Evidence map›Paper›PMID 30037733›Full record

ReviewLancet (London, England)2018

The global response and unmet actions for HIV and sex workers.

Kate Shannon, Anna-Louise Crago, Stefan D Baral, Linda-Gail Bekker, Deanna Kerrigan, Michele R Decker, Tonia Poteat, Andrea L Wirtz, Brian Weir, Marie-Claude Boily and 3 more

Abstract readReview
In one paragraph

Review in Lancet (London, England), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 150 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
150citing papers in PubMed, 4 pooled it
64.8field-weighted citation impact, top 1% 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

150 citing papers in PubMed, 4 syntheses or guidelines pooled it, 253 citations in OpenAlex.

  1. Pooled it
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  15. Article
  16. Review
  17. Loss to Follow-Up and Visit Nonadherence in an HIV Incidence Cohort in Kisumu, Kenya.Journal of acquired immune deficiency syndromes (1999) · 2026
    Article
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90 more citing papers are in PubMed but not listed here.

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

13 authors at 7 institutions in 5 countries.

Kate ShannonGender and Sexual Health Initiative, University of British Columbia, Vancouver, BC, Canada. Electronic address: kate.shannon@ubc.ca.
Anna-Louise CragoUniversity of Toronto, Toronto, ON, Canada.
Stefan D BaralCenter for Public Health and Human Rights, Johns Hopkins University, Baltimore, MD, USA.
Linda-Gail BekkerDesmond Tutu HIV Research Centre, University of Cape Town, Cape Town, South Africa.
Deanna KerriganCenter for Public Health and Human Rights, Johns Hopkins University, Baltimore, MD, USA.
Michele R DeckerCenter for Public Health and Human Rights, Johns Hopkins University, Baltimore, MD, USA.
Tonia PoteatCenter for Public Health and Human Rights, Johns Hopkins University, Baltimore, MD, USA.
Andrea L WirtzCenter for Public Health and Human Rights, Johns Hopkins University, Baltimore, MD, USA.
Brian WeirCenter for Public Health and Human Rights, Johns Hopkins University, Baltimore, MD, USA.
Marie-Claude BoilyImperial College, London, UK.
Jenny ButlerUN Population Fund, Bangkok, Thailand.
Steffanie A StrathdeeUniversity of California San Diego, San Diego, CA, USA.
Chris BeyrerCenter for Public Health and Human Rights, Johns Hopkins University, Baltimore, MD, USA.
Johns Hopkins University · USDesmond Tutu HIV Foundation · ZAImperial College London · GBUNICEF East Asia and Pacific Regional Office · THUniversity of British Columbia · CAUniversity of California San Diego · USUniversity of Toronto · CA

Funding

SDMC: HPTN 084 Pregnancy SupplementUM1AI068617 · NIAID · FRED HUTCHINSON CANCER RESEARCH CENTER · PI Elizabeth Renata Brown, Deborah J Donnell · 2011 to 2026
$204.9M
Vaccine Response and Immunotherapeutics SWGP30AI094189 · NIAID · JOHNS HOPKINS UNIVERSITY · PI Richard E. Chaisson · 2012 to 2026
$67.0M
Social and structural context of HIV/STI risk among FSWsR01DA028648 · NIDA · UNIVERSITY OF BRITISH COLUMBIA · PI GOLDENBERG, SHIRA MIRIAM, KRUSI, ANDREA · 2010 to 2024
$6.9M
Training Program for Scientists Conducting Research to Reduce HIV Health DisparitR25MH067127 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Emily A Arnold, Torsten Brian Neilands · 2003 to 2026
$5.4M
Drug tourism to Mexico: Impact of Mexicos new drug law on HIV-HCV-TB in US IDUsR01DA031074 · NIDA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI GARFEIN, RICHARD S · 2011 to 2015
$3.2M
Medical Research Council MR/R015600/1NIAID NIH HHS P30 AI094189NIAID NIH HHS UM1 AI068617NIDA NIH HHS R01 DA028648NIDA NIH HHS R01 DA031074NIH HHS R01DA028648-09NIMH NIH HHS R25 MH067127
6 · The paper itself

Abstract

Female, male, and transgender sex workers continue to have disproportionately high burdens of HIV infection in low-income, middle-income, and high-income countries in 2018. 4 years since our Lancet Series on HIV and sex work, our updated analysis of the global HIV burden among female sex workers shows that HIV prevalence is unacceptably high at 10·4% (95% CI 9·5-11·5) and is largely unchanged. Comprehensive epidemiological data on HIV and antiretroviral therapy (ART) coverage are scarce, particularly among transgender women. Sustained coverage of treatment is markedly uneven and challenged by lack of progress on stigma and criminalisation, and sustained human rights violations. Although important progress has been made in biomedical interventions with pre-exposure prophylaxis and early ART feasibility and demonstration projects, limited coverage and retention suggest that sustained investment in community and structural interventions is required for sex workers to benefit from the preventive interventions and treatments that other key populations have. Evidence-based progress on full decriminalisation grounded in health and human rights-a key recommendation in our Lancet Series-has stalled, with South Africa a notable exception. Additionally, several countries have rolled back rights to sex workers further. Removal of legal barriers through the decriminalisation of sex work, alongside political and funding investments to support community and structural interventions, is urgently needed to reverse the HIV trajectory and ensure health and human rights for all sex workers.

Indexed as

AdolescentAdultAnti-HIV AgentsCommunity ParticipationEpidemicsFemaleGlobal Burden of DiseaseHIVHIV InfectionsHuman RightsHumansMaleMinority GroupsPre-Exposure ProphylaxisPrevalenceSex WorkAnti-HIV Agents

Identifiers

PMID30037733
PMCPMC6384122
OpenAlexW2883615323

What OpenQuestion holds

Textmetadata
LicenceTDM
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.