Evidence map›Paper›PMID 21352788›Full record

SynthesisEpidemics2010

HSV-2 serology can be predictive of HIV epidemic potential and hidden sexual risk behavior in the Middle East and North Africa.

Laith J Abu-Raddad, Joshua T Schiffer, Rhoda Ashley, Ghina Mumtaz, Ramzi A Alsallaq, Francisca Ayodeji Akala, Iris Semini, Gabriele Riedner, David Wilson

Abstract readSystematic Review
In one paragraph

Synthesis in Epidemics, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 10 pooled it
–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

39 citing papers in PubMed, 10 syntheses or guidelines pooled it.

  1. Pooled it
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  4. Global epidemiology ofSexually transmitted infections · 2021
    Pooled it
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  6. Epidemiology ofJournal of global health · 2019
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  19. Seroprevalence of Chlamydia trachomatis Among Female Adults in the United States: The National Health and Nutrition Examination Surveys.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
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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

9 authors.

Laith J Abu-RaddadInfectious Disease Epidemiology Group, Weill Cornell Medical College-Qatar, Cornell University, Qatar Foundation, Education City, Doha, Qatar. lja2002@qatar-med.cornell.edu
Joshua T Schiffer
Rhoda Ashley
Ghina Mumtaz
Ramzi A Alsallaq
Francisca Ayodeji Akala
Iris Semini
Gabriele Riedner
David Wilson

Funding

Intense Validation of a Mathematical Model of Herpes Simplex Virus-2 PathogenesisK23AI087206 · NIAID · UNIVERSITY OF WASHINGTON · PI SCHIFFER, JOSHUA TISDELL · 2010 to 2014
$641k
NIAID NIH HHS K23 AI087206
6 · The paper itself

Abstract

backgroundHIV prevalence is low in the Middle East and North Africa (MENA) region, though the risk or potential for further spread in the future is not well understood. Behavioral surveys are limited in this region and when available have serious limitations in assessing the risk of HIV acquisition. We demonstrate the potential use of herpes simplex virus-2 (HSV-2) seroprevalence as a marker for HIV risk within MENA.

methodsWe designed a mathematical model to assess whether HSV-2 prevalence can be predictive of future HIV spread. We also conducted a systematic literature review of HSV-2 seroprevalence studies within MENA.

resultsWe found that HSV-2 prevalence data are rather limited in this region. Prevalence is typically low among the general population but high in established core groups prone to sexually transmitted infections such as men who have sex with men and female sex workers. Our model predicts that if HSV-2 prevalence is low and stable, then the risk of future HIV epidemics is low. However, expanding or high HSV-2 prevalence (greater than about 20%), implies a risk for a considerable HIV epidemic. Based on available HSV-2 prevalence data, it is not likely that the general population in MENA is experiencing or will experience such a considerable HIV epidemic. Nevertheless, the risk for concentrated HIV epidemics among several high-risk core groups is present.

conclusionsHSV-2 prevalence surveys provide a useful mechanism for identifying and corroborating populations at risk for HIV within MENA. HSV-2 serology offers an effective tool for probing hidden sexual risk behaviors in a region where quality behavioral data are limited.

Indexed as

Disease OutbreaksAfrica, NorthernFemaleForecastingHerpes SimplexHerpesvirus 2, HumanHIV-1HIV InfectionsHomosexuality, MaleHumansMaleMiddle EastModels, BiologicalPopulation SurveillancePrevalenceSeroepidemiologic Studies

Identifiers

PMID21352788
PMCPMC3722433

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.