Evidence map›Paper›PMID 24485095›Full record

Observational studyContraception2014

Injectable and oral contraception and the incidence and progression of cervical disease in HIV-infected women in South Africa.

Daniel Westreich, Naiomi Jamal, Jennifer S Smith, Doreen Schulze, Sophie Williams, Pam Michelow, Simon Levin, Cynthia Firnhaber

Abstract readObservational Study
In one paragraph

Observational study in Contraception, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.2field-weighted citation impact, top 39% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Association between Hormonal Contraception and Injuries Induced by Human Papillomavirus in the Uterine Cervix.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2018
    Article
  3. Assessing the Acceptability, Feasibility, and Effectiveness of a Tablet-Based Cervical Cancer Educational Intervention.Journal of cancer education : the official journal of the American Association for Cancer Education · 2017
    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

8 authors at 6 institutions in 2 countries.

Daniel WestreichDepartment of Obstetrics and Gynecology and Duke Global Health Institute, Duke University, Durham, NC, USA. Electronic address: westreic@email.unc.edu.
Naiomi JamalDepartment of Family Medicine, University of Texas Medical Branch, Galveston, TX, USA.
Jennifer S SmithDepartment of Epidemiology, Gillings School of Global Public Health and Lineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, NC, USA.
Doreen SchulzeClinical HIV Research Unit, Department of Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Sophie WilliamsRight to Care, Johannesburg, South Africa.
Pam MichelowCytology Unit, National Health Laboratory Service and Department of Pathology, University of Witwatersrand, Johannesburg, South Africa.
Simon LevinRight to Care, Johannesburg, South Africa; Department of Obstetrics and Gynecology, Rahima Moosa Mother and Child Hospital, University of Witwatersrand, Johannesburg, South Africa.
Cynthia FirnhaberClinical HIV Research Unit, Department of Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa; Right to Care, Johannesburg, South Africa.
Duke University · USNational Health Laboratory Service · ZARight to Care · ZAThe University of Texas Medical Branch at Galveston · USUniversity of North Carolina at Chapel Hill · USUniversity of the Witwatersrand · ZA

Funding

Virology, Immunology, and Microbiology CoreP30AI050410 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DAVID M. MARGOLIS · 2001 to 2026
$76.9M
Social and Behavioral Sciences CoreP30AI064518 · NIAID · DUKE UNIVERSITY · PI GEORGIA Doris TOMARAS · 2005 to 2026
$50.5M
Pregnancy and Response to Antiretroviral Therapy in South AfricaR00HD063961 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI WESTREICH, DANIEL J · 2010 to 2012
$687k
NIAID NIH HHS P30 AI050410NIAID NIH HHS P30 AI064518NICHD NIH HHS R00 HD063961PEPFARPHS HHS NIH/NIAID 2P30-AI064518-06PHS HHS NIH/NICHD 4R00-HD-06-3961
6 · The paper itself

Abstract

backgroundFew data exist regarding the effect of hormonal contraception (HC) on incidence and progression of cervical disease (e.g., cervical dysplasia, squamous intraepithelial lesions, cervical intraepithelial neoplasia) in HIV-infected African women. STUDY

designWe conducted an observational study of HIV-seropositive women in Johannesburg, South Africa. The effect of individual HC types on the incidence and progression of cervical disease was determined using Poisson regression to obtain adjusted incidence rate ratios.

resultsWe evaluated 594 HIV-infected women, with median follow-up time of 445 days; 75 of these women were receiving some form of HC (largely DMPA, NET-EN, or COCs) at baseline. Risks of incidence and progression of cervical disease were similar comparing women not receiving HCs to women receiving DMPA, NET-EN, or COCs both individually by HC-type and considering all HC together.

conclusionsThere was no statistically significant effect of particular HC methods or of HC use in general on rates of incidence or progression of cervical disease in this study. These results should reassure us that use of HC is unlikely to substantially increase risks of cervical disease among HIV-positive women.

Indexed as

AdultContraceptive Agents, FemaleDisease ProgressionFemaleHIV InfectionsHumansIncidenceLongitudinal StudiesMiddle AgedSouth AfricaUterine Cervical DysplasiaUterine Cervical NeoplasmsContraceptive Agents, FemaleCervical diseaseCombined oral contraceptivesDMPA, HIV, NET-EN

Identifiers

PMID24485095
PMCPMC3972316
OpenAlexW2090725715

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.