Evidence map›Paper›PMID 25398143›Full record

ArticlePloS one2014

Combination HIV prevention among MSM in South Africa: results from agent-based modeling.

Ron Brookmeyer, David Boren, Stefan D Baral, Linda-Gail Bekker, Nancy Phaswana-Mafuya, Chris Beyrer, Patrick S Sullivan

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
2.9field-weighted citation impact, top 9% 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

30 citing papers in PubMed, 55 citations in OpenAlex.

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  6. Inconsistent condom use with casual partners among men who have sex with men in Brazil: a cross-sectional study.Revista brasileira de epidemiologia = Brazilian journal of epidemiology · 2023
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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

7 authors at 5 institutions in 2 countries.

Ron BrookmeyerDepartment of Biostatistics, Fielding School of Public Health, University of California Los Angeles, Los Angeles, California, United States of America.
David BorenDepartment of Biostatistics, Fielding School of Public Health, University of California Los Angeles, Los Angeles, California, United States of America.
Stefan D BaralCenter for Public Health and Human Rights, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, United States of America.
Linda-Gail BekkerDesmond Tutu HIV Centre, University of Cape Town, Cape Town, South Africa.
Nancy Phaswana-MafuyaHIV/AIDS, STI/TB Research Programme, Human Sciences Research Council, Port Elizabeth, South Africa, Office of the Deputy Vice Chancellor, Research and Engagement, Nelson Mandela Metropolitan University, Port Elizabeth, South Africa.
Chris BeyrerCenter for Public Health and Human Rights, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, United States of America.
Patrick S SullivanDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia, United States of America.
Johns Hopkins University · USUniversity of California, Los Angeles · USDesmond Tutu HIV Foundation · ZAEmory University · USNelson Mandela University · ZA

Funding

Virology and Molecular Biomarkers CoreP30AI050409 · NIAID · EMORY UNIVERSITY · PI Carlos del Rio · 2002 to 2026
$74.0M
Vaccine Response and Immunotherapeutics SWGP30AI094189 · NIAID · JOHNS HOPKINS UNIVERSITY · PI Richard E. Chaisson · 2012 to 2026
$67.0M
Virology CoreP30AI028697 · NIAID · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ANTON, PETER A · 1991 to 2018
$39.9M
Comprehensive HIV Prevention Package for MSM in Southern AfricaR01AI094575 · NIAID · EMORY UNIVERSITY · PI SULLIVAN, PATRICK SEAN · 2011 to 2014
$3.3M
NIAID NIH HHS 1P30AI094189NIAID NIH HHS AI028697NIAID NIH HHS P30 AI028697NIAID NIH HHS P30 AI050409NIAID NIH HHS P30 AI094189NIAID NIH HHS R01 AI094575NIAID NIH HHS R01AI094575
6 · The paper itself

Abstract

HIV prevention trials have demonstrated the effectiveness of a number of behavioral and biomedical interventions. HIV prevention packages are combinations of interventions and offer potential to significantly increase the effectiveness of any single intervention. Estimates of the effectiveness of prevention packages are important for guiding the development of prevention strategies and for characterizing effect sizes before embarking on large scale trials. Unfortunately, most research to date has focused on testing single interventions rather than HIV prevention packages. Here we report the results from agent-based modeling of the effectiveness of HIV prevention packages for men who have sex with men (MSM) in South Africa. We consider packages consisting of four components: antiretroviral therapy for HIV infected persons with CD4 count <350; PrEP for high risk uninfected persons; behavioral interventions to reduce rates of unprotected anal intercourse (UAI); and campaigns to increase HIV testing. We considered 163 HIV prevention packages corresponding to different intensity levels of the four components. We performed 2252 simulation runs of our agent-based model to evaluate those packages. We found that a four component package consisting of a 15% reduction in the rate of UAI, 50% PrEP coverage of high risk uninfected persons, 50% reduction in persons who never test for HIV, and 50% ART coverage over and above persons already receiving ART at baseline, could prevent 33.9% of infections over 5 years (95% confidence interval, 31.5, 36.3). The package components with the largest incremental prevention effects were UAI reduction and PrEP coverage. The impact of increased HIV testing was magnified in the presence of PrEP. We find that HIV prevention packages that include both behavioral and biomedical components can in combination prevent significant numbers of infections with levels of coverage, acceptance and adherence that are potentially achievable among MSM in South Africa.

Indexed as

Homosexuality, MaleModels, BiologicalAnti-HIV AgentsCombined Modality TherapyGenetic TestingHIV InfectionsHumansMalePre-Exposure ProphylaxisSafe SexSouth AfricaAnti-HIV Agents

Identifiers

PMID25398143
PMCPMC4232469
OpenAlexW2010027884

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.