Evidence map›Paper›PMID 31415042›Full record

ArticleSexually transmitted diseases2019

Sexually Transmitted Infections Detected During and After Incarceration Among People with Human Immunodeficiency Virus: Prevalence and Implications for Screening and Prevention.

Demi Krieger, Caroline Abe, Alexandra Pottorff, Xilong Li, Josiah Rich, Ank E Nijhawan

Open access · greenAbstract read
In one paragraph

Article in Sexually transmitted diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 28% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Syphilis Screening and Treatment at a Large Urban Jail.Sexually transmitted diseases · 2025
    Article
  5. Article
  6. Review
  7. Article
  8. 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 at 3 institutions in 1 country.

Demi KriegerFrom the University of Texas Southwestern Medical Center, Dallas, TX.
Caroline AbeFrom the University of Texas Southwestern Medical Center, Dallas, TX.
Alexandra PottorffFrom the University of Texas Southwestern Medical Center, Dallas, TX.
Xilong LiDepartment of Clinical Sciences, University of Texas Southwestern Medical Center, Dallas, TX.
Josiah RichDepartment of Internal Medicine and Epidemiology, Warren Alpert Medical School of Brown University, Providence, RI.
Ank E NijhawanDepartment of Clinical Sciences, University of Texas Southwestern Medical Center, Dallas, TX.
The University of Texas Southwestern Medical Center · USBrown University · USParkland Health & Hospital System · US

Funding

NORTH AND CENTRAL TEXAS CTSA FOR PEDIATRIC RESEARCHUL1RR024982 · NCRR · UT SOUTHWESTERN MEDICAL CENTER · PI TOTO, ROBERT DANIEL · 2007 to 2011
$27.9M
UT Southwestern Center for Translational Medicine (UL1/KL2/TL1)UL1TR001105 · NCATS · UT SOUTHWESTERN MEDICAL CENTER · PI TOTO, ROBERT DANIEL · 2013 to 2017
$24.5M
Project 4: Neonatal Abstinence Syndrome (NAS): Fetus to First YearsP20GM125507 · NIGMS · RHODE ISLAND HOSPITAL · PI Brandon David Lewis Marshall · 2018 to 2026
$23.4M
Improving Linkage to HIV Care Following Release from IncarcerationR01DA030778 · NIDA · MIRIAM HOSPITAL · PI RICH, JOSIAH D, SOLOMON, LIZA · 2010 to 2014
$4.0M
Testing a Community-Friendly Risk Reduction Intervention for Injection Drug UsersR01DA022122 · NIDA · UNIVERSITY OF CONNECTICUT STORRS · PI COPENHAVER, MICHAEL · 2006 to 2010
$2.3M
A Community-Clinic Collaboration to Improve Outcomes in HIV+ Substance Users Released from JailR34DA045592 · NIDA · UT SOUTHWESTERN MEDICAL CENTER · PI NIJHAWAN, ANK ELISABETH · 2018 to 2020
$729k
Reducing Readmissions and Improving Outcomes in HIV-Infected PatientsK23AI112477 · NIAID · UT SOUTHWESTERN MEDICAL CENTER · PI NIJHAWAN, ANK ELISABETH · 2015 to 2018
$703k
NCATS NIH HHS UL1 TR001105NCRR NIH HHS UL1 RR024982NIAID NIH HHS K23 AI112477NIDA NIH HHS R01 DA022122NIDA NIH HHS R01 DA030778NIDA NIH HHS R34 DA045592NIGMS NIH HHS P20 GM125507
6 · The paper itself

Abstract

backgroundIncarceration and human immunodeficiency virus (HIV) are associated with sexually transmitted infections (STIs); however, little is known about STI prevalence among people living with HIV (PLWH) during and after incarceration.

methodsElectronic medical records from the Dallas County Jail and community HIV clinics were reviewed to determine the frequency and results of testing for gonorrhea, chlamydia, syphilis, and hepatitis B virus (HBV) among PLWH incarcerated in Dallas County Jail between 2010 and 2013. HIV viral loads (VL) and evidence of STI symptoms and treatment were also collected.

resultsDuring 2473 incarcerations, 6 (3%) of 190 tests were positive for gonorrhea, 7 (4%) of 190 for chlamydia, 231 (21%) of 1082 for syphilis, of which 53 (23%) were new diagnoses, and 48 (5%) of 1005 for HBV surface antigen. Among 1631 releases to the community, 808 followed up in community clinics, where 21 (4%) 553 tests were positive for gonorrhea, 23 (4%) of 555 for chlamydia, 150 (19%) of 808 for syphilis, of which 31 (21%) were new diagnoses, and 24 (6%) of 421 for HBV surface antigen. The majority of new STI cases, 51 (80%) of 64 in jail and 43 (77%)of 56 in the community, had a concurrent detectable (>200 copies/mL) HIV VL.

conclusionsTesting for gonorrhea and chlamydia was low, particularly in jail, which was attributed to testing protocols. High proportions of PLWH tested positive for syphilis and HBV infection in both settings. The majority of patients with active STIs had a detectable HIV VL. Routine, opt-out screening for STIs for PLWH during and after incarceration has the potential to identify a high proportion of STIs and improve secondary HIV prevention.

Indexed as

Mass ScreeningAdultChlamydia InfectionsElectronic Health RecordsFemaleGonorrheaHepatitis BHIV InfectionsHumansMaleMiddle AgedPrevalencePrisonersPrisonsRetrospective StudiesSexually Transmitted Diseases

Identifiers

PMID31415042
PMCPMC6702963
OpenAlexW2949196529

What OpenQuestion holds

Textmetadata
LicenceTDM
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.