Evidence map›Paper›PMID 40660737›Full record

ArticleVox sanguinis2025

Risk factors for incident human immunodeficiency virus infection in South African blood donors.

Avril Swarts, Karin van den Berg, Marion Vermeulen, Ute Jentsch, Darryl Creel, Ronel Swanevelder, Jennifer J Hemingway-Foday, Edward L Murphy, Brian Custer

Abstract read
In one paragraph

Article in Vox sanguinis, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

9 authors.

Avril SwartsSouth African National Blood Service, Johannesburg, South Africa.ORCID https://orcid.org/0000-0002-8302-1178
Karin van den BergSouth African National Blood Service, Johannesburg, South Africa.ORCID https://orcid.org/0000-0001-9805-8013
Marion VermeulenSouth African National Blood Service, Johannesburg, South Africa.ORCID https://orcid.org/0000-0003-4383-4526
Ute JentschSouth African National Blood Service, Johannesburg, South Africa.ORCID https://orcid.org/0000-0002-5841-0542
Darryl CreelRTI International, Rockville, Maryland, USA.
Ronel SwanevelderSouth African National Blood Service, Johannesburg, South Africa.
Jennifer J Hemingway-FodayRTI International, Rockville, Maryland, USA.
Edward L MurphyEpidemiology and Health Policy Science, Vitalant Research Institute, San Francisco, California, USA.
Brian CusterEpidemiology and Health Policy Science, Vitalant Research Institute, San Francisco, California, USA.

Funding

Research training in HIV-related transfusion medicine and hematology in South AfricaD43TW010345 · FIC · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI UTE JENTSCH, EDWARD L MURPHY · 2017 to 2026
$3.0M
FIC NIH HHS D43 TW010345National Heart, Lung and Blood Institute (NHLBI) HHSN2682011-00001INHLBI NIH HHS HHSN268201100002INHLBI NIH HHS HHSN268201100009CNHLBI NIH HHS HHSN268201100009INIH Fogarty International Center 2D43-TW010345WHI NIH HHS HHSN268201100002C
6 · The paper itself

Abstract

BACKGROUND AND

objectivesRecruiting blood donors among a population with a high human immunodeficiency virus (HIV) burden requires detailed information on HIV risks. We studied demographic and behavioural risk factors for incident HIV infection among blood donors in South Africa. MATERIALS AND

methodsWe conducted a case-control study. Incident HIV was defined as HIV antibody negative and RNA positive, or concordant serology and RNA positive with a limiting antigen avidity assay optical density of <1.5. Cases were matched to infection-negative controls (ratio 1:3) on race, age and geography. Risk factors in the 6 months before donation were ascertained by audio computer-assisted self-interview. Data were fitted using separate multivariable logistic regression models for males and females.

resultsFrom April 2014 to March 2017, we enrolled 323 people with incident HIV and 877 controls. Among women, incident HIV was associated with sex with a person living with HIV (PLWH) or unknown HIV status, multiple male sex partners, never or occasional condom use, anal preparation before sex, first-time donor status and referral to donation by a healthcare worker. Among men, incident HIV was associated with being aged 31-40 years, sex with a PLWH or unknown HIV status, multiple sex partners, more than four lifetime male sex partners, gay/bisexual identity, marriage or stable partnership, lower education, penetrative injury, occasional condom use and first-time or lapsed donor status. Some novel or indirect risks for incident HIV were also observed.

conclusionWe confirmed the known sexual behaviours asked on the donor screening questionnaire. The findings highlight ongoing challenges in donor disclosure during selection and the importance of donor education.

Indexed as

Blood DonorsHIV InfectionsAdultCase-Control StudiesFemaleHumansIncidenceMaleMiddle AgedRisk FactorsSexual BehaviorSouth AfricaYoung Adultblood donationHIVincidencerisk factors

Identifiers

PMID40660737
PMCPMC12422835

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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.