Evidence map›Paper›PMID 34118933›Full record

ArticleHarm reduction journal2021

Epidemic of HIV infection among persons who inject drugs in mainland China: a series, cross-sectional study.

Bo Zhang, Xiangyu Yan, Yongjie Li, He Zhu, Zhimin Liu, Zuhong Lu, Zhongwei Jia

Abstract read
In one paragraph

Article in Harm reduction journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
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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

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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

3 citing papers in PubMed.

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4 · The record

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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

7 authors.

Bo ZhangSchool of Basic Medical Sciences, Peking University, Beijing, 100191, China.
Xiangyu YanSchool of Public Health, Peking University, Beijing, 100191, China.
Yongjie LiSchool of Public Health, Peking University, Beijing, 100191, China.
He ZhuChina Center for Health Development Studies, Peking University, Beijing, 100191, China.
Zhimin LiuNational Institute on Drug Dependence, Peking University, Beijing, 100191, China.
Zuhong LuState Key Laboratory for Bioelectronics, School of Biological Science and Medical Engineering, Southeast University, Nanjing, 211189, China.
Zhongwei JiaSchool of Public Health, Peking University, Beijing, 100191, China. urchinjj@163.com.ORCID 0000-0002-5362-7339

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStudies have suggested that the injection drug use (IDU) was no longer the main transmission route of HIV/AIDS in China. However, there has never been a study to assess the national HIV epidemic among persons who inject drugs (PWIDs) based on a nationwide database.

methodsPWIDs among new entrants in detoxification centers with HIV test results were extracted from the 2008-2016 National Dynamic Management and Control Database for Persons Who Use Drugs (NDMCD). Logistic regressions were used to analyze factors associated with HIV infection, and joinpoint regression were used to examine trends in the HIV prevalence.

resultsA total of 103,619 PWIDs among new entrants tested for HIV in detoxification centers between 2008 and 2016 were included in the analysis. The HIV prevalence was 5.0% (n = 5167) among PWIDs. A U-shaped curve of the HIV prevalence decreased from 4.9% in 2008 to 3.3% in 2010 (Annual Percent Change [APC] - 20.6, 95% CI - 32.5 to - 6.7, p < 0.05) and subsequently increased from 3.3% in 2010 to 8.6% in 2016 (APC 17.9, 95% CI 14.5-21.4, p < 0.05) was observed. The HIV prevalence in west regions in China all presented decreased trends, while central and eastern regions presented increased trends.

conclusionsAlthough the HIV prevalence has been declining in general population, the HIV prevalence among PWIDs has shown an increasing trend since 2010. Current policies on HIV control in PWIDs should be reassessed.

Indexed as

Drug UsersEpidemicsHIV InfectionsPharmaceutical PreparationsSubstance Abuse, IntravenousChinaCross-Sectional StudiesHumansPharmaceutical PreparationsEpidemicHIVInjection drug usePersons who inject drugs

Identifiers

PMID34118933
PMCPMC8199561

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