Evidence map›Paper›PMID 22249305›Full record

ArticleSexually transmitted diseases2012

Prevalence and risk factors associated with herpes simplex virus-2 infection in a contemporary cohort of HIV-infected persons in the United States.

Pragna Patel, Tim Bush, Kenneth H Mayer, Sheila Desai, Keith Henry, Edgar Turner Overton, Lois Conley, John Hammer, John T Brooks, SUN Study Investigators

Registry-linked trialOpen access · greenAbstract readComparative StudyMulticenter Study
In one paragraph

Article in Sexually transmitted diseases, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00146419 (Study to Understand the Natural History of HIV/AIDS in the Era of Effective Therapy), which is not on this map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 14% 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.

NCT00146419 completednot on this map

Study to Understand the Natural History of HIV/AIDS in the Era of Effective Therapy (SUN Study)

TypeobservationalSponsorCenters for Disease Control and PreventionRan2004 to 2013Enrolled699ConditionsHIV Infections, Sexually Transmitted DiseasesArmsReduction in behaviors capable of sexually transmitting HIV
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 54 citations in OpenAlex.

  1. Pooled it
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  7. HIV and COVID-19: review of clinical course and outcomes.HIV research & clinical practice · 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

10 authors at 5 institutions in 1 country.

Pragna PatelDivision of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA. plp3@cdc.gov
Tim Bush
Kenneth H Mayer
Sheila Desai
Keith Henry
Edgar Turner Overton
Lois Conley
John Hammer
John T Brooks
SUN Study Investigators
Centers for Disease Control and Prevention · USBrown University · USInfectious Disease Consultants · USUniversity of Minnesota · USWashington University in St. Louis · US

Funding

Intramural CDC HHS CC999999PHS HHS 200-2002-00610PHS HHS 200-2002-00611PHS HHS 200-2002-00612PHS HHS 200-2002-00613PHS HHS 200-2007-23633PHS HHS 200-2007-23634PHS HHS 200-2007-23635PHS HHS 200-2007-23636
6 · The paper itself

Abstract

backgroundWe compared the herpes simplex virus type 2 (HSV-2) seroprevalence in a contemporary HIV cohort with the general US population and determined risk factors for HSV-2 infection among HIV-infected persons.

methodsThe Study to Understand the Natural History of HIV and AIDS in the Era of Effective Therapy (SUN) Study is a prospective observational cohort of 700 HIV-infected adults enrolled in 4 U.S. cities between 2004 and 2006. At baseline, participants completed a behavioral risk questionnaire and provided specimens for HSV-2 serology. We calculated HSV-2 seroprevalence, standardized by age, gender, and race among HIV-infected persons compared with the general US adult population, using data from the National Health and Nutrition Examination Survey from 2003 to 2006. We examined risk factors associated with HSV-2 infection among HIV-infected persons using multivariate logistic regression.

resultsAmong 660 (94%) SUN participants with adequate specimens for HSV-2 serologic testing, 548 (83%) were 20 to 49 years old (median age, 39 years; 77% male; 59% non-Hispanic white; median CD4 count, 470 cells/mm; 74% with HIV RNA viral loads <400 copies/mL). HSV-2 seroprevalence was significantly higher among HIV-infected adults (59.7%, 95% confidence interval: 55.8-63.6) compared with the general US population (19.2%, 95% confidence interval: 17.5-21.1). In multivariate analysis, we found that older age, female gender, black non-Hispanic race/ethnicity, being currently unemployed, high-risk anal HPV infection, and longer duration since HIV diagnosis were associated with significantly higher odds of HSV-2 infection.

conclusionHSV-2 seroprevalence is 3 times as high among HIV-infected adults as in the general U.S. population. Clinicians should be aware that increased risk for HSV-2 infection was distributed broadly among HIV-infected persons and not limited to those with high-risk sexual behaviors.

Indexed as

AdolescentAdultAIDS-Related Opportunistic InfectionsCohort StudiesFemaleHerpes GenitalisHerpesvirus 2, HumanHumansMaleMiddle AgedPrevalenceProspective StudiesRisk FactorsSexual BehaviorUnited StatesYoung Adult

Identifiers

PMID22249305
PMCPMC5476946
OpenAlexW2041956556

What OpenQuestion holds

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Registered trials

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.