Evidence map›Paper›PMID 38869760›Full record

ArticleAIDS and behavior2024

Men's Satisfaction with General Health Services is Associated with Future Use of HIV Testing in Malawi: A Community-Representative Survey.

Marguerite Thorp, Kelvin Balakasi, Shaukat Khan, Christian Stillson, Joep J van Oosterhout, Brooke E Nichols, Morna Cornell, Kathryn Dovel

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in AIDS and behavior, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

8 authors.

Marguerite ThorpDavid Geffen School of Medicine, University of California Los Angeles, Los Angeles, USA. mthorp@mednet.ucla.edu.ORCID http://orcid.org/0000-0002-8119-7903
Kelvin BalakasiPartners in Hope, Lilongwe, Malawi.
Shaukat KhanFIND, The Global Alliance for Diagnostics, Geneva, Switzerland.
Christian StillsonClinton Health Access Initiative, Washington, DC, USA.
Joep J van OosterhoutPartners in Hope, Lilongwe, Malawi.
Brooke E NicholsFIND, The Global Alliance for Diagnostics, Geneva, Switzerland.
Morna CornellCentre for Infectious Disease Epidemiology and Research, University of Cape Town, Cape Town, South Africa.
Kathryn DovelDavid Geffen School of Medicine, University of California Los Angeles, Los Angeles, USA.

Funding

University of California Launching Future Leaders in Global Health Research Training ProgramD43TW009343 · FIC · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI CRAIG R COHEN, Sung-Jae Lee · 2017 to 2026
$14.7M
Postdoctoral Training in Global AIDS Prevention ResearchT32MH080634 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI JESSE LAWTON CLARK, Pamina Mae Gorbach · 2007 to 2026
$6.4M
Innovative strategies to increase ART Initiation and viral suppression among HIV+ men in MalawiK01TW011484 · FIC · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI DOVEL, KATHRYN L · 2019 to 2023
$717k
Bill and Melinda Gates Foundation 001423FIC NIH HHS D43TW009343FIC NIH HHS K01 TW011484FIC NIH HHS K01-TW011484-01FIC NIH HHS UCLA CFAR AI028697Foreign, Commonwealth and Development Office 300380NIMH NIH HHS T32 MH080634NIMH NIH HHS T32MH080634
6 · The paper itself

Abstract

Across sub-Saharan Africa, men are less likely to know their HIV status than women, leading to later treatment initiation. Little is known about how experiences with general health services affect men's use of HIV testing. We used data from a 2019 community-representative survey of men in Malawi to understand frequency and cause of men's negative health service experiences (defined as men reporting they "would not recommend" a facility) and their association with future HIV testing. We conducted univariable and multivariable logistic regressions to determine which aspects of health facility visits were associated with would-not-recommend experiences and to determine if would-not-recommend experiences 12-24 months prior to the survey were associated with HIV testing in the 12 months prior to the survey. Among 1,098 men eligible for HIV testing in the 12 months prior to the survey, median age was 34 years; 9% of men reported at least one would-not-recommend experience, which did not differ by sociodemographics, gender norm beliefs, or HIV stigma beliefs. The factors most strongly associated with would-not-recommend experiences were cost (aOR 5.8, 95%CI 2.9-11.4), cleanliness (aOR 4.2, 95%CI 1.8-9.9), medicine availability (aOR 3.3, 95%CI 1.7-6.4), and wait times (aOR 2.7, 95%CI 1.5-5.0). Reporting a would-not-recommend experience 12-24 months ago was associated with a 59% decrease in likelihood of testing for HIV in the last 12 months (aOR 0.41; 95% CI:0.17-0.96). Dissatisfaction with general health services was strongly associated with reduced HIV testing. Coverage of high-priority screening services like HIV testing may benefit from improving overall health system quality.

Indexed as

HIV InfectionsHIV TestingPatient Acceptance of Health CareAdolescentAdultHumansMalawiMaleMass ScreeningMiddle AgedPatient SatisfactionPersonal SatisfactionSocial StigmaSurveys and QuestionnairesYoung AdultHealthcare qualityHIV testing uptakeMultivariable regressionPatient satisfactionSub-Saharan Africa

Identifiers

PMID38869760
PMCPMC11286645

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.