Evidence map›Paper›PMID 26974234›Full record

ArticleHealth & place2016

Changing spatial patterns and increasing rurality of HIV prevalence in the Democratic Republic of the Congo between 2007 and 2013.

Margaret Carrel, Mark Janko, Melchior Kashamuka Mwandagalirwa, Camille Morgan, Franck Fwamba, Jérémie Muwonga, Antoinette K Tshefu, Steven Meshnick, Michael Emch

Abstract read
In one paragraph

Article in Health & place, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Spatial Analysis of HIV Infection and Associated Risk Factors in Botswana.International journal of environmental research and public health · 2021
    Article
  5. Article
  6. Article
  7. A Scoping Review of Spatial Analysis Approaches Using Health Survey Data in Sub-Saharan Africa.International journal of environmental research and public health · 2020
    Article
  8. Article
  9. Article
  10. Article
  11. Spatial Analysis of the Human Immunodeficiency Virus Epidemic among Men Who Have Sex with Men in China, 2006-2015.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2017
    Article
  12. Article
  13. 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

9 authors.

Margaret CarrelDepartment of Geographical & Sustainability Sciences, 303 Jessup Hall, University of Iowa, Iowa City, IA 52245, USA; Department of Epidemiology, University of Iowa, Iowa City, IA, USA. Electronic address: margaret-carrel@uiowa.edu.
Mark JankoDepartment of Geography, CB3220, Carolina Hall, University of North Carolina-Chapel Hill, Chapel Hill, NC, USA; Department of Biostatistics, CB7420, McGavran-Greenberg Hall, University of North Carolina-Chapel Hill, Chapel Hill, NC, USA.
Melchior Kashamuka MwandagalirwaDepartment of Epidemiology, CB7435, McGavran-Greenberg Hall, University of North Carolina-Chapel Hill, Chapel Hill, NC, USA.
Camille MorganDepartment of Biostatistics, CB7420, McGavran-Greenberg Hall, University of North Carolina-Chapel Hill, Chapel Hill, NC, USA.
Franck FwambaNational AIDS Control Program (PNLS), Kinshasa, Democratic Republic of the Congo.
Jérémie MuwongaNational AIDS Control Program (PNLS), Kinshasa, Democratic Republic of the Congo.
Antoinette K TshefuEcole de Sante Publique, Faculte de Medecine, University of Kinshasa, Kinshasa, Democratic Republic of the Congo.
Steven MeshnickDepartment of Epidemiology, CB7435, McGavran-Greenberg Hall, University of North Carolina-Chapel Hill, Chapel Hill, NC, USA.
Michael EmchDepartment of Geography, CB3220, Carolina Hall, University of North Carolina-Chapel Hill, Chapel Hill, NC, USA; Department of Epidemiology, CB7435, McGavran-Greenberg Hall, University of North Carolina-Chapel Hill, Chapel Hill, NC, USA.

Funding

Carolina Population CenterR24HD050924 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI MORGAN, SAMUEL PHILIP · 2005 to 2014
$10.0M
Research Services CoreP2CHD050924 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI KAREN B GUZZO · 2015 to 2026
$9.6M
Epidemiological and Spatial Models of Malaria TransmissionR01AI107949 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI MESHNICK, STEVEN RICHARD · 2014 to 2018
$2.5M
NIAID NIH HHS R01 AI107949NICHD NIH HHS P2C HD050924NICHD NIH HHS R24 HD050924
6 · The paper itself

Abstract

The Democratic Republic of the Congo (DRC) has one of the lowest HIV prevalence in sub-Saharan Africa, estimated at 1.1% [0.9-1.3] of adults aged 15-49 in 2013 (UNAIDS). Within the 2 million km(2) country, however, there exists spatial variation in HIV prevalence, with the highest HIV prevalence observed in the large cities of Kinshasa and Lubumbashi. Globally, HIV is an increasingly rural disease, diffusing outwards from urban centers of high HIV prevalence to places where HIV was previously absent or present at very low levels. Utilizing data collected during Demographic and Health Surveillance (DHS) in 2007 and 2013 in the DRC, we sought to update the map of HIV prevalence in the DRC as well as to explore whether HIV in the DRC is an increasingly rural disease or remains confined to urban areas. Bayesian kriging and regression indicate that HIV prevalence in rural areas of the DRC is higher in 2013 than in 2007 and that increased distance to an urban area is no longer protective against HIV as it was in 2007. These findings suggest that HIV education, testing and prevention efforts need to diffuse from urban to rural areas just as HIV is doing.

Indexed as

Spatial AnalysisAdolescentAdultDemocratic Republic of the CongoFemaleHIV InfectionsHumansMaleMiddle AgedPopulation SurveillancePrevalenceRisk FactorsRural PopulationBayesian krigingDemocratic Republic of the CongoHIVProtectiveRuralUrban

Identifiers

PMID26974234
PMCPMC4874876

What OpenQuestion holds

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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.