Evidence map›Paper›PMID 21173170›Full record

ArticleCancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology2011

Early natural history of incident, type-specific human papillomavirus infections in newly sexually active young women.

Rachel L Winer, James P Hughes, Qinghua Feng, Long Fu Xi, Stephen Cherne, Sandra O'Reilly, Nancy B Kiviat, Laura A Koutsky

Abstract read
In one paragraph

Article in Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 69 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
69citing papers in PubMed, 2 pooled it
–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.

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

69 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Sexually Transmitted Infections Treatment Guidelines, 2021.MMWR. Recommendations and reports : Morbidity and mortality weekly report. Recommendations and reports · 2021
    Guideline
  3. Trial
  4. Article
  5. SOX1/PAX1 Methylation for Triage of HPV-Positive Women in Cervical Cancer Screening: A Cohort Study.BJOG : an international journal of obstetrics and gynaecology · 2026
    Article
  6. A novel methylation marker on theFrontiers in oncology · 2026
    Article
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9 more citing papers are in PubMed but not listed here.

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

8 authors.

Rachel L WinerDepartment of Epidemiology, University of Washington, 325 9th Avenue, Seattle, WA 98104, USA. rlw@u.washington.edu
James P Hughes
Qinghua Feng
Long Fu Xi
Stephen Cherne
Sandra O'Reilly
Nancy B Kiviat
Laura A Koutsky

Funding

VENEREAL DISEASET32AI007140 · NIAID · UNIVERSITY OF WASHINGTON · PI Julia Cook Dombrowski · 1985 to 2026
$19.4M
ACQUISITION &NATURAL HISTORY OF GENITAL HPV INFECTIONSR01AI038383 · NIAID · UNIVERSITY OF WASHINGTON · PI KOUTSKY, LAURA A · 1995 to 2009
$6.0M
NIAID NIH HHS R01 AI038383NIAID NIH HHS T32 AI007140NIAID NIH HHS T32AI007140-24PHS HHS R01-A138383
6 · The paper itself

Abstract

backgroundCharacterizing short-term detection patterns of young women's incident α-genus human papillomavirus (HPV) infections may further our understanding of HPV transmission.

methodsBetween 2000 and 2007, we followed 18- to 22-year-old female university students with triannual HPV DNA and Papanicolaou testing. Using Kaplan-Meier methods, we estimated duration of detectable, type-specific incident infections; time to redetection (among infections that became undetectable); and time to cervical lesion development after incident infection. We evaluated risk factors for short-term persistent versus transient infection with logistic regression.

resultsThree hundred three incident, type-specific infections were detected in 85 sexually active women. Median time to first negative test after incident infection was 9.4 (95% CI: 7.8-11.2) months; 90.6% of infections became undetectable within 2 years. About 19.4% of infections that became undetectable were redetected within 1 year. Cervical lesions were common and 60% were positive for multiple HPV types in concurrent cervical swabs. Incident HPV detection in the cervix only (vs. the vulva/vagina only or both sites) was associated with short-term transience.

conclusionsAlthough most incident infections became undetectable within 2 years, redetection was common. Cervical lesions were a common early manifestation of HPV infection. IMPACT: It remains unclear whether potentially modifiable risk factors can be identified to reduce infection duration (and transmission likelihood).

Indexed as

AdolescentAdultFemaleHumansIncidencePapillomavirus InfectionsRisk FactorsSexual BehaviorUterine Cervical DiseasesYoung Adult

Identifiers

PMID21173170
PMCPMC3078690

What OpenQuestion holds

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Registered trials

None linked

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.