Evidence map›Paper›PMID 31117978›Full record

ArticleBMC public health2019

One size does not fit all: HIV prevalence and correlates of risk for men who have sex with men, transgender women in multiple cities in Papua New Guinea.

Avi J Hakim, Kelsey Coy, Steven G Badman, Barne Willie, Rebecca Narokobi, Josephine Gabuzzi, Simon Pekon, Martha Kupul, Parker Hou, Herick Aeno and 11 more

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

Article in BMC public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.1field-weighted citation impact, top 13% 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

12 citing papers in PubMed, 21 citations in OpenAlex.

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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

21 authors at 4 institutions in 5 countries.

Avi J HakimUS Centers for Disease Control and Prevention, Division of Global HIV and Tuberculosis, 1600 Clifton Rd, NE, Atlanta, GA, 30329, USA. hxv8@cdc.gov.ORCID http://orcid.org/0000-0001-6754-6241
Kelsey CoyUS Centers for Disease Control and Prevention, Division of Global HIV and Tuberculosis, 1600 Clifton Rd, NE, Atlanta, GA, 30329, USA.
Steven G BadmanKirby Institute, UNSW Sydney, Wallace Wurth Building, High St, Kensington, NSW, 2052, Australia.
Barne WilliePapua New Guinea Institute of Medical Research, Homat Street, Goroka, Eastern Highlands Province, 441, Papua New Guinea.
Rebecca NarokobiPapua New Guinea Institute of Medical Research, Homat Street, Goroka, Eastern Highlands Province, 441, Papua New Guinea.
Josephine GabuzziPapua New Guinea Institute of Medical Research, Homat Street, Goroka, Eastern Highlands Province, 441, Papua New Guinea.
Simon PekonPapua New Guinea National Department of Health, AOPI Centre, Waigani Drive, P O Box 807, Waigani, Port Moresby, National Capital District, 131, Papua New Guinea.
Martha KupulPapua New Guinea Institute of Medical Research, Homat Street, Goroka, Eastern Highlands Province, 441, Papua New Guinea.
Parker HouPapua New Guinea Institute of Medical Research, Homat Street, Goroka, Eastern Highlands Province, 441, Papua New Guinea.
Herick AenoPapua New Guinea Institute of Medical Research, Homat Street, Goroka, Eastern Highlands Province, 441, Papua New Guinea.
Ruthy Neo BoliPapua New Guinea Institute of Medical Research, Homat Street, Goroka, Eastern Highlands Province, 441, Papua New Guinea.
Joshua NembariPapua New Guinea Institute of Medical Research, Homat Street, Goroka, Eastern Highlands Province, 441, Papua New Guinea.
Sophie AsePapua New Guinea Institute of Medical Research, Homat Street, Goroka, Eastern Highlands Province, 441, Papua New Guinea.
Angelyne AmosPapua New Guinea Institute of Medical Research, Homat Street, Goroka, Eastern Highlands Province, 441, Papua New Guinea.
Nick DalaPapua New Guinea National Department of Health, AOPI Centre, Waigani Drive, P O Box 807, Waigani, Port Moresby, National Capital District, 131, Papua New Guinea.
Damian WeikumUS Centers for Disease Control and Prevention, Division of Global HIV and Tuberculosis, 1600 Clifton Rd, NE, Atlanta, GA, 30329, USA.
Steven CallensUniversity of Ghent, Sint-Pietersnieuwstraat 25, 9000, Ghent, East Flanders, Belgium.
John M KaldorKirby Institute, UNSW Sydney, Wallace Wurth Building, High St, Kensington, NSW, 2052, Australia.
Andrew J VallelyKirby Institute, UNSW Sydney, Wallace Wurth Building, High St, Kensington, NSW, 2052, Australia.
Angela Kelly-HankuKirby Institute, UNSW Sydney, Wallace Wurth Building, High St, Kensington, NSW, 2052, Australia.
Kauntim mi tu Study Team
Papua New Guinea Institute of Medical Research · PGCenters for Disease Control and Prevention · USUNSW Sydney · AUNational Department of Health · PG

Funding

CGH CDC HHS U2G GH001531
6 · The paper itself

Abstract

backgroundBiobehavioral data about men who have sex with men (MSM) and transgender women (TGW) in Papua New Guinea (PNG) are limited to those who sell sex. Information about those MSM and TGW who do not sell sex is necessary to guide HIV prevention and treatment efforts.

methodsWe conducted respondent-driven sampling (RDS) surveys among MSM and TGW in Port Moresby, Lae, and Mt. Hagen, PNG from in 2016 and 2017. Eligibility criteria was: aged > 12 years, born male, could speak English or Tok Pisin and had oral or anal sex with another person born male in the past 6 months. Participants were interviewed face-to-face and offered rapid HIV testing. Weighted data analysis was conducted using RDS-Analyst (v. 0.62).

resultsWe enrolled 400 participants in Port Moresby, 352 in Lae, and 111 in Mt. Hagen. In the last six months, 73.2% of MSM/TGW in Port Moresby, 77.9% in Lae, and 75.9% in Mt. Hagen, had a concurrent sexual partnership. Upwards of 70% of MSM/TGW in all three cities had sex with a woman in the same period. Less than half of MSM/TGW had ever tested for HIV. HIV prevalence among MSM/TGW was 8.5% in Port Moresby and 6.9% in Lae. Among participants in Mt. Hagen it was 1.3%. HIV was associated with not having sex with a woman in the last six months and sexually transmitted disease symptoms in the last 12 months in Port Moresby and Lae. In Port Moresby, it was also associated with an uncut foreskin, and in Lae with earning income in the formal sector and being unable to rely on other MSM or TGW to accompany them to healthcare services.

conclusionsThe large proportion of MSM and TGW with concurrent sexual partnerships, combined with the low testing coverage, indicates strong potential for the spread of HIV. The different correlates of HIV in Port Moresby and Lae highlight the importance of conducting surveys in multiple locations and using data to develop locally appropriate interventions even within a country.

Indexed as

AdolescentAdultCitiesFemaleHIVHIV InfectionsHomosexuality, MaleHumansMaleMass ScreeningMiddle AgedPapua New GuineaPrevalenceSexual and Gender MinoritiesSexual BehaviorSexually Transmitted DiseasesHIV correlatesMen who have sex with menPapua New GuineaRespondent-drivensampling.Transgender women

Identifiers

PMID31117978
PMCPMC6532262
OpenAlexW2945922173

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.