Evidence map›Paper›PMID 41087109›Full record

Observational studyBMJ open2025

Evaluation of depressive symptoms, HIV vulnerability and oral PrEP use and adherence among adolescent girls and young women in Western Kenya: a cross-sectional study.

Dismas Congo Ouma, George Otieno, Anand Hemmady, Marion Wakhu, Linda Jepkemoi, Elizabeth K Harrington, Maricianah Onono, Elizabeth A Bukusi, Susan Graham

Abstract readObservational Study
In one paragraph

Observational study in BMJ open, 2025. 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. Observational
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.

Dismas Congo OumaKenya Medical Research Institute, Centre for Microbiology Research, Nairobi, Kenya dismasplanetcongo@gmail.com.ORCID http://orcid.org/0009-0005-6830-913X
George Otieno *Kenya Medical Research Institute, Centre for Microbiology Research, Nairobi, Kenya.
Anand Hemmady *University of Washington, Department of Biostatistics, Seattle, WA, USA.
Marion WakhuKenya Medical Research Institute, Centre for Microbiology Research, Nairobi, Kenya.
Linda JepkemoiKenya Medical Research Institute, Centre for Microbiology Research, Nairobi, Kenya.
Elizabeth K HarringtonUniversity of Washington, School of Medicine, Seattle, WA, USA.
Maricianah OnonoKenya Medical Research Institute, Centre for Microbiology Research, Nairobi, Kenya.
Elizabeth A BukusiKenya Medical Research Institute, Centre for Microbiology Research, Nairobi, Kenya.
Susan GrahamUniversity of Washington, School of Medicine, Seattle, WA, USA.ORCID http://orcid.org/0000-0001-7847-8686

Funding

University of Washington Developmental AIDS Research Center for Mental Health (UW ARCH)P30MH123248 · NIMH · UNIVERSITY OF WASHINGTON · PI FLAHERTY, BRIAN PATRICK · 2021 to 2024
$5.8M
Women and HIV: Translation of Research into Practice-WLHIV Post-Graduate Research FellowshipD43TW009783 · FIC · UNIVERSITY OF WASHINGTON · PI Elizabeth Anne BUKUSI, CAREY FARQUHAR · 2015 to 2026
$4.1M
FIC NIH HHS D43 TW009783NIMH NIH HHS P30 MH123248
6 · The paper itself

Abstract

objectivesTo evaluate the associations between depressive symptoms, HIV vulnerability factors and oral pre-exposure prophylaxis (PrEP) use and adherence among adolescent girls and young women (AGYW) in Kenya.

designCross-sectional observational study.

settingResearch site in Kisumu, Kenya.

participants300 AGYW aged 19-24 years (median age 21 years, IQR 20-22), attending follow-up visits in a randomised controlled trial of the efficacy of a single-dose HPV vaccine.

interventionsParticipants responded to questionnaires assessing their depressive symptoms (Patient Health Questionnaire-9), HIV vulnerability and PrEP use and adherence.

resultsModerate to severe depressive symptoms were reported by 14.3% (95% CI 10.5% to 18.8%). Factors associated with increased prevalence of depressive symptoms included medium HIV risk perception (adjusted prevalence ratio (aPR) 2.25; 95% CI 1.20 to 4.26) and engaging in transactional sex (aPR 2.51; 95% CI 1.15 to 5.48). The rate of oral PrEP use was 19.3% (n=58, 95% CI 15.0% to 24.0%), with 43.0% reporting adherence (≥5 doses in the past week). Depressive symptoms were not significantly associated with PrEP use (aPR 0.94; 95% CI 0.52 to 1.70).

conclusionsThe high prevalence of depressive symptoms among AGYW highlights the importance of integrating mental health screening into HIV prevention services, particularly for individuals with higher HIV risk perception and those engaging in transactional sex.

Indexed as

DepressionHIV InfectionsMedication AdherencePre-Exposure ProphylaxisAdolescentCross-Sectional StudiesFemaleHumansKenyaPapillomavirus VaccinesPrevalenceSurveys and QuestionnairesYoung AdultPapillomavirus VaccinesAdolescentHIV & AIDSMENTAL HEALTHReproductive medicine

Identifiers

PMID41087109
PMCPMC12519686

What OpenQuestion holds

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LicenceCC BY-NC
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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.