Evidence map›Paper›PMID 35817496›Full record

ArticleInternational journal of STD & AIDS2022

Prevalence and correlates of human immunodeficiency virus infection among spouses of married men who have sex with men in India.

Aylur K Srikrishnan, Kavitha Ganesan, Shruti H Mehta, Cecilia Tomori, Canjeevaram K Vasudevan, David D Celentano, Sunil S Solomon

Open access · greenAbstract read
In one paragraph

Article in International journal of STD & AIDS, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 36% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
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  3. Article
  4. 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

7 authors at 3 institutions in 3 countries.

Aylur K Srikrishnan75115YR Gaitonde Centre for AIDS Research and Education, Chennai, India.
Kavitha GanesanDepartment of Epidemiology, Mailman School of Public Health, 33638Columbia University, New York, NY, USA.ORCID 0000-0001-8450-5919
Shruti H MehtaDepartment of Epidemiology, 25802Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Cecilia TomoriDepartment of Epidemiology, 25802Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Canjeevaram K Vasudevan75115YR Gaitonde Centre for AIDS Research and Education, Chennai, India.
David D CelentanoDepartment of Medicine, 1501Johns Hopkins School of Medicine, Baltimore, MD, USA.
Sunil S Solomon75115YR Gaitonde Centre for AIDS Research and Education, Chennai, India.
Johns Hopkins University · USYR Gaitonde Centre for AIDS Research and Education · INColumbia University · US

Funding

Vaccine Response and Immunotherapeutics SWGP30AI094189 · NIAID · JOHNS HOPKINS UNIVERSITY · PI Richard E. Chaisson · 2012 to 2026
$67.0M
Global HIV Implementation Science Research Training Grant RenewalT32AI114398 · NIAID · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Yael R Hirsch-Moverman · 2014 to 2026
$4.1M
Preventing HIV Infection Among MSM in Southern IndiaR01MH089266 · NIMH · JOHNS HOPKINS UNIVERSITY · PI CELENTANO, DAVID D. · 2010 to 2015
$2.9M
Improving HIV testing among wives of MSM in IndiaR21MH101059 · NIMH · JOHNS HOPKINS UNIVERSITY · PI SOLOMON, SUNIL SUHAS · 2013 to 2014
$396k
NIAID NIH HHS P30 AI094189NIAID NIH HHS T32 AI114398NIMH NIH HHS R01 MH089266NIMH NIH HHS R21 MH101059
6 · The paper itself

Abstract

backgroundMen who have sex with men (MSM) in low-to-middle-income countries bear a high burden of HIV and a significant proportion marry women to satisfy socio-cultural norms. It has previously been demonstrated that HIV prevalence is higher among married versus unmarried MSM, but limited data are available on HIV prevalence among their wives.

methodsWe recruited 149 married MSM couples where the husband disclosed his MSM behavior to his wife (disclosed MSM) and 150 married MSM who had not disclosed their MSM behavior to their wives (undisclosed MSM), in three Indian cities. All participants completed interviewer-administered surveys and underwent HIV testing. Multivariable logistic regression was used to assess correlates of HIV among wives of MSM. Descriptive statistics were used to compare characteristics of disclosed and undisclosed MSM.

resultsHIV prevalence in disclosed MSM, their wives, and undisclosed MSM was 46.9%, 27.9%, and 34.9%, respectively. In multivariable analysis, the strongest predictor of HIV prevalence among wives of MSM was husband's HIV positive status (adjusted odds ratio: 13.4; 95% confidence interval: 5.44-33.2). Both disclosed and undisclosed MSM reported high levels of risk behavior including infrequent condom use. Most undisclosed MSM reported that they did not intend to disclose MSM behavior due to stigma.

conclusionsWe observed an extremely high HIV prevalence among women married to MSM despite low levels of individual risk behavior. Interventions are urgently needed in this vulnerable population particularly given the challenges related to disclosure of same sex behavior among their husbands.

Indexed as

HIV InfectionsSexual and Gender MinoritiesFemaleHomosexuality, MaleHumansIndiaMalePrevalenceSexual BehaviorSpouseshuman immunodeficiency virusIndiakey populationsmen who have sex with menprevalencewives of men who have sex with men

Identifiers

PMID35817496
PMCPMC10150692
OpenAlexW4285043393

What OpenQuestion holds

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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.