Table 1.
Characteristics of the included studies
Author and date | Study population | Study setting | Geographical location | Type of cancer indicated | Study design | Outcome | ||
---|---|---|---|---|---|---|---|---|
Gender and age Number or population percentage type | ||||||||
Bosch, 2013 [90] | Women, children, men | Not specified | Not specified | SSA | Not specified | Cervical cancer, anal cancer | Review | HIV-positive women had two- to 22-folds increase risk of developing cervical cancer as compared to HIV-negative women |
Brickman, 2015 [91] | Female, male | Not specified | 15,000 HIV-infected individuals |
SSA Uganda |
Kyadondo County | Cervical anal cancer | Review | Incidence of cervical cancer was reported to be 70 per 100,000 women-years and a SIR of 2.7 among HIV-infected women as compared to HIV-uninfected women |
Capo-chichi, 2016 [97] | Women (sexually active) | 20 to 60 years old (average 38 years) |
86 = control group 86 = HIV-infected women |
Benin | Contonou | Cervical cancer | Transversal case control |
HIV-infected women have a higher prevalence and persistence of HPV infection, an increased risk for abnormal Pap smears and cervical cancer -The study further highlighted that among the HIV-negative group, one woman with HPV and no lamin A/C developed cervical lesions and two women with no HPV but with total absence of lamin A/C developed cervical cancer -Five had low-grade squamous intraepithelial0 lesion (LSIL), one had high-grade squamous intraepithelial lesion (HSIL), and 4/86 (5%) had cervical dysplasia among HIV-infected women |
De Vuyst, 2013 [92] |
Women Men |
Not specified | Not specified | SSA | Not specified | Cervical cancer, anal cancer | Review |
-HIV positivity is associated with increased prevalence of cervical HPV infection -HIV-infected individuals who live longer on cART may be at increased risk of persistent HPV infection and precancerous CIN progressing to cervical cancers |
379 HIV-negative and 107 HIV-positive women with ICC | Uganda | |||||||
Firnhaber, 2012 [93] |
Women Men MSM |
Not specified | 400 | South Africa | Cape Town |
Cervical cancer Anal cancer Oropharyngeal cancer Vaginal cancer Vulvar cancer |
Review |
-HIV-infected women have a higher prevalence of HPV infection and cervical abnormalities compared to HIV-seronegative women throughout the world -Studies confirmed that HIV-positive women harbored high-risk HPV -HPV-related anal cancer is increasing in both HIV-infected women and men despite ARV treatment -Vulvar cancer occurs in HIV-infected women who are less than 40 years -HIV-infected people appear to have a rate of two to four times higher of oropharyngeal cancer than HIV-uninfected populations -The risk of invasive penile cancer is estimated to be 20 times higher among HIV-infected men as compared to HIV-uninfected men |
145 | Zambia | |||||||
148 |
South Africa SSA |
|||||||
Heard, 2011 [94] | Women | Not specified | Not specified |
SSA Senegal |
Not specified | Cervical cancer | Review | Study from Senegal reported a substantial increase in the risk of invasive cervical cancer (ICC) which was observed with OR of 6.5 for ICC (95% CI 2.1–19.8) in HIV-infected women compared with control group of HIV-negative women |
Jedy-Agba, 2016 [98] | Female, male | Not specified | Not specified |
SSA Nigeria |
Not specified |
Cervical cancer Oropharyngeal cancer Anal cancer |
Quantitative | Study in Nigeria reported a two-fold higher risk of cervical cancer in people living with HIV/AIDS |
Louie, 2009 [95] | Women | Not specified | Not specified |
South Africa Uganda |
Not specified | Invasive cervical cancer | Review | HIV-infected women are at higher risk of being infected with Hr-HPV and are at a higher risk for persistence and associated cervical disease progression than HIV-uninfected women |
Palefsky, 2006 [96] |
Men who have sex with men Women |
Not specified | Not specified |
SSA South Africa Uganda Senegal |
Not specified |
Anal cancer Cervical cancer |
Review | HIV positivity is associated with increased prevalence of cervical HPV infection and cervical intraepithelial neoplasia |