Evidence map›Paper›PMID 32773478›Full record

ArticleAIDS (London, England)2020

Incidence, clearance, persistence and factors related with high-risk anal HPV persistence in South-East Asian MSM and transgender women.

Evy Yunihastuti, Nipat Teeratakulpisarn, Wifanto Saditya Jeo, Hanny Nilasari, Lisnawati Rachmadi, I Ketut Agus Somia, Made Dewi Dian Sukmawati, Komang Agus Trisna Amijaya, Ilias A Yee, Nany Hairunisa and 10 more

Open access · greenAbstract read
In one paragraph

Article in AIDS (London, England), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
2.5field-weighted citation impact, top 10% 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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 28 citations in OpenAlex.

  1. Circumcision for HIV Prevention in Men Who Have Sex With Men: An Updated Meta-Analysis.Journal of acquired immune deficiency syndromes (1999) · 2026
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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

20 authors at 8 institutions in 4 countries.

Evy YunihastutiFaculty of Medicine Universitas Indonesia/Cipto Mangunkusumo Hospital, Jakarta, Indonesia.
Nipat TeeratakulpisarnThe Thai Red Cross AIDS Research Centre, Bangkok, Thailand.
Wifanto Saditya JeoFaculty of Medicine Universitas Indonesia/Cipto Mangunkusumo Hospital, Jakarta, Indonesia.
Hanny NilasariFaculty of Medicine Universitas Indonesia/Cipto Mangunkusumo Hospital, Jakarta, Indonesia.
Lisnawati RachmadiFaculty of Medicine Universitas Indonesia/Cipto Mangunkusumo Hospital, Jakarta, Indonesia.
I Ketut Agus SomiaFaculty of Medicine Udayana University.
Made Dewi Dian SukmawatiFaculty of Medicine Udayana University.
Komang Agus Trisna AmijayaSanglah Hospital, Denpasar, Bali.
Ilias A YeeFaculty of Medicine, Trisakti University, Jakarta, Indonesia.
Nany HairunisaCommunity Healthcare Clinic, PT Foundation.
Piranun HongchookiatThe Thai Red Cross AIDS Research Centre, Bangkok, Thailand.
Deondara TrachunthongThe Thai Red Cross AIDS Research Centre, Bangkok, Thailand.
Tippawan PankamThe Thai Red Cross AIDS Research Centre, Bangkok, Thailand.
Siriporn NonenoyThe Thai Red Cross AIDS Research Centre, Bangkok, Thailand.
Reshmie RamautarsingThe Thai Red Cross AIDS Research Centre, Bangkok, Thailand.
Iskandar AzwaInfectious Diseases Unit, Department of Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
Tuti P MeratiFaculty of Medicine Udayana University.
Praphan PhanuphakThe Thai Red Cross AIDS Research Centre, Bangkok, Thailand.
Nittaya PhanuphakThe Thai Red Cross AIDS Research Centre, Bangkok, Thailand.
Joel M PalefskyUniversity of California San Fransisco School of Medicine, San Fransisco, California, USA.
Thai Red Cross Society · THRumah Sakit Umum Pusat Nasional Dr. Cipto Mangunkusumo · IDRumah Sakit Umum Pusat Sanglah Denpasar · IDUdayana University · IDJapan Community Healthcare Organization · JPUniversitas Trisakti · IDUniversity of Indonesia · IDUniversity of Malaya · MY

Funding

The Asia-Pacific HIV Research CollaborationU01AI069907 · NIAID · FOUNDATION FOR AIDS RESEARCH · PI ANNETTE H SOHN · 2006 to 2026
$44.8M
NIAID NIH HHS U01 AI069907
6 · The paper itself

Abstract

objectivesPersistent anal high-risk human papillomavirus (HR-HPV) infection is a major risk factor for anal cancer among MSM and transgender women (TGW). We aimed to estimate incidence, clearance, and persistence of anal HR-HPV in HIV-positive and HIV-negative MSM and TGW, and to assess factors for HR-HPV persistence.

designProspective cohort study.

methodsMSM and TGW aged at least 18 years, were enrolled from Indonesia, Malaysia, and Thailand, then followed up 6-monthly for 12 months. Anal swabs were collected at every visit for HR-HPV genotypes to define anal HR-HPV incidence, clearance, and persistence. Logistic regression was used to evaluate factors associated with HR-HPV persistence.

resultsThree hundred and twenty-five MSM and TGW were included in this study, of whom 72.3% were HIV-positive. The incidence of anal HR-HPV persistence was higher in HIV-positive than HIV-negative MSM participants (28.4/1000 vs. 13.9/1000 person-months). HIV-positive participants had HR-HPV lower clearance rate than HIV-negative participants (OR 0.3; 95% CI 0.1-0.7). The overall persistence of HR-HPV was 39.9% in HIV-positive and 22.8% HIV-negative participants. HPV-16 was the most persistent HR-HPV in both HIV-positive and HIV-negative participants. HIV infection (aOR 2.87; 95% CI 1.47-5.61), living in Kuala Lumpur (aOR 4.99; 95% CI 2.22-11.19) and Bali (aOR 3.39; 95% CI 1.07-10.75), being employed/freelance (aOR 3.99; 95% CI 1.48-10.77), and not being circumcised (aOR 2.29; 95% CI 1.07-4.88) were independently associated with anal HR-HPV persistence.

conclusionHIV-positive MSM and TGW had higher risk of persistent anal HR-HPV infection. Prevention program should be made available and prioritized for HIV-positive MSM and TGW where resources are limited.

Indexed as

HIV SeronegativityHomosexuality, MaleTransgender PersonsAdolescentAdultAgedAnal CanalFemaleHumansIncidenceIndonesiaMalaysiaMalePapillomaviridaePapillomavirus InfectionsPrevalence

Identifiers

PMID32773478
PMCPMC7541660
OpenAlexW3048389817

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.