Table 1. Summary of per-act anal intercourse HIV-1 transmission probability studies included in meta-analyses reported by Baggaley et al 20105, Patel et al4, and the current analysis.
Study | Population, sample size, setting |
Design. Study dates | Per-act estimate, % (95%CI) |
Included in: | |||||
---|---|---|---|---|---|---|---|---|---|
Baggaley et al 2010 | Patel et al 2014 | Current analysis | |||||||
URAI | |||||||||
DeGruttola et al 198919 | 132 MSM (some infected, some uninfected) plus 155 sexual partners, US |
Retrospective-partner, study dates not stated |
0.5-3.0a | ✓ | ✓ | ✓ | |||
Leynaert et al 199820 | 72heterosexual couples (male index) practising AI, Europe |
Retrospective-partner, 1987-1992 |
3.38 | (1.85-4.91) | ✓ | ✓ | ✓ | ||
Vittinghoff et al 199918 | 1583 MSM, US | Prospective cohort of individuals, 1992-1994 |
0.82 | (0.24-2.76) | ✓ | ✓ |
× Supersededc |
||
Halperin et al 2002 (abstract)6 plus S.C. Shiboski (personal communication, 2003) |
59 heterosexual couples (male index), US |
Retrospective-partner, participants recruited 1985-1986 |
0.4 | (0.08-2.0)b | ✓ |
× Estimate interpreted as a relative risk |
× Abstract pre-2013 |
||
Jin et al 20107 | 1427 MSM, Australia | Prospective cohort of individuals, 2001-2007 |
0.91d | (0.41-2.07) |
× Data not yet published |
✓ |
✓ | ||
Scott et al 20148 | MSM, US Pre-ART N=1813 c Early ART N=10,760f |
Four prospective cohorts of individuals: Jumpstart 1992-199515, EXPLORE 1999-200313, VAX 004 1998-200214, VPS 1995- 199916, 17 |
0.60e 0.73f |
(0.34-1.09) (0.45-0.98) |
× Data not yet published |
× Not includedg |
✓ | ||
Smith et al 20159 | 3490 MSM, US |
Two prospective cohorts of individuals: EXPLORE 1999-200313, VAX 004 1998-200214 |
1.11h 0.41i |
(0.75-1.62) (0.30-0.55) |
× Data not yet published |
× Data not yet published |
× Study data reported by Scott et al 2014 8 |
||
UIAI | |||||||||
Vittinghoff et al 199918 | 1583 MSM, US | Prospective cohort of individuals, 1992-1994 |
0.06 | (0.02-0.19) |
× Estimate is per partner of HIV-1 positive or unknown serostatus |
✓ |
× Estimate is per partner of HIV-1 positive or unknown serostatus; supersededc |
||
Jin et al 20107 | 1427 MSM, Australia | Prospective cohort of individuals, 2001-2007 |
0.16 | (0.05-0.31) |
× Data not yet published |
✓ | ✓ | ||
Scott et al 20148 | MSM, US Pre-ART N=1813c Early ART N=10,760f |
Four prospective cohorts of individuals: Jumpstart 1992-199515, EXPLORE 1999-200313, VAX 004 1998-200214, VPS 1995- 199916, 17 |
0.14e 0.22f |
(0.04-0.29) (0.05-0.39) |
× Data not yet published |
× Not includedg |
✓ | ||
Smith et al 20159 | 3490 MSM, US | Two prospective cohorts of individuals: EXPLORE 1999-200313, VAX 004 1998-200214 |
0.27h 0.20i |
(0.18-0.41) (0.15-0.27) |
× Data not yet published |
× Data not yet published |
× Study data reported by Scott et al 2014 8 |
NS – not stated.
Range rather than 95%CI reported by publication.
Range rather than 95%CI.
Estimate superseded by reanalysis of the dataset reported in Scott et al 20148.
Jin et al7 published per-act risk with ejaculation taking place inside the rectum (1.43%, 95%CI 0.48-2.85%) and with withdrawal prior to ejaculation (0.65%, 95%CI 0.15-1.53%). Per-act estimate regardless of when ejaculation occurred was reported in Patel et al4, obtained from study authors (James Jansson, personal communication).
Data taken from the pre-ART era (estimates use data from the Jumpstart study15).
Data taken from the early ART era (estimates use data from the EXPLORE13, VAX 00414, and VPS16, 17 studies).
Data mentioned in text but not included in meta-analysis
Data taken from the EXPLORE study13, restricted to study participants reporting never using condoms.
Data taken from the VAX 004 study14, restricted to study participants reporting never using condoms.