The Association Between Cervical Human Papillomavirus Infection and Subsequent HIV Acquisition in Tanzanian and Ugandan Women: A Nested Case-Control Study
Identifieur interne : 000452 ( Pmc/Checkpoint ); précédent : 000451; suivant : 000453The Association Between Cervical Human Papillomavirus Infection and Subsequent HIV Acquisition in Tanzanian and Ugandan Women: A Nested Case-Control Study
Auteurs : Katherine E. Gallagher ; Kathy Baisley [Royaume-Uni] ; Heiner Grosskurth [Royaume-Uni] ; Andrew Vallely [Australie] ; Saidi Kapiga [Royaume-Uni] ; Judith Vandepitte [Ouganda] ; Anatoli Kamali [Ouganda] ; Silvia De Sanjosé [Espagne] ; John Changalucha [Tanzanie] ; Richard Hayes [Royaume-Uni] ; Deborah Watson-JonesSource :
- The Journal of Infectious Diseases [ 0022-1899 ] ; 2016.
Abstract
Url:
DOI: 10.1093/infdis/jiw094
PubMed: 26951818
PubMed Central: 4907415
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">The Association Between Cervical Human Papillomavirus Infection and Subsequent HIV Acquisition in Tanzanian and Ugandan Women: A Nested Case-Control Study</title><author><name sortKey="Gallagher, Katherine E" sort="Gallagher, Katherine E" uniqKey="Gallagher K" first="Katherine E." last="Gallagher">Katherine E. Gallagher</name><affiliation><nlm:aff id="af1"><addr-line>Clinical Research Department</addr-line>,<institution>Faculty of Infectious and Tropical Diseases</institution></nlm:aff></affiliation><affiliation><nlm:aff id="af3"><addr-line>Mwanza Intervention Trials Unit</addr-line></nlm:aff></affiliation></author><author><name sortKey="Baisley, Kathy" sort="Baisley, Kathy" uniqKey="Baisley K" first="Kathy" last="Baisley">Kathy Baisley</name><affiliation wicri:level="1"><nlm:aff id="af2"><addr-line>Department of Infectious Disease Epidemiology</addr-line>,<institution>Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine</institution>,<country>United Kingdom</country></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Grosskurth, Heiner" sort="Grosskurth, Heiner" uniqKey="Grosskurth H" first="Heiner" last="Grosskurth">Heiner Grosskurth</name><affiliation wicri:level="1"><nlm:aff id="af2"><addr-line>Department of Infectious Disease Epidemiology</addr-line>,<institution>Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine</institution>,<country>United Kingdom</country></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation><nlm:aff id="af3"><addr-line>Mwanza Intervention Trials Unit</addr-line></nlm:aff></affiliation></author><author><name sortKey="Vallely, Andrew" sort="Vallely, Andrew" uniqKey="Vallely A" first="Andrew" last="Vallely">Andrew Vallely</name><affiliation wicri:level="1"><nlm:aff id="af5"><institution>Public Health Interventions Research Group, Kirby Institute, University of New South Wales</institution>,<addr-line>Sydney</addr-line>,<country>Australia</country></nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Kapiga, Saidi" sort="Kapiga, Saidi" uniqKey="Kapiga S" first="Saidi" last="Kapiga">Saidi Kapiga</name><affiliation wicri:level="1"><nlm:aff id="af2"><addr-line>Department of Infectious Disease Epidemiology</addr-line>,<institution>Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine</institution>,<country>United Kingdom</country></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation><nlm:aff id="af3"><addr-line>Mwanza Intervention Trials Unit</addr-line></nlm:aff></affiliation></author><author><name sortKey="Vandepitte, Judith" sort="Vandepitte, Judith" uniqKey="Vandepitte J" first="Judith" last="Vandepitte">Judith Vandepitte</name><affiliation wicri:level="1"><nlm:aff id="af6"><institution>MRC/UVRI Uganda Research Unit on AIDS</institution>,<addr-line>Entebbe</addr-line>,<country>Uganda</country></nlm:aff><country xml:lang="fr">Ouganda</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Kamali, Anatoli" sort="Kamali, Anatoli" uniqKey="Kamali A" first="Anatoli" last="Kamali">Anatoli Kamali</name><affiliation wicri:level="1"><nlm:aff id="af6"><institution>MRC/UVRI Uganda Research Unit on