Evidence map›Paper›PMID 41992256›Full record

SynthesisArchives of public health = Archives belges de sante publique2026

Systematic review and meta-analysis of cervico-vaginal high-risk human papillomavirus prevalence in India prior to nationwide human papillomavirus vaccination.

Indira Adhikari, Ishu Kataria, Prince Bhandari, Mariam Siddiqui, Partha Basu, Priya Abraham, Irene Man, Iacopo Baussano

Abstract readSystematic Review
In one paragraph

Synthesis in Archives of public health = Archives belges de sante publique, 2026. 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

8 authors.

Indira Adhikari *Early Detection, Prevention and Infections Branch, International Agency for Research on Cancer (IARC/WHO), Lyon, 69366, France. adhikarii@iarc.who.int.
Ishu Kataria *Center for Global Noncommunicable Diseases, RTI International, New Delhi, 100037, India.
Prince BhandariVitamin Angels Alliance, 6500 Hollister Avenue, Suite 130, Goleta, CA, 93117, U.S.A.
Mariam SiddiquiCenter for Global Noncommunicable Diseases, RTI International, New Delhi, 100037, India.
Partha BasuEarly Detection, Prevention and Infections Branch, International Agency for Research on Cancer (IARC/WHO), Lyon, 69366, France.
Priya AbrahamDepartment of Clinical Virology, Christian Medical College (CMC), Vellore, Tamil Nadu, 632004, India.
Irene ManEarly Detection, Prevention and Infections Branch, International Agency for Research on Cancer (IARC/WHO), Lyon, 69366, France.
Iacopo BaussanoEarly Detection, Prevention and Infections Branch, International Agency for Research on Cancer (IARC/WHO), Lyon, 69366, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo estimate the overall prevalence of high-risk human papillomavirus (HR HPV) and HPV16/18 among the women in general population in India. This information is needed as a baseline to evaluate the impact of recently introduced nationwide HPV vaccination, as indicated in the World Health Organization (WHO) framework for cervical cancer elimination.

methodsWe conducted a systematic review and meta-analysis of studies of cervico-vaginal HR HPV and HPV16/18 published from 2005 to 2024 among women with a representative sample size of least 100 from the general population. Searches were conducted in four online databases (PubMed, Embase, Web of Science, Google Scholar). We excluded studies conducted only among women with increased risk of HR HPV infection such as women diagnosed with cancer, with a history of hysterectomy, pregnant, living with HIV (Human immunodeficiency virus), and sex workers.

resultsWe identified 201 studies through database searches, of which 39 and 20 were included in the systematic review and meta-analysis respectively. Among these, 6 reported overall HR HPV prevalence, 9 reported HPV16/18 prevalence, and 5 reported both. The pooled overall HR HPV prevalence in India was 11.4% (95% CI 8.5–15.2; I2 = 96.6%) and the pooled HPV16/18 prevalence was 5.6% (95% CI 3.7–8.2; I2 = 96.8%). The 95% prediction interval for HR HPV prevalence ranged from 2.9 to 36.0%, and for HPV16/18 from 0.7 to 31.7%. These observed differences between the studies were mainly driven by the use of non-standardized HPV tests and some by geographical region.

conclusionsThis review provides the most comprehensive estimates of data on HR HPV prevalence in India. However, the insufficient data to monitor the impact of the HPV vaccination programme at the national level urges the need for public health authorities and policymakers in India to prioritize systematic data collection on HPV prevalence with standardized framework/protocol across India.

Indexed as

Cervical cancerHPV VaccinationHuman PapillomavirusIndiaPrevalenceSystematic review

Identifiers

PMID41992256
PMCPMC13214388

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.