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Kinship, Nuptiality and Child Health Outcomes in a Low Income Urban Area - JAMAA na AFYA ya MTOTO (JAMO)
Sangeetha Madhavan PI, with Kristen Stoebenau, Kenneth Leonard and Michael Wagner
Located in Research / Selected Research
Article Reference Troff document (with manpage macros)Seizing opportunities for intervention: Changing HIV-related knowledge among men who have sex with men and transgender women attending trusted community centers in Nigeria
Background Knowledge of HIV risk factors and reduction strategies is essential for prevention in key populations such as men who have sex with men (MSM) and transgender women (TGW). We evaluated factors associated with HIV-related knowledge among MSM and TGW and the impact of engagement in care at trusted community health centers in Nigeria. Methods The TRUST/RV368 cohort recruited MSM and TGW in Lagos and Abuja, Nigeria via respondent driven sampling. During study visits every three months, participants underwent structured interviews to collect behavioral data, received HIV education, and were provided free condoms and condom compatible lubricants. Five HIV-related knowledge questions were asked at enrollment and repeated after 9 and 15 months. The mean number of correct responses was calculated for each visit with 95% confidence intervals (CIs). Multivariable Poisson regression was used to calculate adjusted risk ratios and CIs for factors associated with answering more knowledge questions correctly. Results From March 2013 to April 2018, 2122 persons assigned male sex at birth were enrolled, including 234 TGW (11.2%). The mean number of correct responses at enrollment was 2.36 (95% CI: 2.31–2.41) and increased to 2.95 (95% CI: 2.86–3.04) and 3.06 (95% CI: 2.97–3.16) after 9 and 15 months in the study, respectively. Among 534 participants who completed all three HIV-related knowledge assessments, mean number of correct responses rose from 2.70 (95% CI: 2.60–2.80) to 3.02 (95% CI: 2.93–3.13) and then 3.06 (95% CI: 2.96–3.16). Factors associated with increased overall HIV-related knowledge included longer duration of study participation, HIV seropositivity, higher education level, and more frequent internet use. Conclusions There was suboptimal HIV-related knowledge among Nigerian MSM and TGW at that improved modestly with engagement in care. These data demonstrate unmet HIV education needs among Nigerian MSM and TGW and provide insights into modalities that could be used to address these needs.
Located in MPRC People / Hongjie Liu, Ph.D. / Hongjie Liu Publications
For Young Women in Sub-Saharan Africa Addressing Transactional Sex May be Key to Reducing HIV Infections
Transactional Sex and HIV Risk: From Analysis to Action
Located in Research / Selected Research
Kirsten Stoebenau, Behavioral & Community Health
"Come, we try" - A qualitative study of changing marital practices in low-income settings in Eastern Africa and the implications for maternal and child health
Located in Coming Up
Madhavan leads team to study kinship effects
Five-year R01 project will examine kin relationships in Nairobi, Kenya
Located in News
File Troff document (with manpage macros)Eliciting and Utilizing Willingness-to-Pay: Evidence from Field Trials in Northern Ghana
Raymond Guiteras, University of Maryland; James Berry, Cornell University; Greg Fischer, London School of Economics // Keywords: price mechanism, heterogeneous treatment effects, health behavior, Becker-DeGroot-Marschak, field experiments; 2015-017
Located in Research / Working Papers / WP Documents
File Troff document (with manpage macros)Mothers, Kin, and Father Involvement in Urban South Africa
Sangeetha Madhavan, University of Maryland, et al. // Keywords: fathers, mothers, kin, South Africa; 2012-014
Located in Research / Working Papers / WP Documents
Seminar Series: Single Motherhood and Child Mortality in Sub-Saharan Africa: A Life Course Perspective
Shelley Clark, Associate Professor, Department of Sociology, McGill University
Located in Coming Up
Seminar Series: Micro-Ordeals and Preventative Health Products: Evidence on Short-Term Take-Up and Habit Formation
Vivian Hoffmann, Assistant Professor, Department of Agricultural and Resource Economics, University of Maryland
Located in Coming Up
Seminar Series: Ethnomedicine and Biomedicine in Rural Senegal: Rationality and Magical Thinking
Jack Sandberg, Associate Professor, Department of Global Health, George Washington University
Located in Coming Up