AIDS</institution>,<addr-line>Entebbe</addr-line>,<country>Uganda</country></nlm:aff><country xml:lang="fr">Ouganda</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="De Sanjose, Silvia" sort="De Sanjose, Silvia" uniqKey="De Sanjose S" first="Silvia" last="De Sanjosé">Silvia De Sanjosé</name><affiliation wicri:level="1"><nlm:aff id="af7"><addr-line>Cancer Epidemiology Research Program</addr-line>,<institution>Catalan Institute of Oncology, IDIBELL, CIBERESP</institution>,<addr-line>Barcelona</addr-line>,<country>Spain</country></nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Changalucha, John" sort="Changalucha, John" uniqKey="Changalucha J" first="John" last="Changalucha">John Changalucha</name><affiliation wicri:level="1"><nlm:aff id="af4"><institution>Mwanza Research Center, National Institute for Medical Research</institution>,<country>Tanzania</country></nlm:aff><country xml:lang="fr">Tanzanie</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Hayes, Richard" sort="Hayes, Richard" uniqKey="Hayes R" first="Richard" last="Hayes">Richard Hayes</name><affiliation wicri:level="1"><nlm:aff id="af2"><addr-line>Department of Infectious Disease Epidemiology</addr-line>,<institution>Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine</institution>,<country>United Kingdom</country></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Watson Jones, Deborah" sort="Watson Jones, Deborah" uniqKey="Watson Jones D" first="Deborah" last="Watson-Jones">Deborah Watson-Jones</name><affiliation><nlm:aff id="af1"><addr-line>Clinical Research Department</addr-line>,<institution>Faculty of Infectious and Tropical Diseases</institution></nlm:aff></affiliation><affiliation><nlm:aff id="af3"><addr-line>Mwanza Intervention Trials Unit</addr-line></nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">26951818</idno><idno type="pmc">4907415</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4907415</idno><idno type="RBID">PMC:4907415</idno><idno type="doi">10.1093/infdis/jiw094</idno><date when="2016">2016</date><idno type="wicri:Area/Pmc/Corpus">000386</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000386</idno><idno type="wicri:Area/Pmc/Curation">000386</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000386</idno><idno type="wicri:Area/Pmc/Checkpoint">000452</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000452</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">The Association Between Cervical Human Papillomavirus Infection and Subsequent HIV Acquisition in Tanzanian and Ugandan Women: A Nested Case-Control Study</title><author><name sortKey="Gallagher, Katherine E" sort="Gallagher, Katherine E" uniqKey="Gallagher K" first="Katherine E." last="Gallagher">Katherine E. Gallagher</name><affiliation><nlm:aff id="af1"><addr-line>Clinical Research Department</addr-line>,<institution>Faculty of Infectious and Tropical Diseases</institution></nlm:aff></affiliation><affiliation><nlm:aff id="af3"><addr-line>Mwanza Intervention Trials Unit</addr-line></nlm:aff></affiliation></author><author><name sortKey="Baisley, Kathy" sort="Baisley, Kathy" uniqKey="Baisley K" first="Kathy" last="Baisley">Kathy Baisley</name><affiliation wicri:level="1"><nlm:aff id="af2"><addr-line>Department of Infectious Disease Epidemiology</addr-line>,<institution>Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine</institution>,<country>United Kingdom</country></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Grosskurth, Heiner" sort="Grosskurth, Heiner" uniqKey="Grosskurth H" first="Heiner" last="Grosskurth">Heiner Grosskurth</name><affiliation wicri:level="1"><nlm:aff id="af2"><addr-line>Department of Infectious Disease Epidemiology</addr-line>,<institution>Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine</institution>,<country>United Kingdom</country></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation><nlm:aff id="af3"><addr-line>Mwanza Intervention Trials Unit</addr-line></nlm:aff></affiliation></author><author><name sortKey="Vallely, Andrew" sort="Vallely, Andrew" uniqKey="Vallely