Evidence map›Paper›PMID 30389648›Full record

ArticleJMIR public health and surveillance2018

Quantification of HIV-1 RNA Among Men Who Have Sex With Men Using an At-Home Self-Collected Dried Blood Spot Specimen: Feasibility Study.

Sabina Hirshfield, Richard A Teran, Martin J Downing, Mary Ann Chiasson, Hong-Van Tieu, Laura Dize, Charlotte A Gaydos

Open access · goldAbstract read
In one paragraph

Article in JMIR public health and surveillance, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
1.9field-weighted citation impact, top 15% 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

26 citing papers in PubMed, 36 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Self-Testing as a Hope to Reduce HIV in Transgender Women-Literature Review.International journal of environmental research and public health · 2022
    Review
  17. Review
  18. Article
  19. Article
  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

7 authors at 6 institutions in 1 country.

Sabina Hirshfield *Research and Evaluation, Public Health Solutions, New York, NY, United States.ORCID http://orcid.org/0000-0002-2649-469X
Richard A Teran *Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, United States.ORCID http://orcid.org/0000-0002-1733-1119
Martin J DowningPsychology Department, Lehman College, Bronx, NY, United States.ORCID http://orcid.org/0000-0003-0283-399X
Mary Ann ChiassonDepartment of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, United States.ORCID http://orcid.org/0000-0002-4906-0667
Hong-Van TieuDivision of Infectious Diseases, Department of Medicine, Columbia University Medical Center, New York, NY, United States.ORCID http://orcid.org/0000-0002-7880-6448
Laura DizeDivision of Infectious Diseases, Johns Hopkins University, Baltimore, MD, United States.ORCID http://orcid.org/0000-0001-9657-6714
Charlotte A GaydosDivision of Infectious Diseases, Johns Hopkins University, Baltimore, MD, United States.ORCID http://orcid.org/0000-0002-1021-3195
Johns Hopkins University · USColumbia University · USColumbia University Irving Medical Center · USLehman College · USNew York Blood Center · USPublic Health Solutions · US

Funding

LC: HIV Prevention Trials Network - Laboratory Support for the SARS-CoV-2 Seroprevalence Study (CoVPN 5002)UM1AI068613 · NIAID · JOHNS HOPKINS UNIVERSITY · PI SUSAN H ESHLEMAN, Mark A Marzinke · 2011 to 2026
$100.2M
TrainingU54EB007958 · NIBIB · JOHNS HOPKINS UNIVERSITY · PI Yukari C Manabe, Susan Anne Tuddenham · 2007 to 2026
$34.6M
Global HIV Implementation Science Research Training Grant RenewalT32AI114398 · NIAID · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Yael R Hirsch-Moverman · 2014 to 2026
$4.1M
Scale-up of an Internet-Delivered Randomized Controlled Trial for HIV+ MenR01MH100973 · NIMH · PUBLIC HEALTH SOLUTIONS · PI HIRSHFIELD, SABINA · 2014 to 2016
$1.9M
NIAID NIH HHS T32 AI114398NIAID NIH HHS UM1 AI068613NIBIB NIH HHS U54 EB007958NIMH NIH HHS R01 MH100973
6 · The paper itself

Abstract

backgroundSuboptimal antiretroviral therapy (ART) adherence and disengagement in care present significant public health challenges because of the increased probability of HIV transmission. In the United States, men who have sex with men (MSM) continue to be disproportionately affected by HIV, highlighting a critical need to engage high-risk MSM living with HIV who are not engaged or retained in care.

objectiveThe aim of the study was to assess the feasibility of at-home blood self-collection and laboratory quantification of HIV-1 RNA viral load (VL) to report laboratory-based VL outcomes and compare self-reported and laboratory-reported VL.

methodsBetween 2016 and 2017, 766 US HIV-positive MSM enrolled in a Web-based behavioral intervention were invited to participate in an at-home dried blood spot (DBS) collection study using HemaSpot-HF kits (Spot On Sciences, Inc, Austin, TX) for laboratory-quantified VL.

resultsOf those invited to participate, 72.3% (554/766) enrolled in the DBS study. Most (79.2%, 439/554) men enrolled reported attempting to collect their blood, 75.5% (418/554) of participants mailed a DBS specimen to the research laboratory, and 60.8% (337/554) had an adequate blood sample for VL testing. Of the 337 specimens tested for VL by the laboratory, 52.5% (177/337) had detectable VL (median: 3508 copies/mL; range: 851-1,202,265 copies/mL). Most men (83.9%, 135/161) who returned a DBS specimen with laboratory-quantified detectable VL self-reported an undetectable VL during their last clinical visit.

conclusionsHome collection of DBS samples from HIV-positive MSM is feasible and has the potential to support clinical VL monitoring. Discrepant laboratory HIV-1 RNA values and self-reported VL indicate a need to address perceived VL status, especially in the era of treatment as prevention. Most participants were willing to use an at-home DBS kit in the future, signaling an opportunity to engage high-risk MSM in long-term HIV care activities.

Indexed as

dried blood spot testingHIV-1men who have sex with menviral load

Identifiers

PMID30389648
PMCPMC6238105
OpenAlexW2899402335

What OpenQuestion holds

Textmetadata
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.