Evidence map›Paper›PMID 32886722›Full record

ArticlePloS one2020

Oral sex practices among men who have sex with men and transgender women at risk for and living with HIV in Nigeria.

Sarah J Robbins, Wuese Dauda, Afoke Kokogho, Nicaise Ndembi, Andrew Mitchell, Sylvia Adebajo, Charlotte A Gaydos, Sheila Peel, Habib O Ramadhani, Merlin L Robb and 6 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 18% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. International journal of transgender health · 2026
    Article
  5. Article
  6. Article
  7. Transactional Sex and its Drivers among Men Who Have Sex with Men in Plateau State North Central Nigeria.Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine · 2025
    Article
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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 at 5 institutions in 2 countries.

Sarah J RobbinsInstitute of Human Virology, University of Maryland School of Medicine, Baltimore, MD, United States of America.
Wuese DaudaInstitute of Human Virology Nigeria, Abuja, Nigeria.
Afoke KokoghoHJF Medical Research International, Abuja, Nigeria.
Nicaise NdembiInstitute of Human Virology, University of Maryland School of Medicine, Baltimore, MD, United States of America.
Andrew MitchellInstitute of Human Virology, University of Maryland School of Medicine, Baltimore, MD, United States of America.
Sylvia AdebajoMaryland Global Initiatives Corporation- A University of Maryland Baltimore Affiliate, Abuja, Nigeria.
Charlotte A GaydosJohns Hopkins University School of Medicine, Baltimore, MD, United States of America.
Sheila PeelU.S. Military HIV Research Program, Walter Reed Army Institute of Research, Silver Spring, MD, United States of America.
Habib O RamadhaniInstitute of Human Virology, University of Maryland School of Medicine, Baltimore, MD, United States of America.
Merlin L RobbU.S. Military HIV Research Program, Walter Reed Army Institute of Research, Silver Spring, MD, United States of America.
Stefan D BaralJohns Hopkins School of Public Health, Baltimore, MD, United States of America.
Julie A AkeU.S. Military HIV Research Program, Walter Reed Army Institute of Research, Silver Spring, MD, United States of America.
Man E CharuratInstitute of Human Virology, University of Maryland School of Medicine, Baltimore, MD, United States of America.
Trevor A CrowellU.S. Military HIV Research Program, Walter Reed Army Institute of Research, Silver Spring, MD, United States of America.ORCID 0000-0001-5947-265X
Rebecca G NowakInstitute of Human Virology, University of Maryland School of Medicine, Baltimore, MD, United States of America.ORCID 0000-0001-8404-4569
TRUST/RV368 Study Group
University of Maryland, Baltimore · USWalter Reed Army Institute of Research · USHenry M. Jackson Foundation · USJohns Hopkins University · USInstitute of Human Virology · NG

Funding

NRSA Training CoreTL1TR003100 · NCATS · JOHNS HOPKINS UNIVERSITY · PI SAHA, SOMNATH · 2019 to 2023
$4.5M
Validation of Stigma Metrics for Marginalized Men R01MH110358 · NIMH · JOHNS HOPKINS UNIVERSITY · PI BARAL, STEFAN DAVID · 2017 to 2021
$3.6M
Building TRUSTR01AI120913 · NIAID · UNIVERSITY OF MARYLAND BALTIMORE · PI CHARURAT, MANHATTAN E · 2015 to 2019
$3.3M
TRUSTR01MH099001 · NIMH · UNIVERSITY OF MARYLAND BALTIMORE · PI CHARURAT, MANHATTAN E · 2012 to 2014
$2.9M
Epidemiology Research Training for Public Health Impact in Nigeria (Epi-Nigeria)D43TW010051 · FIC · UNIVERSITY OF MARYLAND BALTIMORE · PI ABIMIKU, ALASH'LE G., CHARURAT, MANHATTAN E · 2016 to 2020
$1.5M
Role of anal microbiota, local cytokines and HIV in persistence of high-risk human papillomavirusK07CA225403 · NCI · UNIVERSITY OF MARYLAND BALTIMORE · PI NOWAK, REBECCA G. · 2018 to 2022
$677k
FIC NIH HHS D43 TW010051NCATS NIH HHS TL1 TR003100NCI NIH HHS K07 CA225403NIAID NIH HHS R01 AI120913NIMH NIH HHS R01 MH099001NIMH NIH HHS R01 MH110358PEPFAR
6 · The paper itself

Abstract

backgroundMen who have sex with men (MSM) and transgender women (TGW) are at risk for sexually transmitted infections (STIs), including those of the oropharynx. We estimated the prevalence and factors associated with oral sex practices and characterized oropharyngeal STIs among a cohort of MSM and TGW in Nigeria.

methodsFrom 2013 to 2018, TRUST/RV368 recruited MSM and TGW into HIV/STI diagnosis and treatment at community-based clinics in Nigeria. Participants who completed HIV testing and oral sex questions at enrollment were selected. Cross-sectional analyses with bivariate and multivariable logistic regression models estimated odds ratios (ORs) and 95% confidence intervals (CIs). Oropharyngeal swab testing for Neisseria gonorrhoeae (NG) and Chlamydia trachomatis (CT) began in 2014 and for those with diagnostic results at enrollment, the unadjusted association of oral sex practices with oropharyngeal STIs was conducted.

resultsA total of 1342 participants had a median age of 25 years (interquartile range: 22-29), 58% were living with HIV, and 69% reported oral sex practices. Factors associated with increased odds of engaging in oral sex included living with HIV (adjusted [a]OR: 1.4, 95% CI: 1.1-1.8), self-identifying as a woman (aOR:1.8, 95% CI: 1.1-2.8), mobile phone ownership (aOR:2.3, 95% CI: 1.3-3.9), receptive anal sex (aOR:1.7, 95% CI:1.3-2.3) and multiple male sexual partners (2 to 4 vs. ≤1, aOR:1.5, 95% CI: 1.0-2.2; 5+ vs ≤1, aOR:2.9, 95% CI:1.9-4.3). Oropharyngeal STI prevalence was 7% (52/752) and higher among those who engaged in oral sex compared to those who did not (unadjusted OR: 2.5, 95% CI:1.2-5.3).

conclusionsOral sex was common and associated with an increased odds of oropharyngeal STIs among MSM and TGW from Nigeria. In the absence of screening and treatment guidelines, condoms continue to be the mainstay for oral STI prevention. A pre-exposure prophylaxis for bacterial STIs would complement current prevention strategies to curb transmission.

Indexed as

AdolescentAdultChlamydia trachomatisCohort StudiesCross-Sectional StudiesFemaleHIV InfectionsHomosexuality, MaleHumansMaleMiddle AgedNeisseria gonorrhoeaeNigeriaRiskSexual BehaviorTransgender Persons

Identifiers

PMID32886722
PMCPMC7473579
OpenAlexW3083558939

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.