Evidence map›Paper›PMID 31468737›Full record

ReviewJournal of the International AIDS Society2019

Sexually transmitted infections and HIV in the era of antiretroviral treatment and prevention: the biologic basis for epidemiologic synergy.

Myron S Cohen, Olivia D Council, Jane S Chen

Open access · goldAbstract readReview
In one paragraph

Review in Journal of the International AIDS Society, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 107 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
107citing papers in PubMed, 7 pooled it
8.1field-weighted citation impact, top 1% 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

107 citing papers in PubMed, 7 syntheses or guidelines pooled it, 145 citations in OpenAlex.

  1. Pooled it
  2. High rates of Treponema pallidum, Neisseria gonorrhoeae, Chlamydia trachomatis, or Trichomonas vaginalis co-infection in people with HIV: a systematic review and meta-analysis.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2025
    Pooled it
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  8. Trial
  9. Randomized controlled trial of a relationship education and HIV prevention program for young male couples: Biomedical and behavioral outcomes.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2025
    Trial
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  13. Article
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  15. HIV Transmission and Immunology of the Male Reproductive Tract.American journal of reproductive immunology (New York, N.Y. : 1989) · 2026
    Review
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47 more citing papers are in PubMed but not listed here.

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

3 authors at 2 institutions in 1 country.

Myron S CohenUNC School of Medicine, Institute for Global Health & Infectious Diseases, Chapel Hill, NC, USA.
Olivia D CouncilDepartment of Microbiology and Immunology, UNC, Chapel Hill, NC, USA.
Jane S ChenDepartment of Epidemiology, Gillings School of Global Public Health, UNC, Chapel Hill, NC, USA.
University of North Carolina at Chapel Hill · USUniversity of North Carolina Health Care · US

Funding

Virology, Immunology, and Microbiology CoreP30AI050410 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DAVID M. MARGOLIS · 2001 to 2026
$76.9M
Training in Sexually Transmitted Infections and HIVT32AI007001 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI SENA-SOBERANO, ARLENE C. · 1985 to 2025
$10.9M
Training in Infectious Disease Epidemiology (TIDE)T32AI070114 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Brian W Pence · 2007 to 2026
$4.0M
HIV IN SEMEN-EFFECTS OF STDS AND ANTIVIRAL THERAPYR37DK049381 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI COHEN, MYRON SCOTT · 2005 to 2014
$3.4M
The Compartmental Biology of HIV in the Male Genital TractR01DK108424 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI COHEN, MYRON SCOTT · 2015 to 2019
$3.0M
22nd International AIDS Conference (AIDS 2018), Amsterdam, the Netherlands, 23-27 July 2018R13AI138840 · NIAID · IAS · PI BEKKER, LINDA-GAIL GAIL, BEYRER, CHRISTOPHER C. · 2018 to 2018
$1.0M
HIV Prevention Trials Network U01-AI068619NIAID NIH HHS P30 AI050410NIAID NIH HHS R13 AI138840NIAID NIH HHS T32 AI007001NIAID NIH HHS T32 AI070114NIDDK NIH HHS R01 DK108424NIDDK NIH HHS R37 DK049381
6 · The paper itself

Abstract

introductionHIV is a unique sexually transmitted infection (STI) that is greatly affected by other concomitant "classical" bacterial and viral STIs that cause genital ulcers and/or mucosal inflammation. STIs also serve as a marker for risky sexual behaviours. STIs increase infectiousness of people living with HIV by increasing the viral concentration in the genital tract, and by increasing the potential for HIV acquisition in people at risk for HIV. In addition, some STIs can increase blood HIV concentration and promote progression of disease. This review is designed to investigate the complex relationship between HIV and classical STIs. DISCUSSION: Treatment of STIs with appropriate antibiotics reduces HIV in blood, semen and female genital secretions. However, community-based trials could not reliably reduce the spread of HIV by mass treatment of STIs. Introduction of antiretroviral agents for the treatment and prevention of HIV has led to renewed interest in the complex relationship between STIs and HIV. Antiretroviral treatment (ART) reduces the infectiousness of HIV and virtually eliminates the transmission of HIV in spite of concomitant or acquired STIs. However, while ART interrupts HIV transmission, it does not stop intermittent shedding of HIV in genital secretions. Such shedding of HIV is increased by STIs, although the viral copies are not likely replication competent or infectious. Pre-exposure prophylaxis (PrEP) of HIV with the combination of tenofovir disoproxil fumarate and emtricitabine (TDF/FTC) prevents HIV acquisition in spite of concomitant STIs.

conclusionsSTIs remain pandemic, and the availability of ART may have led to an increase in STIs, as fear of HIV has diminished. Classical STIs present a huge worldwide health burden that cannot be separated from HIV, and they deserve far more attention than they currently receive.

Indexed as

Anti-HIV AgentsGlobal HealthHIV InfectionsHumansPre-Exposure ProphylaxisSexual BehaviorSexually Transmitted DiseasesAnti-HIV AgentsacquisitionARTHIVPrEPsheddingSTDSTItransmission

Identifiers

PMID31468737
PMCPMC6715951
OpenAlexW2971268412

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.