Evidence map›Paper›PMID 21451006›Full record

ArticleThe Journal of infectious diseases2011

Increases in human papillomavirus detection during early HIV infection among women in Zimbabwe.

Rebecca G Nowak, Patti E Gravitt, Charles S Morrison, Stephen J Gange, Cynthia Kwok, Amy E Oliver, Roslyn Howard, Barbara Van der Pol, Robert A Salata, Nancy S Padian and 3 more

Abstract read
In one paragraph

Article in The Journal of infectious diseases, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 2 pooled it
3.8field-weighted citation impact, top 7% of its field
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

30 citing papers in PubMed, 2 syntheses or guidelines pooled it, 50 citations in OpenAlex.

  1. Pooled it
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  11. Should female sex workers be offered HPV vaccination?Human vaccines & immunotherapeutics · 2019
    Review
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  13. Article
  14. Risk Factors for Human Papillomavirus Infection and Abnormal Cervical Cytology Among Perinatally Human Immunodeficiency Virus-Infected and Uninfected Asian Youth.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2018
    Observational
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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

13 authors at 7 institutions in 2 countries.

Rebecca G NowakBloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland 21205, USA.
Patti E Gravitt
Charles S Morrison
Stephen J Gange
Cynthia Kwok
Amy E Oliver
Roslyn Howard
Barbara Van der Pol
Robert A Salata
Nancy S Padian
Tsungai Chipato
Marshall Munjoma
David D Celentano
Johns Hopkins University · USUniversity of Zimbabwe · ZWCase Western Reserve University · USFamily Health International 360 · USIndiana University Bloomington · USTriangle · USUniversity of California, Berkeley · US

Funding

HORMONAL CONTRACEPTION &RISK OF HIV ACQUISITION-275003310N01HD003310 · NICHD · FAMILY HEALTH INTERNATIONAL · PI MORRISON, CHARLES · 2000 to 2006
$6.9M
NICHD NIH HHS N01-HD-0-3310
6 · The paper itself

Abstract

backgroundIndividuals who acquire human immunodeficiency virus (HIV) may experience an immediate disruption of genital tract immunity, altering the ability to mount a local and effective immune response. This study examined the impact of early HIV infection on new detection of human papillomavirus (HPV).

methodsOne hundred fifty-five Zimbabwean women with observation periods before and after HIV acquisition and 486 HIV-uninfected women were selected from a cohort study evaluating hormonal contraceptive use and risk of HIV acquisition. Study visits occurred at 3-month intervals. Cervical swab samples available from up to 6 months before, at, and up to 6 months after the visit when HIV was first detected were typed for 37 HPV genotypes or subtypes.

resultsWe observed ∼5-fold higher odds of multiple (≥2) new HPV detections only after HIV acquisition, relative to HIV-negative women after adjusting for sexual behavior and concurrent genital tract infections. We also observed ∼2.5-fold higher odds of single new HPV detections at visits before and after HIV acquisition, relative to HIV-uninfected women in multivariable models.

conclusionsThese findings suggest that HIV infection has an immediate impact on genital tract immunity, as evidenced by the high risk of multiple new HPV detections immediately after HIV acquisition.

Indexed as

AdolescentAdultAlphapapillomavirusCD4-Positive T-LymphocytesCohort StudiesFemaleHIV InfectionsHumansPapillomavirus InfectionsYoung AdultZimbabwe

Identifiers

PMID21451006
PMCPMC3068021
OpenAlexW2097553376

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.