Intravaginal Practices, Bacterial Vaginosis, and HIV Infection in Women: Individual Participant Data Meta-analysis
Citations
447 citations
Cites background from "Intravaginal Practices, Bacterial V..."
...The sequencing-based identification of cervicovaginal bacteria and viruses provides a substantial advancement over previous prospective studies that used Gram-stained vaginal smears (Low et al., 2011; Martin et al., 1999; Myer et al., 2005)....
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...A small number of prospective studies indicate that women with cervicovaginal bacteria deficient in lactobacilli, a bacterial genus considered beneficial for vaginal health (Spurbeck and Arvidson, 2011), are at higher risk of acquiring HIV (Low et al., 2011; Martin et al., 1999; Myer et al., 2005)....
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392 citations
Cites background from "Intravaginal Practices, Bacterial V..."
...although establishing causal relationships is challenging, intra-vaginal cleaning practices are more prevalent in younger women, suggesting thesewomen are consequentlymore likely to have an altered vaginal flora, potentially heightening their HIV susceptibility [55,56]....
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360 citations
Cites methods or result from "Intravaginal Practices, Bacterial V..."
...Results We included the ten studies [15, 16, 20, 30, 32–42] (Table 1) that contributed to the VPRP meta-analysis [21]....
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...First, we used a database containing IPD from ten studies that contributed to an IPD meta-analysis of the effects of vaginal practices on the risk of HIV acquisition among women [21], amassed by the Vaginal Practices Research Partnership (VPRP)....
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...Study Selection The ten studies contributing to the VPRP IPD meta-analysis [21] all had prospective hormonal contraceptive use data and met all other inclusion criteria....
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336 citations
Cites background from "Intravaginal Practices, Bacterial V..."
...A significant association was detected between women with BV, and thus lack of predominant Lactobacillus spp., and increased susceptibility to HIV acquisition (Atashili et al., 2008; Low et al., 2011)....
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299 citations
Cites background from "Intravaginal Practices, Bacterial V..."
...A meta-analysis confirmed that intravaginal use of soap, cloth, paper, or drying products increased risk of acquiring HIV [42]....
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References
25,460 citations
"Intravaginal Practices, Bacterial V..." refers methods in this paper
...We pooled data if the level of between-study heterogeneity was mild or moderate, defined as a value from the I(2) statistic below 50% [22]....
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15,454 citations
13,974 citations
"Intravaginal Practices, Bacterial V..." refers methods in this paper
...Assessment of the Risk of Bias We assessed the potential for bias in each cohort study, arising from prespecified methodological domains [21]: description of participation and evidence of bias; definitions of diagnostic Intravaginal Practices and HIV Infection...
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3,647 citations
"Intravaginal Practices, Bacterial V..." refers methods in this paper
...We used ordered logistic regression with a proportional odds model [25]....
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