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dc.rights.licenseopenen_US
dc.contributor.authorIBRAHIM KHALIL, Ahmadaye
dc.contributor.authorMPUNGA, Tharcisse
dc.contributor.authorWEI, Feixue
dc.contributor.authorBAUSSANO, Iacopo
dc.contributor.authorDE MARTEL, Catherine
dc.contributor.authorBRAY, Freddie
dc.contributor.authorSTELZLE, Dominik
dc.contributor.authorDRYDEN-PETERSON, Scott
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorJAQUET, Antoine
ORCID: 0000-0002-1127-220X
IDREF: 120590344
dc.contributor.authorHORNER, Marie Josephe
dc.contributor.authorAWOLUDE, Olutosin A.
dc.contributor.authorTREJO, Mario Jesus
dc.contributor.authorMUDINI, Washington
dc.contributor.authorSOLIMAN, Amr S.
dc.contributor.authorSENGAYI-MUCHENGETI, Mazvita
dc.contributor.authorCOGHILL, Anna E.
dc.contributor.authorVAN AARDT, Matthys C.
dc.contributor.authorDE VUYST, Hugo
dc.contributor.authorHAWES, Stephen E.
dc.contributor.authorBROUTET, Nathalie
dc.contributor.authorDALAL, Shona
dc.contributor.authorCLIFFORD, Gary M.
dc.date.accessioned2021-11-30T09:59:46Z
dc.date.available2021-11-30T09:59:46Z
dc.date.issued2021-10-09
dc.identifier.issn1097-0215 (Electronic) 0020-7136 (Linking)en_US
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/123940
dc.description.abstractEnHIV substantially worsens human papillomavirus (HPV) carcinogenicity and contributes to an important population excess of cervical cancer, particularly in sub-Saharan Africa (SSA). We estimated HIV- and age-stratified cervical cancer burden at a country, regional, and global level in 2020. Proportions of cervical cancer a) diagnosed in women living with HIV (WLHIV), and b) attributable to HIV, were calculated using age-specific estimates of HIV prevalence (UNAIDS) and relative risk. These proportions were validated against empirical data and applied to age-specific cervical cancer incidence (GLOBOCAN 2020). HIV was most important in SSA, where 24.9% of cervical cancers were diagnosed in WLHIV, and 20.4% were attributable to HIV (vs 1.3% and 1.1%, respectively, in the rest of the world). In all world regions, contribution of HIV to cervical cancer was far higher in younger women (as seen also in empirical series). For example, in Southern Africa, where more than half of cervical cancers were diagnosed in WLHIV, the HIV-attributable fraction decreased from 86% in women ≤34 years to only 12% in women ≥55 years. The absolute burden of HIV-attributable cervical cancer (approximately 28 000 cases globally) also shifted towards younger women: in Southern Africa, 63% of 5341 HIV-attributable cervical cancer occurred in women <45 years old, compared to only 17% of 6901 non-HIV-attributable cervical cancer. Improved quantification of cervical cancer burden by age and HIV status can inform cervical cancer prevention efforts in SSA, including prediction of the impact of WLHIV-targeted vs general population approaches to cervical screening, and impact of HIV prevention.
dc.language.isoENen_US
dc.rightsAttribution 3.0 United States*
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/us/*
dc.subject.enAge-specific incidence rates
dc.subject.enCervical cancer
dc.subject.enHIV
dc.subject.enPopulation-attributable fraction
dc.subject.enSub-Saharan Africa
dc.title.enAge-specific burden of cervical cancer associated with HIV: A global analysis with a focus on sub-Saharan Africa
dc.typeArticle de revueen_US
dc.identifier.doi10.1002/ijc.33841en_US
dc.subject.halSciences du Vivant [q-bio]/Santé publique et épidémiologieen_US
dc.identifier.pubmed34626498en_US
bordeaux.journalInternational Journal of Canceren_US
bordeaux.hal.laboratoriesBordeaux Population Health Research Center (BPH) - UMR 1219en_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.institutionINSERMen_US
bordeaux.teamIDLICen_US
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
bordeaux.identifier.funderIDNational Institutes of Healthen_US
bordeaux.identifier.funderIDBill and Melinda Gates Foundationen_US
hal.identifierhal-03456681
hal.version1
hal.date.transferred2021-11-30T09:59:52Z
hal.exporttrue
dc.rights.ccPas de Licence CCen_US
bordeaux.COinSctx_ver=Z39.88-2004&amp;rft_val_fmt=info:ofi/fmt:kev:mtx:journal&amp;rft.jtitle=International%20Journal%20of%20Cancer&amp;rft.date=2021-10-09&amp;rft.eissn=1097-0215%20(Electronic)%200020-7136%20(Linking)&amp;rft.issn=1097-0215%20(Electronic)%200020-7136%20(Linking)&amp;rft.au=IBRAHIM%20KHALIL,%20Ahmadaye&amp;MPUNGA,%20Tharcisse&amp;WEI,%20Feixue&amp;BAUSSANO,%20Iacopo&amp;DE%20MARTEL,%20Catherine&amp;rft.genre=article


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