Evidence map›Paper›PMID 26725717›Full record

ArticleThe Journal of adolescent health : official publication of the Society for Adolescent Medicine2016

The Incidence of Human Papillomavirus in Tanzanian Adolescent Girls Before Reported Sexual Debut.

Catherine F Houlihan, Kathy Baisley, Ignacio G Bravo, Saidi Kapiga, Silvia de Sanjosé, John Changalucha, David A Ross, Richard J Hayes, Deborah Watson-Jones

Open access · hybridAbstract read
In one paragraph

Article in The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 27% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
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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 4 institutions in 3 countries.

Catherine F HoulihanClinical Research Department, London School of Hygiene and Tropical Medicine, London, United Kingdom; Mwanza Intervention Trials Unit, Mwanza, Tanzania. Electronic address: catherine.houlihan@lshtm.ac.uk.
Kathy BaisleyMRC Tropical Epidemiology Group, London School of Hygiene and Tropical Medicine, London, United Kingdom.
Ignacio G BravoUnit of Infections and Cancer, Barcelona, Spain.
Saidi KapigaMwanza Intervention Trials Unit, Mwanza, Tanzania; MRC Tropical Epidemiology Group, London School of Hygiene and Tropical Medicine, London, United Kingdom.
Silvia de SanjoséUnit of Infections and Cancer, Barcelona, Spain; CIBER, Barcelona, Spain.
John ChangaluchaNational Institute for Medical Research, Mwanza, Tanzania.
David A RossMRC Tropical Epidemiology Group, London School of Hygiene and Tropical Medicine, London, United Kingdom.
Richard J HayesMRC Tropical Epidemiology Group, London School of Hygiene and Tropical Medicine, London, United Kingdom.
Deborah Watson-JonesClinical Research Department, London School of Hygiene and Tropical Medicine, London, United Kingdom; Mwanza Intervention Trials Unit, Mwanza, Tanzania.
London School of Hygiene & Tropical Medicine · GBMwanza Intervention Trials Unit · TZCentro de Investigación Biomédica en Red · ESNational Institute for Medical Research · TZ

Funding

Medical Research Council G0700837Medical Research Council G0901756Medical Research Council MR/K012126/1Wellcome Trust ITCRBE30
6 · The paper itself

Abstract

purposeAcquisition of human papillomavirus (HPV) in women occurs predominantly through vaginal sex. However, HPV has been detected in girls reporting no previous sex. We aimed to determine incidence and risk factors for HPV acquisition in girls who report no previous sex in Tanzania, a country with high HPV prevalence and cervical cancer incidence.

methodsWe followed 503 adolescent girls aged 15-16 years in Mwanza, Tanzania, with face-to-face interviews and self-administered vaginal swabs every 3 months for 18 months; 397 girls reported no sex before enrollment or during follow-up; of whom, 120 were randomly selected. Samples from enrollment, 6-, 12-, and 18-month visits were tested for 37 HPV genotypes. Incidence, clearance, point prevalence, and duration of any HPV and genotype-specific infections were calculated and associated factors were evaluated.

resultsOf 120 girls who reported no previous sex, 119 were included, contributing 438 samples. HPV was detected in 51 (11.6%) samples. The overall incidence of new HPV infections was 29.4/100 person-years (95% confidence interval: 15.9-54.2). The point prevalence of vaccine types HPV-6,-11,-16, and -18 was .9%, .9%, 2.0%, and 0%, respectively. Spending a night away from home and using the Internet were associated with incident HPV, and reporting having seen a pornographic movie was inversely associated with HPV incidence.

conclusionsIncident HPV infections were detected frequently in adolescent girls who reported no previous sex over 18 months. This is likely to reflect under-reporting of sex. A low-point prevalence of HPV genotypes in licensed vaccines was seen, indicating that vaccination of these girls might still be effective.

Indexed as

Sexual BehaviorAdolescentFemaleHumansIncidencePapillomaviridaePapillomavirus InfectionsRisk FactorsTanzaniaHuman papillomavirusIncidenceSub-Saharan Africa

Identifiers

PMID26725717
PMCPMC4762460
OpenAlexW2208608143

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.