Evidence map›Paper›PMID 31490212›Full record

ArticleAIDS (London, England)2019

A modeling framework to inform preexposure prophylaxis initiation and retention scale-up in the context of 'Getting to Zero' initiatives.

Aditya S Khanna, John A Schneider, Nicholson Collier, Jonathan Ozik, Rodal Issema, Angela di Paola, Abigail Skwara, Arthi Ramachandran, Jeannette Webb, Russell Brewer and 6 more

Abstract read
In one paragraph

Article in AIDS (London, England), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 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

21 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. A Review of Network Models for HIV Spread.Journal of acquired immune deficiency syndromes (1999) · 2025
    Pooled it
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  10. DISTRIBUTED AGENT-BASED SIMULATION WITH REPAST4PY.Proceedings of the ... Winter Simulation Conference. Winter Simulation Conference · 2022
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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

16 authors.

Aditya S KhannaChicago Center for HIV Elimination.
John A SchneiderChicago Center for HIV Elimination.
Nicholson CollierConsortium for Advanced Science and Engineering, The University of Chicago, Chicago, Illinois.
Jonathan OzikConsortium for Advanced Science and Engineering, The University of Chicago, Chicago, Illinois.
Rodal IssemaChicago Center for HIV Elimination.
Angela di PaolaCenter for Health Promotion and Prevention Research, The University of Texas Health Science Center at Houston (UTHealth), Houston, Texas.
Abigail SkwaraChicago Center for HIV Elimination.
Arthi RamachandranChicago Center for HIV Elimination.
Jeannette WebbChicago Center for HIV Elimination.
Russell BrewerChicago Center for HIV Elimination.
William CunninghamDepartment of Health Policy and Management, University of California, Los Angeles.
Charles HilliardDepartment of Psychiatry and Human Behavior, Charles R. Drew University.
Santhoshini RamaniChicago Center for HIV Elimination.
Kayo FujimotoCenter for Health Promotion and Prevention Research, The University of Texas Health Science Center at Houston (UTHealth), Houston, Texas.
Nina HarawaDepartment of Psychiatry and Human Behavior, Charles R. Drew University.
BARS Study Group and Getting to Zero IL Research Evaluation and Data (RED) Committee

Funding

UCLA Rapid, Relevant, Rigorous Implementation Science HubP30MH058107 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Nina Thawata Harawa · 1997 to 2026
$53.5M
Virology and Immunology Technology CoreP30AI117943 · NIAID · NORTHWESTERN UNIVERSITY AT CHICAGO · PI Mohamed Abdel Mohsen · 2015 to 2026
$38.4M
MSM and Substances Cohort at UCLA Linking Infections Noting Effects (MASCULINE) U01DA036267 · NIDA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI GORBACH, PAMINA MAE, SHOPTAW, STEVEN J · 2013 to 2024
$20.5M
INNOVATIVE IMPLEMENTATION RESEARCH METHODS COREP30DA027828 · NIDA · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI BROWN, C. HENDRICKS, MUSTANSKI, BRIAN · 2011 to 2020
$11.4M
HIV intervention models for criminal justice involved substance-using Black MSMR01DA039934 · NIDA · UNIVERSITY OF CHICAGO · PI FUJIMOTO, KAYO, HARAWA, NINA THAWATA · 2015 to 2019
$3.6M
MODELING COMBINATION BIOMEDICAL SUBSTANCE USE INTERVENTIONS TO INFORM A GETTING TO ZERO IMPLEMENTATION FOR BLACK MEN WHO HAVE SEX WITH MENR03DA049662 · NIDA · UNIVERSITY OF CHICAGO · PI KHANNA, ADITYA SUBHASH · 2019 to 2020
$162k
NIAID NIH HHS P30 AI117943NIDA NIH HHS P30 DA027828NIDA NIH HHS R01 DA039934NIDA NIH HHS R03 DA049662NIDA NIH HHS U01 DA036267NIMH NIH HHS P30 MH058107
6 · The paper itself

Abstract

OBJECTIVE(S): 'Getting to Zero' (GTZ) initiatives aim to eliminate new HIV infections over a projected time frame. Increased preexposure prophylaxis (PrEP) uptake among populations with the highest HIV incidence, such as young Black MSM, is necessary to accomplish this aim. Agent-based network models (ABNMs) can help guide policymakers on strategies to increase PrEP uptake.

designEffective PrEP implementation requires a model that incorporates the dynamics of interventions and dynamic feedbacks across multiple levels including virus, host, behavior, networks, and population. ABNMs are a powerful tool to incorporate these processes.

methodsAn ABNM, designed for and parameterized using data for young Black MSM in Illinois, was used to compare the impact of PrEP initiation and retention interventions on HIV incidence after 10 years, consistent with GTZ timelines. Initiation interventions selected individuals in serodiscordant partnerships, or in critical sexual network positions, and compared with a controlled setting where PrEP initiators were randomly selected. Retention interventions increased the mean duration of PrEP use. A combination intervention modeled concurrent increases in PrEP initiation and retention.

resultsSelecting HIV-negative individuals for PrEP initiation in serodiscordant partnerships resulted in the largest HIV incidence declines, relative to other interventions. For a given PrEP uptake level, distributing effort between increasing PrEP initiation and retention in combination was approximately as effective as increasing only one exclusively.

conclusionSimulation results indicate that expanded PrEP interventions alone may not accomplish GTZ goals within a decade, and integrated scale-up of PrEP, antiretroviral therapy, and other interventions might be necessary.

Indexed as

AdolescentAdultBlack or African AmericanBlack PeopleDisease Transmission, InfectiousHIV InfectionsHumansIllinoisIncidenceMaleModels, StatisticalPatient CompliancePre-Exposure ProphylaxisSexual and Gender MinoritiesTreatment OutcomeYoung Adult

Identifiers

PMID31490212
PMCPMC6760326

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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.