Evidence map›Paper›PMID 27482705›Full record

ArticlePloS one2016

Significantly Reduced Genoprevalence of Vaccine-Type HPV-16/18 Infections among Vaccinated Compared to Non-Vaccinated Young Women 5.5 Years after a Bivalent HPV-16/18 Vaccine (Cervarix®) Pilot Project in Uganda.

Edward Kumakech, Vanja Berggren, Henry Wabinga, Gabriella Lillsunde-Larsson, Gisela Helenius, Malin Kaliff, Mats Karlsson, Samuel Kirimunda, Caroline Musubika, Sören Andersson

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
0.7field-weighted citation impact, top 25% 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

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  4. Article
  5. Review
  6. Review
  7. Minimal prevalence of HPV vaccination and common occurrence of high-risk HPV types in pregnant women with HIV: data from a national study in Italy.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2022
    Article
  8. 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

10 authors at 4 institutions in 2 countries.

Edward KumakechSchool of Health and Medical Sciences, Örebro University, Örebro, Sweden.ORCID http://orcid.org/0000-0002-7237-7734
Vanja BerggrenFaculty of Medicine, Lund University, Lund, Sweden.
Henry WabingaDepartment of Pathology, School of Biomedical Sciences, Makerere University College of Health Sciences, Kampala, Uganda.
Gabriella Lillsunde-LarssonSchool of Health and Medical Sciences, Örebro University, Örebro, Sweden.
Gisela HeleniusSchool of Health and Medical Sciences, Örebro University, Örebro, Sweden.
Malin KaliffDepartment of Laboratory Medicine, Faculty of Medicine and Health, Örebro University Hospital and Örebro University, Örebro, Sweden.
Mats KarlssonSchool of Health and Medical Sciences, Örebro University, Örebro, Sweden.
Samuel KirimundaDepartment of Pathology, School of Biomedical Sciences, Makerere University College of Health Sciences, Kampala, Uganda.
Caroline MusubikaDepartment of Pathology, School of Biomedical Sciences, Makerere University College of Health Sciences, Kampala, Uganda.
Sören AnderssonSchool of Health and Medical Sciences, Örebro University, Örebro, Sweden.
Örebro University · SEMakerere University · UGLund University · SEÖrebro University Hospital · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The objective of this study was to determine the prevalence and some predictors for vaccine and non-vaccine types of HPV infections among bivalent HPV vaccinated and non-vaccinated young women in Uganda. This was a comparative cross sectional study 5.5 years after a bivalent HPV 16/18 vaccination (Cervarix®, GlaxoSmithKline, Belgium) pilot project in western Uganda. Cervical swabs were collected between July 2014-August 2014 and analyzed with a HPV genotyping test, CLART® HPV2 assay (Genomica, Madrid Spain) which is based on PCR followed by microarray for determination of genotype. Blood samples were also tested for HIV and syphilis infections as well as CD4 and CD8 lymphocyte levels. The age range of the participants was 15-24 years and mean age was 18.6(SD 1.4). Vaccine-type HPV-16/18 strains were significantly less prevalent among vaccinated women compared to non-vaccinated women (0.5% vs 5.6%, p 0.006, OR 95% CI 0.08(0.01-0.64). At type-specific level, significant difference was observed for HPV16 only. Other STIs (HIV/syphilis) were important risk factors for HPV infections including both vaccine types and non-vaccine types. In addition, for non-vaccine HPV types, living in an urban area, having a low BMI, low CD4 count and having had a high number of life time sexual partners were also significant risk factors. Our data concurs with the existing literature from other parts of the world regarding the effectiveness of bivalent HPV-16/18 vaccine in reducing the prevalence of HPV infections particularly vaccine HPV- 16/18 strains among vaccinated women. This study reinforces the recommendation to vaccinate young girls before sexual debut and integrate other STI particularly HIV and syphilis interventions into HPV vaccination packages.

Indexed as

Mass VaccinationAdolescentCoinfectionCross-Sectional StudiesFemaleGenotypeHIV InfectionsHuman papillomavirus 16Human papillomavirus 18HumansImmunization ProgramsPapillomavirus InfectionsPapillomavirus VaccinesPilot ProjectsPrevalenceSyphilishuman papillomavirus vaccine, L1 type 16, 18Papillomavirus Vaccines

Identifiers

PMID27482705
PMCPMC4970808
OpenAlexW2495606081

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.