Evidence map›Paper›PMID 24812406›Full record

ArticleSexually transmitted infections2014

Two cross-sectional studies in south India assessing the effect of an HIV prevention programme for female sex workers on reducing syphilis among their clients.

Subramanian Potty Rajaram, Pradeep Banandur, Usha K Thammattoor, Tinku Thomas, Mandar K Mainkar, Ramesh Paranjape, Rajatashurva Adhikary, Thierry Duchesne, Banadakoppa M Ramesh, Shajy Isac and 2 more

Open access · hybridAbstract read
In one paragraph

Article in Sexually transmitted infections, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.0field-weighted citation impact, top 13% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
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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

12 authors at 7 institutions in 3 countries.

Subramanian Potty RajaramCHARME-India II Project, Bangalore, Karnataka, India Karnataka Health Promotion Trust, Bangalore, Karnataka, India.
Pradeep BanandurCHARME-India II Project, Bangalore, Karnataka, India Department of Epidemiology, National Institute of Mental Health and Neurosciences, Bangalore, Karnataka, India.
Usha K ThammattoorCHARME-India II Project, Bangalore, Karnataka, India St. John's Research Institute, Bangalore, Karnataka, India.
Tinku ThomasCHARME-India II Project, Bangalore, Karnataka, India St. John's Research Institute, Bangalore, Karnataka, India.
Mandar K MainkarNational AIDS Research Institute, Pune, India.
Ramesh ParanjapeNational AIDS Research Institute, Pune, India.
Rajatashurva AdhikaryFHI 360, Washington, DC, USA.
Thierry DuchesneURESP, Centre de recherche du CHU de Québec, Québec, Canada Département de mathématiques et statistique, Université Laval, Québec, Canada.
Banadakoppa M RameshCHARME-India II Project, Bangalore, Karnataka, India Department of Epidemiology, National Institute of Mental Health and Neurosciences, Bangalore, Karnataka, India.
Shajy IsacKarnataka Health Promotion Trust, Bangalore, Karnataka, India.
Stephen MosesCHARME-India II Project, Bangalore, Karnataka, India Karnataka Health Promotion Trust, Bangalore, Karnataka, India Department of Community Health Sciences, University of Manitoba, Winnipeg, Canada.
Michel AlaryURESP, Centre de recherche du CHU de Québec, Québec, Canada Département de mathématiques et statistique, Université Laval, Québec, Canada Département de médecine sociale et préventive, Université Laval, Québec, Canada.
Karnataka Health Promotion Trust · INNational AIDS Research Institute · INNational Institute of Mental Health and Neurosciences · INUniversité Laval · CAFamily Health International 360 · USSt.John's Medical College Hospital · INUniversity of Manitoba · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the impact of the Avahan HIV prevention programme for female sex workers (FSWs) in south India on reducing syphilis prevalence among their clients, by comparing rates of syphilis over time as reported in two large-scale surveys of FSWs' clients.

methodsA random-effect multilevel logistic regression analysis was performed using syphilis as the dependent variable, with individual independent variables (from the two survey rounds) at level 1 and the district-level programme (from the Avahan computerised monitoring and information system) and contextual variables (from Indian government datasets) at level 2. Programme variables included their 2006 value and their difference in value between 2008 and 2006, as well as the interaction between the latter and the study round. The analysis also controlled for baseline syphilis prevalence and its interaction with the study round.

resultsSyphilis decreased significantly among FSWs' clients, from 4.8% (round 1) to 2.6% (round 2), p<0.001. The OR of the interaction term between the difference in programme coverage of FSWs and the round was 0.98 (p=0.023), suggesting that increased coverage was associated with a reduced incidence of syphilis.

conclusionsThis study suggests that the Avahan intervention programme among FSWs reduced syphilis rates among their clients.

Indexed as

Sex WorkersAdultCircumcision, MaleCondomsCross-Sectional StudiesFemaleHIV InfectionsHumansIncidenceIndiaLogistic ModelsMaleMultilevel AnalysisOdds RatioPrevalenceSafe Sex

Identifiers

PMID24812406
PMCPMC4215352
OpenAlexW2152961077

What OpenQuestion holds

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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.