Evidence map›Paper›PMID 31158312›Full record

Trial reportTransfusion2019

Social and behavioral characteristics of male blood donors and their sexual partners: an analysis to define risk subsets.

Tassila Salomon, Isabel Gomes, Mina Cintho Ozahata, Carlos Henrique Valente Moreira, Claudia Di Lorenzo Oliveira, Thelma T Gonçalez, Maria Esther Duarte, Carolina Miranda, Anna Bárbara Carneiro Proietti, Ester Sabino and 3 more

Abstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Transfusion, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

1 citing paper in PubMed.

  1. 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

13 authors.

Tassila SalomonThe Department is GDTC (Technical-Scientific Development Management), Hemominas, Minas Gerais, Brazil.ORCID https://orcid.org/0000-0002-8123-3118
Isabel GomesFaculdade Ciências Médicas, Belo Horizonte, Minas Gerais, Brazil.
Mina Cintho OzahataDepartment of Infectology, University of São Paulo, São Paulo, São Paulo, Brazil.
Carlos Henrique Valente MoreiraInstitute of Infectology Emílio Ribas, São Paulo, São Paulo, Brazil.
Claudia Di Lorenzo OliveiraFederal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
Thelma T GonçalezVitalant Research Institute and University of California San Francisco, San Francisco, California.
Maria Esther DuarteDepartment of Hemotherapy Technical Coordinationno, Hemorio, Rio de Janeiro, Brazil.
Carolina MirandaThe Department is GDTC (Technical-Scientific Development Management), Hemominas, Minas Gerais, Brazil.
Anna Bárbara Carneiro ProiettiThe Department is GDTC (Technical-Scientific Development Management), Hemominas, Minas Gerais, Brazil.
Ester SabinoInstitute of Tropical Medicine, University of São Paulo, São Paulo, São Paulo, Brazil.
Cesar de Almeida NetoHead of the Department Immunhematology Quality Control, Fundação Pró-Sangue - Hemocentro de São Paulo, São Paulo, São Paulo, Brazil.
Brian CusterVitalant Research Institute and University of California San Francisco, San Francisco, California.
NHLBI Retrovirus Epidemiology Donor Study-II (REDS-II), International Component

Funding

Int'l Traineeships in AIDS Prevention Studies (ITAPS)R25MH064712 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI LINDAN, CHRISTINA P · 2002 to 2018
$3.4M
International Traineeships in AIDS Prevention Studies (ITAPS)R25MH123256 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI CHRISTINA P LINDAN · 2020 to 2026
$1.8M
NHLBI NIH HHS HHSN268200417175CNIMH NIH HHS R25 MH064712NIMH NIH HHS R25 MH123256
6 · The paper itself

Abstract

backgroundMen who have sex with men in Brazil are deferred from donation for 1 year since their last sexual contact. Legal proceedings in front of the Brazilian Supreme Court could compel blood collection agencies to discontinue use of sexual orientation questions.

methodsData from male participants in a completed HIV risk factor case-control study were used to evaluate whether it is possible to differentiate donors at lower and higher risk for HIV using two analytical approaches: latent class and random forest analyses.

resultsMale blood donors were divided into three distinct risk profile classes. Class 1 includes donors who are heterosexual (96.4%), are HIV negative (88.7%), have a main partner (99.4%), and practice unprotected sex (77.8%). Class 2 includes donors who are men who have sex with men /bisexuals' (100.0%), are HIV positive (97.4%), and were not aware of their sexual partners' HIV status (80.3%). Class 3 includes donors who are heterosexual (84.1%), practice unprotected vaginal/anal heterosexual sex (66.8% vs. 40.9%), and were both HIV positive and HIV negative (49.5% vs. 50.5%). We also found that asking donors about their partner(s)' HIV serostatus could replace asking about donors' sexual orientation and types of partners with relatively minor shifts in sensitivity (0.76 vs. 0.58), specificity (0.89 vs. 0.94), and positive predictive value (0.85 vs. 0.88).

conclusionSexual orientation questions on the donor questionnaire could be replaced without great loss in the sensitivity, specificity, and positive predictive value. Social and sexual behaviors of donors and their partners are proxies for HIV risk and can help to develop modified questions that will need controlled trials to be validated.

Indexed as

Blood DonorsDonor SelectionHeterosexualityHIV SeropositivityHomosexuality, MaleSexual and Gender MinoritiesSurveys and QuestionnairesUnsafe SexAdultBrazilFemaleHIV SeronegativityHumansMale

Identifiers

PMID31158312
PMCPMC6679786

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Registered trials

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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.