Evidence map›Paper›PMID 22941862›Full record

Trial reportSexually transmitted infections2013

Sexual behaviour and less frequent bathing are associated with higher human papillomavirus incidence in a cohort study of uncircumcised Kenyan men.

Danielle M Backes, Peter J F Snijders, Michael G Hudgens, Robert C Bailey, Martijn Bogaarts, Kawango Agot, Walter Agingu, Stephen Moses, Chris J L M Meijer, Jennifer S Smith

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Sexually transmitted infections, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
1.0field-weighted citation impact, top 23% 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

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. HPV infection, risk factors and viral load among Mexican male college students.The Brazilian journal of infectious diseases : an official publication of the Brazilian Society of Infectious Diseases
    Article
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

10 authors at 6 institutions in 4 countries.

Danielle M BackesDepartment of Epidemiology, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, North Carolina 27599, USA. backes@email.unc.edu
Peter J F Snijders
Michael G Hudgens
Robert C Bailey
Martijn Bogaarts
Kawango Agot
Walter Agingu
Stephen Moses
Chris J L M Meijer
Jennifer S Smith
University of North Carolina at Chapel Hill · USAmsterdam UMC Location VUmc · NLImpact Research and Development Organization · KEUniversity of Illinois Chicago · USUniversity of Manitoba · CAVrije Universiteit Amsterdam · NL

Funding

Trial of Male Circumcision to Reduce HIV IncidenceU01AI050440 · NIAID · UNIVERSITY OF ILLINOIS AT CHICAGO · PI BAILEY, ROBERT CONVERSE · 2001 to 2009
$14.7M
DevelopmentalP30AI082151 · NIAID · RUSH UNIVERSITY MEDICAL CENTER · PI LANDAY, ALAN L · 2009 to 2014
$4.6M
TRAINING GRANT IN CANCER EPIDEMIOLOGYT32CA009330 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI OLSHAN, ANDREW · 1985 to 2010
$2.5M
Effect of Male Circumcision on Penile HPV InfectionR01CA114773 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI SMITH, JENNIFER SUSAN · 2005 to 2010
$2.1M
CIHR HCT 44180NCI NIH HHS 2-T32-CA009330NCI NIH HHS R01 CA114773NCI NIH HHS R01 CA114773-04NCI NIH HHS T32 CA009330NIAID NIH HHS AI50440NIAID NIH HHS P30 AI082151NIAID NIH HHS U01 AI050440
6 · The paper itself

Abstract

objectivesData on the acquisition of human papillomavirus (HPV) infection in men are limited, especially from developing regions including Africa. The objective of this study was to characterise and determine the risk factors of HPV acquisition among a cohort of uncircumcised men participating in a randomised controlled trial (RCT) of male circumcision in Kisumu, Kenya.

methodsPenile exfoliated cell specimens were collected at baseline, 6- and 12-month follow-up visits from the glans/coronal sulcus and shaft of men enrolled in the control arm of the RCT between 2002 and 2005. All participants were HIV seronegative, aged 17-24 years at baseline and remained uncircumcised over follow-up. Specimens were tested with GP5+/6+ PCR to detect 44 HPV types. Parametric frailty models were used to assess risk factors of HPV incidence.

resultsThe median age of 966 participants was 20 years. The median follow-up time was 12.1 months. The incidence rate (IR) of any HPV infection was 49.3/1000 person-months with HPV16 having the highest IR (10.9/1000 person-months). The strongest risk factors for overall HPV incidence were bathing less frequently than daily (adjusted HR=2.6; 95% CI 1.0 to 6.5) and having ≥ 2 female sexual partners in the past year (adjusted HR=1.6; 95% CI 1.2 to 2.1).

conclusionsHPV IRs were notably high in this cohort of high-risk, uncircumcised men from Kisumu, Kenya, with the number of sexual partners and bathing frequency being the strongest risk factors.

Indexed as

Sexual BehaviorAdolescentCircumcision, MaleCohort StudiesDNA, ViralHumansIncidenceKenyaMalePapillomaviridaePapillomavirus InfectionsPenisPolymerase Chain ReactionRisk FactorsYoung AdultDNA, Viral

Identifiers

PMID22941862
PMCPMC3700546
OpenAlexW2046775140

What OpenQuestion holds

Textmetadata
LicenceTDM
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.