Evidence map›Paper›PMID 24356328›Full record

ReviewCurrent opinion in HIV and AIDS2014

Concentrated HIV subepidemics in generalized epidemic settings.

Frank Tanser, Tulio de Oliveira, Mathieu Maheu-Giroux, Till Bärnighausen

Abstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Current opinion in HIV and AIDS, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 84 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
84citing papers in PubMed, 3 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

84 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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24 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

4 authors.

Frank TanseraAfrica Centre for Health and Population Studies, University of KwaZulu-Natal, Mtubatuba, South Africa bSchool of Nursing and Public Health, University of KwaZulu-Natal, Durban, South Africa cSchool of Laboratory Medicine and Medical Sciences, University of KwaZulu-Natal, Durban, South Africa dDepartment of Global Health and Population, Harvard School of Public Health, Boston, Massachusetts, USA.
Tulio de Oliveira
Mathieu Maheu-Giroux
Till Bärnighausen

Funding

Understanding causal pathways of HIV acquisition and transmission: a multi-level,R01HD058482 · NICHD · UNIVERSITY OF KWAZULU-NATAL · PI BARNIGHAUSEN, TILL, TANSER, FRANK COURTENEY · 2008 to 2012
$1.2M
CIHRNICHD NIH HHS 1R01-HD058482-01NICHD NIH HHS R01 HD058482Wellcome Trust 097410
6 · The paper itself

Abstract

purpose of reviewA relatively neglected topic to date has been the occurrence of concentrated epidemics within generalized epidemic settings and the potential role of targeted interventions in such settings. We review recent studies in high-risk groups as well as findings relating to geographical heterogeneity and the potential for targeting 'high-transmission zones' in the 10 countries with highest HIV prevalence. RECENT

findingsOur review of recent studies confirmed earlier findings that, even in the context of generalized epidemics, MSM have a substantially higher prevalence than the general population. Estimates of prevalence of HIV among people who inject drugs (PWID) in sub-Saharan African countries are rarely available and, when they are, often outdated. We identified recent studies of sex workers in Kenya and Uganda. In all three cases - MSM, PWID, and sex workers - HIV prevalence estimates are mostly based on convenience. Moreover, good estimates of the total size of these populations are not available. Our review of recent studies of high-risk populations defined on the basis of geography showed high levels of both new and existing infections in Kenya (slums), South Africa (peri-urban communities), and Uganda (fishing villages). SUMMARY: Recent empirical findings combined with evidence from phylogenetic studies and supported by mathematical models provide a clear rationale for testing the feasibility, acceptability, and effectiveness of targeted HIV prevention approaches in hyperendemic populations to supplement measures aimed at the general population.

Indexed as

EpidemicsHIV InfectionsHomosexuality, MaleHumansIncidenceMalePrevalencePublic Health SurveillanceRisk FactorsSex WorkersSubstance Abuse, Intravenous

Identifiers

PMID24356328
PMCPMC4228373

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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.