{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T20:45:40Z","timestamp":1777927540242,"version":"3.51.4"},"reference-count":29,"publisher":"SAGE Publications","issue":"13","license":[{"start":{"date-parts":[[2024,8,27]],"date-time":"2024-08-27T00:00:00Z","timestamp":1724716800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Int J STD AIDS"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Cervical cancer, primarily from HPV, is prevalent in countries like Mozambique, with HIV individuals at higher risk. The Visual Inspection with Acetic Acid (VIA) screening method can be influenced by STIs like Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG). This study examines CT and NG prevalence in HIV-positive and negative women using VIA in Mozambique\u2019s DREAM program.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this cross-sectional research conducted at a DREAM program facility in Maputo from 01\/07\/2021 to 31\/05\/2022, cervical specimens were taken from VIA-positive patients. CT\/NG testing was performed using the Cobas\u00ae 4800 DNA CT\/NG test. Statistical analyses focused on associations and prevalence rates, considering demographic, clinical, and exposure data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among 117 women, we observed a CT prevalence of 6.8% (8\/117) and an NG prevalence of 2.6%(3\/117). No significant associations between CT\/NG infection rates and factors such as age, HIV status, VIA results, or high-risk HPV (hrHPV) was observed. We found a 47% prevalence of hrHPV infections among participants with cervical lesions; no significant association between hrHPV and CT\/NG infections was observed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study highlights the prevalence of CT and NG in VIA-positive women in Mozambique, emphasizing the STI burden and suggesting integration of STI screening in cervical cancer prevention strategies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/09564624241272963","type":"journal-article","created":{"date-parts":[[2024,8,27]],"date-time":"2024-08-27T12:28:22Z","timestamp":1724761702000},"page":"1019-1024","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Impact of STIs on cervical cancer screening: Prevalence of\n                    <i>Chlamydia trachomatis<\/i>\n                    and\n                    <i>Neisseria gonorrhoeae<\/i>\n                    in visual inspection with acetic acid (VIA) positive women in Mozambique"],"prefix":"10.1177","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2468-9925","authenticated-orcid":false,"given":"Alberto","family":"Sineque","sequence":"first","affiliation":[{"name":"Department of Biological Sciences, Eduardo Mondlane University, Maputo, Mozambique"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susanna","family":"Ceffa","sequence":"additional","affiliation":[{"name":"Dream Program, Community of Sant'Egidio, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fernanda","family":"Parruque","sequence":"additional","affiliation":[{"name":"Dream Program, Community of Sant'Egidio, Mozambique"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giovanni","family":"Guidotti","sequence":"additional","affiliation":[{"name":"Asl Roma 1, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cacilda","family":"Massango","sequence":"additional","affiliation":[{"name":"Dream Program, Community of Sant'Egidio, Mozambique"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zita","family":"Sidumo","sequence":"additional","affiliation":[{"name":"Dream Program, Community of Sant'Egidio, Mozambique"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carla","family":"Carrilho","sequence":"additional","affiliation":[{"name":"Maputo Central Hospital, Mozambique"},{"name":"Department of Pathology, Faculty of Medicine, Eduardo Mondlane University, Maputo, Mozambique"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Clara","family":"Bicho","sequence":"additional","affiliation":[{"name":"Institute for Preventive Medicine and Public Health, Institute of Environmental Health, Isamb, Faculty of Medicine, University of Lisboa, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ricardina","family":"Rangeiro","sequence":"additional","affiliation":[{"name":"Maputo Central Hospital, Mozambique"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefano","family":"Orlando","sequence":"additional","affiliation":[{"name":"Department of Biomedicine and Prevention, Torvergata University of Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cesaltina","family":"Lorenzoni","sequence":"additional","affiliation":[{"name":"Maputo Central Hospital, Mozambique"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0262-707X","authenticated-orcid":false,"given":"Fausto","family":"Ciccacci","sequence":"additional","affiliation":[{"name":"Unicamillus Saint Camillus International, University of Health and Medical