Evidence map›Paper›PMID 26666698›Full record

ArticleThe American journal of tropical medicine and hygiene2016

Determinants of Anemia Among Human Immunodeficiency Virus-Positive Adults at Care and Treatment Clinics in Dar es Salaam, Tanzania.

Paul Petraro, Christopher Duggan, Donna Spiegelman, Ellen Hertzmark, Abel Makubi, Guerino Chalamilla, Helen Siril, David Sando, Said Aboud, Wafaie W Fawzi

Open access · bronzeAbstract read
In one paragraph

Article in The American journal of tropical medicine and hygiene, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
1.4field-weighted citation impact, top 19% 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

17 citing papers in PubMed, 24 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

10 authors at 2 institutions in 1 country.

Paul PetraroDepartment of Nutrition, Harvard TH Chan School of Public Health, Boston, Massachusetts; Department of Epidemiology, Harvard TH Chan School of Public Health, Boston, Massachusetts; Department of Biostatistics, Harvard TH Chan School of Public Health, Boston, Massachusetts; Department of Global Health and Population, Harvard TH Chan School of Public Health, Boston, Massachusetts; Division of Gastroenterology, Hepatology and Nutrition, Boston Children's Hospital, Boston, Massachusetts; Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania paul.petraro@post.harvard.edu.
Christopher DugganDepartment of Nutrition, Harvard TH Chan School of Public Health, Boston, Massachusetts; Department of Epidemiology, Harvard TH Chan School of Public Health, Boston, Massachusetts; Department of Biostatistics, Harvard TH Chan School of Public Health, Boston, Massachusetts; Department of Global Health and Population, Harvard TH Chan School of Public Health, Boston, Massachusetts; Division of Gastroenterology, Hepatology and Nutrition, Boston Children's Hospital, Boston, Massachusetts; Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Donna SpiegelmanDepartment of Nutrition, Harvard TH Chan School of Public Health, Boston, Massachusetts; Department of Epidemiology, Harvard TH Chan School of Public Health, Boston, Massachusetts; Department of Biostatistics, Harvard TH Chan School of Public Health, Boston, Massachusetts; Department of Global Health and Population, Harvard TH Chan School of Public Health, Boston, Massachusetts; Division of Gastroenterology, Hepatology and Nutrition, Boston Children's Hospital, Boston, Massachusetts; Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Ellen HertzmarkDepartment of Nutrition, Harvard TH Chan School of Public Health, Boston, Massachusetts; Department of Epidemiology, Harvard TH Chan School of Public Health, Boston, Massachusetts; Department of Biostatistics, Harvard TH Chan School of Public Health, Boston, Massachusetts; Department of Global Health and Population, Harvard TH Chan School of Public Health, Boston, Massachusetts; Division of Gastroenterology, Hepatology and Nutrition, Boston Children's Hospital, Boston, Massachusetts; Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Abel MakubiDepartment of Nutrition, Harvard TH Chan School of Public Health, Boston, Massachusetts; Department of Epidemiology, Harvard TH Chan School of Public Health, Boston, Massachusetts; Department of Biostatistics, Harvard TH Chan School of Public Health, Boston, Massachusetts; Department of Global Health and Population, Harvard TH Chan School of Public Health, Boston, Massachusetts; Division of Gastroenterology, Hepatology and Nutrition, Boston Children's Hospital, Boston, Massachusetts; Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Guerino ChalamillaDepartment of Nutrition, Harvard TH Chan School of Public Health, Boston, Massachusetts; Department of Epidemiology, Harvard TH Chan School of Public Health, Boston, Massachusetts; Department of Biostatistics, Harvard TH Chan School of Public Health, Boston, Massachusetts; Department of Global Health and Population, Harvard TH Chan School of Public Health, Boston, Massachusetts; Division of Gastroenterology, Hepatology and Nutrition, Boston Children's Hospital, Boston, Massachusetts; Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Helen SirilDepartment of Nutrition, Harvard TH Chan School of Public Health, Boston, Massachusetts; Department of Epidemiology, Harvard TH Chan School of Public Health, Boston, Massachusetts; Department of Biostatistics, Harvard TH Chan School of Public Health, Boston, Massachusetts; Department of Global Health and Population, Harvard TH Chan School of Public Health, Boston, Massachusetts; Division of Gastroenterology, Hepatology and Nutrition, Boston Children's Hospital, Boston, Massachusetts; Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
David SandoDepartment of Nutrition, Harvard TH Chan School of Public Health, Boston, Massachusetts; Department of Epidemiology, Harvard TH Chan School of Public Health, Boston, Massachusetts; Department of Biostatistics, Harvard TH Chan School of Public Health, Boston, Massachusetts; Department of Global Health and Population, Harvard TH Chan School of Public Health, Boston, Massachusetts; Division of Gastroenterology, Hepatology and Nutrition, Boston Children's Hospital, Boston, Massachusetts; Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Said AboudDepartment of Nutrition, Harvard TH Chan School of Public Health, Boston, Massachusetts; Department of Epidemiology, Harvard TH Chan School of Public Health, Boston, Massachusetts; Department of Biostatistics, Harvard TH Chan School of Public Health, Boston, Massachusetts; Department of Global Health and Population, Harvard TH Chan School of Public Health, Boston, Massachusetts; Division of Gastroenterology, Hepatology and Nutrition, Boston Children's Hospital, Boston, Massachusetts; Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Wafaie W FawziDepartment of Nutrition, Harvard TH Chan School of Public Health, Boston, Massachusetts; Department of Epidemiology, Harvard TH Chan School of Public Health, Boston, Massachusetts; Department of Biostatistics, Harvard TH Chan School of Public Health, Boston, Massachusetts; Department of Global Health and Population, Harvard TH Chan School of Public Health, Boston, Massachusetts; Division of Gastroenterology, Hepatology and Nutrition, Boston Children's Hospital, Boston, Massachusetts; Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Massachusetts Department of Public Health · USHarvard University · US

