Evidence map›Paper›PMID 30400787›Full record

Observational studyBMC public health2018

A health communication intervention to integrate partner testing with antiretroviral therapy service among men who have sex with men in China: an observational cohort study.

Yuting Lian, Yan Zhao, Joyce Wang, Cynthia Shi, Kerong Wang, Xia Wang, Guohui Wu, Hongxia Wei, Xiaoli Wei, Yan Luo and 2 more

Abstract readObservational Study
In one paragraph

Observational study in BMC public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. 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

12 authors.

Yuting LianNational Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, 155 Changbai road, Changing district, Beijing, 102206, China.
Yan ZhaoNational Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, 155 Changbai road, Changing district, Beijing, 102206, China. zhaoyan@chinaaids.cn.ORCID http://orcid.org/0000-0003-2279-3219
Joyce WangHarvard Medical School, 25 Shattuck Street, Boston, MA, 02115, USA.
Cynthia ShiNational Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, 155 Changbai road, Changing district, Beijing, 102206, China.
Kerong WangBeijing Ditan Hospital, Capital Medical University, Beijing, China.
Xia WangWuhan Center for Disease Control and Prevention, Wuhan, China.
Guohui WuChongqing Center for Disease Control and Prevention, Chongqing, China.
Hongxia WeiNanjing Center for Disease Control and Prevention, Nanjing, China.
Xiaoli WeiXi'an Center for Disease Control and Prevention, Xi'an, China.
Yan LuoHangzhou Center for Disease Control and Prevention, Hangzhou, China.
Min Zhao302 Military Hospital of China, Beijing, China.
Zunyou WuNational Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, 155 Changbai road, Changing district, Beijing, 102206, China.

Funding

AbbVie 2012ZX10001-007
6 · The paper itself

Abstract

backgroundIn China, antiretroviral therapy (ART) clinics focus on treating people living with HIV and are not required to undertake testing of high-risk populations. To improve partner testing among MSM, we implemented a health communication pilot intervention integrating partner testing with ART services. We aimed to assess the feasibility of the partner referral service and identify the predictors of both successful partner referral for HIV testing and HIV-positive test results among referred partners.

methodsThis program ran from April 2014 through December 2015 at designated ART clinics in six cities. The index participants, men living with HIV enrolled at an ART clinic, were assigned a case manager who assumed responsibility for routine ART-related counseling and mobilization of HIV-positive index participants for partner referral testing. Case managers were either nurses or contract staff. The successful referral rate was the proportion of index participants who referred a sexual partner for HIV testing. The HIV-positive partner rate was the proportion of the newly referred contacts who tested HIV-positive. Factors associated with the successful referral rate and the HIV-positive partner rate were assessed.

resultsTwo thousand three hundred eighty-two index participants were enrolled. The median age was 30 years (IQR 26-37). 829index participants (34.80%) successfully referred at least one sexual partner for screening, and 92 (11.10%) referred partners were HIV-positive. Having a hospital nurse as case manager was associated with both successful partner referral (AHR = 1.56, 95% CI = 1.36-1.80) and having a HIV-positive partner (AHR = 2.35, 95% CI = 1.45-3.92). Index participants who were married (AHR = 1.44, 95% CI = 1.20-1.73) or employed (AHR = 1.29, 95% CI = 1.11-1.49) were more likely to successfully refer a partner for testing. Stable male partner relations were more likely to result in a referred partner testing HIV-positive (AHR = 5.50, 95% CI = 1.85-16.39).

conclusionOur findings indicated that integration of MSM partner testing with ART services via health communication was feasible. Nurses as case managers effectively encouraged index participants to refer their sexual partners for HIV testing.

Indexed as

Health CommunicationHomosexuality, MaleSexual PartnersAdultAnti-Retroviral AgentsChinaCohort StudiesHIV InfectionsHumansMaleMass ScreeningProgram EvaluationAnti-Retroviral AgentsCase managerHIV testingMen who have sex with menPartner testing

Identifiers

PMID30400787
PMCPMC6219259

What OpenQuestion holds

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LicenceCC BY
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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.