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Table 3 Subgroup analyses of the association between baseline HPV-18 serostatus and HPV-18 incident detection

From: Association of naturally acquired type-specific HPV antibodies and subsequent HPV re-detection: systematic review and meta-analysis

HPV-18

Subgroup

Females

Males

Na

Estimates [95%CI], I2b

p-valuec

Na

Estimates [95%CI], I2b

p-valuec

(A) Primary outcomes

Incident detection

 

7

0.97 [0.83–1.13], 0%

NA

3

1.15 [0.72–1.83], 0%

NA

Persistent detection

6 months

3

0.84 [0.45–1.58], 70%

0.99

1

0.19 [0.03–1.28], NA

NA

12 months

4

0.84 [0.62–1.15], 0%

NA

Stratified by HIV status

HIV negative

1

0.15 [0.02–1.16], NA

0.12

1

1.10 [0.40–3.06], NA

0.37

HIV positive

2

0.41 [0.08–2.03], 66%

1

2.30 [0.73–7.22], NA

(B) Subgroup analysis for incident detection

Detection site

Cervical

7

0.97 [0.83–1.13], 0%

NA

NA

0.26

Penile/scrotal

NA

2

0.93 [0.55–1.58], 0%

Anal

NA

1

1.50 [0.79–2.86], NA

Oral

NA

NA

Sexual orientation (among men)d

MSM

NA

2

1.42 [0.78–2.61], 0%

0.71

MSW

1

1.01 [0.51–2.01], NA

MSWM

1

1.02 [0.41–2.56], NA

Age group e

 ≤ 30 years old

2

0.95 [0.68–1.31], 0%

0.65

1

1.83 [0.18–18.39], NA

NA

 > 30 years old

4

0.61 [0.25–1.48], 71%

NA

(C) Sensitivity analysis for incident detection

Crude versus adjusted

Crude

5

1.00 [0.80–1.26], 0%

0.67

1

1.83 [0.18–28.39], NA

0.69

Adjusted

2

0.94 [0.77–1.16], 0%

2

1.13 [0.69–1.85], 29%

Reported versus self-calculated

Reported

3

0.93 [0.76–1.13], 0%

0.45

3

1.15 [0.72–1.83], 0%

NA

Self-calculated

4

1.05 [0.82–1.33], 0%

NA

Measure type

IRR

2

0.94 [0.78–1.14], 0%

0.67

1

1.83 [0.18–28.39], NA

0.67

HR

1

0.95 [0.59–1.52], NA

2

1.13 [0.69–1.85], 29%

RR

3

116 [0.82–1.64], 0%

NA

OR

1

0.80 [0.44–1.46], NA

NA

Serologic assayf

Neutralizing

1

1.02 [0.64–1.63], NA

0.83

NA

NA

Non-neutralization

6

0.96 [0.82–1.13], 0%

3

1.15 [0.72–1.83], 0%

DNA primerg

PGMY09/11

1

0.80 [0.44–1.46], NA

0.44

1

1.83 [0.18–28.39], NA

0.49

SPF10

4

0.94 [0.79–1.12], 0%

1

1.50 [0.79–2.86], NA

MY09/11

2

1.19 [0.82–1.72], 2%

NA

Length of follow up

0–20 months

NA

0.35

2

1.52 [0.2–2.83], 0%

0.21

20–60 months

4

0.93 [0.78–1.11], 0%

NA

60+ months

3

1.09 [0.82–1.46], 0%

1

0.90 [0.53–1.55], NA

Study quality

High

1

0.80 [0.44–1.46], NA

0.51

NA

NA

Medium

6

0.98 [0.84–1.15], 0%

3

1.15 [0.72–1.83], 0%

  1. aN = number of estimates pooled together. bBetween study heterogeneity was measured using the I2 statistic. cDifferences between subgroups were tested using the Q statistic (two-sided 5% alpha level). The p-value is presented. dMSM = Men who have sex with men; MSW = Men who have sex with women; MSWM = Men who have sex with men and women. eMedian/ mean age of the group of participants for each estimate was used. fNeutralizing assay includes: Multiplex PsV-Luminex assay, cLIA, and SEAP-NA. Non-neutralizing assays includes: VLP-ELISA, Luminex-based multiplex serology assay. gDNA primers sets have differing sensitivity of detection as follows: MY09/11 < SPF10 < PGMY09/11 (highest sensitivity to lowest). NA indicates when there is no estimate falling into the respective category (not able to pool)