Evidence map›Paper›PMID 21644001›Full record

ArticleAIDS and behavior2012

Behavior, intention or chance? A longitudinal study of HIV seroadaptive behaviors, abstinence and condom use.

Willi McFarland, Yea-Hung Chen, Binh Nguyen, Michael Grasso, Deb Levine, Ron Stall, Grant Colfax, Tyler Robertson, Hong-Ha M Truong, H Fisher Raymond

Abstract read
In one paragraph

Article in AIDS and behavior, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed, 1 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

58 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

10 authors.

Willi McFarlandHIV Epidemiology Section, San Francisco Department of Public Health, CA 94102-6033, USA. Willi_McFarland@hotmail.com
Yea-Hung Chen
Binh Nguyen
Michael Grasso
Deb Levine
Ron Stall
Grant Colfax
Tyler Robertson
Hong-Ha M Truong
H Fisher Raymond

Funding

Serosorting among Men at Risk for HIVR01MH077509 · NIMH · SAN FRANCISCO DEPARTMENT OF PUBLIC HEALTH · PI MCFARLAND, WILLIAM · 2007 to 2010
$1.7M
NIMH NIH HHS R01 MH077509
6 · The paper itself

Abstract

Seroadaptive behaviors have been widely described as preventive strategies among men who have sex with men (MSM) and other populations worldwide. However, causal links between intentions to adopt seroadaptive behaviors and subsequent behavior have not been established. We conducted a longitudinal study of 732 MSM in San Francisco to assess consistency and adherence to multiple seroadaptive behaviors, abstinence and condom use, whether prior intentions predict future seroadaptive behaviors and the likelihood that observed behavioral patterns are the result of chance. Pure serosorting (i.e., having only HIV-negative partners) among HIV-negative MSM and seropositioning (i.e., assuming the receptive position during unprotected anal sex) among HIV-positive MSM were more common, more successfully adhered to and more strongly associated with prior intentions than consistent condom use. Seroconcordant partnerships occurred significantly more often than expected by chance, reducing the prevalence of serodiscordant partnerships. Having no sex was intended by the fewest MSM, yet half of HIV-positive MSM who abstained from sex at baseline also did so at 12 month follow-up. Nonetheless, no preventive strategy was consistently used by more than one-third of MSM overall and none was adhered to by more than half from baseline to follow-up. The effectiveness of seroadaptive strategies should be improved and used as efficacy endpoints in trials of behavioral prevention interventions.

Indexed as

IntentionSexual AbstinenceAdolescentAdultAgedCondomsFollow-Up StudiesHealth Knowledge, Attitudes, PracticeHIV InfectionsHIV SerosortingHomosexuality, MaleHumansLongitudinal StudiesMaleMiddle AgedPrevalence

Identifiers

PMID21644001
PMCPMC3686637

What OpenQuestion holds

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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.