A" first="Andrew" last="Vallely">Andrew Vallely</name><affiliation wicri:level="1"><nlm:aff id="af5"><institution>Public Health Interventions Research Group, Kirby Institute, University of New South Wales</institution>,<addr-line>Sydney</addr-line>,<country>Australia</country></nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Kapiga, Saidi" sort="Kapiga, Saidi" uniqKey="Kapiga S" first="Saidi" last="Kapiga">Saidi Kapiga</name><affiliation wicri:level="1"><nlm:aff id="af2"><addr-line>Department of Infectious Disease Epidemiology</addr-line>,<institution>Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine</institution>,<country>United Kingdom</country></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation><nlm:aff id="af3"><addr-line>Mwanza Intervention Trials Unit</addr-line></nlm:aff></affiliation></author><author><name sortKey="Vandepitte, Judith" sort="Vandepitte, Judith" uniqKey="Vandepitte J" first="Judith" last="Vandepitte">Judith Vandepitte</name><affiliation wicri:level="1"><nlm:aff id="af6"><institution>MRC/UVRI Uganda Research Unit on AIDS</institution>,<addr-line>Entebbe</addr-line>,<country>Uganda</country></nlm:aff><country xml:lang="fr">Ouganda</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Kamali, Anatoli" sort="Kamali, Anatoli" uniqKey="Kamali A" first="Anatoli" last="Kamali">Anatoli Kamali</name><affiliation wicri:level="1"><nlm:aff id="af6"><institution>MRC/UVRI Uganda Research Unit on AIDS</institution>,<addr-line>Entebbe</addr-line>,<country>Uganda</country></nlm:aff><country xml:lang="fr">Ouganda</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="De Sanjose, Silvia" sort="De Sanjose, Silvia" uniqKey="De Sanjose S" first="Silvia" last="De Sanjosé">Silvia De Sanjosé</name><affiliation wicri:level="1"><nlm:aff id="af7"><addr-line>Cancer Epidemiology Research Program</addr-line>,<institution>Catalan Institute of Oncology, IDIBELL, CIBERESP</institution>,<addr-line>Barcelona</addr-line>,<country>Spain</country></nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Changalucha, John" sort="Changalucha, John" uniqKey="Changalucha J" first="John" last="Changalucha">John Changalucha</name><affiliation wicri:level="1"><nlm:aff id="af4"><institution>Mwanza Research Center, National Institute for Medical Research</institution>,<country>Tanzania</country></nlm:aff><country xml:lang="fr">Tanzanie</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Hayes, Richard" sort="Hayes, Richard" uniqKey="Hayes R" first="Richard" last="Hayes">Richard Hayes</name><affiliation wicri:level="1"><nlm:aff id="af2"><addr-line>Department of Infectious Disease Epidemiology</addr-line>,<institution>Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine</institution>,<country>United Kingdom</country></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Watson Jones, Deborah" sort="Watson Jones, Deborah" uniqKey="Watson Jones D" first="Deborah" last="Watson-Jones">Deborah Watson-Jones</name><affiliation><nlm:aff id="af1"><addr-line>Clinical Research Department</addr-line>,<institution>Faculty of Infectious and Tropical Diseases</institution></nlm:aff></affiliation><affiliation><nlm:aff id="af3"><addr-line>Mwanza Intervention Trials Unit</addr-line></nlm:aff></affiliation></author></analytic><series><title level="j">The Journal of Infectious Diseases</title><idno type="ISSN">0022-1899</idno><idno type="eISSN">1537-6613</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><bold><italic>Objective</italic></bold> This study was performed to analyze the associations between cervical human papillomavirus (HPV) infection and human immunodeficiency virus (HIV) acquisition, using cervical samples from previous studies in Tanzania and Uganda.</p><p><bold><italic>Methods.</italic></bold> A total of 161 adult women who acquired HIV infection during follow-up and 464 individually matched HIV-seronegative controls were selected from 5 cohorts of women working in bars and recreational facilities. Stored cervical samples were tested for 37 HPV genotypes, using a polymerase chain reaction assay (Roche Linear Array genotyping assay). Multivariate matched analysis using conditional logistic regression was performed to evaluate HPV infection, persistence, and clearance as predictors of HIV acquisition.