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Cervical cancer risk factors among HIV-infected Nigerian women

Overview of attention for article published in BMC Public Health, June 2013
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  • Good Attention Score compared to outputs of the same age (66th percentile)
  • Average Attention Score compared to outputs of the same age and source

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Citations

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48 Dimensions

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250 Mendeley
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Title
Cervical cancer risk factors among HIV-infected Nigerian women
Published in
BMC Public Health, June 2013
DOI 10.1186/1471-2458-13-582
Pubmed ID
Authors

Uzoma Ononogbu, Maryam Almujtaba, Fatima Modibbo, Ishak Lawal, Richard Offiong, Olayinka Olaniyan, Patrick Dakum, Donna Spiegelman, William Blattner, Clement Adebamowo

Abstract

Cervical cancer is the third most common cancer among women worldwide, and in Nigeria it is the second most common female cancer. Cervical cancer is an AIDS-defining cancer; however, HIV only marginally increases the risk of cervical pre-cancer and cancer. In this study, we examine the risk factors for cervical pre-cancer and cancer among HIV-positive women screened for cervical cancer at two medical institutions in Abuja, Nigeria. A total of 2,501 HIV-positive women participating in the cervical cancer screen-and-treat program in Abuja, Nigeria consented to this study and provided socio-demographic and clinical information. Log-binomial models were used to calculate relative risk (RR) and 95% confidence intervals (95%CI) for the risk factors of cervical pre-cancer and cancer. There was a 6% prevalence of cervical pre-cancer and cancer in the study population of HIV-positive women. The risk of screening positivity or invasive cancer diagnosis reduced with increasing age, with women aged 40 years and older having the lowest risk (RR=0.4; 95%CI=0.2-0.7). Women with a CD4 count of 650 per mm3 or more also had lower risk of screening positivity or invasive cancer diagnosis (RR=0.3, 95%CI=0.2-0.6). Other factors such as having had 5 or more abortions (RR=1.8, 95%CI=1.0-3.6) and the presence of other vaginal wall abnormalities (RR=1.9, 95%CI=1.3-2.8) were associated with screening positivity or invasive cancer diagnosis. The prevalence of screening positive lesions or cervical cancer was lower than most previous reports from Africa. HIV-positive Nigerian women were at a marginally increased risk of cervical pre-cancer and cancer. These findings highlight the need for more epidemiological studies of cervical cancer and pre-cancerous lesions among HIV-positive women in Africa and an improved understanding of incidence and risk factors.

X Demographics

X Demographics

The data shown below were collected from the profiles of 5 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 250 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Nigeria 2 <1%
United States 1 <1%
Kenya 1 <1%
Tanzania, United Republic of 1 <1%
Unknown 245 98%

Demographic breakdown

Readers by professional status Count As %
Student > Master 59 24%
Student > Postgraduate 30 12%
Student > Ph. D. Student 23 9%
Researcher 22 9%
Student > Bachelor 21 8%
Other 33 13%
Unknown 62 25%
Readers by discipline Count As %
Medicine and Dentistry 90 36%
Nursing and Health Professions 44 18%
Social Sciences 13 5%
Agricultural and Biological Sciences 5 2%
Pharmacology, Toxicology and Pharmaceutical Science 4 2%
Other 21 8%
Unknown 73 29%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 4. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 15 July 2013.
All research outputs
#7,369,334
of 23,225,652 outputs
Outputs from BMC Public Health
#7,763
of 15,162 outputs
Outputs of similar age
#63,989
of 199,162 outputs
Outputs of similar age from BMC Public Health
#131
of 249 outputs
Altmetric has tracked 23,225,652 research outputs across all sources so far. This one has received more attention than most of these and is in the 67th percentile.
So far Altmetric has tracked 15,162 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 14.0. This one is in the 47th percentile – i.e., 47% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 199,162 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 66% of its contemporaries.
We're also able to compare this research output to 249 others from the same source and published within six weeks on either side of this one. This one is in the 45th percentile – i.e., 45% of its contemporaries scored the same or lower than it.