence map›Paper›PMID 37804302›Full record

Trial reportThe Journal of adolescent health : official publication of the Society for Adolescent Medicine2024

Peer Pressure and Risk-Taking Behaviors Among Adolescent Girls in a Region Impacted by HIV/AIDS in Southwestern Uganda.

Flavia Namuwonge, Samuel Kizito, Vicent Ssentumbwe, Anita Kabarambi, Natasja K Magorokosho, Proscovia Nabunya, Florence Namuli, Rashida Namirembe, Fred M Ssewamala

Open access · bronzeAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
3.1field-weighted citation impact, top 8% 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

5 citing papers in PubMed, 7 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

9 authors at 1 institution in 1 country.

Flavia NamuwongeInternational Center for Child Health and Development, Brown School, Washington University, St. Louis, Missouri.
Samuel KizitoInternational Center for Child Health and Development, Brown School, Washington University, St. Louis, Missouri.
Vicent SsentumbweInternational Center for Child Health and Development, Brown School, Washington University, St. Louis, Missouri.
Anita KabarambiInternational Center for Child Health and Development, Masaka Field, Masaka, Uganda.
Natasja K MagorokoshoInternational Center for Child Health and Development, Brown School, Washington University, St. Louis, Missouri.
Proscovia NabunyaInternational Center for Child Health and Development, Brown School, Washington University, St. Louis, Missouri.
Florence NamuliInternational Center for Child Health and Development, Masaka Field, Masaka, Uganda.
Rashida NamirembeInternational Center for Child Health and Development, Masaka Field, Masaka, Uganda.
Fred M SsewamalaInternational Center for Child Health and Development, Brown School, Washington University, St. Louis, Missouri. Electronic address: fms1@wustl.edu.
Saint Louis University · US

Funding

Suubi4HER Round 2: Examining the Long-term Impact of A Combination Interventionon HIV Prevention, Care and Mental Health for Adolescents and Young Women in UgandaR01MH113486 · NIMH · WASHINGTON UNIVERSITY · PI Noeline Nakasujja, FRED M SSEWAMALA · 2017 to 2026
$5.8M
Training Program for Scientists Conducting Research to Reduce HIV Health DisparitR25MH067127 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Emily A Arnold, Torsten Brian Neilands · 2003 to 2026
$5.4M
Strengthening Child Health Research Capacity in Resource Constrained Settings: Researcher Resilience Training (RRT)R25MH118935 · NIMH · WASHINGTON UNIVERSITY · PI SEAN JOE, Mary McKernan McKay · 2018 to 2026
$1.5M
NIMH NIH HHS R01 MH113486NIMH NIH HHS R25 MH067127NIMH NIH HHS R25 MH118935
6 · The paper itself

Abstract

purposeThis paper uses data from a 3-arm Cluster Randomized Control Trial, Suubi4Her (N = 1260; 14-17-year-old school-going girls) to (1) assess the relationship between peer pressure and adolescent risk-taking behaviors; and (2) test the mediating effect of peer pressure on an intervention on adolescent risk-taking behaviors.

methodsStudents in the southwestern region of Uganda were assigned to three study arms: control (n = 16 schools, n = 408 students) receiving usual care comprising of sexual and reproductive health curriculum; and two active treatment arms: Treatment 1 (n = 16 schools, n = 471 students) received everything the control arm received plus a savings led intervention. Treatment 2 (n = 15 schools, n = 381 students) received everything the control and treatment arms received plus a family strengthening intervention. We used multilevel models to assess the relationship between peer pressure and risk-taking behaviors. We ran structural equation models for mediation analysis.

resultsUsing baseline data, we found that direct peer pressure was significantly associated with substance use risk behaviors, (β = 0.044, 95% CI = 0.008, 0.079). We also found a statistically significant effect of the intervention on acquiring STIs through the mediating effect of sexual risk-taking significant (β = -0.025, 95% CI: -0.049, -0.001, p = .045) and total indirect (β = -0.042, 95% CI: -0.081, -0.002, p = .037) effects. Also, there was a significant mediation effect of the intervention on substance use through peer pressure (β = -0.030, 95% CI: -0.057, -0.002, p = .033). DISCUSSION: Overall, the study points to the role of peer pressure on adolescent girls' risk-taking behaviors; and a need to address peer pressure at an early stage.

Indexed as

Acquired Immunodeficiency SyndromeSubstance-Related DisordersAdolescentFemaleHumansPeer InfluenceRisk-TakingSexual BehaviorUgandaAdolescent girlsAdolescentsPeer pressureRisk-taking behaviors

Identifiers

PMID37804302
PMCPMC10841615
OpenAlexW4387375513

What OpenQuestion holds

Textmetadata
LicenceTDM
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.