Evidence map›Paper›PMID 29795625›Full record

ArticlePloS one2018

Incidence of sexually transmitted infections during pregnancy.

Chloe A Teasdale, Elaine J Abrams, Mary Ann Chiasson, Jessica Justman, Kelly Blanchard, Heidi E Jones

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 7% 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.

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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. Article
  6. BMJ open · 2025
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Prevalence and determinants of genitalSexually transmitted infections · 2021
    Article
  15. Review
  16. Article
  17. The Prevalence ofPathogens (Basel, Switzerland) · 2020
    Article
  18. Review
  19. 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

6 authors at 3 institutions in 1 country.

Chloe A TeasdaleICAP, Mailman School of Public Health, Columbia University, New York, NY, United States of America.ORCID 0000-0001-9165-8972
Elaine J AbramsICAP, Mailman School of Public Health, Columbia University, New York, NY, United States of America.
Mary Ann ChiassonDepartment of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, United States of America.
Jessica JustmanICAP, Mailman School of Public Health, Columbia University, New York, NY, United States of America.
Kelly BlanchardIbis Reproductive Health, Cambridge, MA, United States of America.
Heidi E JonesDepartment of Epidemiology, City University of New York School of Public Health, New York, NY, United States of America.ORCID 0000-0002-4285-3752
Columbia University · USCity University of New York · USIbis Reproductive Health · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Prevalence of sexually transmitted infections (STI) is high among pregnant women in certain settings. We estimated STI incidence and compared STI risk in pregnant and non-pregnant women. Data came from the Methods for Improving Reproductive Health in Africa (MIRA) study conducted in South Africa and Zimbabwe 2003-2006. Women aged 18-50 years with at least one follow-up visit within 6 months of enrollment were included. Follow-up visits included laboratory testing for pregnancy, chlamydia, gonorrhea, trichomoniasis, and HIV, as well as self-report of hormonal contraceptive (HC) use, sexual behaviors and intravaginal practices. All visits were classified according to pregnancy status. Incidence of each STI was calculated using follow-up time. Cox proportional hazards models were fitted using pregnancy as a time-varying exposure and sexual behaviors and intravaginal practices as time-varying covariates. Among 4,549 women, 766 (16.8%) had a positive pregnancy test. Median follow-up time was 18 months [IQR: 12-24]. The overall incidence rate of chlamydia was 6.7 per 100 person years (py) and 9.9/100py during pregnancy; gonorrhea incidence was 2.7/100py and 4.9/100py during pregnancy; trichomoniasis incidence was 7.1/100py overall and 9.2/100py during pregnancy. Overall HIV incidence was 3.9/100py and 3.8/100py during pregnancy. In crude models, pregnancy increased risk for chlamydia (hazard ratio (HR) 1.5, 95%CI: 1.1-1.2), however there was no increased risk of any measured STI in adjusted models. STI Incidence was high during pregnancy however pregnancy did not increase STI risk after adjustment for sexual behaviors. Greater efforts are needed to help pregnant women avoid STIs.

Indexed as

AdolescentAdultChlamydia InfectionsFemaleGonorrheaHIV InfectionsHumansIncidenceMiddle AgedPregnancyPregnancy Complications, InfectiousProportional Hazards ModelsRiskSexual BehaviorSexually Transmitted DiseasesSouth Africa

Identifiers

PMID29795625
PMCPMC5967814
OpenAlexW2803655842

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.