Evidence map›Paper›PMID 41602041›Full record

ArticleFrontiers in public health2025

Analysis of HIV contact tracing in Yunnan Province: data-driven insights for optimizing HIV prevention and control strategies.

Yuhua Shi, Yu Han, Junli Huo, Huichao Chen, Xiaojing An, Xiaomei Jin, Zhimin Yang, Nuoya Xu, Xiao Zhang, Min Chen and 1 more

Abstract read
In one paragraph

Article in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing 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

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.

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

11 authors.

Yuhua Shi *Institute for AIDS/STD Control and Prevention, Yunnan Center for Disease Control and Prevention (Yunnan Academy of Preventive Medicine), Kunming, Yunnan, China.
Yu Han *Institute for AIDS/STD Control and Prevention, Yunnan Center for Disease Control and Prevention (Yunnan Academy of Preventive Medicine), Kunming, Yunnan, China.
Junli HuoInstitute for AIDS/STD Control and Prevention, Yunnan Center for Disease Control and Prevention (Yunnan Academy of Preventive Medicine), Kunming, Yunnan, China.
Huichao ChenInstitute for AIDS/STD Control and Prevention, Yunnan Center for Disease Control and Prevention (Yunnan Academy of Preventive Medicine), Kunming, Yunnan, China.
Xiaojing AnInstitute for AIDS/STD Control and Prevention, Yunnan Center for Disease Control and Prevention (Yunnan Academy of Preventive Medicine), Kunming, Yunnan, China.
Xiaomei JinInstitute for AIDS/STD Control and Prevention, Yunnan Center for Disease Control and Prevention (Yunnan Academy of Preventive Medicine), Kunming, Yunnan, China.
Zhimin YangInstitute for AIDS/STD Control and Prevention, Yunnan Center for Disease Control and Prevention (Yunnan Academy of Preventive Medicine), Kunming, Yunnan, China.
Nuoya XuInstitute for AIDS/STD Control and Prevention, Yunnan Center for Disease Control and Prevention (Yunnan Academy of Preventive Medicine), Kunming, Yunnan, China.
Xiao ZhangSchool of Public Health, Kunming Medicine University, Kunming, Yunnan, China.
Min ChenSchool of Public Health, Kunming Medicine University, Kunming, Yunnan, China.
Manhong JiaYunnan Provincial Key Laboratory of Public Health and Biosafety, Yunnan Center for Disease Control and Prevention (Yunnan Academy of Preventive Medicine), Kunming, Yunnan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: To effectively control the spread of HIV, this study evaluated contact tracing implementation among newly diagnosed individuals in Yunnan Province, China-a region heavily affected by HIV. Methods: From January to June 2020, contact tracing targeted newly diagnosed HIV cases to identify sexual/drug-injecting partners. Factors correlated with index cases, close contacts, and positive testing outcomes were analyzed. Results: Among 5,695 new HIV cases, 1,612 (28.3%) received tracing counseling, revealing 2,226 close contacts. Of the 1,612 index cases, 182 were recently infected, while 1,430 had been infected long-term. Of the 2,226 close contacts, 910 underwent HIV antibody testing, with 17.8% (162/910) testing positive. Notably, 132 of these contacts were newly diagnosed with HIV, representing 14.5% of those tested. The detection rates for both positive and newly diagnosed infections were higher among contacts identified by recently infected index cases than among those identified by long-term infected index cases. A multivariate analysis showed that HIV index cases of other ethnicities (adjusted odds ratio (aOR) = 1.688, 95% confidence interval (CI): 1.495-1.905), the divorced (aOR = 1.430, 95%CI: 1.237-1.654), those traced through voluntary counselling and testing (VCT) (aOR = 1.707, 95%CI: 1.077-2.705) and those exposed to commercial sex (aOR = 1.437, 95%CI: 1.257-1.642) were more likely to receive tracing counselling. Among close contacts, those who were Han Chinese (aOR = 1.231, 95% CI: 1.012~1.498), married (aOR = 1.738, 95% CI: 1.339 ~ 2.255), had a high school education or higher (aOR = 2.809, 95% CI: 1.849~4.267) or were exposed to positive spouses or regular sex partners (aOR = 2.403, 95% CI: 1.741~3.317) were more likely to undergo HIV testing. A higher positive testing rate was observed among men (aOR = 2.608, 95% CI: 1.740~3.911), ethnic minorities (aOR = 1.645, 95% CI: 1.098~2.465), individuals aged 40-49 (aOR = 2.733, 95% CI: 1.497~4.990) and individuals exposed to positive spouses or regular partners (aOR = 2.215, 95% CI: 1.411~3.477). Conclusion: HIV recent infection testing is instrumental in enhancing the efficiency of contact tracing efforts. The variability in contact tracing uptake among diverse populations underscores the necessity for tailored strategies. These findings provide strong support for optimizing HIV prevention and control strategies, facilitating more precise disease management objectives.

Indexed as

Contact TracingHIV InfectionsAdolescentAdultChinaFemaleHumansMaleMiddle AgedSexual PartnersYoung AdultChinacontact tracingHIVrecent infectionYunnan

Identifiers

PMID41602041
PMCPMC12832423

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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.