Evidence map›Paper›PMID 28406270›Full record

ArticleJournal of the International AIDS Society2017

Community engagement in sexual health and uptake of HIV testing and syphilis testing among MSM in China: a cross-sectional online survey.

Tiange P Zhang, Chuncheng Liu, Larry Han, Weiming Tang, Jessica Mao, Terrence Wong, Ye Zhang, Songyuan Tang, Bin Yang, Chongyi Wei and 1 more

Registry-linked trialAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of the International AIDS Society, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03741725 (Pay-it-forward Gonorrhea and Chlamydia Testing Among Men Who Have Sex With Men in China), which is not on this map. Cited by 56 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed, 3 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.

NCT03741725 nacompletednot on this mapstarted 2018, after this paper: background citation

Pay-it-forward Gonorrhea and Chlamydia Testing Among Men Who Have Sex With Men in China: a Cluster Randomized Controlled Trial

TypeinterventionalSponsorUniversity of North Carolina, Chapel HillRan2018 to 2019Enrolled301ConditionsGonorrhea Male, Chlamydia, MArmsPay-it-forward, Pay-what-you-want
3 · Its place in the literature

Who cites it

56 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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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

11 authors.

Tiange P Zhang *SESH Research Team at the School of Medicine, University of North Carolina at Chapel Hill, Guangzhou, China.
Chuncheng Liu *SESH Research Team at the School of Medicine, University of North Carolina at Chapel Hill, Guangzhou, China.
Larry Han *University of North Carolina at Chapel Hill Project-China, Guangzhou, China.
Weiming TangSESH Research Team at the School of Medicine, University of North Carolina at Chapel Hill, Guangzhou, China.
Jessica MaoSESH Research Team at the School of Medicine, University of North Carolina at Chapel Hill, Guangzhou, China.
Terrence WongSchool of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Ye ZhangSESH Research Team at the School of Medicine, University of North Carolina at Chapel Hill, Guangzhou, China.
Songyuan TangSESH Research Team at the School of Medicine, University of North Carolina at Chapel Hill, Guangzhou, China.
Bin YangGuangdong Provincial Center for Skin Diseases and Sexually Transmitted Infections Control, Guangzhou, China.
Chongyi WeiDepartment of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, CA, USA.
Joseph D TuckerSESH Research Team at the School of Medicine, University of North Carolina at Chapel Hill, Guangzhou, China.

Funding

Virology CoreP30AI027763 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI STEVEN Grant DEEKS · 1988 to 2026
$93.6M
Virology, Immunology, and Microbiology CoreP30AI050410 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DAVID M. MARGOLIS · 2001 to 2026
$76.9M
North Carolina Translational & Clinical Sciences Institute (NC TraCS)UL1TR001111 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BUSE, JOHN BERNARD, CAREY, TIMOTHY S · 2013 to 2017
$43.9M
Spurring Innovation in HIV Testing and Linkage: A Crowdsourcing Approach -Diversity SupplementR01AI114310 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI TUCKER, JOSEPH DAVID, WEI, CHONGYI · 2014 to 2018
$3.3M
UNC-South China STD Research Training CenterD43TW009532 · FIC · UNIV OF NORTH CAROLINA CHAPEL HILL · PI COHEN, MYRON SCOTT, TUCKER, JOSEPH DAVID · 2013 to 2017
$1.3M
American Society of Tropical Medicine and Hygiene Benjamin H. Kean Travel Fellowship in Tropical Medicine UL1TR001111FIC NIH HHS D43 TW009532NCATS NIH HHS UL1 TR001111NIAID NIH HHS P30 AI027763NIAID NIH HHS P30 AI050410NIAID NIH HHS R01 AI114310NIH HHS 1R01AI114310UNC Center for AIDS Research 5P30AI050410UNC Chapel Hill, Johns Hopkins University, Morehead School of Medicine and Tulane University (UJMT) Fogarty Fellowship FIC R25TW0093UNC-South China STD Research Training Centre 1D43TW009532
6 · The paper itself

Abstract

introductionHIV and syphilis testing rates remain low among men who have sex with men (MSM) in low- and middle-income countries (LMICs). Community engagement has been increasingly used to promote HIV testing among key populations in high-income countries, often in settings with stronger civil society. This study aimed to assess socio-demographic, behavioural, and community engagement factors associated with HIV and syphilis testing among MSM in China.

methodsMSM ≥16 years old who had condomless sex in the past three months were recruited nationwide to complete a cross-sectional online survey in November 2015. Data were collected on socio-demographics, sexual behaviours, HIV testing, syphilis testing, and community engagement in sexual health. We defined community engagement in sexual health using six items assessing awareness and advocacy of sexual health programmes. The underlying factor structure of a 6-item community engagement scale was determined through exploratory factor analysis. Univariate and multivariable logistic regressions identified correlates of HIV and syphilis testing.

results1189 MSM were recruited. 54% (647/1189) of men had ever tested for HIV and 30% (354/1189) had ever tested for syphilis. Factor analysis suggested three levels of community engagement (minimal, moderate, and substantial) and this model explained 79.5% of observed variance. A quarter (26%, 312/1189) reported none to minimal engagement, over one half (54%, 644/1189) reported moderate engagement, and a fifth (20%, 233/1189) reported substantial engagement. Multivariable logistic regression showed that MSM with greater community engagement in sexual health were more likely to have ever tested for HIV (substantial vs. no engagement: aOR 7.91, 95% CI 4.98-12.57) and for syphilis (substantial vs. no engagement: aOR 5.35, 95% CI 3.16-9.04).

conclusionHIV and syphilis testing are suboptimal among MSM in China. Community engagement may be useful for promoting testing in China and should be considered in intervention development and delivery. Further research is needed to better understand the role of LMIC community engagement in HIV interventions.

Indexed as

Community ParticipationHomosexuality, MaleAdultChinaCross-Sectional StudiesHealth SurveysHIV InfectionsHumansLogistic ModelsMaleMass ScreeningReproductive HealthSexual BehaviorSurveys and QuestionnairesSyphilisYoung AdultChinacommunity engagementHIVHIV testinglow- and middle-income countries (LMICs)men who have sex with men (MSM)syphilis testing

Identifiers

PMID28406270
PMCPMC5515028

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Registered trials

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.