Evidence map›Paper›PMID 42674727›Full record

ArticleBMJ global health2026

Projections of human papillomavirus (HPV) vaccination impact on non-cervical cancer outcomes among women in 117 low- and middle-income countries: a modelling study.

Aarushi Tuli, Mark Jit, Kaja Abbas, Allison Portnoy

Abstract read
In one paragraph

Article in BMJ global health, 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

4 authors.

Aarushi TuliDepartment of Global Health, Boston University School of Public Health, Boston, Massachusetts, USA.ORCID 0009-0005-4184-2911
Mark JitDepartment of Global and Environmental Health, New York University School of Global Public Health, New York, New York, USA.
Kaja AbbasDepartment of Infectious Disease Epidemiology and Dynamics, London School of Hygiene & Tropical Medicine, London, UK.ORCID 0000-0003-0563-1576
Allison PortnoyDepartment of Global Health, Boston University School of Public Health, Boston, Massachusetts, USA aportnoy@bu.edu.ORCID 0000-0002-8467-1324

Funding

Bill & Melinda Gates Foundation INV-009125
6 · The paper itself

Abstract

introductionHuman papillomavirus (HPV) is a leading cause of both cervical and non-cervical cancers, including anal, oropharyngeal, vaginal and vulvar cancers. While most HPV vaccination impact assessments have focused on preventing cervical cancer among women, the broader benefits of vaccination against other HPV-attributable cancers in low- and middle-income countries (LMICs) remain less explored.

methodsWe used a static cohort model to assess the potential health impact of bivalent HPV vaccination on HPV-attributable female non-cervical cancers in 117 LMICs from 2030 to 2100. The model incorporated country-specific data on cancer mortality, HPV type distribution, demographic projections and vaccine coverage. Sensitivity analyses were performed to account for uncertainties in cancer incidence, cancer mortality and HPV type distribution.

resultsOur projections suggest that HPV vaccination could contribute to prevention of approximately five 90 000 cases of anal, 880 000 cases of oropharyngeal, 1.27 million cases of vaginal and 2.18 million cases of vulvar cancers over the analytic period. In total, 3.02 million deaths from these non-cervical cancers among women could be averted by 2100. The African region is expected to see the largest relative reductions in both cases and deaths while the European region showed the smallest gains. By the end of the century, 58 countries are projected to reach at least a 25% reduction in anal cancer mortality compared with just 25 countries for oropharyngeal cancer. These findings reflect substantial regional disparities in both burden and vaccination impact.

conclusionHPV vaccination holds considerable promise in reducing the burden of non-cervical cancers among women in LMICs, especially in regions with high incidence and limited access to care. Recognising and harnessing these broader benefits can strengthen the public health case for scaling up vaccine access, implementing region-specific strategies and investing in equitable healthcare systems to decrease global disparities.

Indexed as

Developing CountriesHuman Papillomavirus VirusesPapillomavirus InfectionsPapillomavirus VaccinesVaccinationAnus NeoplasmsFemaleHumansIncidenceOropharyngeal NeoplasmsUterine Cervical NeoplasmsVaginal NeoplasmsVulvar NeoplasmsPapillomavirus VaccinesCancerPublic HealthVaccines

Identifiers

PMID42674727
PMCPMC13536154

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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.