Evidence map›Paper›PMID 42534403›Full record

ArticleOpen forum infectious diseases2026

A Dynamic Prediction Study of Persistent Nine-valent Human Papillomavirus Infection Among HIV-negative Men Who Have Sex With Men in Urumqi, China: a Longitudinal and Time-to-event-based Joint Model.

Guozhen Zhang, Juyuan Bian, Heng Yang, Wenjie Zhang, Wenhui Yu, Henry S Lynn, Jianghong Dai

Abstract read
In one paragraph

Article in Open forum infectious diseases, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Guozhen ZhangSchool of Public Health, Xinjiang Medical University, Xinjiang, China.
Juyuan BianSchool of Public Health, Xinjiang Medical University, Xinjiang, China.
Heng YangSchool of Public Health, Xinjiang Medical University, Xinjiang, China.
Wenjie ZhangSchool of Public Health, Xinjiang Medical University, Xinjiang, China.
Wenhui YuSchool of Public Health, Xinjiang Medical University, Xinjiang, China.
Henry S LynnSchool of Public Health, Xinjiang Medical University, Xinjiang, China.
Jianghong DaiSchool of Public Health, Xinjiang Medical University, Xinjiang, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Persistent infection with 9-valent human papillomavirus (9v-HPV) is a major risk factor for HPV-related cancers among men who have sex with men (MSM). This study aimed to develop a dynamic prediction model to assess whether longitudinal sexual-behavior-related and exposure-related indicators could predict persistent 9vHPV infection among human immunodeficiency virus type 1 (HIV-1)-negative MSM. Method: Between 2016 and 2023, HIV-negative MSM in Urumqi, China, were followed every 6 months. Baseline questionnaires and anal swabs were collected, and HPV genotyping was performed using an assay detecting 37 HPV genotypes. The primary outcome was persistent infection with 1 or more of the 9 genotypes covered by the 9-valent HPV vaccine. Persistent 9vHPV infection was defined as detection of at least one of these 9 genotypes on 2 or more consecutive visits after a negative baseline. Key indicators included same-sex partner number, anal intercourse frequency, condom use, commercial sex, club drug use, partner-seeking venues, and sexual role. A Bayesian joint model integrating longitudinal sexual-behavior-related indicators and time-to-event outcomes was developed. Predictive accuracy was assessed using the time-dependent area under the curve (AUC) with internal validation. Results: Among 704 MSM, factors including employment, commercial sex, receptive anal intercourse, and versatile roles were associated with increased persistence risk. Higher number of sexual partners (HR = 1.95) and more frequent anal intercourse (HR = 2.04) were strong predictors. The partner-based model demonstrated superior predictive accuracy (AUC = 0.727). Conclusions: The Bayesian joint model provides accurate dynamic predictions of persistent 9v-HPV infection in MSM, supporting personalized prevention strategies.

Indexed as

HIV-negativehuman papillomavirusjoint modelmen who have sex with menrisk prediction

Identifiers

PMID42534403
PMCPMC13420510

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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.