Effect of Human Immunodeficiency Virus Infection on Human Papillomavirus Clearance Among Women in Senegal, West Africa Article Swipe
Zhuochen Li
,
Rachel L. Winer
,
Selly Ba
,
Marie Pierre Sy
,
John Lin
,
Qinghua Feng
,
Geoffrey S. Gottlieb
,
Papa Salif Sow
,
Nancy B. Kiviat
,
Stephen E. Hawes
·
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.1093/infdis/jiac428
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.1093/infdis/jiac428
Background Persistent infection with high-risk human papillomavirus (HPV) is associated with development of invasive cervical cancer. Methods Longitudinal data was collected from 174 Senegalese women. We employed marginal Cox proportional hazards models to examine the effect of human immunodeficiency virus (HIV) status (HIV positive vs HIV negative) and HIV type (HIV-1 vs HIV-2 vs dual HIV-1/HIV-2) on clearance of type-specific HPV infection. Analyses were stratified by incident versus prevalent HPV infection. Results Incident HPV infections in HIV-positive women were less likely to clear than those in HIV-negative women (adjusted hazard ratio [HR] = 0.60; 95% confidence interval [CI], .38–.94). Among HIV-positive women, HIV-2–infected women and HIV-1/2 dually infected women were more likely to clear HPV incident infections than HIV-1–infected women (HR = 1.66; 95% CI, .95–2.92 and HR = 2.17; 95% CI, 1.12–4.22, respectively). Incident HPV infections in HIV-positive women with CD4 cell count ≤500 cells/μL were less likely to clear than those in HIV-positive women with CD4 cell count >500 cells/μL (HR = 0.65; 95% CI, .42–1.01). No significant associations were observed for prevalent HPV infections. Conclusions HIV infection reduced the likelihood of clearance of incident HPV infection. Furthermore, among HIV-positive women, low CD4 cell count and dual HIV infection were each associated with reduced likelihood of clearance.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1093/infdis/jiac428
- OA Status
- green
- Cited By
- 3
- References
- 32
- Related Works
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- OpenAlex ID
- https://openalex.org/W4307775779
All OpenAlex metadata
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https://openalex.org/W4307775779Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1093/infdis/jiac428Digital Object Identifier
- Title
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Effect of Human Immunodeficiency Virus Infection on Human Papillomavirus Clearance Among Women in Senegal, West AfricaWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2022Year of publication
- Publication date
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2022-10-31Full publication date if available
- Authors
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Zhuochen Li, Rachel L. Winer, Selly Ba, Marie Pierre Sy, John Lin, Qinghua Feng, Geoffrey S. Gottlieb, Papa Salif Sow, Nancy B. Kiviat, Stephen E. HawesList of authors in order
- Landing page
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https://doi.org/10.1093/infdis/jiac428Publisher landing page
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YesWhether a free full text is available
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greenOpen access status per OpenAlex
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https://pmc.ncbi.nlm.nih.gov/articles/PMC10319963/pdf/jiac428.pdfDirect OA link when available
- Concepts
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Medicine, Hazard ratio, Immunology, Confidence interval, Proportional hazards model, HPV infection, Human immunodeficiency virus (HIV), Cervical cancer, Internal medicine, Virology, CancerTop concepts (fields/topics) attached by OpenAlex
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3Total citation count in OpenAlex
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2025: 2, 2024: 1Per-year citation counts (last 5 years)
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10Other works algorithmically related by OpenAlex
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