Evidence map›Paper›PMID 21390251›Full record

ArticlePloS one2011

Correlates of HIV-1 genital shedding in Tanzanian women.

Clare Tanton, Helen A Weiss, Jerome Le Goff, John Changalucha, Mary Rusizoka, Kathy Baisley, Dean Everett, David A Ross, Laurent Belec, Richard J Hayes and 1 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 3 pooled it
7.1field-weighted citation impact, top 2% 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

33 citing papers in PubMed, 3 syntheses or guidelines pooled it, 63 citations in OpenAlex.

  1. Pooled it
  2. Trichomoniasis and HIV interactions: a review.Sexually transmitted infections · 2013
    Pooled it
  3. Genital ulcer disease treatment for reducing sexual acquisition of HIV.The Cochrane database of systematic reviews · 2012
    Pooled it
  4. Trial
  5. Trial
  6. Trial
  7. Article
  8. Sexually Transmitted Infections in Pregnant People With Human Immunodeficiency Virus: Temporal Trends, Demographic Correlates, and Association With Preterm Birth.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2022
    Article
  9. Review
  10. Article
  11. Review
  12. Article
  13. Barriers to HIV remission research in low- and middle-income countries.Journal of the International AIDS Society · 2017
    Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Observational
  19. Article
  20. Review
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

11 authors at 5 institutions in 3 countries.

Clare TantonDepartment of Infectious Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, United Kingdom. c.tanton@ucl.ac.uk
Helen A Weiss
Jerome Le Goff
John Changalucha
Mary Rusizoka
Kathy Baisley
Dean Everett
David A Ross
Laurent Belec
Richard J Hayes
Deborah Watson-Jones
London School of Hygiene & Tropical Medicine · GBNational Institute for Medical Research · TZAmref Health Africa · TZHôpital Européen Georges-Pompidou · FRHôpital Saint-Louis · FR

Funding

Medical Research Council G0400456Medical Research Council G0700837Medical Research Council G0901756Wellcome TrustWellcome Trust 066688
6 · The paper itself

Abstract

backgroundUnderstanding the correlates of HIV shedding is important to inform strategies to reduce HIV infectiousness. We examined correlates of genital HIV-1 RNA in women who were seropositive for both herpes simplex virus (HSV)-2 and HIV-1 and who were enrolled in a randomised controlled trial of HSV suppressive therapy (aciclovir 400 mg b.i.d vs. placebo) in Tanzania. METHODOLOGY: Samples, including a cervico-vaginal lavage, were collected and tested for genital HIV-1 and HSV and reproductive tract infections (RTIs) at randomisation and 6, 12 and 24 months follow-up. Data from all women at randomisation and women in the placebo arm during follow-up were analysed using generalised estimating equations to determine the correlates of cervico-vaginal HIV-1 RNA detection and load. PRINCIPAL

findingsCervico-vaginal HIV-1 RNA was detected at 52.0% of 971 visits among 482 women, and was independently associated with plasma viral load, presence of genital ulcers, pregnancy, bloody cervical or vaginal discharge, abnormal vaginal discharge, cervical ectopy, Neisseria gonorrhoeae, Chlamydia trachomatis, Trichomonas vaginalis, an intermediate bacterial vaginosis score and HSV DNA detection. Similar factors were associated with genital HIV-1 RNA load.

conclusionsRTIs were associated with increased presence and quantity of genital HIV-1 RNA in this population. These results highlight the importance of integrating effective RTI treatment into HIV care services.

Indexed as

AdultBehaviorCervix UteriDNA, ViralFemaleHerpesvirus 2, HumanHIV-1HumansRNA, ViralTanzaniaVaginaViral LoadVirus SheddingDNA, ViralRNA, Viral

Identifiers

PMID21390251
PMCPMC3046975
OpenAlexW2026536005

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.