Evidence map›Paper›PMID 38822674›Full record

ArticleEuropean journal of public health2024

Understanding the high-risk human papillomavirus prevalence and associated factors in the European country with a high incidence of cervical cancer.

Natalija Berza, Jana Zodzika, Anda Kivite-Urtane, Nicholas Baltzer, Alise Curkste, Ilva Pole, Mari Nygård, Kersti Pärna, Mindaugas Stankunas, Anna Tisler and 1 more

Abstract read
In one paragraph

Article in European journal of public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–field-weighted citation impact
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

18 citing papers in PubMed.

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  12. Human papillomavirus infection and screening strategies.World journal of clinical oncology · 2025
    Review
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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.

Natalija BerzaInstitute of Public Health, Riga Stradins University, Riga, Latvia.ORCID 0000-0001-9541-1045
Jana ZodzikaInstitute of Public Health, Riga Stradins University, Riga, Latvia.ORCID 0000-0001-9450-5365
Anda Kivite-UrtaneInstitute of Public Health, Riga Stradins University, Riga, Latvia.
Nicholas BaltzerCancer Registry of Norway, Oslo, Norway.
Alise CurksteInstitute of Public Health, Riga Stradins University, Riga, Latvia.
Ilva PoleLaboratory Service, National Microbiology Reference Laboratory, Riga East University Hospital, Riga, Latvia.
Mari NygårdCancer Registry of Norway, Oslo, Norway.
Kersti PärnaInstitute of Family Medicine and Public Health, University of Tartu, Tartu, Estonia.
Mindaugas StankunasDepartment of Health Management, Lithuanian University of Health Sciences, Kaunas, Lithuania.
Anna TislerInstitute of Family Medicine and Public Health, University of Tartu, Tartu, Estonia.ORCID 0000-0002-2055-9421
Anneli UuskulaInstitute of Family Medicine and Public Health, University of Tartu, Tartu, Estonia.ORCID 0000-0002-4036-3856

Funding

EEA Financial Mechanism Baltic Research Program 2014-2022 EMP416
6 · The paper itself

Abstract

backgroundHigh-risk human papillomavirus (HR-HPV) is a known cause of cervical cancer (CC). Latvia has a high incidence of CC compared with the average incidence in the European Union. This study aims to fill the data gap on the HR-HPV burden in Latvia, providing information on its prevalence and associated factors.

methodsThe cross-sectional study was conducted from February 2021 to April 2022. Participants 25-70 years old visiting a general practitioner (general population) or those referred to a colposcopy clinic with changes in their cervical cytology (colposcopy population) collected vaginal self-sample and completed a paper-based questionnaire. Samples were analyzed with Cobas 6800 System (Roche) for HPV16, HPV18 and other HR-HPV (HPV31/33/35/39/45/51/52/56/58/59/66/68). Descriptive statistics for categorical variables were performed. The Chi-square test was used to determine for the statistical significance of differences in the proportions of the dependent variable between subgroups of the independent variable. Univariate and multivariate binary logistic regression were used to identify factors associated with positive HR-HPV status. Results were considered statistically significant at P < 0.05.

resultsA total of 1274 participants provided a valid sample. The prevalence of any HR-HPV infection was 66.8% in the colposcopy group and 11.0% in the general population. Factors associated with positive HR-HPV status were marital status single/divorced/widowed (vs. married/cohabiting) [adjusted OR (aOR) 2.6; P = 0.003], higher number of lifetime sex partners [aOR 5.1 (P < 0.001) and 4.0 (P = 0.001)] for six or more and three to five partners in the general population; in the colposcopy group, the statistical significance remained only for Latvian ethnicity (vs. other) (aOR 1.8; P = 0.008) and current smoking (vs. never) (aOR 1.9; P = 0.01).

conclusionWe documented a comparison to European Union HR-HPV infection burden in Latvia. Any HR-HPV positivity was significantly associated with sexual and other health behavior.

Indexed as

Papillomavirus InfectionsUterine Cervical NeoplasmsAdultAgedCross-Sectional StudiesFemaleHuman Papillomavirus VirusesHumansIncidenceLatviaMiddle AgedPapillomaviridaePrevalenceRisk FactorsSurveys and Questionnaires

Identifiers

PMID38822674
PMCPMC11293828

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.