Evidence map›Paper›PMID 41686825›Full record

Trial reportPloS one2026

Financing STI testing among men in China: A mixed-methods study of pay-it-forward monetary donations.

Ye Liu, Ke Zhou, Lan Li, Gayed Salma, Thomas Fitzpatrick, Gifty Marley, Zixuan Zhu, Weiming Tang, Joseph D Tucker

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05723263 (IGHID 12118 - Pay-it-forward Gonorrhea and Chlamydia Testing Among Men in China), which is not on this map. Not yet cited in PubMed.

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

NCT05723263 nacompletednot on this map

IGHID 12118 - Pay-it-forward Gonorrhea and Chlamydia Testing Among Men in China: The PIONEER Pragmatic Randomized Controlled Trial

TypeinterventionalSponsorUniversity of North Carolina, Chapel HillRan2023 to 2024Enrolled1,200ConditionsGonorrhea, ChlamydiaArmsStandard Pay-it-forward, Community Engaged Pay-it-forward, Control arm
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

9 authors.

Ye LiuUniversity of North Carolina at Chapel Hill Project-China, Guangzhou, China.ORCID https://orcid.org/0009-0009-4158-6646
Ke ZhouUniversity of North Carolina at Chapel Hill Project-China, Guangzhou, China.
Lan LiUniversity of North Carolina at Chapel Hill Project-China, Guangzhou, China.
Gayed SalmaCambridge University NHS Foundation Trust, Cambridge, United Kingdom.ORCID https://orcid.org/0009-0007-7227-4130
Thomas FitzpatrickDepartment of Internal Medicine, University of Washington, Seattle, Washington, United States of America.
Gifty MarleyUniversity of North Carolina at Chapel Hill Project-China, Guangzhou, China.
Zixuan ZhuUniversity of North Carolina at Chapel Hill Project-China, Guangzhou, China.
Weiming TangUniversity of North Carolina at Chapel Hill Project-China, Guangzhou, China.
Joseph D TuckerUniversity of North Carolina at Chapel Hill Project-China, Guangzhou, China.ORCID https://orcid.org/0000-0003-2804-1181

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimMany STI testing services are underfunded. Pay-it-forward is a strategy to support STI testing that asks participants to donate money to spur others to receive STI testing. To explore factors influencing monetary donations, we performed a secondary analysis of data from a randomized controlled trial that evaluated a pay-it-forward strategy to increase STI testing among men in China.

methodsWe used a convergent parallel mixed-methods design to analyze data from the RCT and semi-structured interviews. Correlates of monetary donations were identified using logistic regression. Interview responses were analyzed using thematic analysis using charitable triad theory to explore donor, recipient, and organizational factors influencing donation behavior.

resultsA total of 800 men received the pay-it-forward intervention. Overall, 139/718 (19%) made monetary donations, with a mean amount of 3.88 USD. The total value of all donations was 539.4 USD. At the donor level, donation behavior was associated with individual characteristics such as age, gender, and prior testing history. Donors who could identify with or visualize future recipients were also more likely to donate money. At the recipient level, income was not significantly associated with donation. At the organizational level, transparency and clear messaging enhanced trust and facilitated donations. An increased perceived risk of STI infection also motivated donations.

conclusionOur findings highlight key factors driving donations in a pay-it-forward program. Transparent fund allocation and real-time donor feedback can enhance trust and participation. CLINICAL

trial registrationClinicalTrials.gov NCT05723263.

Indexed as

Mass ScreeningSexually Transmitted DiseasesAdultChinaHumansMaleMiddle Aged

Identifiers

PMID41686825
PMCPMC12904436

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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.