Evidence map›Paper›PMID 31258000›Full record

ArticleGlobal public health2019

Viral suppression among persons living with HIV in Trinidad & Tobago: Implications for targeted prevention programmes.

R Jeffrey Edwards, Elena Cyrus, Chintan Bhatt, Nyla Lyons, Leon-Omari Lavia, Gregory Boyce

Abstract read
In one paragraph

Article in Global public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. The HIV Epidemic in South Africa: Key Findings from 2017 National Population-Based Survey.International journal of environmental research and public health · 2022
    Article
  5. Psoriasis in Patients Attending a Large HIV Clinic in Trinidad.Medical sciences (Basel, Switzerland) · 2022
    Article
  6. Article
  7. Article
  8. Article
  9. Evaluating Barriers to Viral Suppression among People with HIV in Santiago, Dominican Republic.Journal of the International Association of Providers of AIDS Care
    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

6 authors.

R Jeffrey EdwardsMedical Research Foundation of Trinidad and Tobago , Port of Spain , Trinidad and Tobago.ORCID 0000-0002-4392-8998
Elena CyrusDepartment of Epidemiology, Robert Stempel College of Public Health & Social Work, Florida International University , Miami , FL , USA.
Chintan BhattDepartment of Health Promotion and Disease Prevention, Robert Stempel College of Public Health & Social Work, Florida International University , Miami , FL , USA.
Nyla LyonsMedical Research Foundation of Trinidad and Tobago , Port of Spain , Trinidad and Tobago.
Leon-Omari LaviaMedical Research Foundation of Trinidad and Tobago , Port of Spain , Trinidad and Tobago.
Gregory BoyceMedical Research Foundation of Trinidad and Tobago , Port of Spain , Trinidad and Tobago.

Funding

To Reach Unrestricted Services for Transgender Women (TRUST)R00DA046311 · NIDA · UNIVERSITY OF CENTRAL FLORIDA · PI CYRUS, ELENA · 2020 to 2022
$747k
To Reach Unrestricted Services for Transgender Women (TRUST)K99DA046311 · NIDA · FLORIDA INTERNATIONAL UNIVERSITY · PI CYRUS, ELENA · 2018 to 2019
$339k
NIDA NIH HHS K99 DA046311NIDA NIH HHS R00 DA046311
6 · The paper itself

Abstract

In Trinidad and Tobago, despite persons living with HIV (PLHIV) having access to subsidised treatment and care, only 47% PLHIV attain viral suppression. The study assessed the role of individual-level factors on viral suppression among PLHIV in Trinidad and Tobago. Data from 9,629 PLHIV who attended an HIV clinic between 2016 and 2018 were analysed. Cases were aged ≥18 who met the CDC HIV case definition. Viral suppression defined as a viral load of <200 copies/ml at last assessment. The chi-square test of association determined statistically significant relationships between individual factors and viral suppression. Logistic regression was used to estimate odds ratios (OR) for viral suppression. PLHIV who were males (OR = 0.76, 95% CI 0.67-0.87), men who have sex with men (MSM) (OR = 0.82, 95% CI 0.67-0.99), single/unmarried (OR = 0.69, 95% CI 0.55-0.87), aged 18-24 years (OR = 0.66, 95% CI 0.49-0.89), aged 25-49 years (OR = 0.81, 95% CI 0.70-0.94) were less likely to achieve viral suppression. These study findings demonstrate that retention/adherence programmes must urgently identify and target vulnerable PLHIV populations in Trinidad and Tobago to improve viral suppression. Further research examining community and societal factors, such as stigma and discrimination, is warranted.

Indexed as

Health Services AccessibilityHIV InfectionsViral LoadAdolescentAdultFemaleHomosexuality, MaleHumansMaleMiddle AgedRetrospective StudiesSexual and Gender MinoritiesTrinidad and TobagoYoung Adultindividual factorsMSMPLHIVTrinidad and TobagoViral suppression

Identifiers

PMID31258000
PMCPMC11997616

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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.