Evidence map›Paper›PMID 19720603›Full record

ArticleSexually transmitted infections2010

Which HIV-infected men who have sex with men in care are engaging in risky sex and acquiring sexually transmitted infections: findings from a Boston community health centre.

K H Mayer, C O'Cleirigh, M Skeer, C Covahey, E Leidolf, R Vanderwarker, S A Safren

Open access · bronzeAbstract read
In one paragraph

Article in Sexually transmitted infections, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 3 pooled it
3.8field-weighted citation impact, top 7% of its field
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

43 citing papers in PubMed, 3 syntheses or guidelines pooled it, 79 citations in OpenAlex.

  1. High rates of Treponema pallidum, Neisseria gonorrhoeae, Chlamydia trachomatis, or Trichomonas vaginalis co-infection in people with HIV: a systematic review and meta-analysis.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2025
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  14. Elevated HIV and STI Prevalence and Incidence Among Methamphetamine-Using Men Who Have Sex With Men in Los Angeles County.AIDS education and prevention : official publication of the International Society for AIDS Education · 2018
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

K H MayerThe Fenway Institute, Fenway Health, 1340 Boylston Street, Boston, MA 02215, USA. Kenneth_Mayer@brown.edu
C O'Cleirigh
M Skeer
C Covahey
E Leidolf
R Vanderwarker
S A Safren
Fenway Health · USMassachusetts General Hospital · USHarvard University Press · US

Funding

Enhancing HIV Prevention Among High-Risk HIV+ MenR01MH068746 · NIMH · FENWAY COMMUNITY HEALTH CENTER · PI MAYER, KENNETH H · 2003 to 2007
$2.8M
Developmental Infrastructure for Population ResearchR21HD051178 · NICHD · FENWAY COMMUNITY HEALTH CENTER · PI BRADFORD, JUDITH B. · 2007 to 2011
$1.1M
NICHD NIH HHS R21 HD051178NIMH NIH HHS 5R01MH068746-05NIMH NIH HHS R01 MH068746PHS HHS H97HA01293
6 · The paper itself

Abstract

objectivesThe primary objective was to determine the prevalence of sexually transmitted infections (STI) in a cohort of HIV-infected men who have sex with men (MSM) in their primary care setting, and to identify the demographic and behavioural characteristics of those infected with STI and the correlates of sexual transmission risk behaviour.

methodsAt study entry, participants (n = 398) were tested for STI and their medical charts were reviewed for STI results in the previous year. Data on demographics, substance use, sexual behaviour and HIV disease characteristics were collected through a computer-assisted self-assessment and medical record extraction. Logistic regression analyses assessed characteristics of those with recent STI and recent transmission risk behaviour.

resultsThe sample was predominantly white (74.6%) and college educated (51.7%). On average, participants were 41.5 years old (SD 8.4) and had been HIV infected for 8.6 years (SD 6.7); 9% of the sample had an STI, with 6.4% testing positive for syphilis, 3.1% for gonorrhoea and 0.25% for chlamydia. Age and years since HIV diagnosis were significantly associated with testing positive for an STI, as was engaging in transmission risk behaviour and using methamphetamine, ketamine and inhalants. Substance use, particularly methamphetamine use, and being more recently diagnosed with HIV were each uniquely associated with transmission risk behaviour in a multivariable model.

conclusionsThese results underscore the need to develop more effective secondary prevention interventions for HIV-infected MSM, tailored to more recently diagnosed patients, particularly those who are younger and substance users.

Indexed as

AdultAgedAge FactorsEpidemiologic MethodsHIV InfectionsHomosexuality, MaleHumansMaleMassachusettsMiddle AgedPrimary Health CareRisk-TakingSexual BehaviorSexually Transmitted DiseasesSocioeconomic FactorsSubstance-Related Disorders

Identifiers

PMID19720603
PMCPMC3651587
OpenAlexW2140627676

What OpenQuestion holds

Textmetadata
LicenceTDM
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.