Evidence map›Paper›PMID 41200519›Full record

ArticleJournal of public health in Africa2025

Knowledge, attitudes and practices related to SARS-CoV-2 prevention in Kenya.

Brennan R Cebula, Roger Ying, Tyler Hamby, Julius Tonzel, Josphat Kosgei, Deborah Langat, Rael Bor, Britt Gayle, Matthew L Romo, Glenna Schluck and 5 more

Abstract read
In one paragraph

Article in Journal of public health in Africa, 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. 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

15 authors.

Brennan R CebulaUS Military HIV Research Program, Center for Infectious Disease Research, Walter Reed Army Institute of Research, Silver Spring, United States of America.ORCID https://orcid.org/0000-0001-9448-746X
Roger YingUS Military HIV Research Program, Center for Infectious Disease Research, Walter Reed Army Institute of Research, Silver Spring, United States of America.ORCID https://orcid.org/0000-0002-0380-3197
Tyler HambyUS Military HIV Research Program, Center for Infectious Disease Research, Walter Reed Army Institute of Research, Silver Spring, United States of America.ORCID https://orcid.org/0000-0002-0523-8769
Julius TonzelUS Military HIV Research Program, Center for Infectious Disease Research, Walter Reed Army Institute of Research, Silver Spring, United States of America.ORCID https://orcid.org/0000-0003-1818-4947
Josphat KosgeiHJF Medical Research International, Kericho, Kenya.ORCID https://orcid.org/0000-0002-0106-524X
Deborah LangatHJF Medical Research International, Kericho, Kenya.ORCID https://orcid.org/0000-0003-0439-1099
Rael BorHJF Medical Research International, Kericho, Kenya.ORCID https://orcid.org/0009-0005-8849-0765
Britt GayleUS Military HIV Research Program, Center for Infectious Disease Research, Walter Reed Army Institute of Research, Silver Spring, United States of America.ORCID https://orcid.org/0000-0001-5729-6090
Matthew L RomoUS Military HIV Research Program, Center for Infectious Disease Research, Walter Reed Army Institute of Research, Silver Spring, United States of America.ORCID https://orcid.org/0000-0002-3038-0644
Glenna SchluckUS Military HIV Research Program, Center for Infectious Disease Research, Walter Reed Army Institute of Research, Silver Spring, United States of America.ORCID https://orcid.org/0000-0001-5311-9636
Christine AkothHJF Medical Research International, Kericho, Kenya.ORCID https://orcid.org/0000-0002-1586-7315
Fred SaweHJF Medical Research International, Kericho, Kenya.ORCID https://orcid.org/0000-0002-0748-8032
Margaret YacovoneNational Institute of Allergy and Infectious Diseases, National Institutes of Health, Rockville, United States of America.ORCID https://orcid.org/0000-0002-6983-8560
Julie A AkeUS Military HIV Research Program, Center for Infectious Disease Research, Walter Reed Army Institute of Research, Silver Spring, United States of America.ORCID https://orcid.org/0000-0003-3831-5828
Trevor A CrowellUS Military HIV Research Program, Center for Infectious Disease Research, Walter Reed Army Institute of Research, Silver Spring, United States of America.ORCID https://orcid.org/0000-0001-5947-265X

Funding

Understanding Pandemic Evolution through Networked Data (UPEND)RF1MH133442 · NIMH · HENRY M. JACKSON FDN FOR THE ADV MIL/MED · PI CROWELL, TREVOR ADAM · 2023 to 2023
$3.8M
NIMH NIH HHS RF1 MH133442
6 · The paper itself

Abstract

Background: Knowledge, attitudes, and practices (KAPs) regarding severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) non-pharmaceutical interventions (NPIs) may differ among populations with health vulnerabilities. Aim: To examine COVID-19 KAPs among Kenyan adolescents and adults with behavioural vulnerability to HIV. Setting: This study was conducted in Kericho and Homa Bay, Kenya. Methods: From December 2021 to April 2023, we enrolled participants without HIV aged 14-55 years who reported recent sexually transmitted infection, injection drug use, transactional sex, condomless sex, and/or anal sex with males. A self-administered questionnaire captured sociodemographic data and KAPs. Multivariable robust Poisson regression with purposeful variable selection was used to estimate prevalence ratios (PRs) and 95% confidence intervals (CIs) for factors associated with NPI practices. Results: Among 399 participants (median age 22 years [interquartile range 19-24]), 317 (79.4%) were female. Participants during the Omicron-variant wave were less likely to meet outdoors (PR = 0.85 [95% CI: 0.73-0.98]), reduce shopping (PR = 0.83 [95% CI: 0.73-0.96], and avoid crowds (PR = 0.81 [95% CI: 0.71-0.93]). Believing that mask-wearing prevents SARS-CoV-2 was associated with less meeting outdoors (PR = 0.44 [95% CI: 0.27-0.73]) and reducing shopping (PR = 0.48 [95% CI: 0.31-0.76]), while believing that handwashing prevents SARS-CoV-2 was associated with less crowd avoidance (PR = 0.73 [95% CI: 0.60-0.89]). Perceiving widespread community face mask use was associated with reduced shopping (PR = 1.12 [95% CI: 1.02-1.23]). Conclusion: Belief in personal NPIs (mask-wearing and handwashing) was associated with decreased practice of social NPIs (meeting outdoors, reducing shopping, and avoiding crowds). Contribution: Future public health strategies for pandemic response should anticipate risk compensation.

Indexed as

attitudes and practicesCOVID-19HIVknowledgenon-pharmaceutical interventionSARS-CoV-2

Identifiers

PMID41200519
PMCPMC12587216

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.