Evidence map›Paper›PMID 23481668›Full record

Trial reportJournal of acquired immune deficiency syndromes (1999)2013

Sexual risk behavior among HIV-uninfected men who have sex with men participating in a tenofovir preexposure prophylaxis randomized trial in the United States.

Albert Y Liu, Eric Vittinghoff, Kata Chillag, Kenneth Mayer, Melanie Thompson, Lisa Grohskopf, Grant Colfax, Sonal Pathak, Roman Gvetadze, Brandon Oʼhara and 4 more

Open access · bronzeAbstract readClinical Trial, Phase IIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report 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 77 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
77citing papers in PubMed, 3 pooled it
9.4field-weighted citation impact, top 1% 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

77 citing papers in PubMed, 3 syntheses or guidelines pooled it, 137 citations in OpenAlex.

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  15. A Network Science Approach to Sex-Polydrug Use Among Black Sexually Minoritized Men and Transgender Women: The N2 Cohort Study.Prevention science : the official journal of the Society for Prevention Research · 2024
    Article
  16. Article
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  19. Pre-Exposure Prophylaxis Among Gay, Bisexual, and Other Men Who Have Sex With Men in Ottawa: A Real World View With Benefits Beyond HIV Risk Reduction.International journal of sexual health : official journal of the World Association for Sexual Health · 2022
    Article
  20. Primary Care Providers' Knowledge, Attitudes, and Beliefs About HIV Pre-Exposure Prophylaxis (PrEP): Informing Network-Based Interventions.AIDS education and prevention : official publication of the International Society for AIDS Education · 2021
    Article

17 more citing papers are in PubMed but not listed here.

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

14 authors at 6 institutions in 1 country.

Albert Y LiuBridge HIV, San Francisco Department of Public Health, San Francisco, CA, USA. albert.liu@sfdph.org
Eric Vittinghoff
Kata Chillag
Kenneth Mayer
Melanie Thompson
Lisa Grohskopf
Grant Colfax
Sonal Pathak
Roman Gvetadze
Brandon Oʼhara
Brandi Collins
Marta Ackers
Lynn Paxton
Susan P Buchbinder
Centers for Disease Control and Prevention · USNorthrop Grumman (United States) · USUniversity of California, San Francisco · USAIDS Research Consortium of Atlanta · USHarvard University · USSan Francisco Department of Public Health · US

Funding

Virology CoreP30AI027763 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MALLORY O JOHNSON · 1988 to 2026
$93.6M
Hair as a Biomarker of Tenofovir Prophylactic ExposureR21MH085598 · NIMH · PUBLIC HEALTH FOUNDATION ENTERPRISES · PI LIU, ALBERT YING-HWA · 2009 to 2010
$320k
NIAID NIH HHS P30 AI027763NIMH NIH HHS R21 MH085598PHS HHS 200-2003-03003PHS HHS 200-2003-03007PHS HHS 200-2004-09853
6 · The paper itself

Abstract

objectiveTo evaluate for changes in sexual behaviors associated with daily pill use among men who have sex with men (MSM) participating in a preexposure prophylaxis trial.

designRandomized, double-blind, placebo-controlled trial. Participants were randomized 1:1:1:1 to receive tenofovir disoproxil fumarate or placebo at enrollment or after a 9-month delay and followed for 24 months.

methodsFour hundred HIV-negative MSM reporting anal sex with a man in the past 12 months and meeting other eligibility criteria enrolled in San Francisco, Atlanta, and Boston. Sexual risk was assessed at baseline and quarterly visits using Audio Computer-Assisted Self-Interview. The association of pill taking with sexual behavior was evaluated using logistic and negative-binomial regressions for repeated measures.

resultsOverall indices of behavioral risk declined or remained stable during follow-up. Mean number of partners and proportion reporting unprotected anal sex declined during follow-up (P < 0.05), and mean unprotected anal sex episodes remained stable. During the initial 9 months, changes in risk practices were similar in the group that began pills immediately vs. those in the delayed arm. These indices of risk did not differ significantly after initiation of pill use in the delayed arm or continuation of study medication in the immediate arm. Use of poppers, amphetamines, and sexual performance-enhancing drugs were independently associated with one or more indices of sexual risk.

conclusionsThere was no evidence of risk compensation among HIV-uninfected MSM in this clinical trial. Monitoring for risk compensation should continue now that preexposure prophylaxis has been shown to be efficacious in MSM and other populations and will be provided in open-label trials and other contexts.

Indexed as

Unsafe SexAdenineAdolescentAdultAmphetamine-Related DisordersAnti-HIV AgentsBostonDouble-Blind MethodFollow-Up StudiesGeorgiaHealth Knowledge, Attitudes, PracticeHIV InfectionsHIV SeronegativityHomosexuality, MaleHumansMaleAdenineAnti-HIV AgentsOrganophosphonatesTenofovir

Identifiers

PMID23481668
PMCPMC3904758
OpenAlexW2060132628

What OpenQuestion holds

Textmetadata
LicenceTDM
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.