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Meta-synthesis and science mapping analysis of HIV/HPV co-infection: a global perspective with emphasis on Africa



Viral infections are emerging with diverse clinical relevance both in endemic environments and non-endemic regions of the world. Some of the viruses cause co-infections that are of public health importance. The progress of studies on human immunodeficiency virus / Human papillomavirus (HIV/HPV) co-infection is not well documented especially in Africa where cases are endemic.


Using Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, we conducted a global three-decade meta-synthesis and science mapping analysis on HIV/HPV co-infections. Assessment of progress, Author/Country productivity/trends, topic conceptual framework, and international collaborative networks were analyzed.


We recovered 196 documents of 115 sources from the web of science database. The meta-synthesis revealed 1203 prolific authors containing nine solo authors, an annual growth rate of 8.09%, a significant average citation per article of 20.7%, and an average citation per year per document of 2.1. A significant high correlation between the mean/TC per article and the mean total citation (TC) per year showed 80.98% of the articles produced between 2005 and 2007 on HPV/HIV co-infection. The co-author per document index were 7.0 and the collaboration index was 6.4. The meta-analysis also revealed inadequate funding from individual or governmental organizations; among the 196 documents dataset, 114 (58.2%) were funded, and only 31 (15.8%) were funded in Africa where HIV/HPV co-infection cases are endemic.


Authors’ collaboration network, countries’ collaboration, authors’ citations and implementation of research-based finding in previous studies are yet to receive the relevant outcome, especially as various countries in the African continent have received poor funding with a repeated reporting of co-infection associated with HIV/HPV. African needs to re-awaken and stir up research-based interest in HPV/HIV co-infection studies to resolve indigenous public health concerns associated with the viral endemicity.


As of 2018, World Health Organization (WHO) describes the human immunodeficiency virus (HIV) as a ‘global epidemic’ due to the increasing distribution of the infection with types 1 [24, 133], and HIV-2 has had a limited worldwide extension and is primarily confined to West Africa, infecting an estimated 1–2 million people [45], similar to other Africa endemic public health concern such as Vibrio Cholera [95], Malaria [93], Drug resistance [94]. Meanwhile, HIV (type 1 & 11) epidemic has affected about 76 million people with recorded death being more than 33 million people at the end of 2019 [120]. Currently, 31.6–44.5 million people are living with HIV globally [132, 133]. An estimated 0.7% [0.6-0.9%] of adults aged 15–49 years worldwide are infected with HIV, although the burden of the epidemic continues to vary considerably between countries and regions [24]. According to WHO (2018), African region remains most severely affected, with nearly 1 in every 25 adults (3.7%) [131] living with HIV, which accounts for more than two-thirds of the people infected with HIV worldwide [108]. More challenging and of greater public health threat is the coinfection/comorbidity recorded for HIV and Human papillomavirus (HPV) infections. Human papillomavirus (HPV) has been reported as one major co-infecting virus with HIV infections in various regions of Africa and other continents where it is endemic [11, 16, 124, 130]. It is responsible for several diseases ranging from common benign warts to invasive carcinoma at various anatomical sites of infection, including the cervix, vulva, vagina, penis, anus, and oropharynx [11, 16, 124, 130] which are communally distributed sexually. Both HPV and HIV type 1 infections have been classified as carcinogens [47, 130], by the International Agency for Research on Cancer (IARC). The Wheeler reports have shown that HPV is a direct carcinogen whereas HIV-1 is an indirect carcinogen via immune suppression [130]. Similarly, other investigators’ [42, 97, 105] reports have revealed that HPV infection is the etiological agent responsible for general cervical cancers including a subset of cancers of the anus, oropharynx, penis, vagina, and vulva. In addition, individuals with HIV and acquired immunodeficiency syndrome (AIDS) are at a high risk of developing HPV related cancers [5, 23, 38, 96, 135].

In recent times, reports from various investigations have shown HIV/HPV co-infection of both viruses in clinical cases. HIV/HPV co-infection is shown to be ravaging lives of many living in resources limited settlements, and conducting integrated analyses [12, 110], of global scientific relevance is useful in gaining more insight into the current position and emerging trends [136].

