Evidence map›Paper›PMID 37980472›Full record

Trial reportBMC public health2023

Binge drinking and condom negotiation behaviours among adolescent girls and young women living in Cape Town, South Africa: sexual control and perceived personal power.

Suzanne E Singer, Wendee M Wechsberg, Tracy Kline, Felicia A Browne, Brittni N Howard, Tara Carney, Bronwyn Myers, Courtney Peasant Bonner, Dawn Chin-Quee

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02974998 (Expanding HIV Testing and Prevention to Reach Vulnerable Young Women), which is not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
3.5field-weighted citation impact, top 7% 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.

NCT02974998 nacompletednot on this map

Expanding HIV Testing and Prevention to Reach Vulnerable Young Women

TypeinterventionalSponsorRTI InternationalRan2016 to 2019Enrolled500ConditionsCondomless Sex, Human Immunodeficiency Virus (HIV), Sexually Transmitted Infections (STIs), Alcohol and Drug UseArmsYoung Women's Health CoOp (YWHC), Standard HTC
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 8 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Review
  5. Article
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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 5 institutions in 3 countries.

Suzanne E SingerRTI International, Research Triangle Park, Chapel Hill, NC, USA.
Wendee M WechsbergRTI International, Research Triangle Park, Chapel Hill, NC, USA. wmw@rti.org.
Tracy KlineRTI International, Research Triangle Park, Chapel Hill, NC, USA.
Felicia A BrowneRTI International, Research Triangle Park, Chapel Hill, NC, USA.
Brittni N HowardRTI International, Research Triangle Park, Chapel Hill, NC, USA.
Tara CarneyAlcohol, Tobacco and Other Drug Research Unit, South African Medical Research Council, Cape Town, South Africa.
Bronwyn MyersAlcohol, Tobacco and Other Drug Research Unit, South African Medical Research Council, Cape Town, South Africa.
Courtney Peasant BonnerRTI International, Research Triangle Park, Chapel Hill, NC, USA.
Dawn Chin-QueeRTI International, Research Triangle Park, Chapel Hill, NC, USA.
RTI International · USUniversity of North Carolina at Chapel Hill · USDuke University · USSouth African Medical Research Council · ZAUniversity of Cape Town · ZA

Funding

Expanding HIV Testing and Prevention to Reach Vulnerable Young WomenR01DA041227 · NIDA · RESEARCH TRIANGLE INSTITUTE · PI WECHSBERG, WENDEE M · 2015 to 2019
$2.0M
NIDA NIH HHS R01 DA041227
6 · The paper itself

Abstract

backgroundCondom use among young people in South Africa has declined in recent years and adolescent girls and young women continue to bear the highest incidence of HIV in the country. Young women who have dropped out of school may be more at risk because of traditional gender norms that create substantial power imbalances and a lack of power to negotiate condom use with their male partners, especially when using alcohol and other drugs.

methodsThis study presents an analysis of baseline data provided by 500 adolescent girls and young women (AGYW) from Cape Town communities between November 2016 and November 2018 who were reached for a cluster-randomised trial conducted to assess the efficacy of an evidence-based, young woman-focused intervention seeking to reduce HIV risk and substance use behaviours. The analysis focuses on associations between binge drinking, condom use, and sexual negotiation, including impaired sex (any substance use at last sex).

resultsAGYW who reported frequent condom negotiation with their partners were 8.92 times (95% CI: [4.36, 18.24]) as likely to use a condom when alcohol or other drugs were not used at last sex and 5.50 times (95% CI: [2.06, 14.72]) as likely when alcohol or other drugs were used at last sex (p < 0.05). AGYW who reported frequent binge drinking in the past month (n = 177) had significantly reduced odds of condom use at last sex, irrespective of whether the sex was impaired (OR 0.60, 95% CI: [0.49, 0.73]) or not impaired (OR 0.69, 95% CI: [0.60, 0.81]). DISCUSSION: The findings highlight the need for interventions that reach AGYW in South Africa by specifically aiming to educate AGYW about the effect of binge drinking on negotiating power in their relationships, thus providing them with the knowledge and skills to increase agency regarding condom use.

trial registrationClinicalTrials.gov Identifier: NCT02974998 (recruitment completed). 29/11/2016.

Indexed as

Binge DrinkingHIV InfectionsSubstance-Related DisordersAdolescentCondomsEthanolFemaleHumansMaleNegotiatingSexual BehaviorSexual PartnersSouth AfricaEthanolAdolescent girls and young womenAlcohol useCondom negotiationHIV preventionHIV riskPersonal agencySexual control

Identifiers

PMID37980472
PMCPMC10657119
OpenAlexW4388793827

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.