Evidence map›Paper›PMID 39862155›Full record

ArticleHIV research & clinical practice2025

'It is scary to pause treatment': perspectives on HIV cure-related research and analytical treatment interruptions from women diagnosed during acute HIV in Durban, South Africa.

Deli Mthimkhulu, Krista L Dong, Mzwakhe Wiseman Ngcobo, Deborah Mindry, Ayanda Zulu, Ntombifuthi Langa, Luyanda Maphalala, Vanessa Pillay, Maud Mthembu, Annie Miall and 8 more

Abstract read
In one paragraph

Article in HIV research & clinical practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Trial
  2. Article
  3. The HIV Reservoir and Immune Landscape Across the Life Course of Women: Implications for Cure Strategies.American journal of reproductive immunology (New York, N.Y. : 1989) · 2026
    Review
  4. Article
  5. Article
  6. Review
  7. 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

18 authors.

Deli MthimkhuluIntegration of TB in Education and Care for HIV/AIDS (ITEACH), Durban, South Africa.
Krista L DongRagon Institute of Mass General, MIT and Harvard, Cambridge, MA, USA.
Mzwakhe Wiseman NgcoboIntegration of TB in Education and Care for HIV/AIDS (ITEACH), Durban, South Africa.
Deborah MindryCenter for Gender and Health Justice, University of California Global Health Institute, Los Angeles, CA, USA.
Ayanda ZuluIntegration of TB in Education and Care for HIV/AIDS (ITEACH), Durban, South Africa.
Ntombifuthi LangaIntegration of TB in Education and Care for HIV/AIDS (ITEACH), Durban, South Africa.
Luyanda MaphalalaFemales Rising through Education, Support and Health (FRESH), Durban, South Africa.
Vanessa PillayFemales Rising through Education, Support and Health (FRESH), Durban, South Africa.
Maud MthembuSchool of Applied Human Sciences, Department of Social Work, University of KwaZulu-Natal (UKZN), Durban, South Africa.
Annie MiallRagon Institute of Mass General, MIT and Harvard, Cambridge, MA, USA.
Whitney TranDivision of Infectious Diseases and Global Public Health, School of Medicine, University of California San Diego (UCSD), La Jolla, CA, USA.
Ana DillenDepartment of Ecology and Evolutionary Biology, University of California Los Angeles (UCLA), CA, USA.
Fang WanDivision of Infectious Diseases and Global Public Health, School of Medicine, University of California San Diego (UCSD), La Jolla, CA, USA.
Ali AhmedDivision of Infectious Diseases and Global Public Health, School of Medicine, University of California San Diego (UCSD), La Jolla, CA, USA.
Jamila K StockmanDivision of Infectious Diseases and Global Public Health, School of Medicine, University of California San Diego (UCSD), La Jolla, CA, USA.
Maryam HussainDivision of Infectious Diseases and Global Public Health, School of Medicine, University of California San Diego (UCSD), La Jolla, CA, USA.
Thumbi Ndung'uRagon Institute of Mass General, MIT and Harvard, Cambridge, MA, USA.
Karine DubéDivision of Infectious Diseases and Global Public Health, School of Medicine, University of California San Diego (UCSD), La Jolla, CA, USA.ORCID 0000-0003-3458-1539

Funding

BEAT-HIV: Delaney Collaboratory to Cure HIV-1 Infection by Combination ImmunotherapyUM1AI164570 · NIAID · WISTAR INSTITUTE · PI Luis J Montaner, James L. Riley · 2021 to 2026
$34.7M
Integrating Trauma-Informed Research in Assessment of Young Women Engaged in HIV Cure Research (Post-Intervention Control) Trial with Analytical Treatment Interruption in Durban, South AfricaR21MH132406 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI DUBE, KARINE · 2023 to 2023
$422k
Gates Foundation INV-033558NIAID NIH HHS UM1 AI164570NIMH NIH HHS R21 MH132406Wellcome Trust
6 · The paper itself

Abstract

backgroundHIV remains a major challenge in KwaZulu-Natal, South Africa, particularly for young women who face disproportionate risks and barriers to prevention and treatment. Most HIV cure trials, however, occur in high-income countries.

objectiveTo examine the perspectives of young women diagnosed with acute HIV in a longitudinal study, focusing on their perceptions on ATI-inclusive HIV cure trials and the barriers and facilitators to participation. MATERIALS AND

methodsBetween October 2022 and February 2024, we conducted closed-ended surveys and in-depth interviews with 20 women aged 19-33 living with HIV, who were willing but ineligible or unable to participate in an HIV cure trial.

resultsMany participants reported mental health challenges, including major depression (40%), moderate to severe anxiety (35%), and low self-esteem (35%). While women diagnosed during acute HIV supported pausing antiretroviral treatment (ART) during analytical treatment interruption (ATI) to advance HIV cure research, concerns about health risks and HIV-related stigma were significant barriers to enrollment. Trust in the research team and close monitoring were seen as positive factors, while fears around sharing of HIV/ATI status and transmission to sex partners complicated decision-making. Participants expressed a need for psychological counseling and access to community resources to manage ATI-related stressors.

conclusionsUnderstanding women's perspectives on HIV cure research, especially ATI trials, is vital. Building trust and addressing psychosocial challenges through a healing-centered approach can facilitate trial participation. Socio-behavioral research before and during HIV cure trials will be essential to inform participant-centered protocol design.

Indexed as

Anti-HIV AgentsHIV InfectionsAdultFemaleHumansLongitudinal StudiesSouth AfricaSurveys and QuestionnairesYoung AdultAnti-HIV AgentsHIV cure researchHIV preventionHIV treatmentsocio-behavioral sciencesSouth AfricaWomen living with HIV

Identifiers

PMID39862155
PMCPMC11829625

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Registered trials

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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.