Evidence map›Paper›PMID 32871863›Full record

ArticleMedicine2020

Substance use and risk of HIV infection among Men who have Sex with Men in India: Analysis of National IBBS data, India.

Pradeep Kumar, Santhakumar Aridoss, Malathi Mathiyazhakan, Ganesh Balasubramanian, Nagaraj Jaganathasamy, Manikandan Natesan, Padmapriya V M, Joseph K David, Shobini Rajan, Rajatashuvra Adhikary and 1 more

Abstract read
In one paragraph

Article in Medicine, 2020. 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
–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

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

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
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  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

11 authors.

Pradeep KumarNational AIDS Control Organization, Ministry of Health and Family Welfare, Government of India, New Delhi.
Santhakumar AridossICMR-National Institute of Epidemiology, TNHB, Ayapakkam, Chennai, Tamil Nadu, India.
Malathi MathiyazhakanICMR-National Institute of Epidemiology, TNHB, Ayapakkam, Chennai, Tamil Nadu, India.
Ganesh BalasubramanianICMR-National Institute of Epidemiology, TNHB, Ayapakkam, Chennai, Tamil Nadu, India.ORCID 0000-0002-1978-2650
Nagaraj JaganathasamyICMR-National Institute of Epidemiology, TNHB, Ayapakkam, Chennai, Tamil Nadu, India.
Manikandan NatesanICMR-National Institute of Epidemiology, TNHB, Ayapakkam, Chennai, Tamil Nadu, India.
Padmapriya V MICMR-National Institute of Epidemiology, TNHB, Ayapakkam, Chennai, Tamil Nadu, India.
Joseph K DavidProcrea Fertility Centre, 955 Major Mackenzie Drive West, Vaughan, Ontario, Canada.
Shobini RajanNational AIDS Control Organization, Ministry of Health and Family Welfare, Government of India, New Delhi.
Rajatashuvra AdhikaryWHO India Country Office, New Delhi, India.
Elangovan ArumugamICMR-National Institute of Epidemiology, TNHB, Ayapakkam, Chennai, Tamil Nadu, India.ORCID 0000-0003-4491-7171

Funding

World Health Organization 001
6 · The paper itself

Abstract

HIV prevalence is higher among Men who have Sex with Men (MSM), owing to their unsafe sexual behavior. Further, MSM indulge in behaviors such as consumption of alcohol/oral drugs and/or injecting during/before sex that poses the risk of unsafe behaviors, thereby increasing their vulnerability to HIV. The study aims to analyze the factors associated with HIV infection among the multi-risk MSM using any substances with those MSM who do not use substances.Community-based cross-sectional survey design using probability-based sampling between October 2014 and November 2015.For the nation-wide Integrated Biological and Behavioral Surveillance (IBBS), 23,081 MSM were recruited from 4067 hotspots in 108 districts across India. Information on demographics, sexual behaviors, substance use, sexual partners, and awareness on HIV and its management was collected from the consented respondents using computer-assisted personal interview (CAPI) by trained personnel. Blood samples were tested for HIV. Statistical analyses were done, to study the associations between substance use and its influence on high-risk sexual behaviors and HIV infection.One in 3 MSM (33.88%) in India were substance users, thus exhibiting "multi-risk" (MR) behaviors. Significantly higher HIV prevalence (3.8%, P < .05) was reported among MR-MSM, despite 97.2% of them being aware of HIV. Higher HIV prevalence among MSM exhibiting homosexual behavior for ≤1 year is of specific concern, as this accounts to recent infections and indicates the increased vulnerability of the infection among the new entrants.Substance-use resulting in high-risk sexual behavior was significantly associated with higher HIV prevalence among MR-MSM. Integrated targeted interventions focusing on safe sex and safe-IDU practices among MR-MSM are required to end the disease transmission.

Indexed as

AdolescentAdultAlcohol DrinkingAwarenessCross-Sectional StudiesDrug UsersHIV InfectionsHomosexuality, MaleHumansIndiaMalePrevalenceRisk-TakingSexual BehaviorSexual PartnersSubstance-Related Disorders

Identifiers

PMID32871863
PMCPMC7458168

What OpenQuestion holds

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LicenceCC BY-NC
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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.