Evidence map›Paper›PMID 23172347›Full record

ArticleSexually transmitted infections2012

Trends in HIV prevalence among young people in generalised epidemics: implications for monitoring the HIV epidemic.

Mary Mahy, Jesus Maria Garcia-Calleja, Kimberly Anne Marsh

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In one paragraph

Article in Sexually transmitted infections, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing 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

17 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

3 authors.

Mary MahyEvidence, Innovation and Policy Department, UNAIDS, Avenue Appia 20, Geneva 1211, Switzerland. mahym@unaids.org
Jesus Maria Garcia-Calleja
Kimberly Anne Marsh

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCountries measure trends in HIV incidence to assess the impact of HIV prevention and treatment programmes. Most countries have approximated trends in HIV incidence through modelled estimates or through trends in HIV prevalence among young people (aged 15-24 years) assuming they have recently become sexually active and have thus only been recently exposed to HIV.

methodsTrends in HIV incidence are described and results are compared using three proxy measures of incidence: HIV prevalence among young women attending antenatal clinics (ANCs) in 22 countries; HIV prevalence among young male and female nationally representative household survey respondents in 14 countries; and modelled estimates of adult (ages 15-49 years) HIV incidence in 26 countries. The significance of changes in prevalence among ANC attendees and young survey respondents is tested.

resultsAmong 26 countries, 25 had evidence of some decline in HIV incidence and 15 showed statistically significant declines in either ANC data or survey data. Only in Mozambique did the direction of the trend in young ANC attendees differ from modelled adult incidence, and in Mali and Zambia trends among young men differed from trends in adult incidence. The magnitude of change differed by method.

conclusionsTrends in HIV prevalence among young people show encouraging declines. Changes in fertility patterns, HIV-infected children surviving to adulthood, and participation bias could affect future proxy measures of incidence trends.

Indexed as

Epidemiologic MethodsAdolescentAdultAmbulatory Care FacilitiesFamily CharacteristicsFemaleGlobal HealthHIV InfectionsHumansIncidenceMaleMiddle AgedModels, StatisticalPrenatal DiagnosisPrevalenceYoung Adult

Identifiers

PMID23172347
PMCPMC3512425

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LicenceCC BY-NC
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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.