Evidence map›Paper›PMID 33902499›Full record

ArticleBMC public health2021

HIV incidence and sexual behavioral correlates among 4578 men who have sex with men (MSM) in Chengdu, China: a retrospective cohort study.

Xinyi You, Stuart Gilmour, Wangnan Cao, Joseph Tak-Fai Lau, Chun Hao, Jing Gu, Phuong Mai Le, Liping Peng, Dannuo Wei, Yang Deng and 5 more

Open access · goldAbstract read
In one paragraph

Article in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
1.1field-weighted citation impact, top 19% 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

21 citing papers in PubMed, 28 citations in OpenAlex.

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  17. Time to consider elimination of HIV in China.The Lancet regional health. Western Pacific · 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

15 authors at 5 institutions in 4 countries.

Xinyi You *School of Public Health, Sun Yat-sen University (North Campus), No.74, Zhongshan second road, Guangzhou, China.
Stuart Gilmour *Graduate School of Public Health, St. Luke's International University, Tokyo, Japan.
Wangnan CaoCenter for Evidence Synthesis in Health, School of Public Health, Brown University, Providence, RI, USA.
Joseph Tak-Fai LauCentre for Health Behaviours Research, JC School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China.
Chun HaoSchool of Public Health, Sun Yat-sen University (North Campus), No.74, Zhongshan second road, Guangzhou, China. haochun@mail.sysu.edu.cn.
Jing GuSchool of Public Health, Sun Yat-sen University (North Campus), No.74, Zhongshan second road, Guangzhou, China.
Phuong Mai LeGraduate School of Public Health, St. Luke's International University, Tokyo, Japan.
Liping PengSchool of Public Health, Sun Yat-sen University (North Campus), No.74, Zhongshan second road, Guangzhou, China.
Dannuo WeiSchool of Public Health, Sun Yat-sen University (North Campus), No.74, Zhongshan second road, Guangzhou, China.
Yang DengSchool of Public Health, Sun Yat-sen University (North Campus), No.74, Zhongshan second road, Guangzhou, China.
Xiaodong WangChengdu Tongle Health Consulting Service Center, Chengdu, China.
Huachun ZouSchool of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen, China.
Jibin LiDepartment of Clinical Research, Sun Yat-sen University Cancer Center; State Key Laboratory of Oncology in South China; Collaborative Innovation Center for Cancer Medicine, Guangzhou, China.
Yuantao HaoSchool of Public Health, Sun Yat-sen University (North Campus), No.74, Zhongshan second road, Guangzhou, China.
Jinghua LiSchool of Public Health, Sun Yat-sen University (North Campus), No.74, Zhongshan second road, Guangzhou, China. lijinghua3@mail.sysu.edu.cn.ORCID 0000-0002-9571-7359
Sun Yat-sen University · CNSt. Luke's International University · JPBrown University · USChinese University of Hong Kong · HKPublic Health Clinical Center of Chengdu · CN

Funding

National Major Science and Technology Projects of China 2018ZX10715004National Natural Science Foundation of China 81803334, 71774178, 71974212Science and Technology Planning Project of Guangdong Province (CN) 2017A020212006Science and Technology Research Project of Guangzhou 201607010332, 201607010368
6 · The paper itself

Abstract

backgroundThe prevalence of HIV among men who have sex with men (MSM) in southwest China is still increasing. This study aimed to investigate the trend in HIV incidence and its associated risk factors among MSM in Chengdu, China.

methodIncidence data were collected from the largest local non-governmental organization (NGO) serving MSM in Chengdu between 2012 and 2018, while information on sexual behaviors was collected from 2014. All MSM who received voluntary counseling and testing services (VCT) in the collaborating NGO at least twice during the study period were included. We calculated the HIV incidence density among MSM every 2 years and the overall incidence rate. A Cox proportional hazards regression model was employed to identify risk factors for HIV infection.

resultA total of 4578 HIV-negative participants were included in the cohort. The total incidence density was 5.95 (95% CI: 5.37-6.56)/100 person-years (PYs) between 2012 and 2018. The segmented incidence density was 9.02 (95% CI: 7.46-10.78), 5.85 (95% CI: 4.86-6.97), 5.43 (95% CI: 4.53-6.46), and 3.09 (95% CI: 2.07-4.41)/100 PYs in 2012-2013, 2014-2015, 2016-2017, and 2018, respectively. After adjusting for sociodemographic characteristics, compared to participants without sexual partners within 6 months, MSM with one fixed partner (Adjusted Hazard Ratio, AHR = 1.18, 95% CI: 0.44-3.19) and more than five partners (AHR = 2.24, 95% CI: 0.81-6.20) had increased risk of HIV infection. MSM who used condom inconsistently had a higher risk of HIV infection (AHR = 1.87, 95% CI: 1.46-2.38) compared to consistent condom users.

conclusionThe decreased HIV incidence density among MSM was potentially related to the successful comprehensive HIV prevention strategies in Chengdu. Multiple male sexual partnerships and inconsistent condom use during anal intercourse were risk factors associated with HIV occurrence.

Indexed as

HIV InfectionsSexual and Gender MinoritiesChinaCohort StudiesHomosexuality, MaleHumansIncidenceMaleRetrospective StudiesRisk FactorsSexual BehaviorSexual PartnersCohort studiesHIV/AIDSIncidenceMen who have sex with menSexual behavior

Identifiers

PMID33902499
PMCPMC8077884
OpenAlexW3157833924

What OpenQuestion holds

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LicenceCC BY
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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.