Evidence map›Paper›PMID 40687169›Full record

ArticleThe Pan African medical journal2025

Risk factors for cervical cancer in Morocco: a case-control study.

Malika Allali, Khaoula Errafii, Rachid El Fermi, Nouha Messaoudi, Karima Fichtali, Hicham El Fazazi, Adil El Ghanmi, Sanaa El Majjaoui, Nabil Ismaili, Lahcen Wakrim and 7 more

Abstract read
In one paragraph

Article in The Pan African medical journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

17 authors.

Malika AllaliVirology and Public Health Laboratory, Centre de Serums et Vaccins (Institut Pasteur du Maroc), Casablanca, Morocco.
Khaoula ErrafiiAfrican Genome Center, Mohamed IV Polytechnic University, Benguerir 43151, Morocco.
Rachid El FermiAfrican Genome Center, Mohamed IV Polytechnic University, Benguerir 43151, Morocco.
Nouha MessaoudiVirology and Public Health Laboratory, Centre de Serums et Vaccins (Institut Pasteur du Maroc), Casablanca, Morocco.
Karima FichtaliHospital Cheikh Khalifa Ibn Zaid, Casablanca, Morocco.
Hicham El FazaziFertility Center Cheikh Zaid International University Hospital, Abulcasis International University of Health Sciences, Rabat, Morocco.
Adil El GhanmiHospital Cheikh Khalifa Ibn Zaid, Casablanca, Morocco.
Sanaa El MajjaouiHospital Cheikh Khalifa Ibn Zaid, Casablanca, Morocco.
Nabil IsmailiHospital Cheikh Khalifa Ibn Zaid, Casablanca, Morocco.
Lahcen WakrimVirology and Public Health Laboratory, Centre de Serums et Vaccins (Institut Pasteur du Maroc), Casablanca, Morocco.
Najib Al IdrissiLaboratoire de Génomique, Epigénétique, Médecine Personnalisée et Prédictive, Université Mohammed VI des Sciences et de la Santé, Casablanca, Maroc.
Abdelaziz Wajih RhalemResearch Team E2SN, ENSAM, Mohammed V University in Rabat, Rabat, Morocco.
Bouchra GhaziUniversité Mohammed VI des Sciences et de la Santé, Casablanca, Maroc.
Ahd OuladlahsenDepartment of Infectious Diseases, Hassan II University, Casablanca, Morocco.
Youssef BakriLaboratory of Human Pathologies Biology, Department of Biology, Faculty of Sciences and Genomic Center of Human Pathologies, Faculty of Medicine and Pharmacy, University Mohammed V, Rabat, Morocco.
Hassan GhazalScientific Department, National Center for Scientific and Technical Research, Rabat, Morocco.
Salsabil HamdiVirology and Public Health Laboratory, Centre de Serums et Vaccins (Institut Pasteur du Maroc), Casablanca, Morocco.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Cervical cancer (CC) is one of the most common malignancies among women in Morocco. This study aims to evaluate the risk factors associated with CC in Moroccan women aged 18 to 62. Methods: this was a case-control study of 169 women who received radio-chemotherapy and 100 controls. Statistical analyses were performed using SPSS version 29.0.10 to determine associated factors at a significance level of ≤0.05. Results: significant associations were found between CC and the following factors: educational level (OR= 9.167), sexual activity during menstruation (OR= 2.351), previous occurrences of sexually transmitted infections (OR= 2.173), and history of multiple sexual partners by the husband (OR= 6.305). However, family history of cancer, consanguinity, number of sleeping hours, and stress did not show any significant association with CC. HPV infection was detected in 33.81% of cases and 8% of controls, with HPV16 being the most prevalent genotype (59.57%), followed by HPV53 (14.79%). Other genotypes were found at lower frequencies. The phylogenetic analysis of HPV isolates showed that the distribution of HPV sequences in Moroccan women with cervical cancer is mainly linked to European, Saudi Arabian and North African epidemiological conditions, suggesting recombinant HPV forms. Additionally, American isolates formed two distinct outgroups, likely due to geographical distance, indicating variations in HPV strains by region. Conclusion: Morocco faces a significant burden of CC, with HPV being the primary cause. Lifestyle risk factors like low education, male sexual behavior, multiple pregnancies, and sexual intercourse also contribute.

Indexed as

PapillomaviridaePapillomavirus InfectionsSexual BehaviorUterine Cervical NeoplasmsAdolescentAdultCase-Control StudiesFemaleGenotypeHumansMiddle AgedMoroccoRisk FactorsSexually Transmitted DiseasesSexual PartnersYoung AdultCervical cancerhuman papillomavirusMoroccophylogeneticprevalencerisk factors

Identifiers

PMID40687169
PMCPMC12271880

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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.