by Catherine F Houlihan, Kathy Baisley, Ignacio G Bravo et al.
Int. J. Epidemiol. (2016) 45 (3): 762-773 – First published online: March 4, 2016
This is the first description of human papillomavirus (HPV) acquisition after first sex in sub-Saharan Africa where the incidence of cervical cancer is amongst the highest in the world. HPV incidence was very high after first sex, including some vaccine genotypes, and infection duration was short. This very high HPV incidence may help explain high cervical cancer rates, and supports recommendations that the HPV vaccine should be given to girls before first sex.