Evidence map›Paper›PMID 30745999›Full record

ArticleThe Pan African medical journal2018

Persistent high-risk behavior and escalating HIV, syphilis and hepatitis B incidences among men who have sex with men living in Bangui, Central African Republic.

Mbeko Simaleko Marcel, Longo Jean De Dieu, Camengo-Police Serge Magloire, Gérard Grésenguet, Ralph-Sydney Mboumba Bouassa, Danielle Piette, Beatrice Gulbis, Laurent Bélec

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in The Pan African medical journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 26% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Observational
  3. Article
  4. Article
  5. Article
  6. Article
  7. 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

8 authors at 2 institutions in 2 countries.

Mbeko Simaleko MarcelCentre National de Référence des Infections Sexuellement Transmissibles et de la Thérapie Antirétrovirale, Bangui, Central African Republic.
Longo Jean De DieuCentre National de Référence des Infections Sexuellement Transmissibles et de la Thérapie Antirétrovirale, Bangui, Central African Republic.
Camengo-Police Serge MagloireFaculté des Sciences de la Santé de Bangui, Central African Republic.
Gérard GrésenguetFaculté des Sciences de la Santé de Bangui, Central African Republic.
Ralph-Sydney Mboumba BouassaLaboratoire de Virologie, Hôpital Européen Georges Pompidou and Université Paris Descartes, Bio Sorbonne Paris Cité, Paris, France.
Danielle PietteEcole de Santé Publique, Université Libre de Bruxelles, Bruxelles, Belgium.
Beatrice GulbisEcole de Santé Publique, Université Libre de Bruxelles, Bruxelles, Belgium.
Laurent BélecLaboratoire de Virologie, Hôpital Européen Georges Pompidou and Université Paris Descartes, Bio Sorbonne Paris Cité, Paris, France.
Laboratoire National de Référence · MAUniversité Libre de Bruxelles · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionHIV in sub-Saharan Africa remains a great concern in men who have sex with men (MSM). Intervention on MSM is a key strategy to control the burden of HIV among this population. Herein we assessed the effect of 2 years of HIV testing and counseling on risk-tacking and HIV and STI incidences among MSM living in Bangui in the Central African Republic.

methodsThe incidences of HIV, syphilis and hepatitis B and the sexual behavior characteristics were assessed at inclusion and after 2 years of follow up in the prospective MSM cohort.

results99 MSM were included and followed up during 2 years. The mean age of study MSM was 24 years (range, 14-39); among those, the majority was single (84.8%) and unemployed (33.3%) or students (23.9%). The majority (up to 80%) were living in only 4 (out of 10) neighboring district of Bangui. Insertive anal intercourse showed significant decrease from 54% at inclusion to 46% after 2 years of follow up (P < 0.001). In contrast, we observed slight increase in receptive anal intercourse (60% versus 66%) and oral sex (70% versus 74%), but the difference did not reach statistical significance. Finally, the prevalences of HIV, syphilis and hepatitis B increased significantly from 29% to 41%, 12% to 21% and 14% to 23%, respectively.

conclusionThese observations indicate that medical care and counseling on MSM does not provide significant changes in risk-taking, whereas the incidences of HIV, syphilis and hepatitis B remained high. Innovative interventions should be conceived for the MSM population living in Bangui.

Indexed as

AdolescentAdultCentral African RepublicCounselingFollow-Up StudiesHepatitis BHIV InfectionsHomosexuality, MaleHumansIncidenceMalePrevalenceProspective StudiesRisk-TakingSexual and Gender MinoritiesSexual BehaviorCentral African Republicclinical careHIVinterventionMen having sex with mensyphilis

Identifiers

PMID30745999
PMCPMC6358028
OpenAlexW2790369609

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.