Evidence map›Paper›PMID 26207895›Full record

ArticlePloS one2015

HPV Infection and Cervical Screening in Socially Isolated Indigenous Women Inhabitants of the Amazonian Rainforest.

Allex Jardim Fonseca, Daniela Taeko, Thiciane Araújo Chaves, Lucia Dayanny da Costa Amorim, Raisa Saron Wanderley Murari, Angélica Espinosa Miranda, Zigui Chen, Robert David Burk, Luiz Carlos Lima Ferreira

Open access · goldAbstract readComparative Study
In one paragraph

Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
3.9field-weighted citation impact, top 6% 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

30 citing papers in PubMed, 1 synthesis or guideline pooled it, 52 citations in OpenAlex.

  1. Pooled it
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  8. High prevalence of HPV 18 and multiple infections with oncogenic HPV genotypes in women at risk of cervical cancer examined in Manaus, Brazil.Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologica · 2023
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  19. Oral Alpha, Beta, and Gamma HPV Types and Risk of Incident Esophageal Cancer.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2018
    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

9 authors at 5 institutions in 2 countries.

Allex Jardim FonsecaPostgraduate Program in Tropical Medicine, Tropical Medicine Foundation Dr. Heitor Vieira Dourado, Universidade do Estado do Amazonas, Manaus, Amazonas, Brazil; Department of Health Sciences Research, Universidade Federal de Roraima, Boa Vista, Brazil.
Daniela TaekoDepartment of Health Sciences Research, Universidade Federal de Roraima, Boa Vista, Brazil.
Thiciane Araújo ChavesDepartment of Health Sciences Research, Universidade Federal de Roraima, Boa Vista, Brazil.
Lucia Dayanny da Costa AmorimDepartment of Health Sciences Research, Universidade Federal de Roraima, Boa Vista, Brazil.
Raisa Saron Wanderley MurariDepartment of Health Sciences Research, Universidade Federal de Roraima, Boa Vista, Brazil.
Angélica Espinosa MirandaCenter for Infectious Diseases, Universidade Federal do Espírito Santo, Maruípe, Vitoria, Brazil.
Zigui ChenDepartment of Pediatrics, Albert Einstein College of Medicine, New York, United States of America.
Robert David BurkDepartment of Pediatrics, Albert Einstein College of Medicine, New York, United States of America; Department of Microbiology & Immunology, Albert Einstein College of Medicine, New York, United States of America; Department of Epidemiology & Population Health, Albert Einstein College of Medicine, New York, United States of America; Department of Obstetrics, Gynecology & Women's Health, Albert Einstein College of Medicine, New York, United States of America.
Luiz Carlos Lima FerreiraDepartment of Tropical Pathology, Tropical Medicine Foundation Dr. Heitor Vieira Dourado, Universidade do Estado do Amazonas, Manaus, Amazonas, Brazil.
Universidade Federal de Roraima · BRAlbert Einstein College of Medicine · USFundação de Medicina Tropical · BRUniversidade do Estado do Amazonas · BRUniversidade Federal do Espírito Santo · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveIndigenous women from the Amazon regions have some of the highest rates of cervical cancer in the world. This study evaluated cervical cytology and human papillomavirus (HPV) in native women that differ by lifestyle and interaction with western society. Yanomami women are isolated deep in the Amazon with a hunter/gatherer lifestyle. Macuxi and Wapishana women live in proximity to western society.

methodsTo select a representative group of women from each district, random cluster sampling was used, considering each registered village as a cluster. Cervical samples were collected for cytology and HPV detection and typing by PCR amplification and next generation sequencing. The study was approved by the National IRB and by tribal leaders.

results664 native women were enrolled from 13 indigenous villages (76% participation rate). Yanomami women had higher rates of abnormal cytology (5.1% vs. 1.8%, p = 0.04) and prevalent HR-HPV (34.1% vs. 19.2%, p<0.001). Yanomami women >35 y of age were significantly more likely to have HR-HPV, whereas women ≤ 35 y did not significantly differ between groups. Prevalence of HPV was significantly different amongst geographically clustered Yanomami women (p<0.004). The most prevalent HPV types in the entire group were HPV31 (8.7%), HPV16 (5.9%) and HPV18 (4.4%).

conclusionIsolated endogenous Yanomami women were more likely to be HPV+ and rates increased with age. Study of HPV in isolated hunter-gather peoples suggests that long-term persistence is a characteristic of prehistoric humans and patterns reflecting decreased prevalence with age in western society represents recent change. These studies have implications for cervical cancer prevention and viral-host relationships.

Indexed as

Early Detection of CancerSocial IsolationAdolescentAdultAgedAged, 80 and overAge FactorsChildCluster AnalysisCross-Sectional StudiesCultureDNA, ViralFemaleHumansIndians, South AmericanMiddle AgedDNA, Viral

Identifiers

PMID26207895
PMCPMC4514624
OpenAlexW1578899510

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.