Evidence map›Paper›PMID 25896917›Full record

ArticleBMC public health2015

A cross-sectional study of low HIV testing frequency and high-risk behaviour among men who have sex with men and transgender women in Lima, Peru.

Sky W Lee, Robert G Deiss, Eddy R Segura, Jesse L Clark, Jordan E Lake, Kelika A Konda, Thomas J Coates, Carlos F Caceres

Open access · goldAbstract read
In one paragraph

Article in BMC public health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 1 pooled it
5.2field-weighted citation impact, top 4% 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

36 citing papers in PubMed, 1 synthesis or guideline pooled it, 51 citations in OpenAlex.

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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

8 authors at 3 institutions in 2 countries.

Sky W LeeDivision of Infectious Diseases, University of California, Los Angeles, California, USA. sky.w.lee@gmail.com.
Robert G DeissDivision of Global Public Health, University of California, La Jolla, San Diego, California, USA. rgdeiss@yahoo.com.
Eddy R SeguraDivision of Infectious Diseases, University of California, Los Angeles, California, USA. eddysegura@gmail.com.
Jesse L ClarkDivision of Infectious Diseases, University of California, Los Angeles, California, USA. jlclark@mednet.ucla.edu.
Jordan E LakeDivision of Infectious Diseases, University of California, Los Angeles, California, USA. jlake@mednet.ucla.edu.
Kelika A KondaDivision of Infectious Diseases, University of California, Los Angeles, California, USA. kkonda@jhsph.edu.
Thomas J CoatesDivision of Infectious Diseases, University of California, Los Angeles, California, USA. tcoates@mednet.ucla.edu.
Carlos F CaceresUnidad de Salud Sexualidad y Desarrollo Humano, Universidad Peruana Cayetano Heredia, Lima, Peru. carlos.caceres@upch.pe.
University of California, Los Angeles · USUniversidad Peruana Cayetano Heredia · PEUniversity of California, San Diego · US

Funding

UCLA Rapid, Relevant, Rigorous Implementation Science HubP30MH058107 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI RAPHAEL J LANDOVITZ · 1997 to 2026
$53.5M
South American Program in HIV Prevention Research (SAPHIR)R25MH087222 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI JESSE LAWTON CLARK, Karin Nielsen · 2011 to 2026
$3.9M
Comunidades Positivas and Enhanced Partner Therapy in PeruR01MH078752 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI COATES, THOMAS J. · 2006 to 2010
$2.5M
Syphilis: Translating technology to understand a neglected epidemicR01AI099727 · NIAID · UNIVERSIDAD PERUANA CAYETANO HEREDIA · PI CACERES, CARLOS F. · 2012 to 2016
$1.1M
Inflammation, Fibrosis and End-Organ Disease in HIV-Infected AdultsK23AI110532 · NIAID · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI LAKE, JORDAN E · 2014 to 2018
$937k
Partner Notification Strategies for HIV/STI Control in PeruK23MH084611 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI CLARK, JESSE LAWTON · 2009 to 2013
$755k
DEVELOPING A STATE-OF-THE-ART COMBINATION HIV PREVENTION PROGRAM FOR MSM/TRANSWOMR21MH102135 · NIMH · UNIVERSIDAD PERUANA CAYETANO HEREDIA · PI CACERES, CARLOS F. · 2013 to 2014
$297k
NIAID NIH HHS K23 AI110532NIAID NIH HHS R01 AI099727NIMH NIH HHS K23 MH084611NIMH NIH HHS P30 MH058107NIMH NIH HHS R01 MH078752NIMH NIH HHS R21 MH102135NIMH NIH HHS R25 MH087222
6 · The paper itself

Abstract

backgroundIncreased HIV testing frequency among high-risk populations such as men who have sex with men (MSM) and male-to-female transgender women (TW) can lead to earlier treatment and potentially reduce HIV transmission.

methodsWe analyzed baseline survey data from 718 high-risk, young (median age 29 [interquartile range 23-35]) MSM/TW enrolled in a community-based HIV prevention trial between 2008-2009. Participants were recruited from 24 neighborhoods in and around Lima, Peru. We assessed HIV testing frequency, testing behaviour, and motivations and barriers to testing. Multivariate analysis identified correlates to prior HIV testing.

resultsOverall, 79.6% reported HIV testing within their lifetimes, however, only 6.2% reported an average of two tests per year, as per Peruvian Ministry of Health guidelines. The most commonly reported motivators for testing were to check one's health (23.3%), lack of condom use (19.7%), and availability of free testing (14.0%), while low self-perceived risk for HIV (46.9%), fear of a positive result (42.0%), and lack of access to testing services (35.7%) were the most frequently reported barriers. In multivariate analysis, factors independently associated with HIV testing included age [adjusted prevalence ratio (APR) 1.00, 95% CI (1.00-1.01)], transgender-identification vs. gay-identification [APR 1.11, 95% CI (1.03-1.20)], history of transactional sex [APR 1.16, 95% CI (1.07-1.27)], and prior sexually transmitted infection diagnosis [APR 1.15, 95% CI (1.07-1.24)].

conclusionsAn overwhelming majority of participants did not meet the standard-of-care for testing frequency. The reported motivations and barriers to testing highlight issues of risk perception and accessibility. Our findings suggest utilizing non-traditional outreach methods and promoting HIV testing as a routine part of healthcare in Peru to encourage testing and knowledge of HIV serostatus.

Indexed as

AdultAIDS SerodiagnosisCross-Sectional StudiesFemaleHealth Services AccessibilityHIV InfectionsHomosexuality, MaleHumansMaleMass ScreeningMultivariate AnalysisPeruPrevalenceSexually Transmitted DiseasesSurveys and QuestionnairesTransgender Persons

Identifiers

PMID25896917
PMCPMC4407786
OpenAlexW1973396995

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.