Evidence map›Paper›PMID 31221744›Full record

ArticleSexually transmitted infections2020

HPV prevalence around the time of sexual debut in adolescent girls in Tanzania.

Kathy J Baisley, Aura Andreasen, Julia Irani, Soori Nnko, John Changalucha, Tania Crucitti, Suzanna Francis, Christian Holm Hansen, Richard J Hayes, Anne Buvé and 1 more

Open access · greenAbstract read
In one paragraph

Article in Sexually transmitted infections, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
1.8field-weighted citation impact, top 16% 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, 26 citations in OpenAlex.

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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

11 authors at 5 institutions in 3 countries.

Kathy J BaisleyDepartment of Infectious Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, UK kathy.baisley@lshtm.ac.uk.ORCID 0000-0003-1849-6625
Aura AndreasenDepartment of Clinical Research, London School of Hygiene and Tropical Medicine, London, UK.
Julia IraniMwanza Intervention Trials Unit, National Institute for Medical Research, Mwanza, Tanzania.
Soori NnkoNational Institute for Medical Research, Mwanza, Tanzania.
John ChangaluchaNational Institute for Medical Research, Mwanza, Tanzania.
Tania CrucittiDepartment of Microbiology, Institute of Tropical Medicine, Antwerp, Belgium.
Suzanna FrancisDepartment of Infectious Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, UK.ORCID 0000-0002-3724-4813
Christian Holm HansenDepartment of Infectious Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, UK.
Richard J HayesDepartment of Infectious Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, UK.
Anne BuvéDepartment of Microbiology, Institute of Tropical Medicine, Antwerp, Belgium.
Deborah Watson-JonesDepartment of Clinical Research, London School of Hygiene and Tropical Medicine, London, UK.
London School of Hygiene & Tropical Medicine · GBInstituut voor Tropische Geneeskunde · BENational Institute for Medical Research · TZMwanza Intervention Trials Unit · TZUniversity of London · GB

Funding

Medical Research Council MR/R010161/1
6 · The paper itself

Abstract

objectivesCervical cancer is the leading cause of cancer-related mortality among women in sub-Saharan Africa (SSA). Data on human papillomavirus (HPV) epidemiology in adolescent girls in SSA are essential to inform HPV vaccine policy recommendations for cervical cancer prevention. We assessed the burden of HPV infection, and risk factors for infection, among adolescent girls around the time of sexual debut.

methodsCross-sectional study of secondary school girls aged 17-18 years in Tanzania. Consenting participants provided samples for HPV and STI testing. Vaginal swabs were tested for 37 HPV genotypes by Roche Linear Array. Logistic regression was used to identify factors associated with HPV infection. Y chromosome was tested as a marker of recent condomless sex.

results163/385 girls (42.3%) reported previous penetrative sex. HPV was detected in 125/385 (32.5%) girls, including 84/163 (51.5%) girls reporting previous sex and 41/222 (18.5%) reporting no previous sex. High-risk (HR) genotypes were detected in 70/125 (56.0%) girls with HPV infection. The most common HR genotype was HPV-16 (15/385; 3.9%). The prevalence of other HR HPV vaccine genotypes was between 0.8% and 3.1%. Among 186 girls who reported no previous sex, were negative for Y chromosome, and had no STI, 32 (17%) had detectable HPV.

conclusionsHPV prevalence among adolescent girls around the time of sexual debut was high. However, prevalence of most vaccine genotypes was low, indicating that extending the age range of HPV vaccination in this region may be cost-effective.

Indexed as

GenotypeAdolescentCross-Sectional StudiesFemaleHumansPapillomaviridaePapillomavirus InfectionsPrevalenceRisk FactorsTanzaniaTime FactorsadolescentAfricaHPVvaccination

Identifiers

PMID31221744
PMCPMC7167299
OpenAlexW2948257839

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.