Evidence map›Paper›PMID 28903126›Full record

SynthesisJournal of acquired immune deficiency syndromes (1999)2017

Substance Use and HIV Risk Among Men Who Have Sex With Men in Africa: A Systematic Review.

Theodorus G M Sandfort, Justin R Knox, Carolina Alcala, Nabila El-Bassel, Irene Kuo, Laramie R Smith

Registry-linked trialOpen access · greenAbstract readSystematic Review
In one paragraph

Synthesis in Journal of acquired immune deficiency syndromes (1999), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05325476 (Testing of the JomPrEP App for HIV Prevention Among Malaysian MSM), which is not on this map. Cited by 32 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 4 pooled it
3.7field-weighted citation impact, top 6% 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.

NCT05325476 nacompletednot on this mapstarted 2023, after this paper: background citation

Testing of the JomPrEP App for HIV Prevention Among Malaysian MSM

TypeinterventionalSponsorUniversity of ConnecticutRan2023 to 2025Enrolled268ConditionsHIV Prevention ProgramArmsJomPrEP App, Inactivated JomPrEP app
3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 4 syntheses or guidelines pooled it, 61 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Observational
  7. Article
  8. Article
  9. Article
  10. Article
  11. A systematic review on the impact of alcohol use on sexually transmitted infections.International journal of alcohol and drug research · 2023
    Article
  12. Article
  13. Article
  14. Social Determinants of Transactional Sex in a Sample of Young Black and Latinx Sexual Minority Cisgender Men and Transgender Women.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2022
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  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

6 authors at 4 institutions in 1 country.

Theodorus G M Sandfort*HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute and Department of Psychiatry, Columbia University, New York, NY;Departments of †Epidemiology;‡Sociomedical Sciences, Mailman School of Public Health, Columbia University, New York, NY;§School of Social Work, Columbia University, New York, NY;‖Department of Epidemiology and Biostatistics, Milken Institute School of Public Health, George Washington University, Washington, DC; and¶Division of Global Public Health, Department of Medicine, University of California San Diego, La Jolla, CA.
Justin R Knox
Carolina Alcala
Nabila El-Bassel
Irene Kuo
Laramie R Smith
Columbia University · USGeorge Washington University · USNew York Psychoanalytic Society and Institute · USUniversity of California, San Diego · US

Funding

LOC: HIV Prevention Trials NetworkUM1AI068619 · NIAID · FAMILY HEALTH INTERNATIONAL · PI Sinead Delany-Moretlwe, RAPHAEL J LANDOVITZ · 2011 to 2026
$779.5M
The Statistics, Data Science, and Data Management (SDM) CoreP30MH043520 · NIMH · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI Claude Ann Mellins · 2003 to 2026
$48.2M
HIV Treatment and Substance Use in LMIC Shaping MSMs Sociostructural ContextK01DA039767 · NIDA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI SMITH, LARAMIE RAE · 2015 to 2019
$906k
Substance use and sexual risk behavior among MSM in South African townshipsF31DA037128 · NIDA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI KNOX, JUSTIN · 2014 to 2017
$124k
NIAID NIH HHS UM1 AI068619NIDA NIH HHS F31 DA037128NIDA NIH HHS K01 DA039767NIMH NIH HHS P30 MH043520
6 · The paper itself

Abstract

backgroundSubstance use and its relation to HIV risk among men who have sex in Africa, a population at high risk for HIV, has received little attention.

methodsThis systematic review summarizes and discusses findings from 68 empirical studies, published between 1980 and 2016 that included data about substance use in men who have sex with men (MSM) in Africa.

resultsSubstance use has rarely been the primary focus of studies in African MSM. In general, measurement of substance use was suboptimal. Whereas prevalence of alcohol use varied across studies, partly resulting from variety in assessment strategies, it seemed higher than in the general male population across countries. Alcohol use was associated with sexual risk practices, but not with HIV infection. The most frequently reported drug used by African MSM was cannabis. The use of other drugs, such as cocaine and heroin seemed relatively rare, although injection drug use was exceptionally high in a few studies. As alcohol, drugs were regularly used in conjunction with sex. Both alcohol and drug use were often associated with other risk factors for HIV infection, including violence and transactional sex. No interventions were found addressing substance use among African MSM.

conclusionsGiven high HIV risk and prevalence in this population, substance use should be studied more in-depth, taking into account the specific social and cultural context. Assessment of substance use practices in this population has to be improved. The available information suggests, though, that there is an urgent need for interventions addressing substance use tailored to the needs of this critical population.

Indexed as

Homosexuality, MaleAfricaAlcohol DrinkingHIV InfectionsHumansMalePrevalenceRisk FactorsRisk-TakingSexual PartnersSubstance-Related Disorders

Identifiers

PMID28903126
PMCPMC5647883
OpenAlexW2620640902

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.