Evidence map›Paper›PMID 25605970›Full record

ArticleSexually transmitted infections2015

Population and dyadic-based seroincidence of herpes simplex virus-2 and syphilis in southern India.

Chad H Hochberg, John A Schneider, Rakhi Dandona, Vemu Lakshmi, G Anil Kumar, Talasila Sudha, Mohammed Akbar, G Md Mushtaq Ahmed, Sri P Ramgopal, Benjamin Armbruster and 2 more

Erratum issuedOpen access · hybridAbstract read
In one paragraph

Article in Sexually transmitted infections, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 27% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Syphilis: Is it Back with a Bang?Indian dermatology online journal
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 7 institutions in 3 countries.

Chad H HochbergPritzker School of Medicine, University of Chicago Chicago, Illinois, USA.ORCID http://orcid.org/0000-0002-4376-5754
John A SchneiderDepartment of Medicine and Chicago Center for HIV Elimination, University of Chicago, Chicago, Illinois, USA.
Rakhi DandonaPublic Health Foundation of India, New Delhi, India.
Vemu LakshmiDepartment of Microbiology, Nizam's Institute of Medical Sciences, Hyderabad, India.
G Anil KumarPublic Health Foundation of India, New Delhi, India.
Talasila SudhaDepartment of Microbiology, Nizam's Institute of Medical Sciences, Hyderabad, India.
Mohammed AkbarPublic Health Foundation of India, New Delhi, India.
G Md Mushtaq AhmedPublic Health Foundation of India, New Delhi, India.
Sri P RamgopalPublic Health Foundation of India, New Delhi, India.
Benjamin ArmbrusterDepartment of Engineering, Northwestern University, Chicago, Illinois, USA.
Michel AlaryDépartement de médecine sociale et préventive, URESP, Centre de recherche du CHU de Québec, Université Laval, Québec, Canada.
Lalit DandonaPublic Health Foundation of India, New Delhi, India Institute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, USA.
Public Health Foundation of India · INNizam's Institute of Medical Sciences · INCentre hospitalier de l'Université Laval · CANorthwestern University · USUniversity of Chicago · USUniversity of Illinois Chicago · USUniversity of Washington · US

Funding

Assessment of HIV incidence and its determinants in a population-based longitudinR01AI084315 · NIAID · PUBLIC HEALTH FOUNDATION OF INDIA · PI DANDONA, LALIT · 2010 to 2013
$397k
Hybridized cell phone and survey generated communication networkR21HD068352 · NICHD · UNIVERSITY OF CHICAGO · PI SCHNEIDER, JOHN · 2012 to 2013
$387k
NIAID NIH HHS R01 AI084315NIAID NIH HHS R01AI084315NICHD NIH HHS R21 HD068352NICHD NIH HHS R21HD068352
6 · The paper itself

Abstract

objectivesHerpes simplex virus-2 (HSV-2) and syphilis are associated with increased risk of HIV, highlighting the importance of understanding their transmission dynamics. In India, most studies of HSV-2 and syphilis incidence are in high-risk populations and may not accurately reflect infectious activity. In this study, we aim to define HSV-2/syphilis incidence and risk factors in a population sample.

methodsWe conducted a longitudinal population-based survey in Andhra Pradesh, India, in two rounds: 2004-2005 and 2010-2011. Sociodemographic and behavioural data were collected, and dried blood spots tested for HSV-2 and Treponema pallidum IgG. After calculating sexually transmitted infection (STI) incidence, associated factors were assessed using modified Poisson regression and within-couple transmission rates modelled using seroconcordance/discordance data.

results12,617 adults participated at baseline with 8494 at follow-up. Incidence of HSV-2 and syphilis per 1000 person-years was 25.6 (95% CI 24.1 to 27.2) and 3.00 (95% CI 2.52 to 3.54). Incidence of HSV-2 was higher in women vs. men (31.1 vs. 20.2) and in rural vs urban residents (31.1 vs 19.0) (p<0.05 for both). STI seroincidence increased in a step-wise fashion with age and was associated with spousal seropositivity for both sexes (incidence rate ratio (IRR) 2.59 to 6.78). Within couples the rate of transmission per 1000 couple-years from men to women vs. women to men was higher for HSV-2 (193.3 vs. 119.0) compared with syphilis (27.6 vs. 198.8), p<0.05 for both.

conclusionsHSV-2 has higher incidence among subpopulations such as women, rural residents and older-aged individuals, suggesting a need for more generalised STI prevention approaches among populations traditionally considered low risk.

Indexed as

AdultFemaleFollow-Up StudiesHerpes GenitalisHerpesvirus 2, HumanHIV InfectionsHumansIncidenceIndiaLongitudinal StudiesMaleRisk FactorsSeroepidemiologic StudiesSexual BehaviorSyphilisTreponema pallidumEPIDEMIOLOGY (GENERAL)HIVHSVINDIASYPHILIS

Identifiers

PMID25605970
PMCPMC4518737
OpenAlexW2171337176

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.