Evidence map›Paper›PMID 38076411›Full record

ArticleLancet regional health. Americas2023

Recent HIV infection and annualized HIV incidence rates among sexual and gender minorities in Brazil and Peru (ImPrEP seroincidence study): a cross-sectional, multicenter study.

Thiago S Torres, Sylvia L M Teixeira, Brenda Hoagland, Kelika A Konda, Monica Derrico, Ronaldo I Moreira, Juan V Guanira, Marcos Benedetti, Sandro Nazer, Gino M Calvo and 21 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Lancet regional health. Americas, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05674682 (Seroincidence Study Among Men Who Have Sex With Men and Transgender Women - The ImPrEP Seroincidence Study. A Sub-study of Implementation of HIV Pre-exposure Prophylaxis), which is not on this map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
6.6field-weighted citation impact, top 2% 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.

NCT05674682 nacompletednot on this map

Seroincidence Study Among Men Who Have Sex With Men and Transgender Women - The ImPrEP Seroincidence Study. A Sub-study of Implementation of HIV Pre-exposure Prophylaxis (PrEP) for Men Who Have Sex With Men and Transgender People: A Demonstration Project in the Context of Combined Prevention in Brazil, Mexico and Peru - the ImPrEP Study

TypeinterventionalSponsorEvandro Chagas National Institute of Infectious DiseaseRan2019 to 2020Enrolled4,000ConditionsHIV Infections, Risk Reduction, Risk Behavior, Risky Health BehaviorArmsHIV testing
3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 34 citations in OpenAlex.

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  15. Behavioral and structural drivers of HIV in men who have sex with men in Belize: a mixed-methods study.Revista panamericana de salud publica = Pan American journal of public health · 2026
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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

31 authors at 9 institutions in 5 countries.

Thiago S TorresInstituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz (INI-Fiocruz), Rio de Janeiro, Brazil.
Sylvia L M TeixeiraLaboratory of AIDS & Molecular Immunology, Oswaldo Cruz Institute, Fundação Oswaldo Cruz (IOC-Fiocruz), Rio de Janeiro, Brazil.
Brenda HoaglandInstituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz (INI-Fiocruz), Rio de Janeiro, Brazil.
Kelika A KondaUniversidad Peruana Cayetano Heredia, Centro de Investigaciones Interdisciplinaria en Sexualidad, SIDA y Sociedad, Lima, Peru.
Monica DerricoInstituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz (INI-Fiocruz), Rio de Janeiro, Brazil.
Ronaldo I MoreiraInstituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz (INI-Fiocruz), Rio de Janeiro, Brazil.
Juan V GuaniraUniversidad Peruana Cayetano Heredia, Centro de Investigaciones Interdisciplinaria en Sexualidad, SIDA y Sociedad, Lima, Peru.
Marcos BenedettiInstituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz (INI-Fiocruz), Rio de Janeiro, Brazil.
Sandro NazerInstituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz (INI-Fiocruz), Rio de Janeiro, Brazil.
Gino M CalvoUniversidad Peruana Cayetano Heredia, Centro de Investigaciones Interdisciplinaria en Sexualidad, SIDA y Sociedad, Lima, Peru.
Silver VargasUniversidad Peruana Cayetano Heredia, Centro de Investigaciones Interdisciplinaria en Sexualidad, SIDA y Sociedad, Lima, Peru.
Carlos BenitesNational Program for HIV/STI/Viral Hepatitis Prevention and Control, Ministério de Salud, Lima, Peru.
Álisson BigolinDepartamento de HIV/Aids, Tuberculose, Hepatites Virais e Infecções Sexualmente Transmissíveis, Secretaria de Vigilância em Saúde e Ambiente, Ministério da Saúde, Brasília, Brazil.
José Boullosa Alonso NetoDepartamento de HIV/Aids, Tuberculose, Hepatites Virais e Infecções Sexualmente Transmissíveis, Secretaria de Vigilância em Saúde e Ambiente, Ministério da Saúde, Brasília, Brazil.
Alessandro FariasCentro Especializado em Diagnóstico, Assistência e Pesquisa (CEDAP), Salvador, BA, Brazil.
Marcos Vinícius Guimarães LacerdaFundação de Medicina Tropical Doutor Heitor Vieira Dourado (FMT), Manaus, AM, Brazil.
Daila Alena Raenck SilvaCentro de Testagem e Aconselhamento (CTA) Santa Marta, Secretaria Municipal de Saúde de Porto Alegre, RS, Brazil.
Leidijany Costa PazHospital Dia Asa Sul, Brasília, DF, Brazil.
José Valdez MadrugaCentro de Referência e Treinamento em DST/AIDS-CRT-SP, São Paulo, Brazil.
Hector Javier Salvatierra FloresCentro de Salud Alberto Barton, Callao, Peru.
Ginjaylan Prada BoluarteCentro Materno Infantil Tahuantinsuyo Bajo, Independencia, Peru.
Cesar Vidal Osco TamayoCentro Materno Infantil Tahuantinsuyo Bajo, Independencia, Peru.
Hardy Teresa Castro AntezanaHospital Santa Maria del Socorro, Ica, Peru.
M Cristina PimentaDepartamento de HIV/Aids, Tuberculose, Hepatites Virais e Infecções Sexualmente Transmissíveis, Secretaria de Vigilância em Saúde e Ambiente, Ministério da Saúde, Brasília, Brazil.
Annick BórquezCentro de Salud Alberto Barton, Callao, Peru.
Paula M LuzInstituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz (INI-Fiocruz), Rio de Janeiro, Brazil.
Beatriz GrinsztejnInstituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz (INI-Fiocruz), Rio de Janeiro, Brazil.
Celia Landmann SzwarcwaldCentro Materno Infantil Tahuantinsuyo Bajo, Independencia, Peru.
Carlos F CáceresUniversidad Peruana Cayetano Heredia, Centro de Investigaciones Interdisciplinaria en Sexualidad, SIDA y Sociedad, Lima, Peru.
Valdilea G VelosoInstituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz (INI-Fiocruz), Rio de Janeiro, Brazil.
ImPrEP Seroincidence Study Group
Fundação Oswaldo Cruz · BRUniversidad Peruana Cayetano Heredia · PEHospital Materno-Infantil · ESMinistério da Saúde · BRClínica Santa María · COFundação de Medicina Tropical · BRMinistry of Health · PESecretaria Municipal de Saúde · BRUniversity of California System · US

