Evidence map›Paper›PMID 41735762›Full record

ArticleAIDS and behavior2026

Unawareness of HIV-Positive Status among Men in Seven Sub-Saharan African Countries: Age, Behavioral, and Structural Determinants.

Mansoor Farahani, Shannon M Farley, David Hoos, Theodore F Smart, Giles A Reid, Eduardo Samo Gudo, Wilford L Kirungi, Rose Kolola Nyirenda, Limpho Maile, Owen Mugurungi and 3 more

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Article in AIDS and behavior, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
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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.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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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

13 authors.

Mansoor FarahaniICAP at Columbia University, 60 Haven Ave, New York, NY, 10032, USA. mf3086@cumc.columbia.edu.ORCID http://orcid.org/0000-0002-8968-9822
Shannon M FarleyICAP at Columbia University, 60 Haven Ave, New York, NY, 10032, USA.
David HoosICAP at Columbia University, 60 Haven Ave, New York, NY, 10032, USA.
Theodore F SmartICAP at Columbia University, 60 Haven Ave, New York, NY, 10032, USA.
Giles A ReidICAP at Columbia University, 60 Haven Ave, New York, NY, 10032, USA.
Eduardo Samo GudoNational Institute of Health, Maputo, Mozambique.
Wilford L KirungiMinistry of Health, Kampala, Uganda.
Rose Kolola NyirendaMinistry of Health, Lilongwe, Malawi.
Limpho MaileMinistry of Health, Maseru, Lesotho.
Owen MugurungiMinistry of Health and Child Care, Harare, Zimbabwe.
Prosper Faustine NjauMinistry of Health, Dodoma, Tanzania.
Sindisiwe DlaminiEswatini Health Laboratory Service, Mbabane, Eswatini.
Wafaa M El-SadrICAP at Columbia University, 60 Haven Ave, New York, NY, 10032, USA.

Funding

National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention U2GGH002173
6 · The paper itself

Abstract

Men in sub-Saharan Africa lag behind women in HIV testing and awareness. We pooled 2019-2023 Population-based HIV Impact Assessments from seven countries (Eswatini, Lesotho, Malawi, Mozambique, Tanzania, Uganda, Zimbabwe). Among 59,293 men, HIV prevalence was 5.9% (95% CI 5.7-6.2). Of 5,394 HIV-positive men, 22.1% (95% CI 20.0-24.3) were unaware of their status (8.4% in Eswatini; 31.5% in Mozambique), declining with age (41.0% at 15-29 vs. 11.5% at ≥ 50). Survey-weighted Poisson regression identified independent correlates: condom-free last sex (aPR 2.5), hazardous drinking (aPR 1.3), infrequent/no prior testing (aPR 1.9), and higher wealth (lower 60% vs. upper 40%: aPR 0.8). Age amplified behavioral gaps in condom use. Among men classified as aware, 5.4% were identified solely through ARV biomarker detection despite self-reported unawareness. Youth-centered, behavior-tailored retesting strategies are essential to close the awareness gap.

Indexed as

Health Knowledge, Attitudes, PracticeHIV InfectionsSexual BehaviorAdolescentAdultAfrica South of the SaharaAge FactorsCondomsHIV TestingHumansMaleMiddle AgedPrevalenceRisk-TakingYoung AdultBehavioral risk factorsHIV status awarenessHIV testingMen’s healthPopulation-based surveysSub-Saharan africa

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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.