Evidence map›Paper›PMID 29110216›Full record

Trial reportAIDS and behavior2017

Punto Seguro: A Randomized Controlled Pilot Using Conditional Economic Incentives to Reduce Sexually Transmitted Infection Risks in Mexico.

Omar Galárraga, Sandra G Sosa-Rubí, Caroline Kuo, Pedro Gozalo, Andrea González, Biani Saavedra, Nathalie Gras-Allain, Carlos J Conde-Glez, Maria Olamendi-Portugal, Kenneth H Mayer and 1 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in AIDS and behavior, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 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

10 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Strategies to improve retention in randomised trials.The Cochrane database of systematic reviews · 2021
    Pooled it
  3. Trial
  4. Incentivizing adherence to pre-exposure prophylaxis for HIV prevention: a randomized pilot trial among male sex workers in Mexico.The European journal of health economics : HEPAC : health economics in prevention and care · 2025
    Trial
  5. Trial
  6. Article
  7. Article
  8. Article
  9. Bridging the Efficacy-Effectiveness Gap in HIV Programs: Lessons From Economics.Journal of acquired immune deficiency syndromes (1999) · 2019
    Review
  10. 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

11 authors.

Omar GalárragaBrown University School of Public Health, Providence, RI, USA.
Sandra G Sosa-RubíNational Institute of Public Health (INSP), Cuernavaca, Mexico. srubi@insp.mx.
Caroline KuoBrown University School of Public Health, Providence, RI, USA.
Pedro GozaloBrown University School of Public Health, Providence, RI, USA.
Andrea GonzálezClínica Condesa, Mexico City, Mexico.
Biani SaavedraNational Institute of Public Health (INSP), Cuernavaca, Mexico.
Nathalie Gras-AllainClínica Condesa, Mexico City, Mexico.
Carlos J Conde-GlezNational Institute of Public Health (INSP), Cuernavaca, Mexico.
Maria Olamendi-PortugalNational Institute of Public Health (INSP), Cuernavaca, Mexico.
Kenneth H MayerFenway Health, Beth Israel Deaconess Medical Center, Harvard University, Boston, MA, USA.
Don OperarioBrown University School of Public Health, Providence, RI, USA.

Funding

Translational ScienceP30AI042853 · NIAID · MIRIAM HOSPITAL · PI CURT G BECKWITH · 1998 to 2026
$51.7M
Science/Technical CoreP2CHD041020 · NICHD · BROWN UNIVERSITY · PI Margot Jackson · 2016 to 2026
$7.6M
Spatial Analysis CoreR24HD041020 · NICHD · BROWN UNIVERSITY · PI LOGAN, JOHN R · 2001 to 2016
$7.4M
Conditional Economic Incentives to Reduce HIV Risks: A Pilot in MexicoR21HD065525 · NICHD · BROWN UNIVERSITY · PI GALARRAGA, OMAR · 2011 to 2012
$398k
NIAID NIH HHS P30 AI042853NICHD NIH HHS P2C HD041020NICHD NIH HHS R21 HD065525NICHD NIH HHS R24 HD041020NIH HHS R21HD065525
6 · The paper itself

Abstract

Randomized controlled pilot evaluated effect of conditional economic incentives (CEIs) on number of sex partners, condom use, and incident sexually transmitted infections (STIs) among male sex workers in Mexico City. Incentives were contingent on testing free of new curable STIs and/or clinic attendance. We assessed outcomes for n = 227 participants at 6 and 12 months (during active phase with incentives), and then at 18 months (with incentives removed). We used intention-to-treat and inverse probability weighting for the analysis. During active phase, CEIs increased clinic visits (10-13 percentage points) and increased condom use (10-15 percentage points) for CEI groups relative to controls. The effect on condom use was not sustained once CEIs were removed. CEIs did not have an effect on number of partners or incident STIs. Conditional incentives for male sex workers can increase linkage to care and retention and reduce some HIV/STI risks such as condomless sex, while incentives are in place.

Indexed as

MotivationRiskSexual PartnersAdultCondomsFemaleHIV InfectionsHumansIntentionMaleMexicoSafe SexSexually Transmitted DiseasesSex WorkersYoung AdultConditional cash transfersConditional economic incentivesHIV preventionMale sex workersMexicoSexually transmitted infections prevention

Identifiers

PMID29110216
PMCPMC5832351

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.