ArticleJournal of acquired immune deficiency syndromes (1999)2025
Understanding the Impact of Antiretroviral Therapy and Other Factors on HPV Clearance in Cisgender Women With HIV/HPV Coinfections in the DC Cohort.
Article in Journal of acquired immune deficiency syndromes (1999), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Dynamics of anal HPV infection after 9vHPV vaccination in men who have sex with men (MSM) with HIV: A prospective, controlled cohort study.Human vaccines & immunotherapeutics · 2026Article
- Long-term risk and predictors of high-risk human papillomavirus persistence after thermal ablation amongst women living with HIV in West Africa.HIV medicine · 2025Article
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Authors and funding
8 authors.
Funding
Abstract
backgroundWomen with HIV are at an elevated risk for HPV. Antiretroviral therapy (ART) effectively treats HIV; however, there is no noninvasive pharmacologic treatment for HPV. Previous studies have shown varied effects of ART class on HPV clearance, with some demonstrating an association. Our objective was to evaluate the association between ART class and HPV clearance among women with HIV/HPV coinfections.
methodsWe analyzed electronic health records from participants with HPV in the DC Cohort Longitudinal HIV Study from time at HPV detection to January 1, 2024. We investigated time to HPV clearance based on time-updated ART status using Cox proportional hazards and Kaplan-Meier models, focusing on protease inhibitors (PIs) and integrase strand transfer inhibitors.
resultsAmong 362 women with HIV/HPV coinfections, 94.8% were non-Hispanic Black, 81.2% had public insurance, and 45.6% were smokers. Overall, 74.0% cleared their HPV infection. A higher proportion of participants who cleared HPV were on PIs at baseline compared with those who did not ( P = 0.03). Those who did not achieve clearance had lower nadir CD4 counts ( P = 0.04) and did not achieve viral suppression ( P = 0.0005). In the survival analysis, women on PI-based regimens had shorter time to HPV clearance than those on integrase strand transfer inhibitors (HR = 2.12, 95% CI: 1.39 to 3.24).
conclusionsThis study suggests that PIs may be associated with a higher likelihood of HPV clearance among women with HIV. Our results provide evidence on the influence of clinical and sociodemographic factors, including ART, that may affect HPV clearance among women with HIV.Key words: HIV/HPV co-infection, antiretrovial therapy, HPV clearance.
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