Evidence map›Paper›PMID 25355446›Full record

ArticleAmerican journal of epidemiology2014

Concurrence of multiple human papillomavirus infections in a large US population-based cohort.

Zihua Yang, Jack Cuzick, William C Hunt, Cosette M Wheeler

Open access · bronzeAbstract read
In one paragraph

Article in American journal of epidemiology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
2.1field-weighted citation impact, top 13% 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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. The histologic results in multiple-type HPV infections.Journal of the Turkish German Gynecological Association · 2025
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  9. Distribution of HPV genotypes among women with abnormal cytology results in Alberta, Canada.Journal of the Association of Medical Microbiology and Infectious Disease Canada = Journal officiel de l'Association pour la microbiologie medicale et l'infectiologie Canada · 2021
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  15. National- and state-level impact and cost-effectiveness of nonavalent HPV vaccination in the United States.Proceedings of the National Academy of Sciences of the United States of America · 2016
    Article
  16. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Zihua Yang
Jack Cuzick
William C Hunt
Cosette M Wheeler

Funding

Web enhanced adoption of HPV vaccine in minority communitiesU19AI084081 · NIAID · UNIVERSITY OF NEW MEXICO HEALTH SCIS CTR · PI STIDLEY, CHRISTINE A. · 2009 to 2013
$13.4M
Cancer Research UK 16891Cancer Research UK A-10404NIAID NIH HHS U19 AI084081NIAID NIH HHS U19AI084081
6 · The paper itself

Abstract

We examined the concurrence of multiple human papillomavirus (HPV) infections in 47,617 women who underwent cervical screening in New Mexico between December 2007 and April 2009 using the LINEAR ARRAY HPV Genotyping Test (Roche Diagnostics, Indianapolis, Indiana), which detects 37 different types of HPV. Our primary goal was to examine the distributions of multiple HPV types with a special interest in negative interactions, which could signal the possibility of type replacement associated with a common niche if some HPV types were prevented by vaccination. Multiple infections were found to be more common than expected under independence, but this could largely be accounted for by a woman-specific latent heterogeneity parameter which was found to be dependent on age and cytological grade. While multiple infections were more common in young women and in those with abnormal cytology, greater heterogeneity was seen in older women and in those with normal cytology, possibly reflecting greater variability in exposure due to current or past HPV exposure or due to heterogeneity in related HPV reactivation or in immune responses to HPV infection or persistence. A negative interaction was found between HPV 16 and several other HPV types for women with abnormal cytology but not for those with normal cytology, suggesting that type replacement in women vaccinated against HPV 16 is unlikely to be an issue for the general population.

Indexed as

AdultAge FactorsAlphapapillomavirusCervix UteriCohort StudiesCoinfectionFemaleGenotyping TechniquesHumansMiddle AgedNew MexicoPapillomavirus InfectionsPrevalenceUterine Cervical Diseasescervical screeninghuman papillomavirusmultiple infectionspopulation heterogeneity

Identifiers

PMID25355446
PMCPMC4239798
OpenAlexW2169133504

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.