</p><p><bold><italic>Results.</italic></bold> HIV seroconverters were significantly more likely than controls to frequently drink alcohol and to be infected with <italic>Chlamydia trachomatis, Neisseria</italic> g<italic>onorrhoeae</italic>, or herpes simplex virus type 2. There was no evidence of an association between HIV acquisition and any detectable HPV at the visit prior to HIV seroconversion (adjusted odds ratio, 1.02; 95% confidence interval, .66–1.57) or between HIV acquisition and persistent HPV infection (defined as 2 positive HPV genotype–specific test results at least 6 months apart), cleared HPV infection (defined as a positive HPV test result followed by negative HPV genotype–specific test result), or newly acquired HPV infection, compared with HPV-negative women.</p><p><bold><italic>Conclusions.</italic></bold> There was no evidence of association between HPV infection status and subsequent HIV acquisition. These results stand in contrast to other observational studies.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="De Villiers, Em" uniqKey="De Villiers E">EM de Villiers</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Bosch, Fx" uniqKey="Bosch F">FX Bosch</name></author><author><name sortKey="Broker, Tr" uniqKey="Broker T">TR Broker</name></author><author><name sortKey="Forman, D" uniqKey="Forman D">D Forman</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Giuliano, Ar" uniqKey="Giuliano A">AR Giuliano</name></author><author><name sortKey="Nyitray, Ag" uniqKey="Nyitray A">AG Nyitray</name></author><author><name sortKey="Kreimer, Ar" uniqKey="Kreimer A">AR Kreimer</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Chesson, Hw" uniqKey="Chesson H">HW 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<front><journal-meta><journal-id journal-id-type="nlm-ta">J Infect Dis</journal-id><journal-id journal-id-type="iso-abbrev">J. Infect. Dis</journal-id><journal-id journal-id-type="publisher-id">jid</journal-id><journal-id journal-id-type="hwp">jinfdis</journal-id><journal-title-group><journal-title>The Journal of Infectious Diseases</journal-title></journal-title-group><issn pub-type="ppub">0022-1899</issn><issn pub-type="epub">1537-6613</issn><publisher><publisher-name>Oxford University Press</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">26951818</article-id><article-id pub-id-type="pmc">4907415</article-id><article-id pub-id-type="doi">10.1093/infdis/jiw094</article-id><article-id pub-id-type="publisher-id">jiw094</article-id><article-categories><subj-group subj-group-type="heading"><subject>Major Articles and Brief Reports</subject><subj-group subj-group-type="heading"><subject>HIV/AIDS</subject></subj-group></subj-group></article-categories><title-group><article-title>The Association Between Cervical Human Papillomavirus Infection and Subsequent HIV Acquisition in Tanzanian and Ugandan Women: A Nested Case-Control Study</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Gallagher</surname><given-names>Katherine E.</given-names></name><xref ref-type="aff" rid="af1">1</xref><xref ref-type="aff" rid="af3">3</xref></contrib><contrib contrib-type="author"><name><surname>Baisley</surname><given-names>Kathy</given-names></name><xref ref-type="aff" rid="af2">2</xref></contrib><contrib contrib-type="author"><name><surname>Grosskurth</surname><given-names>Heiner</given-names></name><xref ref-type="aff" rid="af2">2</xref><xref ref-type="aff" rid="af3">3</xref></contrib><contrib contrib-type="author"><name><surname>Vallely</surname><given-names>Andrew</given-names></name><xref ref-type="aff" rid="af5">5</xref></contrib><contrib contrib-type="author"><name><surname>Kapiga</surname><given-names>Saidi</given-names></name><xref ref-type="aff" rid="af2">2</xref><xref