Evidence map›Paper›PMID 39240300›Full record

ArticleAIDS and behavior2024

"I Have to Stand Up on My Own and Do the Best I Can for My Kids"

Mamaswatsi Kopeka, Michael Barton Laws, Abigail Harrison, Nokwazi Tsawe, Lucia Knight, Jennifer Pellowski

Abstract read
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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

6 authors.

Mamaswatsi KopekaBrown University School of Public Health, Rhode Island, USA. mamaswatsi_kopeka@alumni.brown.edu.ORCID http://orcid.org/0009-0008-7961-1141
Michael Barton LawsDepartment of Health Services, Policy and Practice, Brown University School of Public Health, Rhode Island, USA.
Abigail HarrisonDepartment of Behavioral and Social Sciences, Brown University School of Public Health, Rhode Island, USA.
Nokwazi TsaweDivision of Epidemiology and Biostatistics, School of Public Health and Family Medicine, University of Cape Town, Cape Town, South Africa.
Lucia KnightDivision of Social and Behavioural Sciences, Faculty of Health Sciences, School of Public Health and Family Medicine, University of Cape Town, Cape Town, South Africa.
Jennifer PellowskiDepartment of Behavioral and Social Sciences, Brown University School of Public Health, Rhode Island, USA.

Funding

Adherence to HIV Treatment Postpartum: The Implications of Transitions Among Women Living with HIV in South AfricaK01MH112443 · NIMH · BROWN UNIVERSITY · PI PELLOWSKI, JENNIFER ANN · 2017 to 2022
$893k
NIMH NIH HHS K01 MH112443NIMH NIH HHS K01MH112443
6 · The paper itself

Abstract

In recent years, significant progress has been made in treatment access for women living with HIV (WLHIV). For example, option B+, which requires that all pregnant persons who test positive for HIV start on antiretroviral treatment, has been instrumental in reducing the risk of vertical transmission. For birthing individuals who have a low HIV viral load, there is a minimized risk of vertical transmission during breastfeeding. However, an alarming rate of WLHIV in South Africa disengage from care during postpartum. Given that work is intricately linked to individuals' socioeconomic status, and thus health outcomes, and their health-seeking ability, it is important to explore the role of work in decisions that impact HIV-related care for the dyad postpartum. Semi-structured interviews were conducted with 26 women living with HIV at 6-8 weeks postpartum in Cape Town, South Africa. A secondary qualitative data analysis was conducted following thematic content analysis. Three themes were identified, spanning participants' financial considerations, navigating childcare needs, and considerations for exclusive breastfeeding. For many participants, there was often a conflict between returning to work, childcare, and the decision whether or not to breastfeed-in addition to their HIV care. This conflict between participants' commitments suggests an increased pressure that WLHIV may face postpartum, which could impact their ability to remain engaged in their healthcare and adherent to medication. Although exclusive breastfeeding is an important recommendation for the baby's health outcomes; there is a need for structural support for WLHIV as they navigate work re-entry during postpartum.

Indexed as

Breast FeedingHIV InfectionsInfectious Disease Transmission, VerticalInterviews as TopicMothersQualitative ResearchAdultFemaleHumansPatient Acceptance of Health CarePostpartum PeriodPregnancyPregnancy Complications, InfectiousSocioeconomic FactorsSouth AfricaYoung AdultExclusive breastfeedingHIV/AIDSLabor participationWLHIV

Identifiers

PMID39240300
PMCPMC11586298

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.