Evidence map›Paper›PMID 28398778›Full record

ArticleAmerican journal of public health2017

Sustained Reduction in HIV Diagnoses in Massachusetts, 2000-2014.

Kevin Cranston, Betsey John, H Dawn Fukuda, Liisa M Randall, Jonathan Mermin, Kenneth H Mayer, Alfred DeMaria

Abstract read
In one paragraph

Article in American journal of public health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–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

8 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. 1981-2021: HIV and Our World.American journal of public health · 2021
    Article
  6. Article
  7. Article
  8. Review
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

7 authors.

Kevin CranstonKevin Cranston, Betsey John, H. Dawn Fukuda, Liisa M. Randall, and Alfred DeMaria Jr are with Massachusetts Department of Public Health, Boston. Jonathan Mermin is with Centers for Disease Control and Prevention, Atlanta, GA. Kenneth H. Mayer is with The Fenway Institute, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston.
Betsey JohnKevin Cranston, Betsey John, H. Dawn Fukuda, Liisa M. Randall, and Alfred DeMaria Jr are with Massachusetts Department of Public Health, Boston. Jonathan Mermin is with Centers for Disease Control and Prevention, Atlanta, GA. Kenneth H. Mayer is with The Fenway Institute, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston.
H Dawn FukudaKevin Cranston, Betsey John, H. Dawn Fukuda, Liisa M. Randall, and Alfred DeMaria Jr are with Massachusetts Department of Public Health, Boston. Jonathan Mermin is with Centers for Disease Control and Prevention, Atlanta, GA. Kenneth H. Mayer is with The Fenway Institute, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston.
Liisa M RandallKevin Cranston, Betsey John, H. Dawn Fukuda, Liisa M. Randall, and Alfred DeMaria Jr are with Massachusetts Department of Public Health, Boston. Jonathan Mermin is with Centers for Disease Control and Prevention, Atlanta, GA. Kenneth H. Mayer is with The Fenway Institute, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston.
Jonathan MerminKevin Cranston, Betsey John, H. Dawn Fukuda, Liisa M. Randall, and Alfred DeMaria Jr are with Massachusetts Department of Public Health, Boston. Jonathan Mermin is with Centers for Disease Control and Prevention, Atlanta, GA. Kenneth H. Mayer is with The Fenway Institute, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston.
Kenneth H MayerKevin Cranston, Betsey John, H. Dawn Fukuda, Liisa M. Randall, and Alfred DeMaria Jr are with Massachusetts Department of Public Health, Boston. Jonathan Mermin is with Centers for Disease Control and Prevention, Atlanta, GA. Kenneth H. Mayer is with The Fenway Institute, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston.
Alfred DeMariaKevin Cranston, Betsey John, H. Dawn Fukuda, Liisa M. Randall, and Alfred DeMaria Jr are with Massachusetts Department of Public Health, Boston. Jonathan Mermin is with Centers for Disease Control and Prevention, Atlanta, GA. Kenneth H. Mayer is with The Fenway Institute, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo describe secular trends in reported HIV diagnoses in Massachusetts concurrent with treatment access expansion.

methodsWe characterized cases of HIV infection reported to the Massachusetts HIV/AIDS Surveillance Program between 2000 and 2014 by sex, age, race/ethnicity, and exposure mode. We used Poisson regression to test the statistical significance of trends in diagnoses.

resultsBetween 2000 and 2014, annual new HIV infections diagnosed in Massachusetts decreased by 47% (P < .001 for trend). We observed significant reductions in diagnoses among women (58% when comparing 2000 with 2014), men (42%), Whites (54%), Blacks (51%), and Hispanics (35%; P < .001 for trend). New diagnoses decreased significantly among men who have sex with men (19%), persons who inject drugs (91%), and heterosexuals (86%; P < .001 for trend). We saw statistically significant downward trends among all men by race/ethnicity, but the trend among Black men who have sex with men was nonsignificant.

conclusionsSustained reduction in new HIV diagnoses was concurrent with Massachusetts's Medicaid expansion, state health care reform, and public health strategies to improve care access. A contributory effect of expanded HIV treatment and population-level viral suppression is hypothesized for future research.

Indexed as

AdolescentAdultChildChild, PreschoolFemaleHealth Care ReformHealth Services AccessibilityHIV InfectionsHumansIncidenceInfantInfant, NewbornMaleMassachusettsMedicaidMiddle Aged

Identifiers

PMID28398778
PMCPMC5388961

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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.