Evidence map›Paper›PMID 22734435›Full record

ArticleBMC infectious diseases2012

Predictors of human papillomavirus infection in women undergoing routine cervical cancer screening in Spain: the CLEOPATRE study.

Esther Roura, Thomas Iftner, José Antonio Vidart, Susanne Krüger Kjaer, F Xavier Bosch, Nubia Muñoz, Santiago Palacios, Maria San Martin Rodriguez, Carmen Morillo, Laurence Serradell and 4 more

Abstract read
In one paragraph

Article in BMC infectious diseases, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing 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

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

  1. Pooled it
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  16. Condom use and human papillomavirus in men.The Journal of infectious diseases · 2013
    Article
  17. Should male circumcision be advocated for genital cancer prevention?Asian Pacific journal of cancer prevention : APJCP · 2012
    Article
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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

14 authors.

Esther RouraCancer Epidemiology Research Program, Institut Català d'Oncologia -IDIBELL, CIBER-ESP, RTICC, L'Hospitalet de Llobregat, Barcelona, Catalonia, Spain.
Thomas Iftner
José Antonio Vidart
Susanne Krüger Kjaer
F Xavier Bosch
Nubia Muñoz
Santiago Palacios
Maria San Martin Rodriguez
Carmen Morillo
Laurence Serradell
Laurence Torcel-Pagnon
Javier Cortes
Xavier Castellsagué
CLEOPATRE Spain Study Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHuman papillomavirus (HPV) is a sexually transmitted infection that may lead to development of precancerous and cancerous lesions of the cervix. The aim of the current study was to investigate socio-demographic, lifestyle, and medical factors for potential associations with cervical HPV infection in women undergoing cervical cancer screening in Spain.

methodsThe CLEOPATRE Spain study enrolled 3 261 women aged 18-65 years attending cervical cancer screening across the 17 Autonomous Communities. Liquid-based cervical samples underwent cytological examination and HPV testing. HPV positivity was determined using the Hybrid Capture II assay, and HPV genotyping was conducted using the INNO-LiPA HPV Genotyping Extra assay. Multivariate logistic regression was used to identify putative risk factors for HPV infection.

resultsA lifetime number of two or more sexual partners, young age (18-25 years), a history of genital warts, and unmarried status were the strongest independent risk factors for HPV infection of any type. Living in an urban community, country of birth other than Spain, low level of education, and current smoking status were also independent risk factors for HPV infection. A weak inverse association between condom use and HPV infection was observed. Unlike monogamous women, women with two or more lifetime sexual partners showed a lower risk of infection if their current partner was circumcised (P for interaction, 0.005) and a higher risk of infection if they were current smokers (P for interaction, 0.01).

conclusionThis is the first large-scale, country-wide study exploring risk factors for cervical HPV infection in Spain. The data strongly indicate that variables related to sexual behavior are the main risk factors for HPV infection. In addition, in non-monogamous women, circumcision of the partner is associated with a reduced risk and smoking with an increased risk of HPV infection.

Indexed as

Decision Support TechniquesAdolescentAdultAgedCross-Sectional StudiesEarly Detection of CancerFemaleGenotypeHumansMiddle AgedPapillomaviridaePapillomavirus InfectionsRisk FactorsSexual BehaviorSpainUterine Cervical Neoplasms

Identifiers

PMID22734435
PMCPMC3447664

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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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.