Evidence map›Paper›PMID 34849640›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2022

Proportion of Incident Genital Human Papillomavirus Detections not Attributable to Transmission and Potentially Attributable to Latent Infections: Implications for Cervical Cancer Screening.

Talía Malagón, Aaron MacCosham, Ann N Burchell, Mariam El-Zein, Pierre Paul Tellier, François Coutlée, Eduardo L Franco, HITCH Study Group

Open access · greenAbstract read
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 11% 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, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. Adapting Sexual Behavior Survey Data to Parameterize an Agent-Based Model of Human Papillomavirus (HPV) Transmission.Medical decision making : an international journal of the Society for Medical Decision Making · 2026
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  6. bioRxiv : the preprint server for biology · 2025
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  10. Observational
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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

8 authors at 3 institutions in 1 country.

Talía MalagónDivision of Cancer Epidemiology, Department of Oncology, McGill University, Montreal, Canada.ORCID 0000-0002-9505-3564
Aaron MacCoshamDivision of Cancer Epidemiology, Department of Oncology, McGill University, Montreal, Canada.
Ann N BurchellDepartment of Family and Community Medicine and Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Canada.
Mariam El-ZeinDivision of Cancer Epidemiology, Department of Oncology, McGill University, Montreal, Canada.
Pierre Paul TellierDepartment of Family Medicine, McGill University, Montreal, Canada.
François CoutléeService de Biologie moléculaire du département de Médecine de laboratoire et Service d'infectiologie du département de Médecine, Centre Hospitalier de l'Université de Montréal, Montréal, Canadaand.
Eduardo L FrancoDivision of Cancer Epidemiology, Department of Oncology, McGill University, Montreal, Canada.
HITCH Study Group
McGill University · CACentre Hospitalier de l’Université de Montréal · CASt. Michael's Hospital · CA

Funding

HITCH: A Study of HPV Transmission in Young CouplesR01AI073889 · NIAID · MCGILL UNIVERSITY · PI FRANCO, EDUARDO L. · 2010 to 2013
$419k
CIHR 143347CIHR 68893CIHR 83320NIAID NIH HHS R01 AI073889
6 · The paper itself

Abstract

backgroundInfections with human papillomaviruses (HPVs) may enter a latent state, and eventually become reactivated following loss of immune control. It is unclear what proportion of incident HPV detections are reactivations of previous latent infections vs new transmissions.

methodsThe HPV Infection and Transmission among Couples through Heterosexual activity (HITCH) cohort study prospectively followed young newly formed heterosexual partners recruited between 2005 and 2011 in Montréal, Canada. We calculated the fraction of incident HPV detections nonattributable to sexual transmission risk factors with a Bayesian Markov model. Results are the median (2.5th-97.5th percentiles) of the estimated posterior distribution.

resultsA total of 544 type-specific incident HPV detection events occurred in 849 participants; 33% of incident HPV detections occurred in participants whose HITCH partners were negative for that HPV type and who reported no other sex partners over follow-up. We estimate that 43% (38%-48%) of all incident HPV detections in this population were not attributable to recent sexual transmission and might be potentially reactivation of latent infections.

conclusionsA positive HPV test result in many cases may be a reactivated past infection, rather than a new infection from recent sexual behaviors or partner infidelity. The potential for reactivation of latent infections in previously HPV-negative women should be considered in the context of cervical cancer screening.

Indexed as

AlphapapillomavirusLatent InfectionPapillomavirus InfectionsSexually Transmitted DiseasesUterine Cervical NeoplasmsBayes TheoremCohort StudiesEarly Detection of CancerFemaleGenitaliaHumansPapillomaviridaeRisk FactorsSexual BehaviorSexual Partnerscohort studiesdisease transmissioninfectiousPapillomaviridaepapillomavirus infectionsrecurrencesexually transmitted infectionsvirus latency

Identifiers

PMID34849640
PMCPMC9427149
OpenAlexW3214977390

What OpenQuestion holds

Textmetadata
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.