Evidence map›Paper›PMID 33990578›Full record

ArticleNature communications2021

Using mobile phone data to reveal risk flow networks underlying the HIV epidemic in Namibia.

Eugenio Valdano, Justin T Okano, Vittoria Colizza, Honore K Mitonga, Sally Blower

Abstract read
In one paragraph

Article in Nature communications, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–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

15 citing papers in PubMed.

  1. Article
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  6. Optimizing the detection of emerging infections using mobility-based spatial sampling.International journal of applied earth observation and geoinformation : ITC journal · 2024
    Article
  7. Article
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  9. Population genomics of diarrheagenic Escherichia coli uncovers high connectivity between urban and rural communities in Ecuador.Infection, genetics and evolution : journal of molecular epidemiology and evolutionary genetics in infectious diseases · 2023
    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

5 authors.

Eugenio ValdanoCenter for Biomedical Modeling, The Semel Institute for Neuroscience and Human Behavior, David Geffen School of Medicine, University of California, Los Angeles, CA, USA.ORCID 0000-0002-9246-6195
Justin T OkanoCenter for Biomedical Modeling, The Semel Institute for Neuroscience and Human Behavior, David Geffen School of Medicine, University of California, Los Angeles, CA, USA.
Vittoria ColizzaINSERM, Sorbonne Université, Institut Pierre Louis d'Epidémiologie et de Santé Publique, IPLESP, Paris, France.
Honore K MitongaDepartment of Epidemiology and Biostatistics, School of Public Health, University of Namibia, Windhoek, Namibia.ORCID 0000-0002-8633-4356
Sally BlowerCenter for Biomedical Modeling, The Semel Institute for Neuroscience and Human Behavior, David Geffen School of Medicine, University of California, Los Angeles, CA, USA. sblower@mednet.ucla.edu.ORCID 0000-0003-4342-3911

Funding

Optimal Strategies for HIV Treatment and Prevention in Sub-Saharan AfricaR01AI116493 · NIAID · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI BLOWER, SALLY MARGARET · 2015 to 2019
$2.7M
Helping Botswana Achieve UNAIDS Treatment Targets to End Its HIV EpidemicR56AI152759 · NIAID · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI BLOWER, SALLY MARGARET · 2020 to 2020
$644k
NIAID NIH HHS R01 AI116493NIAID NIH HHS R56 AI152759
6 · The paper itself

Abstract

Twenty-six million people are living with HIV in sub-Saharan Africa; epidemics are widely dispersed, due to high levels of mobility. However, global elimination strategies do not consider mobility. We use Call Detail Records from 9 billion calls/texts to model mobility in Namibia; we quantify the epidemic-level impact by using a mathematical framework based on spatial networks. We find complex networks of risk flows dispersed risk countrywide: increasing the risk of acquiring HIV in some areas, decreasing it in others. Overall, 40% of risk was mobility-driven. Networks contained multiple risk hubs. All constituencies (administrative units) imported and exported risk, to varying degrees. A few exported very high levels of risk: their residents infected many residents of other constituencies. Notably, prevalence in the constituency exporting the most risk was below average. Large-scale networks of mobility-driven risk flows underlie generalized HIV epidemics in sub-Saharan Africa. In order to eliminate HIV, it is likely to become increasingly important to implement innovative control strategies that focus on disrupting risk flows.

Indexed as

EpidemicsAdolescentAdultAfrica South of the SaharaCell PhoneFemaleHIV InfectionsHumansMaleMiddle AgedNamibiaPopulation DynamicsPrevalenceRisk FactorsSex FactorsSpatio-Temporal Analysis

Identifiers

PMID33990578
PMCPMC8121904

What OpenQuestion holds

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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.