Evidence map›Paper›PMID 31511286›Full record

Trial reportBMJ open2019

Is the risk of cervical atypia associated with the interval between menarche and the start of sexual activity? A population-based cohort study.

Indira Adhikari, Tiina Eriksson, Tapio Luostarinen, Dan Apter, Matti Lehtinen

Registry-linked trialOpen access · goldAbstract readClinical Trial
In one paragraph

Trial report in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00122681 (A Phase III, Double-blind, Randomized, Controlled, Multi-center Study to Evaluate the Efficacy of GlaxoSmithKline Biologicals. HPV-16/18 VLP AS04 Vaccine Compared to Hepatitis A Vaccine as Control in Prevention of Persistent HPV-16 or HPV-18 Cervical Infection and Cervical Neoplasia, Administered Intramuscularly According to a 0, 1, 6 Month Schedule in Healthy Females 15-25 Years of Age.), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 29% 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.

NCT00122681 phase3completednot on this map

A Phase III, Double-blind, Randomized, Controlled, Multi-center Study to Evaluate the Efficacy of GlaxoSmithKline Biologicals. HPV-16/18 VLP AS04 Vaccine Compared to Hepatitis A Vaccine as Control in Prevention of Persistent HPV-16 or HPV-18 Cervical Infection and Cervical Neoplasia, Administered Intramuscularly According to a 0, 1, 6 Month Schedule in Healthy Females 15-25 Years of Age.

TypeinterventionalSponsorGlaxoSmithKlineRan2004 to 2009Enrolled18,729ConditionsInfections, PapillomavirusArmsCervarix™, Havrix™-based investigational formulation
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. 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

5 authors at 3 institutions in 1 country.

Indira AdhikariDepartment of Health Sciences, Tampere University, Tampere, Finland indira.adhikari@tuni.fi.ORCID 0000-0001-8679-286X
Tiina ErikssonDepartment of Health Sciences, Tampere University, Tampere, Finland.
Tapio LuostarinenInstitute for Statistical and Epidemiological Cancer Research, Finnish Cancer Registry, Helsinki, Finland.
Dan ApterVL-Medi, Helsinki, Finland.
Matti LehtinenDepartment of Health Sciences, Tampere University, Tampere, Finland.
Tampere University · FIFinnish Cancer Registry · FIVL-Medi Oy (Finland) · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWe investigated whether the risk of cervical atypia is associated with a short interval between the age at first sexual intercourse (FSI) or age at the start of oral contraceptive (OC) use and menarche.

designA population-based cohort study.

settingFinnish women in the age range of 16-17 years old were enrolled in the PATRICIA trial of human papillomavirus (HPV) 16/18 vaccine efficacy.

participantsThe association of cervical atypia with the interval between FSI or start of OC use and menarche was assessed in the control arm (hepatitis A vaccinated) who had participated in biannual clinical follow-up visits for 4 years. Altogether, 913 women had normal baseline cervical cytology and answered behavioural questionnaires at enrolment and end of the follow-up.

main outcome measureORs with 95% CIs using univariate and multivariable logistic regression were used to assess the association between cervical atypia and the interval between FSI or the start of OC use and menarche.

resultsThe mean ages at menarche, FSI and the start of OC use were 12.4, 16.0 and 16.4.

conclusionShort interval between menarche and the age at start of sexual activity does not increase the risk of HPV-associated cervical atypia. TRIAL REGISTRATION NUMBER: NCT00122681.

Indexed as

MenarcheSexual BehaviorAge FactorsCervix UteriCohort StudiesContraceptives, Oral, HormonalFemaleFinlandFollow-Up StudiesHumansLogistic ModelsMultivariate AnalysisPapillomavirus InfectionsPapillomavirus VaccinesRandomized Controlled Trials as TopicRisk FactorsContraceptives, Oral, HormonalPapillomavirus Vaccinescervical neoplasiaChlamydia trachomatisfirst sexual intercoursehuman papillomavirusmenarcheoral contraceptives

Identifiers

PMID31511286
PMCPMC6738745
OpenAlexW2972554372

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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Registered trials

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.