{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T20:40:58Z","timestamp":1777927258376,"version":"3.51.4"},"reference-count":33,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2019,2,4]],"date-time":"2019-02-04T00:00:00Z","timestamp":1549238400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Flemish Government-Department of Economy, Science & Innovation","award":["757003"],"award-info":[{"award-number":["757003"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Int J STD AIDS"],"published-print":{"date-parts":[[2019,4]]},"abstract":"<jats:p>In this study, we assessed if the superimposition of incident sexually transmitted infections (STIs) on HIV phylogenetic analyses could reveal possible sexual behaviour misclassifications in our HIV-infected population. HIV-1 sequences collected between 1997 and 2014 from 1169 individuals attending a HIV clinic in Antwerp, Belgium were analysed to infer a partial HIV transmission network. Individual demographic, clinical and laboratory data collected during routine HIV follow-up were used to compare clustered and non-clustered individuals using logistic regression analyses. In total, 438 (37.5%) individuals were identified in 136 clusters, including 76 transmission pairs and 60 clusters consisting of three or more individuals. Individuals in a cluster were more likely to have a history of syphilis, Chlamydia and\/or gonorrhoea (P\u2009&lt;\u20090.05); however, when analyses were stratified by HIV transmission risk groups (heterosexual and men who have sex with men [MSM]), this association only remained significant for heterosexuals with syphilis (P\u2009=\u20090.001). Under closer scrutiny, this association was driven by six heterosexual men who were located in six almost exclusively MSM clusters. A parsimonious conclusion is that these six individuals were potentially misclassified as heterosexual. Improving the accuracy of sexual behaviour reporting could improve care.<\/jats:p>","DOI":"10.1177\/0956462418821752","type":"journal-article","created":{"date-parts":[[2019,2,4]],"date-time":"2019-02-04T08:39:04Z","timestamp":1549269544000},"page":"486-495","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Superimposing incident sexually transmitted infections on HIV phylogram to investigate possible misclassification of men who have sex with men as heterosexuals in a cohort in Antwerp, Belgium"],"prefix":"10.1177","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8612-8413","authenticated-orcid":false,"given":"Kara K","family":"Osbak","sequence":"first","affiliation":[{"name":"Department of Clinical Sciences, Institute of Tropical Medicine, Antwerp, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Conor J","family":"Meehan","sequence":"additional","affiliation":[{"name":"Department of Biomedical Sciences, Institute of Tropical Medicine, Antwerp, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sergio","family":"G Ribas","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences, Institute of Tropical Medicine, Antwerp, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leo","family":"Heyndrickx","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences, Institute of Tropical Medicine, Antwerp, Belgium"},{"name":"Department of Biomedical Sciences, Institute of Tropical Medicine, Antwerp, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kevin K","family":"Ari\u00ebn","sequence":"additional","affiliation":[{"name":"Department of Biomedical Sciences, Institute of Tropical Medicine, Antwerp, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Achilleas","family":"Tsoumanis","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences, Institute of Tropical Medicine, Antwerp, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eric","family":"Florence","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences, Institute of Tropical Medicine, Antwerp, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marjan Van","family":"Esbroeck","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences, Institute of Tropical Medicine, Antwerp, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katrien","family":"Fransen","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences, Institute of Tropical Medicine, Antwerp, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chris R","family":"Kenyon","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences, Institute of Tropical Medicine, Antwerp, Belgium"},{"name":"Division of Infectious Diseases and HIV Medicine, University of Cape Town, Cape Town, South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2019,2,4]]},"reference":[{"key":"bibr1-0956462418821752","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2334-10-262"},{"key":"bibr2-0956462418821752","doi-asserted-by":"publisher","DOI":"10.1016\/j.ebiom.2015.07.024"},{"key":"bibr3-0956462418821752","doi-asserted-by":"publisher","DOI":"10.1093\/infdis\/jit524"},{"key":"bibr4-0956462418821752","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1001898"},{"key":"bibr5-0956462418821752","doi-asserted-by":"publisher","DOI":"10.1097\/QAD.0000000000000383"},{"key":"bibr6-0956462418821752","doi-asserted-by":"publisher","DOI":"10.1016\/S2352-3018(18)30062-6"},{"key":"bibr7-0956462418821752","doi-asserted-by":"publisher","DOI":"10.1016\/S2352-3018(18)30101-2"},{"key":"bibr8-0956462418821752","doi-asserted-by":"publisher","DOI":"10.3109\/10408361003633318"},{"key":"bibr9-0956462418821752","doi-asserted-by":"publisher","DOI":"10.1071\/SH16056"},{"key":"bibr10-0956462418821752","doi-asserted-by":"crossref","unstructured":"Dougan S, Evans BG, Elford J. 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