ArticleThe Journal of infectious diseases2014
Prevalence of human papillomavirus in adolescent girls before reported sexual debut.
Article in The Journal of infectious diseases, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed, 27 citations in OpenAlex.
- Occupational HPV exposure and vaccination among healthcare workers: Implications for institutional vaccination strategies.Human vaccines & immunotherapeutics · 2026Article
- Impact of Hormonal Contraceptives on HPV Dynamics in Adolescent Girls and Young Women: Insights from a Randomized Controlled Sub-Study in South Africa.medRxiv : the preprint server for health sciences · 2025Article
- Assessment of knowledge of human papillomavirus transmission and prevention among tertiary institution students in the Plateau Central Senatorial District, Nigeria.PLOS global public health · 2024Article
- Microbiological and behavioral determinants of genital HPV infections among adolescent girls and young women warrant the need for targeted policy interventions to reduce HPV risk.Frontiers in reproductive health · 2022Article
- Human papilloma viruses infection among adolescent females perinatally infected with HIV in Côte d'Ivoire.Sexually transmitted infections · 2021Article
- Sexual Practices During Adolescence.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2020Article
- HPV prevalence around the time of sexual debut in adolescent girls in Tanzania.Sexually transmitted infections · 2020Article
- The Vaginal Microbiota Among Adolescent Girls in Tanzania Around the Time of Sexual Debut.Frontiers in cellular and infection microbiology · 2020Article
- Cervical cancer in Tanzania: A systematic review of current challenges in six domains.Gynecologic oncology reports · 2019Review
- Human papillomavirus DNA detected in fingertip, oral and bathroom samples from unvaccinated adolescent girls in Tanzania.Sexually transmitted infections · 2019Article
- Results from a cross-sectional sexual and reproductive health study among school girls in Tanzania: high prevalence of bacterial vaginosis.Sexually transmitted infections · 2019Article
- Vaginal practices among women at risk for HIV acquisition in Soweto, South Africa.Southern African journal of HIV medicine · 2019Article
- Rapid acquisition of HPV around the time of sexual debut in adolescent girls in Tanzania.International journal of epidemiology · 2016Article
- The Incidence of Human Papillomavirus in Tanzanian Adolescent Girls Before Reported Sexual Debut.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2016Article
- Papillomaviruses: Viral evolution, cancer and evolutionary medicine.Evolution, medicine, and public health · 2015Review
- Article
- The burden of HPV-associated anogenital cancers.Current oncology reports · 2014Review
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10 authors at 5 institutions in 4 countries.
Funding
Abstract
backgroundHuman papillomavirus (HPV) vaccines are recommended for girls prior to sexual debut because they are most effective if administered before girls acquire HPV. Little research has been done on HPV prevalence in girls who report not having passed sexual debut in high HPV-prevalence countries.
methodsUsing attendance registers of randomly selected primary schools in the Mwanza region of Tanzania, we enrolled girls aged 15-16 years who reported not having passed sexual debut. A face-to-face interview on sexual behavior and intravaginal practices, and a nurse-assisted self-administered vaginal swab were performed. Swabs were tested for 13 high-risk and 24 low-risk HPV genotypes.
resultsHPV was detected in 40/474 (8.4%; 95% confidence interval [CI], 5.9-11.0) girls. Ten different high-risk and 21 different low-risk genotypes were detected. High-risk genotypes were detected in 5.3% (95% CI, 3.5-7.8). In multivariable analysis, only intravaginal cleansing (practiced by 20.9%) was associated with HPV detection (adjusted odds ratio = 2.19, 95% CI, 1.09-4.39).
conclusionThis cohort of adolescent Tanzanian girls had a high HPV prevalence prior to self-reported sexual debut, and this was associated with intravaginal cleansing. This most likely reflects underreporting of sexual activity, and it is possible that intravaginal cleansing is a marker for unreported sexual debut or nonpenetrative sexual behaviors.
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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.