Funding

VirologyP30AI036214 · NIAID · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Maile Ann Young Karris · 1994 to 2026
$78.4M
The FIOCRUZ Therapeutic and Prevention HIV/AIDS Clinical Trials Unit (FioTrials)UM1AI069476 · NIAID · FUNDACAO OSWALDO CRUZ · PI BEATRIZ GRINSZTEJN · 2012 to 2026
$26.3M
NIAID NIH HHS P30 AI036214NIAID NIH HHS UM1 AI069476
6 · The paper itself

Abstract

Background: HIV incidence estimation is critical for monitoring the HIV epidemic dynamics and the effectiveness of public health prevention interventions. We aimed to identify sexual and gender minorities (SGM) with recent HIV infections, factors associated with recent HIV infection, and to estimate annualised HIV incidence rates. Methods: Cross-sectional multicentre study in HIV testing services in Brazil and Peru (15 cities). Inclusion criteria: 18+ years, SGM assigned male at birth, not using pre-/post-exposure prophylaxis. We identified recent HIV infection using the Maxim HIV-1 LAg-Avidity EIA assay as part of a recent infection testing algorithm (RITA). Annualized HIV incidence was calculated using the UNAIDS/WHO incidence estimator tool. Multivariable logistic regression models were used to estimate factors associated with recent HIV infection. Trial registration: NCT05674682. Findings: From 31-Jan-2021 to 29-May-2022, 6899 individuals participated [Brazil: 4586 (66.5%); Peru: 2313 (33.5%)]; 5946 (86.2%) cisgender men, 751 (10.9%) transgender women and 202 (2.9%) non-binary/gender diverse. Median age was 27 (IQR: 23-34) years. HIV prevalence was 11.4% (N = 784/6899); 137 (2.0%) SGM were identified with recent HIV infection. The overall annualized HIV incidence rate was 3.88% (95% CI: 2.86-4.87); Brazil: 2.62% (95% CI: 1.78-3.43); Peru: 6.69% (95% CI: 4.62-8.69). Participants aged 18-24 years had higher odds of recent HIV infection compared to those aged 30+ years in both countries. Interpretation: Our results highlight the significant burden of HIV epidemic among SGM in large urban centres of Brazil and Peru. Public health policies and interventions to increase access to effective HIV prevention methods such as PrEP are urgently needed in Latin America. Funding: Unitaid, WHO (Switzerland), Ministry of Health from Brazil and Peru.

Indexed as

HIVHIV incidence rateHIV recencyHIV seroincidenceLatin AmericaPublic healthSexual and gender minorities

Identifiers

PMID38076411
PMCPMC10704427
OpenAlexW4389280515

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.