Evidence map›Paper›PMID 38751360›Full record

ArticleJournal of the International Association of Providers of AIDS Care

Clinical Implications of HIV Treatment and Prevention for Polygamous Families in Kenya and Uganda: "My Co-Wife Is the One Who Used to Encourage Me".

Jason Johnson-Peretz, Anjeline Onyango, Sarah A Gutin, Laura Balzer, Cecilia Akatukwasa, Lawrence Owino, Titus M O Arunga, Fred Atwine, Maya Petersen, Moses Kamya and 4 more

Abstract read
In one paragraph

Article in Journal of the International Association of Providers of AIDS Care. 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
–field-weighted citation impact
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.

  1. Article
  2. Article
  3. 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

14 authors.

Jason Johnson-PeretzUniversity of California, San Francisco (UCSF), Obstetrics, Gynecology & Reproductive Sciences, San Francisco, CA, USA.ORCID 0000-0001-9561-6366
Anjeline OnyangoKenya Medical Research Institute (KEMRI), Kisumu, Kenya.
Sarah A GutinUniversity of California, San Francisco (UCSF), Community Health Systems, UCSF School of Nursing, San Francisco, CA, USA.
Laura BalzerUniversity of California, Biostatistics, Epidemiology, and Computational Precision Health, Berkeley, CA, USA.
Cecilia AkatukwasaInfectious Diseases Research Collaboration, Kampala, Uganda.
Lawrence OwinoKenya Medical Research Institute (KEMRI), Kisumu, Kenya.
Titus M O ArungaKenya Medical Research Institute (KEMRI), Kisumu, Kenya.
Fred AtwineInfectious Diseases Research Collaboration, Kampala, Uganda.
Maya PetersenUniversity of California, Biostatistics, Epidemiology, and Computational Precision Health, Berkeley, CA, USA.
Moses KamyaInfectious Diseases Research Collaboration, Kampala, Uganda.
James AyiekoKenya Medical Research Institute (KEMRI), Kisumu, Kenya.
Ted RuelUniversity of California, San Francisco (UCSF), HIV Adolescent and Young Adult Studies, Pediatrics, San Francisco, CA, USA.
Diane HavlirUniversity of California, Biostatistics, Epidemiology, and Computational Precision Health, Berkeley, CA, USA.
Carol S CamlinUniversity of California, San Francisco (UCSF), Obstetrics, Gynecology & Reproductive Sciences, San Francisco, CA, USA.

Funding

A Multisectoral Strategy to Address Persistent Drivers of the HIV Epidemic in East AfricaU01AI150510 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HAVLIR, DIANE V, KAMYA, MOSES ROBERT · 2020 to 2025
$23.4M
Strategic antiretroviral therapy and HIV testing for youth in rural AfricaUH3HD096915 · NICHD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HAVLIR, DIANE V · 2020 to 2022
$5.7M
Strategic antiretroviral therapy and HIV testing for youth in rural Africa (SATURN)UG3HD096915 · NICHD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HAVLIR, DIANE V · 2018 to 2019
$3.4M
Couples Advancing Together for Safer Conception (CAT-SC): A couples’-based intervention to improve engagement in sexual and reproductive health services for mobile fisherfolk in KenyaK01MH132435 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Sarah A Gutin · 2023 to 2026
$721k
NIAID NIH HHS U01 AI150510NICHD NIH HHS UG3 HD096915NICHD NIH HHS UH3 HD096915NIMH NIH HHS K01 MH132435
6 · The paper itself

Abstract

Polygamy is the practice of marriage to multiple partners. Approximately 6-11% of households in Uganda and 4-11% of households in Kenya are polygamous. The complex families produced by polygamous marriage customs give rise to additional considerations for healthcare providers and public health messaging around HIV care. Using 27 in-depth, semi-structured qualitative interviews with participants in two studies in rural Kenya and Uganda, we analysed challenges and opportunities that polygamous families presented in the diagnosis, treatment and prevention of HIV, and provider roles in improving HIV outcomes in these families. Overall, prevention methods seemed more justifiable to families where co-wives live far apart than when all members live in the same household. In treatment, diagnosis of one member did not always lead to disclosure to other members, creating an adverse home environment; but sometimes diagnosis of one wife led not only to diagnosis of the other, but also to greater household support.

Indexed as

HIV InfectionsMarriageAdultFamily CharacteristicsFemaleHumansInterviews as TopicKenyaMaleMiddle AgedQualitative ResearchRural PopulationSpousesUgandaYoung Adultadolescentsdifferentiated careHIVpolygamyPrEPserodifferent couples

Identifiers

PMID38751360
PMCPMC11100383

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.