Evidence map›Paper›PMID 23673884›Full record

Trial reportJournal of acquired immune deficiency syndromes (1999)2013

Efficacy of an HIV intervention in reducing high-risk human papillomavirus, nonviral sexually transmitted infections, and concurrency among African American women: a randomized-controlled trial.

Gina M Wingood, Ralph J Diclemente, Lashun Robinson-Simpson, Delia L Lang, Angela Caliendo, James W Hardin

Open access · greenAbstract readRandomized 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 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
11.5field-weighted citation impact, top 2% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.

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  3. Do As I Say: Using Communication Role-Plays to Assess Sexual Assertiveness Following an Intervention.Health education & behavior : the official publication of the Society for Public Health Education · 2016
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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

6 authors at 2 institutions in 1 country.

Gina M WingoodDepartment of Behavioral Sciences and Health Education, Emory University Rollins School of Public Health, Atlanta, GA 30322, USA. gwingoo@sph.emory.edu
Ralph J Diclemente
Lashun Robinson-Simpson
Delia L Lang
Angela Caliendo
James W Hardin
Emory University · USUniversity of South Carolina · US

Funding

Vulnerability to Drug Use & HIV: Advancing Prevention for Rural African AmericansP30DA027827 · NIDA · UNIVERSITY OF GEORGIA · PI BRODY, GENE H. · 2009 to 2018
$10.2M
STARS: STUDENTS TALKING ABOUT REAL SOLUTIONSR01MH062717 · NIMH · EMORY UNIVERSITY · PI WINGOOD, GINA MARIA · 2000 to 2004
$2.9M
The CFAR Social & Behavioral Science Research Network National Scientific MeetingR13MH081733 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI BLANK, MICHAEL B · 2008 to 2010
$223k
NIDA NIH HHS DA8429360NIDA NIH HHS P03DA027827NIMH NIH HHS MH8428905NIMH NIH HHS R01 MH062717NIMH NIH HHS R01 MH62717NIMH NIH HHS R13 MH-081733-01A1PHS HHS P30 A1050409
6 · The paper itself

Abstract

objectiveThis trial evaluated the efficacy of an HIV-intervention condition, relative to a health-promotion condition, in reducing incidence of nonviral sexually transmitted infections (STIs; Chlamydia, gonorrhea, and trichomoniasis), oncogenic human papillomavirus (HPV) subtypes 16 and 18, sexual concurrency, and other HIV-associated behaviors over a 12-month period.

designRandomized-controlled trial. Data analysts blinded to treatment allocation.

settingKaiser Permanente, GA. SUBJECTS: A random sample of 848 African American women.

interventionThe two 4-hour HIV intervention sessions were based on Social Cognitive Theory and the Theory of Gender and Power. The intervention was designed to enhance participants' self-sufficiency and attitudes and skills associated with condom use. The HIV intervention also encouraged STI testing and treatment of male sex partners and reducing vaginal douching and individual and male partner concurrency.

main outcome measureIncident nonviral STIs.

resultsIn generalized estimating equations' analyses, over the 12-month follow-up, participants in the HIV intervention, relative to the comparison, were less likely to have nonviral incident STIs (odds ratio [OR] = 0.62; 95% confidence interval [CI]: 0.40 to 0.96; P = 0.033) and incident high-risk HPV infection (OR = 0.37; 95% CI: 0.18 to 0.77; P = 0.008) or concurrent male sex partners (OR = 0.55; 95% CI: 0.37 to 0.83; P = 0.005). In addition, intervention participants were less likely to report multiple male sex partners, more likely to use condoms during oral sex, more likely to inform their main partner of their STI test results, encourage their main partner to seek STI testing, report that their main partner was treated for STIs, and report not douching.

conclusionsThis is the first trial to demonstrate that an HIV intervention can achieve reductions in nonviral STIs, high-risk HPV, and individual concurrency.

Indexed as

Black or African AmericanSexual BehaviorAdolescentAdultFemaleGeorgiaHealth PromotionHIVHIV InfectionsHumansIncidenceMalePapillomavirus InfectionsProgram EvaluationRisk FactorsSexually Transmitted Diseases

Identifiers

PMID23673884
PMCPMC3658173
OpenAlexW2052201158

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.