Evidence map›Paper›PMID 25883065›Full record

ArticleAnnals of epidemiology2015

Regression to the mean and changes in risk behavior following study enrollment in a cohort of U.S. women at risk for HIV.

James P Hughes, Danielle F Haley, Paula M Frew, Carol E Golin, Adaora A Adimora, Irene Kuo, Jessica Justman, Lydia Soto-Torres, Jing Wang, Sally Hodder

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in Annals of epidemiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.8field-weighted citation impact, top 29% 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

5 citing papers in PubMed, 6 citations in OpenAlex.

  1. Efficacy of a Small-Group Intervention for Post-Incarcerated Black Men Who Have Sex with Men and Women (MSMW).Journal of urban health : bulletin of the New York Academy of Medicine · 2018
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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

10 authors at 9 institutions in 1 country.

James P HughesDepartment of Biostatistics, University of Washington, Seattle, WA; Fred Hutchinson Cancer Research Center, Seattle, WA. Electronic address: jphughes@uw.edu.
Danielle F HaleyDepartment of Behavioral Sciences and Health Education, Emory University Rollins School of Public Health, Atlanta, GA; Family Health International-FHI360, Durham, NC.
Paula M FrewDepartment of Behavioral Sciences and Health Education, Emory University Rollins School of Public Health, Atlanta, GA; Department of Medicine, Division of Infectious Diseases, Emory University School of Medicine, Atlanta, GA.
Carol E GolinSchool of Medicine, University of North Carolina, Chapel Hill, NC; Gillings School of Public Health, University of North Carolina, Chapel Hill, NC.
Adaora A AdimoraSchool of Medicine, University of North Carolina, Chapel Hill, NC; Gillings School of Public Health, University of North Carolina, Chapel Hill, NC.
Irene KuoDepartment of Epidemiology and Biostatistics, George Washington University, Washington, DC.
Jessica JustmanDepartments of Epidemiology and Medicine, ICAP at Columbia, Columbia University, New York, NY.
Lydia Soto-TorresNational Institute of Allergy and Infectious Diseases, Bethesda, MD.
Jing WangFred Hutchinson Cancer Research Center, Seattle, WA.
Sally HodderWest Virginia University Clinical and Translational Science Institute, Morgantown, WV.
University of North Carolina at Chapel Hill · USColumbia University · USEmory University · USFamily Health International 360 · USFred Hutch Cancer Center · USGeorge Washington University · USNational Institute of Allergy and Infectious Diseases · USUniversity of Washington · USWest Virginia University · US

Funding

LOC: HIV Prevention Trials NetworkUM1AI068619 · NIAID · FAMILY HEALTH INTERNATIONAL · PI MYRON Scott COHEN, Sinead Delany-Moretlwe · 2011 to 2026
$779.5M
SDMC: HPTN 084 Pregnancy SupplementUM1AI068617 · NIAID · FRED HUTCHINSON CANCER RESEARCH CENTER · PI Elizabeth Renata Brown, Deborah J Donnell · 2011 to 2026
$204.9M
West Virginia IDEA-CTRU54GM104942 · NIGMS · WEST VIRGINIA UNIVERSITY · PI Sally Lynn Hodder · 2012 to 2026
$81.0M
Virology, Immunology, and Microbiology CoreP30AI050410 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DAVID M. MARGOLIS · 2001 to 2026
$76.9M
Columbia Partnership for Prevention and Control of HIV/AIDS Clinical Trials UnitUM1AI069470 · NIAID · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI MAGDALENA ELZBIETA SOBIESZCZYK · 2012 to 2026
$44.8M
Leadership for HIV/AIDS Clinical Trials Networks; HIV Prevention Trials NetworkU01AI068617 · NIAID · FRED HUTCHINSON CANCER RESEARCH CENTER · PI DONNELL, DEBORAH J · 2006 to 2010
$28.8M
Mentoring Junior Investigators: Comprehensive HIV PreventionK24HD069204 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI GOLIN, CAROL E · 2013 to 2017
$789k
Neighborhood Factors, Sexual Risk, and STIs in HIV-Infected and High-Risk WomenF31MH105238 · NIMH · EMORY UNIVERSITY · PI HALEY, DANIELLE FRANCES · 2014 to 2015
$82k
NIAID NIH HHS P30 AI050410NIAID NIH HHS U01 AI068617NIAID NIH HHS UM1 AI068617NIAID NIH HHS UM1AI068617NIAID NIH HHS UM1 AI068619NIAID NIH HHS UM1 AI069470NICHD NIH HHS K24 HD069204NIGMS NIH HHS U54 GM104942NIMH NIH HHS F31 MH105238
6 · The paper itself

Abstract

purposeReductions in risk behaviors are common following enrollment in human immunodeficiency virus (HIV) prevention studies. We develop methods to quantify the proportion of change in risk behaviors that can be attributed to regression to the mean versus study participation and other factors.

methodsA novel model that incorporates both regression to the mean and study participation effects is developed for binary measures. The model is used to estimate the proportion of change in the prevalence of "unprotected sex in the past 6 months" that can be attributed to study participation versus regression to the mean in a longitudinal cohort of women at risk for HIV infection who were recruited from ten U.S. communities with high rates of HIV and poverty. HIV risk behaviors were evaluated using audio computer-assisted self-interviews at baseline and every 6 months for up to 12 months.

resultsThe prevalence of "unprotected sex in the past 6 months" declined from 96% at baseline to 77% at 12 months. However, this change could be almost completely explained by regression to the mean.

conclusionsAnalyses that examine changes over time in cohorts selected for high- or low- risk behaviors should account for regression to the mean effects.

Indexed as

Risk-TakingAdolescentAdultFemaleHIV InfectionsHumansLongitudinal StudiesModels, StatisticalRegression AnalysisUnited StatesUnsafe SexYoung AdultHIVLogistic regressionRisk behaviorStatistical model

Identifiers

PMID25883065
PMCPMC4433583
OpenAlexW2022612702

What OpenQuestion holds

Textmetadata
LicenceTDM
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.