Evidence map›Paper›PMID 25906046›Full record

ArticlePloS one2015

Access to HIV Services at Non-Governmental and Community-Based Organizations among Men Who Have Sex with Men (MSM) in Cameroon: An Integrated Biological and Behavioral Surveillance Analysis.

Claire E Holland, Erin Papworth, Serge C Billong, Sethson Kassegne, Fanny Petitbon, Valentin Mondoleba, Laure Vartan Moukam, Isaac Macauley, Simon Pierre Eyene Ntsama, Yves Roger Yomb and 4 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
1.9field-weighted citation impact, top 15% 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

24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 36 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
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

14 authors at 5 institutions in 4 countries.

Claire E HollandJohns Hopkins Bloomberg School of Public Health, Department of Epidemiology, Baltimore, Maryland, 21205, United States of America.
Erin PapworthJohns Hopkins Bloomberg School of Public Health, Department of Epidemiology, Baltimore, Maryland, 21205, United States of America.
Serge C BillongCentral Technical Group, National AIDS Control Committee, Ministry of Public Health, Yaoundé, Cameroon.
Sethson KassegnePopulation Services International, Cotonou, Benin.
Fanny PetitbonCARE International in Cameroon, Yaoundé, Cameroon.
Valentin MondolebaCameroon National Association for Family Welfare (CAMNAFAW), Yaoundé, Cameroon.
Laure Vartan MoukamAssociation Camerounaise pour le Marketing Sociale (ACMS), Yaoundé, Cameroon.
Isaac MacauleyCARE International in Cameroon, Yaoundé, Cameroon.
Simon Pierre Eyene NtsamaCameroon National Association for Family Welfare (CAMNAFAW), Yaoundé, Cameroon.
Yves Roger YombAlternatives-Cameroun, Douala, Cameroon.
Jules EloundouHumanity First, Yaoundé, Cameroon.
Franz ManangaAlternatives-Cameroun, Douala, Cameroon.
Ubald TamoufeGlobal Viral Cameroon, Yaoundé, Cameroon.
Stefan D BaralJohns Hopkins Bloomberg School of Public Health, Department of Epidemiology, Baltimore, Maryland, 21205, United States of America.
Johns Hopkins University · USCare International · CHUniversity of Douala · CMInternational Institute of Tropical Agriculture · BJMinistry of Public Health · CM

Funding

Vaccine Response and Immunotherapeutics SWGP30AI094189 · NIAID · JOHNS HOPKINS UNIVERSITY · PI Richard E. Chaisson · 2012 to 2026
$67.0M
NIAID NIH HHS P30 AI094189
6 · The paper itself

Abstract

backgroundMen who have sex with men (MSM) are more likely to be living with HIV than other adult men in low- and middle-income countries. MSM experience barriers to accessing HIV services including a lack of available specialized care, and community-level stigma and discrimination. This study aims to examine the uptake of HIV services at non-governmental and community-based organizations (NGOs/CBOs) to identify ways to improve coverage of HIV prevention and treatment among MSM.

methodsAn Integrated Biological and Behavioral Surveillance (IBBS) survey was conducted in Yaoundé and Douala, Cameroon in 2011 using the respondent driven sampling (RDS) method to recruit and interview 239 MSM in Yaoundé and 272 MSM in Douala.

resultsMSM in Yaoundé were statistically significantly more likely to have accessed NGO/CBO services or been reached by an outreach worker in the past 12 months if they had any STI symptoms (aOR 2.17 CI 1.02-4.59. p=0.04), or if they had a larger MSM social network (aOR 1.02 CI 1.01-1.04. p<0.01). MSM in Douala were more likely to have accessed NGO/CBO services or been reached by an outreach worker in the past 12 months if they were living with HIV (aOR 3.60 CI 1.35-9.60. p=0.01), or if they reported higher numbers of male sexual partners (aOR 1.17 CI 1.00-1.36. p=0.046). Compared to men in Douala, MSM in Yaoundé were significantly less likely to have accessed NGO/CBO services or been reached by an outreach worker in the past 12 months (aOR 0.22 CI 0 .14-0.34. p=<0.01).

conclusionsWith appropriate funding and resources, community-based organizations that provide care specifically for MSM can improve access to HIV prevention, treatment, and care services. Additionally, using social networks to reach MSM can connect greater numbers of the population to effective HIV interventions, which will improve health outcomes and decrease onward transmission of HIV.

Indexed as

AdolescentAdultCameroonCondomsCross-Sectional StudiesHIV InfectionsHomosexuality, MaleHumansMaleRisk FactorsRisk-TakingSafe SexSexual PartnersSocial StigmaSurveys and QuestionnairesYoung Adult

Identifiers

PMID25906046
PMCPMC4408025
OpenAlexW2078481372

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.