Sciences, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,8,27]]},"reference":[{"key":"bibr1-09564624241272963","author":"Bruni L","year":"2021","journal-title":"Human Papillomavirus and Related Diseases in the World"},{"key":"bibr2-09564624241272963","doi-asserted-by":"publisher","DOI":"10.1097\/QAD.0000000000001765"},{"key":"bibr3-09564624241272963","doi-asserted-by":"publisher","DOI":"10.1186\/1742-4690-7-S1-P2"},{"key":"bibr4-09564624241272963","author":"Guidotti G.","year":"2013","journal-title":"Department of Oncology, Transplants and Advanced Technologies in Medicine, Research Doctorate School in Biological and Molecular Sciences"},{"key":"bibr5-09564624241272963","author":"Bruni L","year":"2021","journal-title":"Human Papillomavirus and Related Diseases in Mozambique"},{"key":"bibr6-09564624241272963","doi-asserted-by":"publisher","DOI":"10.1002\/ijc.23292"},{"key":"bibr7-09564624241272963","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2016-015653"},{"key":"bibr8-09564624241272963","unstructured":"Sineque A, Catalao C, Ceffa S, et al. Screening approaches for cervical cancer in Mozambique in HIV positive and negative women. Eur J Cancer Prev: The Official Journal of the European Cancer Prevention Organisation (ECP)."},{"key":"bibr9-09564624241272963","doi-asserted-by":"publisher","DOI":"10.1097\/CEJ.0000000000000459"},{"key":"bibr10-09564624241272963","unstructured":"Ministry of Health of the Republic of Mozambique. Plano Estrat\u00e9gico do Sector da Sa\u00fade PESS 2014-2019. 2014. https:\/\/extranet.who.int\/countryplanningcycles\/sites\/default\/files\/planning_cycle_repository\/mozambique\/mozambique_-_health_sector_strategic_plan_-_2014-2019.pdf (accessed 20 February 2023."},{"key":"bibr11-09564624241272963","unstructured":"World Health Organization. WHO guideline for screening and treatment of cervical pre-cancer lesions for cervical cancer prevention. 2021. https:\/\/www.who.int\/publications\/i\/item\/9789240030824"},{"key":"bibr12-09564624241272963","doi-asserted-by":"publisher","DOI":"10.18597\/rcog.3071"},{"key":"bibr13-09564624241272963","unstructured":"World Health Organization. Prevention and treatment of HIV and other sexually transmitted infections for sex workers in low-and middle-income countries: recommendations for a public health approach. WHO."},{"key":"bibr14-09564624241272963","doi-asserted-by":"publisher","DOI":"10.1186\/s12879-020-05276-0"},{"key":"bibr15-09564624241272963","doi-asserted-by":"publisher","DOI":"10.1177\/0956462418758224"},{"key":"bibr16-09564624241272963","doi-asserted-by":"publisher","DOI":"10.3389\/fmed.2022.851635"},{"key":"bibr17-09564624241272963","doi-asserted-by":"publisher","DOI":"10.1186\/s12879-018-3477-y"},{"key":"bibr18-09564624241272963","doi-asserted-by":"publisher","DOI":"10.1136\/sti.2004.013904"},{"key":"bibr19-09564624241272963","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijid.2013.09.014"},{"key":"bibr20-09564624241272963","doi-asserted-by":"publisher","DOI":"10.1258\/ijsa.2008.008067"},{"key":"bibr21-09564624241272963","doi-asserted-by":"publisher","DOI":"10.1136\/sti.2010.047514"},{"key":"bibr22-09564624241272963","volume-title":"Infectious diseases in obstetrics and gynecology","author":"Men\u00e9ndez C","year":"2010"},{"key":"bibr23-09564624241272963","first-page":"427","volume":"69","author":"Vuylsteke B","year":"1993","journal-title":"Genitourin Med"},{"key":"bibr24-09564624241272963","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0173243"},{"key":"bibr25-09564624241272963","first-page":"49","volume":"98","author":"Luj\u00e1n J","year":"2008","journal-title":"S Afr Med J"},{"key":"bibr26-09564624241272963","doi-asserted-by":"publisher","DOI":"10.1097\/OLQ.0b013e3181982e3c"},{"key":"bibr27-09564624241272963","first-page":"1","author":"Hughes Y","year":"2023","journal-title":"Sexually Transmissible Oral Diseases"},{"key":"bibr28-09564624241272963","volume-title":"Sexually transmitted infections (STIs). 2023","author":"World Health Organization"},{"key":"bibr29-09564624241272963","unstructured":"Jennings LK, Krywko DM. Pelvic inflammatory disease."}],"container-title":["International Journal of STD &amp; AIDS"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/09564624241272963","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/09564624241272963","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/09564624241272963","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T22:45:51Z","timestamp":1777675551000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/09564624241272963"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,8,27]]},"references-count":29,"journal-issue":{"issue":"13","published-print":{"date-parts":[[2024,11]]}},"alternative-id":["10.1177\/09564624241272963"],"URL":"https:\/\/doi.org\/10.1177\/09564624241272963","relation":{},"ISSN":["0956-4624","1758-1052"],"issn-type":[{"value":"0956-4624","type":"print"},{"value":"1758-1052","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,8,27]]}}}