{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T08:23:20Z","timestamp":1787732600787,"version":"build-2784847793"},"reference-count":22,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"NIH Fogarty Training; Building the Next Generation of Researchers in HIV\/TB Diagnostics in Mali","award":["D43TW010350"],"award-info":[{"award-number":["D43TW010350"]}]},{"name":"Agence Nationale de Recherche sur le Sida et les H\u00e9patites Virales - Maladies infectieuses \u00e9mergentes"},{"name":"National Institute of Biomedical Imaging and Bioengineering of the National Institutes of Health","award":["U54EB027049"],"award-info":[{"award-number":["U54EB027049"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Therapeutic Advances in Infection"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Men who have sex with men living with HIV (MSMLWHIV) have a high risk of persistent high-risk HPV infection, and rapid tools like Xpert HPV can help expand screening in low-resource settings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study aimed to assess the feasibility of using self-collected anal swabs for detecting high-risk human papillomavirus (HR-HPV) infections in MSMLWHIV, using the Xpert\u00ae HPV assay. Additionally, we investigated factors associated with HR-HPV positivity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>\n                      This was a single-center cross-sectional study conducted from 22\n                      <jats:sup>nd<\/jats:sup>\n                      May 2024 to 31\n                      <jats:sup>st<\/jats:sup>\n                      July 2024 among MSMLWHIV in Bamako.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Participants were recruited from the Soutoura NGO in Bamako, Mali. To be eligible, individuals had to be HIV-1 positive, on antiretroviral therapy, 18 years or older, and self-identified as MSM. The prevalence of HR-HPV was reported by sociodemographic characteristics and sexual behaviors. We used a penalized logistic regression model using Firth\u2019s method to identify sociodemographic and behavioral factors associated with HR-HPV positivity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 245 MSMLWHIV were initially tested. Of these, 170 yielded successful results and were subsequently included in the study analysis. The participants had a median age of 26 years (IQR 24-29) with the median age of first anal intercourse at 16 years (IQR 16-18). Among the participants, 29% (49\/170) identified as bisexual, 42% (72\/170) reported never using condoms, 16% (27\/170) participated in group intercourse, and 42% (71\/170) had at least two different sexual partners in the past six months. Among those successfully tested, 65% (110\/170) were positive for HR-HPV, with HPV16 detected in 12% (21\/170) of participants. No or primary education and consistent condom use were associated with lower odds of HR-HPV positivity, while the unexpected association observed with smoking should be interpreted with caution.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The high HR-HPV prevalence among MSMLWHIV calls for targeted screening and prevention. Although Xpert HPV shows promise, the 31% failure rate with self-collected samples underscores the need for improvements in sample collection procedures and technical performance.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/20499361261481349","type":"journal-article","created":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T17:15:03Z","timestamp":1787591703000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["High-risk HPV detection via GeneXpert in self-collected anal swabs among MSM living with HIV: Insights from a cross-sectional study"],"prefix":"10.1177","volume":"13","author":[{"given":"Amadou","family":"Kodio","sequence":"first","affiliation":[{"name":"Centre Hospitalier Universitaire Gabriel Tour\u00e9"},{"name":"University of Sciences, Techniques and Technologies of Bamako"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5162-4639","authenticated-orcid":false,"given":"Almahady Ag","family":"Altini","sequence":"additional","affiliation":[{"name":"NGO Soutoura"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ar\u00e8 Albert","family":"Somboro","sequence":"additional","affiliation":[{"name":"University of Sciences, Techniques and Technologies of Bamako"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aliou","family":"Bald\u00e9","sequence":"additional","affiliation":[{"name":"Sorbonne Universit\u00e9"},{"name":"INSERM, Institut Pierre Louis d\u2019\u00c9pid\u00e9miologie et de Sant\u00e9 publique (iPLESP)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oumar","family":"Karembe","sequence":"additional","affiliation":[{"name":"NGO 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Issiaka","family":"Maiga","sequence":"additional","affiliation":[{"name":"Centre Hospitalier Universitaire Gabriel Tour\u00e9"},{"name":"University of Sciences, Techniques and Technologies of 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R\u00e9f\u00e9rentiel national de paquets de services \u00e0 d\u00e9livrer au sein des populations cl\u00e9s et carc\u00e9rales au Mali. Cellule de Coordination du Comit\u00e9 Sectoriel de Lutte contre le VIH et le Sida, 2019."},{"key":"e_1_3_9_11_2","unstructured":"Xpert\u00ae HPV [Internet]. [cited 2025 Jul 21]. Available from. https:\/\/www.cepheid.com\/fr-CA\/tests\/blood-virology-womens-health-sexual-health\/xpert-hpv.html"},{"key":"e_1_3_9_12_2","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciy1012"},{"key":"e_1_3_9_13_2","doi-asserted-by":"publisher","DOI":"10.1002\/cam4.6008"},{"key":"e_1_3_9_14_2","doi-asserted-by":"publisher","DOI":"10.1177\/09564624221094456"},{"key":"e_1_3_9_15_2","first-page":"108292","article-title":"Prevalence and Correlates of Anal HPV Infection Among Men Who Have Sex with Men in Brazil: A Respondent-Driven Sampling Study","volume":"6","author":"Kops NL","year":"2025","unstructured":"Kops NL, Eidt G, Martins RS, et al. 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