Evidence map›Paper›PMID 25719950›Full record

ArticleAIDS research and human retroviruses2015

The Effect of High Rates of Bacterial Sexually Transmitted Infections on HIV Incidence in a Cohort of Black and White Men Who Have Sex with Men in Atlanta, Georgia.

Colleen F Kelley, Adam S Vaughan, Nicole Luisi, Travis H Sanchez, Laura F Salazar, Paula M Frew, Hannah L F Cooper, Ralph Diclemente, Carlos del Rio, Patrick S Sullivan and 1 more

Open access · greenAbstract read
In one paragraph

Article in AIDS research and human retroviruses, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed, 3 pooled it
7.8field-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

58 citing papers in PubMed, 3 syntheses or guidelines pooled it, 90 citations in OpenAlex.

  1. Pooled it
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  7. Cabotegravir Maintains Protective Efficacy in the Setting of Bacterial Sexually Transmitted Infections: A Secondary Analysis of HPTN 083.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026
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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

11 authors at 1 institution in 1 country.

Colleen F Kelley1Division of Infectious Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia.
Adam S Vaughan2Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia.
Nicole Luisi2Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia.
Travis H Sanchez2Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia.
Laura F Salazar3Division of Health Promotion and Behavior, School of Public Health, Georgia State University, Atlanta, Georgia.
Paula M Frew1Division of Infectious Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia.
Hannah L F Cooper4Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, Atlanta, Georgia.
Ralph Diclemente4Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, Atlanta, Georgia.
Carlos del Rio1Division of Infectious Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia.
Patrick S Sullivan2Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia.
Eli S Rosenberg2Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia.
Emory University · US

Funding

National Institute on Aging (NIA) ColonyP51OD011107 · OD · UNIVERSITY OF CALIFORNIA AT DAVIS · PI Simon J. Atkinson · 2012 to 2026
$191.5M
Virology and Molecular Biomarkers CoreP30AI050409 · NIAID · EMORY UNIVERSITY · PI Hannah LF Cooper · 2002 to 2026
$74.0M
Emory HIV/AIDS Clinical Trials UnitUM1AI069418 · NIAID · EMORY UNIVERSITY · PI Colleen F Kelley · 2012 to 2026
$46.0M
Atlanta Clinical and Translational Science Institute (ACTSI) RenewalUL1TR000454 · NCATS · EMORY UNIVERSITY · PI STEPHENS, DAVID S · 2012 to 2016
$25.8M
Explaining Differences in HIV Prevalence and Incidence in Black and White MSMR01MH085600 · NIMH · EMORY UNIVERSITY · PI SULLIVAN, PATRICK SEAN · 2009 to 2013
$2.9M
Defining the rectal mucosa in MSM at risk of HIV infectionK23AI108335 · NIAID · EMORY UNIVERSITY · PI KELLEY, COLLEEN F · 2013 to 2017
$855k
NCATS NIH HHS UL1 TR000454NCATS NIH HHS UL1TR000454NCRR NIH HHS P51RR169NIAID NIH HHS K23 AI108335NIAID NIH HHS K23AI108335NIAID NIH HHS P30 AI050409NIAID NIH HHS P30AI050409NIAID NIH HHS UM1 AI069418NIH HHS P51OD11107NIMH NIH HHS R01 MH085600NIMH NIH HHS R01MH085600
6 · The paper itself

Abstract

Data reporting sexually transmitted infection (STI) incidence rates among HIV-negative U.S. men who have sex with men (MSM) are lacking. In addition, it is difficult to analyze the effect of STI on HIV acquisition given that sexual risk behaviors confound the relationship between bacterial STIs and incident HIV. The InvolveMENt study was a longitudinal cohort of black and white HIV-negative, sexually active MSM in Atlanta who underwent routine screening for STI and HIV and completed behavioral questionnaires. Age-adjusted incidence rates were calculated for urethral and rectal Chlamydia (CT), gonorrhea (GC), and syphilis, stratified by race. Propensity-score-weighted Cox proportional hazards models were used to estimate the effect of STI on HIV incidence and calculate the population attributable fraction (PAF) for STI. We included 562 HIV-negative MSM with 843 person-years of follow-up in this analysis. High incidence rates were documented for all STIs, particularly among black MSM. Having a rectal STI was significantly associated with subsequent HIV incidence in adjusted analyses (aHR 2.7; 95% CI 1.2, 6.4) that controlled for behavioral risk factors associated with STI and HIV using propensity score weights. The PAF for rectal STI was 14.6 (95% CI 6.8, 31.4). The high incidence of STIs among Atlanta MSM and the association of rectal STI with HIV acquisition after controlling for behavioral risk underscore the importance of routine screening and treatment for STIs among sexually active MSM. Our data support targeting intensive HIV prevention interventions, such as preexposure chemoprophylaxis (PrEP), for Atlanta MSM diagnosed with rectal STIs.

Indexed as

AdultBlack or African AmericanBlack PeopleChlamydia InfectionsGeorgiaGonorrheaHIV InfectionsHomosexuality, MaleHumansIncidenceLongitudinal StudiesMaleProspective StudiesSurveys and QuestionnairesSyphilisWhite People

Identifiers

PMID25719950
PMCPMC4458736
OpenAlexW1664534461

What OpenQuestion holds

Textmetadata
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.