Evidence map›Paper›PMID 32112538›Full record

ArticleJournal of the International AIDS Society2020

HIV incidence and factors associated with testing positive for HIV among men who have sex with men and transgender women in Myanmar: data from community-based HIV testing services.

Vanessa Veronese, Michael Traeger, Zaw M Oo, Thet T Tun, Nwe N Oo, Htay Maung, Chad Hughes, Alisa Pedrana, Mark Stoové

Open access · goldAbstract read
In one paragraph

Article in Journal of the International AIDS Society, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.2field-weighted citation impact, top 36% 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

7 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Observational
  6. Article
  7. 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

9 authors at 4 institutions in 4 countries.

Vanessa VeroneseDisease Elimination Program, Burnet Institute, Melbourne, Australia.ORCID 0000-0003-3523-3237
Michael TraegerDisease Elimination Program, Burnet Institute, Melbourne, Australia.
Zaw M OoBurnet Institute Myanmar, Yangon, Myanmar.
Thet T TunMarie Stopes, Yangon, Myanmar.
Nwe N OoMyanmar Business Coalition on AIDS, Yangon, Myanmar.
Htay MaungMyanmar Business Coalition on AIDS, Yangon, Myanmar.
Chad HughesDisease Elimination Program, Burnet Institute, Melbourne, Australia.
Alisa PedranaDisease Elimination Program, Burnet Institute, Melbourne, Australia.
Mark StoovéDisease Elimination Program, Burnet Institute, Melbourne, Australia.
Burnet Institute · AURafiki Coalition · USMarie Stopes International · GBUniversity Of Medicine 1 Yangon · MM

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIn Myanmar, men who have sex with men (MSM) and transgender women (TW) are disproportionately affected by HIV, despite national HIV program scale-up. However, limited HIV surveillance capacity prevents monitoring of epidemic trends and program impact. This study aimed to estimate HIV prevalence and incidence and explore associated sexual risk behaviours among MSM and TW clients attending HIV testing clinics in Myanmar.

methodsAn electronic data management system was implemented in two community-based, MSM and TW -tailored HIV testing clinics in Myanmar in August 2016. Unique client identifiers enabled prospective monitoring of service engagement, testing frequency and outcomes. We estimated HIV incidence and rate of HIV diagnosis at baseline testing visit among clients over a 15 month period. Correlates of HIV diagnoses were identified using multivariable logistic regression.

results2794 MSM and TW were tested for HIV. At their baseline test, 38% of clients reported any previous testing and 93% reported being sexually active over the previous three months, with 74% reporting sex with casual male partners and 28% reporting consistent condom use with casual partners. 291 clients tested positive for HIV for the first time at baseline (10.4%; 95% CI: 9.3 to 11.6). Twelve incident cases were detected among 279 clients receiving ≥2 tests (incidence = 10.1 per 100 person-years; 95% CI: 5.73 to 17.8). HIV diagnosis at baseline was significantly associated with being a transgender woman or a non-openly disclosing man who has sex with men, age 26 to 39 years, and reporting no testing history.

conclusionsHigh HIV incidence and new diagnoses being associated with reporting no testing history points to undiagnosed HIV driving transmissions in Myanmar. Repeat testing was uncommon. HIV programs in Myanmar must focus on promoting frequent HIV testing alongside adequate coverage of education and primary prevention interventions among MSM and TW.

Indexed as

Sexual and Gender MinoritiesTransgender PersonsAdolescentAdultFemaleHIV InfectionsHomosexuality, MaleHumansIncidenceLogistic ModelsMaleMiddle AgedMyanmarPrevalenceProspective StudiesSexual BehaviorHIV epidemiologyHIV preventionHIV testingmen who have sex with menMyanmartransgender women

Identifiers

PMID32112538
PMCPMC7048670
OpenAlexW3007695975

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.