PT  - JOURNAL ARTICLE
AU  - Pascale Lissouba
AU  - Philippe Van de Perre
AU  - Bertran Auvert
TI  - Association of genital human papillomavirus infection with HIV acquisition: a systematic review and meta-analysis
AID  - 10.1136/sextrans-2011-050346
DP  - 2013 Aug 01
TA  - Sexually Transmitted Infections
PG  - 350--356
VI  - 89
IP  - 5
4099  - http://sti.bmj.com/content/89/5/350.short
4100  - http://sti.bmj.com/content/89/5/350.full
SO  - Sex Transm Infect2013 Aug 01; 89
AB  - Objectives To conduct a systematic review and a meta-analysis of epidemiological studies investigating the association of genital human papillomavirus (HPV) infection and HIV acquisition. Design Systematic review and meta-analysis. Data Sources Scientific databases and conference abstracts were systematically searched to identify all relevant studies published up to 31 January 2012. Search terms included ‘HIV’, ‘HPV’, ‘human papillomavirus’ and ‘papillomaviridae’ as keywords or text, in the title or abstract. Methods To be eligible for inclusion, a study had to be conducted among humans, report data on HIV incidence, and assess genital HPV infection. Summary ORs and 95% CIs were estimated from the extracted data using random-effect meta-analysis. Subgroup analyses were conducted for high-risk (HR) and low-risk (LR) HPV oncogenic risk groups. Between-study heterogeneity and publication bias were assessed. Results Of 2601 identified abstracts, six observational studies, comprising 6567 participants were retained for the systematic review and the meta-analysis. HIV acquisition was significantly associated with HPV infection (summary OR=1.96; 95% CI 1.55 to 2.49). HIV incident infection was significantly associated with HR-HPV in five of six studies and with LR-HPV in two out of five. The association was significant for HR-HPV (summary OR=1.92; 95% CI 1.49 to 2.46) and borderline for LR-HPV. No between-study heterogeneity was detected. There was a borderline indication of publication bias. Conclusions Further research is needed to elucidate the biological mechanisms involved, and assess the effect of HPV vaccination on HIV acquisition, using vaccines with broad coverage of HPV genotypes. Such research could have important public health implications for HIV prevention.