ref-type="aff" rid="af3">3</xref></contrib><contrib contrib-type="author"><name><surname>Vandepitte</surname><given-names>Judith</given-names></name><xref ref-type="aff" rid="af6">6</xref></contrib><contrib contrib-type="author"><name><surname>Kamali</surname><given-names>Anatoli</given-names></name><xref ref-type="aff" rid="af6">6</xref></contrib><contrib contrib-type="author"><name><surname>De Sanjosé</surname><given-names>Silvia</given-names></name><xref ref-type="aff" rid="af7">7</xref></contrib><contrib contrib-type="author"><name><surname>Changalucha</surname><given-names>John</given-names></name><xref ref-type="aff" rid="af4">4</xref></contrib><contrib contrib-type="author"><name><surname>Hayes</surname><given-names>Richard</given-names></name><xref ref-type="aff" rid="af2">2</xref></contrib><contrib contrib-type="author"><name><surname>Watson-Jones</surname><given-names>Deborah</given-names></name><xref ref-type="aff" rid="af1">1</xref><xref ref-type="aff" rid="af3">3</xref></contrib><aff id="af1"><label>1</label><addr-line>Clinical Research Department</addr-line>,<institution>Faculty of Infectious and Tropical Diseases</institution></aff><aff id="af2"><label>2</label><addr-line>Department of Infectious Disease Epidemiology</addr-line>,<institution>Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine</institution>,<country>United Kingdom</country></aff><aff id="af3"><label>3</label><addr-line>Mwanza Intervention Trials Unit</addr-line></aff><aff id="af4"><label>4</label><institution>Mwanza Research Center, National Institute for Medical Research</institution>,<country>Tanzania</country></aff><aff id="af5"><label>5</label><institution>Public Health Interventions Research Group, Kirby Institute, University of New South Wales</institution>,<addr-line>Sydney</addr-line>,<country>Australia</country></aff><aff id="af6"><label>6</label><institution>MRC/UVRI Uganda Research Unit on AIDS</institution>,<addr-line>Entebbe</addr-line>,<country>Uganda</country></aff><aff id="af7"><label>7</label><addr-line>Cancer Epidemiology Research Program</addr-line>,<institution>Catalan Institute of Oncology, IDIBELL, CIBERESP</institution>,<addr-line>Barcelona</addr-line>,<country>Spain</country></aff></contrib-group><author-notes><fn id="AN1" fn-type="con"><p>Presented in part: 30th International Papillomavirus Conference, Lisbon, Portugal, 17–21 September 2015. Abstract HPV15-0921.</p></fn><corresp>Correspondence: K. E. Gallagher, Clinical Research Department, Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, Keppel St, London, UK WC1E 7HT (<email>katherine.gallagher@lshtm.ac.uk</email>).</corresp></author-notes><pub-date pub-type="ppub"><day>01</day><month>7</month><year>2016</year></pub-date><pub-date pub-type="epub"><day>06</day><month>3</month><year>2016</year></pub-date><pub-date pub-type="pmc-release"><day>06</day><month>3</month><year>2016</year></pub-date><pmc-comment> PMC Release delay is 0 months and 0 days and was based on the
<volume>214</volume><issue>1</issue><fpage>87</fpage><lpage>95</lpage><history><date date-type="received"><day>4</day><month>1</month><year>2016</year></date><date date-type="accepted"><day>2</day><month>3</month><year>2016</year></date></history><permissions><copyright-statement>© The Author 2016. Published by Oxford University Press for the Infectious Diseases Society of America.</copyright-statement><copyright-year>2016</copyright-year><license license-type="creative-commons" xlink:href="http://creativecommons.org/licenses/by/4.0/"><license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">http://creativecommons.org/licenses/by/4.0/</ext-link>), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license></permissions><self-uri content-type="pdf" xlink:href="jiw094.pdf"></self-uri><abstract><p><bold><italic>Objective</italic></bold> This study was performed to analyze the associations between cervical human papillomavirus (HPV) infection and human immunodeficiency virus (HIV) acquisition, using cervical samples from previous studies in Tanzania and Uganda.