Evidence map›Paper›PMID 23364512›Full record

ArticleJournal of acquired immune deficiency syndromes (1999)2013

Social network-based recruitment successfully reveals HIV-1 transmission networks among high-risk individuals in El Salvador.

Ann M Dennis, Wendy Murillo, Flor de Maria Hernandez, Maria Elena Guardado, Ana Isabel Nieto, Ivette Lorenzana de Rivera, Joseph J Eron, Gabriela Paz-Bailey

Abstract read
In one paragraph

Article in Journal of acquired immune deficiency syndromes (1999), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 5 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

27 citing papers in PubMed, 5 syntheses or guidelines pooled it.

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  17. Network Viral Load: A Critical Metric for HIV Elimination.Journal of acquired immune deficiency syndromes (1999) · 2018
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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

8 authors.

Ann M DennisDivision of Infectious Diseases, University of North Carolina, Chapel Hill, NC 27599-7030, USA. adennis@med.unc.edu
Wendy Murillo
Flor de Maria Hernandez
Maria Elena Guardado
Ana Isabel Nieto
Ivette Lorenzana de Rivera
Joseph J Eron
Gabriela Paz-Bailey

Funding

Virology, Immunology, and Microbiology CoreP30AI050410 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DAVID M. MARGOLIS · 2001 to 2026
$76.9M
UNC Clinical Translation Science Award-K12 Scholars Program (KL2)KL2TR000084 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI RUNGE, MARSCHALL S. · 2012 to 2013
$2.3M
CGH CDC HHS 6D43GH000014-05CGH CDC HHS D43 GH000014NCATS NIH HHS KL2 TR000084NCATS NIH HHS KL2TR000084NIAID NIH HHS P30 AI050410
6 · The paper itself

Abstract

objectiveHIV in Central America is concentrated among certain groups such as men who have sex with men (MSM) and female sex workers (FSWs). We compared social recruitment chains and HIV transmission clusters from 699 MSM and 787 FSWs to better understand factors contributing to ongoing HIV transmission in El Salvador.

methodsPhylogenies were reconstructed using pol sequences from 119 HIV-positive individuals recruited by respondent-driven sampling (RDS) and compared with RDS chains in 3 cities in El Salvador. Transmission clusters with a mean pairwise genetic distance ≤ 0.015 and Bayesian posterior probabilities =1 were identified. Factors associated with cluster membership were evaluated among MSM.

resultsSequences from 34 (43%) MSM and 4 (10%) FSW grouped in 14 transmission clusters. Clusters were defined by risk group (12 MSM clusters) and geographic residence (only 1 spanned separate cities). In 4 MSM clusters (all n = 2), individuals were also members of the same RDS chain, but only 2 had members directly linked through recruitment. All large clusters (n ≥ 3) spanned >1 RDS chain. Among MSM, factors independently associated with cluster membership included recent infection by BED assay (P = 0.02), sex with stable male partners (P = 0.02), and sex with ≥ 3 male partners in the past year (P = 0.04).

conclusionsWe found few HIV transmissions corresponding directly with the social recruitment. However, we identified clustering in nearly one-half of MSM suggesting that RDS recruitment was indirectly but successfully uncovering transmission networks, particularly among recent infections. Interrogating RDS chains with phylogenetic analyses may help refine methods for identifying transmission clusters.

Indexed as

Epidemiologic MethodsHomosexuality, MaleSex WorkersEl SalvadorFemaleHIV-1HIV InfectionsHumansMaleMolecular EpidemiologyMolecular Sequence DataPhylogenyPrevalenceRiskSampling StudiesSequence Analysis, DNA

Identifiers

PMID23364512
PMCPMC3642851

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Registered trials

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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.