Funding

Patient-oriented Research in Pediatric Diarrheal DiseasesK24HD058795 · NICHD · BOSTON CHILDREN'S HOSPITAL · PI DUGGAN, CHRISTOPHER P · 2010 to 2014
$956k
Patient-oriented Research in Pediatric Diarrheal DiseasesK24DK104676 · NIDDK · BOSTON CHILDREN'S HOSPITAL · PI DUGGAN, CHRISTOPHER P · 2015 to 2019
$903k
NICHD NIH HHS K24 HD058795NICHD NIH HHS K24HD058795NIDDK NIH HHS K24 DK104676PEPFAR
6 · The paper itself

Abstract

Anemia is often a comorbidity of human immunodeficiency virus (HIV) infection. Many cross-sectional studies have been conducted on anemia and HIV, but few, if any, have addressed incidence of anemia prospectively. A longitudinal analysis was conducted in 48,068 nonpregnant HIV-infected adults in Dar es Salaam, Tanzania, seen at Management and Development for Health-U.S. President's Emergency Plan for AIDS Relief HIV care and treatment programs between 2004 and 2011. Almost 56% (N = 27,184) of study participants had anemia (hemoglobin < 11 g/dL) at the time of enrollment at the clinic. Female gender, low body mass index (BMI), low CD4 T-cell count, high levels of liver enzyme alanine aminotransferase, antiretroviral treatment (ART) regimens, and concurrent tuberculosis treatment were all independently significantly associated with an increased risk of anemia. Low BMI and low CD4 T-cell count were independently significantly associated with an increased risk for iron deficiency anemia (IDA). Higher BMI status and ART use were associated with recovery from anemia. Anemia, including IDA, is a comorbidity that is associated with other adverse consequences (e.g., low BMI and CD4 T-cell count) among individuals with HIV infection, including those on ART. Interventions to prevent anemia and its complications need to be examined in the context of future studies.

Indexed as

AdultAnemiaAnti-HIV AgentsBody Mass IndexBody WeightCD4 Lymphocyte CountFemaleHIV InfectionsHumansMaleMiddle AgedRisk FactorsTanzaniaAnti-HIV Agents

Identifiers

PMID26666698
PMCPMC4751946
OpenAlexW2257844764

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.