Evidence map›Paper›PMID 30016541›Full record

ArticleJournal of medical virology2018

Intravaginal practices and genital human papillomavirus infection among female sex workers in Cambodia.

Thanh Cong Bui, Michael E Scheurer, Vy Thi-Tuong Pham, Ly Thi-Hai Tran, Leng Bun Hor, Damon J Vidrine, Michael W Ross, Christine M Markham

Abstract read
In one paragraph

Article in Journal of medical virology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
6.5field-weighted citation impact, top 4% 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

7 citing papers in PubMed, 2 syntheses or guidelines pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Article
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

8 authors at 6 institutions in 2 countries.

Thanh Cong BuiDepartment of Family and Preventive Medicine, Stephenson Cancer Center, The University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma.ORCID 0000-0001-5794-5345
Michael E ScheurerDepartment of Pediatrics, Dan L. Duncan Cancer Center, Baylor College of Medicine, Houston, Texas.
Vy Thi-Tuong PhamDepartment of Epidemiology, College for Public Health and Social Justice, Saint Louis University, St. Louis, Missouri.
Ly Thi-Hai TranDepartment of Epidemiology, School of Public Health, University of Texas Health Science Center at Houston, Houston, Texas.
Leng Bun HorCambodian National AIDS Authority, Phnom Penh, Cambodia.
Damon J VidrineDepartment of Family and Preventive Medicine, Stephenson Cancer Center, The University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma.
Michael W RossDepartment of Family Medicine and Community Health, Medical School, University of Minnesota, Minneapolis, Minnesota.
Christine M MarkhamDepartment of Health Promotion and Behavioral Sciences, School of Public Health, University of Texas Health Science Center at Houston, Houston, Texas.
The University of Texas Health Science Center at Houston · USUniversity of Oklahoma Health Sciences Center · USBaylor College of Medicine · USCambodia National Malaria Center · KHSaint Louis University · USUniversity of Minnesota · US

Funding

Virology CoreP30AI036211 · NIAID · BAYLOR COLLEGE OF MEDICINE · PI BUTEL, JANET S · 1994 to 2015
$21.7M
Baylor-UTHouston Center for AIDS Research (CFAR) AI036211Cancer Prevention and Research Institute of Texas RP101503NIAID NIH HHS P30 AI036211Oklahoma Tobacco Settlement Endowment Trust 092-016-0002University of Texas MD Anderson Cancer Center's Duncan Family Institute for Cancer Prevention and Risk Assessment
6 · The paper itself

Abstract

objectivesIntravaginal practices (IVPs) include washing, wiping, or inserting something inside the vagina. This study investigates the associations between IVPs and genital human papillomavirus (HPV) infection.

methodsWe conducted a cross-sectional study of 200 female sex workers aged 18 to 35 years in Phnom Penh, Cambodia. From August to September 2014. Data on sociodemographic characteristics, IVPs, and other behaviors were collected through face-to-face interviews. Self-collected cervicovaginal specimens were tested for 37 HPV genotypes.

resultsMultivariable Poisson regression models showed that a lower number of infecting HPV genotypes were associated with intravaginal washing in the past 3 months (incident rate ratios [IRR] = 0.65, 95% confidence interval [CI]: 0.46-0.94) and often performing intravaginal washing shortly after sex (IRR = 0.89, 95% CI: 0.81-0.99). Intravaginal washing before vaginal sex, intravaginal wiping, and intravaginal insertion were not associated with HPV infection.

conclusionThese findings challenge the existing view that all types of vaginal cleansing are harmful. Specifically, intravaginal washing shortly after sex (mainly with water) may help prevent HPV infection in female sex workers, who have several partners and thus frequently expose to sources of HPV infection with different genotypes.

Indexed as

Sex WorkersAdolescentAdultCambodiaClinical Laboratory TechniquesCross-Sectional StudiesFemaleGenotypeGenotyping TechniquesHumansInterviews as TopicPapillomaviridaePapillomavirus InfectionsReproductive Tract InfectionsVaginal DouchingYoung AdultCambodiadouchingfemale sex workers (FSWs)human papillomavirus (HPV)intravaginal practices (IVPs)

Identifiers

PMID30016541
PMCPMC6158050
OpenAlexW2884892992

What OpenQuestion holds

Textmetadata
LicenceTDM
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.