Evidence map›Paper›PMID 33389321›Full record

SynthesisAIDS and behavior2021

Change in Condom Use in Populations Newly Aware of HIV Diagnosis in the United States and Canada: A Systematic Review and Meta-Analysis.

Mohsen Malekinejad, Janet Blodgett, Hacsi Horvath, Andrea Parriott, Angela B Hutchinson, Ram K Shrestha, Devon McCabe, Paul Volberding, James G Kahn

Abstract readMeta-AnalysisSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in AIDS and behavior, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

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

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

Mohsen MalekinejadPhilip R. Lee Institute for Health Policy Studies, University of California, San Francisco, 3333 California Street, Suite 285, San Francisco, CA, 94118, USA. mmalekinejad@ucsf.edu.ORCID http://orcid.org/0000-0002-5721-6764
Janet BlodgettPhilip R. Lee Institute for Health Policy Studies, University of California, San Francisco, 3333 California Street, Suite 285, San Francisco, CA, 94118, USA.
Hacsi HorvathPhilip R. Lee Institute for Health Policy Studies, University of California, San Francisco, 3333 California Street, Suite 285, San Francisco, CA, 94118, USA.
Andrea ParriottPhilip R. Lee Institute for Health Policy Studies, University of California, San Francisco, 3333 California Street, Suite 285, San Francisco, CA, 94118, USA.
Angela B HutchinsonCenters for Disease Control and Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Division of HIV/AIDS Prevention, Atlanta, GA, USA.
Ram K ShresthaCenters for Disease Control and Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Division of HIV/AIDS Prevention, Atlanta, GA, USA.
Devon McCabePhilip R. Lee Institute for Health Policy Studies, University of California, San Francisco, 3333 California Street, Suite 285, San Francisco, CA, 94118, USA.
Paul VolberdingPhilip R. Lee Institute for Health Policy Studies, University of California, San Francisco, 3333 California Street, Suite 285, San Francisco, CA, 94118, USA.
James G KahnPhilip R. Lee Institute for Health Policy Studies, University of California, San Francisco, 3333 California Street, Suite 285, San Francisco, CA, 94118, USA.

Funding

Virology CoreP30AI027763 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MALLORY O JOHNSON · 1988 to 2026
$93.6M
Making Better Decisions: Policy Modeling for AIDS and Drug AbuseR37DA015612 · NIDA · STANFORD UNIVERSITY · PI DOUGLAS K OWENS · 2019 to 2026
$6.3M
National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention 5U38PS004649NCHHSTP CDC HHS U38 PS004649NIAID NIH HHS P30 AI027763NIDA NIH HHS R37 DA015612
6 · The paper itself

Abstract

HIV-infected individuals "aware" of their infection are more likely to use condoms, compared to HIV-infected "unaware" persons. To quantify this likelihood, we undertook a systematic review and meta-analysis of U.S. and Canadian studies. Twenty-one eligible studies included men who have sex with men (MSM; k = 15), persons who inject drugs (PWID; k = 2), and mixed populations of high-risk heterosexuals (HRH; k = 4). Risk ratios (RR) of "not always using condoms" with partners of any serostatus were lower among aware MSM (RR 0.44 [not significant]), PWID (RR 0.70) and HRH (RR 0.27); and, in aware MSM, with partners of HIV-uninfected or unknown status (RR 0.46). Aware individuals had lower "condomless sex likelihood" with HIV-uninfected or unknown status partners (MSM: RR 0.58; male PWID: RR 0.44; female PWID: RR 0.65; HRH: RR 0.35) and with partners of any serostatus (MSM only, RR 0.72). The association diminished over time. High risk of bias compromised evidence quality.

Indexed as

Drug UsersHIV InfectionsSexual and Gender MinoritiesSubstance Abuse, IntravenousCanadaCondomsFemaleHomosexuality, MaleHumansMaleSexual PartnersUnited StatesDiagnosisHIVRisk behaviorsSystematic reviewUnited states

Identifiers

PMID33389321
PMCPMC9239206

What OpenQuestion holds

Textmetadata
LicenceTDM
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.