</p><p><bold><italic>Methods.</italic></bold> A total of 161 adult women who acquired HIV infection during follow-up and 464 individually matched HIV-seronegative controls were selected from 5 cohorts of women working in bars and recreational facilities. Stored cervical samples were tested for 37 HPV genotypes, using a polymerase chain reaction assay (Roche Linear Array genotyping assay). Multivariate matched analysis using conditional logistic regression was performed to evaluate HPV infection, persistence, and clearance as predictors of HIV acquisition.</p><p><bold><italic>Results.</italic></bold> HIV seroconverters were significantly more likely than controls to frequently drink alcohol and to be infected with <italic>Chlamydia trachomatis, Neisseria</italic> g<italic>onorrhoeae</italic>, or herpes simplex virus type 2. There was no evidence of an association between HIV acquisition and any detectable HPV at the visit prior to HIV seroconversion (adjusted odds ratio, 1.02; 95% confidence interval, .66–1.57) or between HIV acquisition and persistent HPV infection (defined as 2 positive HPV genotype–specific test results at least 6 months apart), cleared HPV infection (defined as a positive HPV test result followed by negative HPV genotype–specific test result), or newly acquired HPV infection, compared with HPV-negative women.</p><p><bold><italic>Conclusions.</italic></bold> There was no evidence of association between HPV infection status and subsequent HIV acquisition. These results stand in contrast to other observational studies.</p></abstract><kwd-group><kwd>human papillomavirus</kwd><kwd>HIV (transmission, prevention)</kwd><kwd>Sub-Saharan Africa</kwd></kwd-group><funding-group><award-group id="funding-1"><funding-source>United Kingdom Medical Research Council</funding-source></award-group><award-group id="funding-2"><funding-source>United Kingdom Department for International Development</funding-source><award-id>MC_PC_13086</award-id></award-group></funding-group></article-meta></front></pmc><affiliations><list><country><li>Australie</li><li>Espagne</li><li>Ouganda</li><li>Royaume-Uni</li><li>Tanzanie</li></country></list><tree><noCountry><name sortKey="Gallagher, Katherine E" sort="Gallagher, Katherine E" uniqKey="Gallagher K" first="Katherine E." last="Gallagher">Katherine E. Gallagher</name><name sortKey="Watson Jones, Deborah" sort="Watson Jones, Deborah" uniqKey="Watson Jones D" first="Deborah" last="Watson-Jones">Deborah Watson-Jones</name></noCountry><country name="Royaume-Uni"><noRegion><name sortKey="Baisley, Kathy" sort="Baisley, Kathy" uniqKey="Baisley K" first="Kathy" last="Baisley">Kathy Baisley</name></noRegion><name sortKey="Grosskurth, Heiner" sort="Grosskurth, Heiner" uniqKey="Grosskurth H" first="Heiner" last="Grosskurth">Heiner Grosskurth</name><name sortKey="Hayes, Richard" sort="Hayes, Richard" uniqKey="Hayes R" first="Richard" last="Hayes">Richard Hayes</name><name sortKey="Kapiga, Saidi" sort="Kapiga, Saidi" uniqKey="Kapiga S" first="Saidi" last="Kapiga">Saidi Kapiga</name></country><country name="Australie"><noRegion><name sortKey="Vallely, Andrew" sort="Vallely, Andrew" uniqKey="Vallely A" first="Andrew" last="Vallely">Andrew Vallely</name></noRegion></country><country name="Ouganda"><noRegion><name sortKey="Vandepitte, Judith" sort="Vandepitte, Judith" uniqKey="Vandepitte J" first="Judith" last="Vandepitte">Judith Vandepitte</name></noRegion><name sortKey="Kamali, Anatoli" sort="Kamali, Anatoli" uniqKey="Kamali A" first="Anatoli" last="Kamali">Anatoli Kamali</name></country><country name="Espagne"><noRegion><name sortKey="De Sanjose, Silvia" sort="De Sanjose, Silvia" uniqKey="De Sanjose S" first="Silvia" last="De Sanjosé">Silvia De Sanjosé</name></noRegion></country><country name="Tanzanie"><noRegion><name sortKey="Changalucha, John" sort="Changalucha, John" uniqKey="Changalucha J" first="John" last="Changalucha">John Changalucha</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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