Evidence map›Paper›PMID 36735665›Full record

Trial reportPloS one2023

Strategies to increase uptake of voluntary medical male circumcision among men aged 25-39 years in Nyanza Region, Kenya: Results from a cluster randomized controlled trial (the TASCO study).

Jonathan M Grund, Frankline Onchiri, Edward Mboya, Faith Ussery, Paul Musingila, Spala Ohaga, Elijah Odoyo-June, Naomi Bock, Benard Ayieko, Kawango Agot

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02497989 (Male Circumcision for HIV Prevention in Kenya), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.3field-weighted citation impact, top 22% 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.

NCT02497989 nacompletednot on this map

Male Circumcision for HIV Prevention in Kenya: Seeking Effective Strategies to Recruit Older Men

TypeinterventionalSponsorImpact Research & Development OrganizationRan2015 to 2016Enrolled2,785ConditionsHIV/AIDSArmsInter-personal Communication (IPC), Dedicated Service Outlets (DSO)
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. 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

10 authors at 4 institutions in 2 countries.

Jonathan M GrundDivision of Global HIV & TB, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America.ORCID 0000-0002-1342-9813
Frankline OnchiriCore for Biomedical Statistics, Seattle Children's Research Institute, Seattle, Washington, United States of America.
Edward MboyaImpact Research and Development Organization, Kisumu, Kenya.ORCID 0000-0002-0582-2949
Faith UsseryDivision of Global HIV & TB, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America.
Paul MusingilaDivision of Global HIV & TB, Center for Global Health, Centers for Disease Control and Prevention, Kisumu, Kenya.ORCID 0000-0002-8453-9120
Spala OhagaImpact Research and Development Organization, Kisumu, Kenya.
Elijah Odoyo-JuneDivision of Global HIV & TB, Center for Global Health, Centers for Disease Control and Prevention, Kisumu, Kenya.ORCID 0000-0002-1370-2306
Naomi BockDivision of Global HIV & TB, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America.
Benard AyiekoImpact Research and Development Organization, Kisumu, Kenya.
Kawango AgotImpact Research and Development Organization, Kisumu, Kenya.
Impact Research and Development Organization · KECenters for Disease Control and Prevention · USCenters for Disease Control and Prevention · KECenter for Infectious Disease Research · US

Funding

CGH CDC HHS U01 GH000518PEPFAR
6 · The paper itself

Abstract

introductionVoluntary medical male circumcision (VMMC) for HIV prevention began in Nyanza Region, Kenya in 2008. By 2014, approximately 800,000 VMMCs had been conducted, and 84.9% were among males aged 15-24 years. We evaluated the impact of interpersonal communication (IPC) and dedicated service outlets (DSO) on VMMC uptake among men aged 25-39 years in Nyanza Region. MATERIALS AND

methodsWe conducted a cluster randomized controlled trial in 45 administrative Locations (clusters) in Nyanza Region between May 2014 and June 2016 among uncircumcised men aged 25-34 years. In arm one, an IPC toolkit was used to address barriers to VMMC. In the second arm, men were referred to DSO that were modified to address their preferences. Arm three combined the IPC and DSO arms, and arm four was standard of care (SOC). Randomization was done at Location level (11-12 per arm). The primary outcome was the proportion of enrolled men who received VMMC within three months. Generalized estimating equations were used to evaluate the effect of interventions on the outcome.

resultsAt baseline, 9,238 households with men aged 25-39 years were enumerated, 9,679 men were assessed, and 2,792 (28.8%) were eligible. For enrollment, 577 enrolled in the IPC arm, 825 in DSO, 723 in combined IPC + DSO, and 667 in SOC. VMMC uptake among men in the SOC arm was 3.2%. In IPC, DSO, and combined IPC + DSO arms, uptake was 3.3%, 4.5%, and 4.4%, respectively. The adjusted odds ratio (aOR) of VMMC uptake in the study arms compared to SOC were IPC aOR = 1.03; 95% CI: 0.50-2.13, DSO aOR = 1.31; 95% CI: 0.67-2.57, and IPC + DSO combined aOR = 1.31, 95% CI: 0.65-2.67. DISCUSSION: Using these interventions among men aged 25-39 years did not significantly impact VMMC uptake. These findings suggest that alternative demand creation strategies for VMMC services are needed to reach men aged 25-39 years.

trial registrationclinicaltrials.gov identifier: NCT02497989.

Indexed as

Biochemical PhenomenaCircumcision, MaleHIV InfectionsCommunicationHumansKenyaMale

Identifiers

PMID36735665
PMCPMC9897540
OpenAlexW4319060585

What OpenQuestion holds

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Read underepoch 390

Registered trials

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.