In the USA, reports have revealed that there is a high incidence of cancer-related infections among HIV- infected patients with a simultaneous post-report of HPV infection amongst the general population [34, 115]. In South Africa, HPV/HIV-infected individuals have 29 times risk of developing anal cancer, about 6 times chances for vulvar/vaginal cancer including cervical cancer, and 4 times chances of developing penile cancer [60]. In Italy, prevalence of HIV/HPV co-infection was 8.8% [101] to 38% base on the population of the area examined for HPV/HIV coinfections [8]. However, in sub-Sahara African there is a gap in literature on the potential clinical cases of HPV-related cancers among HIV-infected patients. Although the core of HIV-infected women were documents from sub-Sahara African region with cervical cytological of infected HPV, which is estimated to be one in every five women [15].

Recently, there has been a decrease in the HIV morbidity and mortality since the introduction of antiretroviral therapy (ART) and highly active antiretroviral therapy (HAART) [53, 85] for the management of early HIV infection cases. Whereas many HIV-associated comorbidities and HPV-related diseases continue to rise with higher mortality in low and middle-income countries, the impact of ART and HAART is seldom observed amongst HPV/HIV related cases. Many studies have shown controversies in the use of highly active antiretroviral therapy (HAART) for the treatment of HIV/HPV coinfection, neoplasia, and have indicate HPV-associated infection HAART [49, 98]. In fact no study has indicate positive reductive effect of HAART in the progression of high-grade cervical intraepithelial neoplasia (CIN) or anal intraepithelial neoplasia (AIN) from HPV/HIV coinfected individuals [30, 49, 60]. To the best of our knowledge, no study has examined HIV/HPV coinfection and related dysplasia in a global or regional context, and HAART effectiveness in its management using integrated content analytics and science mapping bibliometrics analytics. In the same vain, there is very scanty information on strategies of mitigating the public burden of HIV/HPV co-infection, in addition to unknown assessment of literature that contributes to this subject. Therefore, we investigated the breadth and progression of research knowledge on HIV/HPV coinfection to stir up researchers, policy makers and funders to key into research strides on reducing HIV/HPV co-infection as well as other associated clinical cases. The study also use literature to support the explanation and interpretation of HIV/HPV world problem, with emphasis on research progress and sustenance funds / grants in one of the endemic region Africa.

The science mapping hinged on Author/country, productivity/trends, topic conceptual framework, and international collaborative networks were analyzed. Integrated content analytics and science mapping bibliometrics analysis remains a useful research tool with an increasing potential for monitoring, handling, supporting and appraising decisions in scientific/technological progress and research development [99, 110]. In addition, diverse investigators have applied bibliometric media as evidence base strategy for redirecting research focus [27, 28, 44, 64, 70, 84, 92]. In this regard, we use integrated content analytics and science mapping analytics to map scientific progress related to HIV/HPV coinfection as an ancillary source-track of epidemic spanning the period of 1990 to 2019. In addition, the study also identified authors production/production trends, inter institutional/international research activities, conceptual topic thematic and gaps for future prospects.

Data and method

Data collection

The “Preferred Reporting Items for Systematic Reviews and Meta-Analyses” (PRISMA) guidelines were used to search the Web of Science (WoS) database for relevant studies on HIV/HPV/Coinfection [80].

We collated published articles, editorial material, meeting abstract, proceedings paper, review article, on HIV/HPV co-infections from global repository data by searching the Web of Science (WoS) core collection database on 19th July 2020 at about 10.25 GMT + 2). The Boolean topic search approach applied included “(HIV* AND HPV* AND Co-infection$) OR (HIV* AND HPV* AND Coinfection$) OR (HIV-HPV* AND Coinfection$) OR (HIV-HPV* AND Co-infection$) OR (HIV/HPV* AND Coinfection$) OR (HIV/HPV* AND Co-infection$) OR (Human Immunodeficiency Syndrome* AND human papillomavirus* AND Coinfection$) OR (Human Immunodeficiency virus* AND human papillomavirus* AND Coinfection$) to recoup all available documents on the subject, “HIV/HPV co-infection” between 1990 and 2019. The Web of Science Core Collection database adopted in this study has a high reputable academic research database covering thousands of journals, books, conferences as well as millions of records from [2, 50, 62, 129, 137]. To ensure the inclusion of abbreviated or shorten words, such as “HIV”, “HPV”, “AIDs”, and any other related words the wildcard * and $ where added to the end of the search algorithms. Thereafter, all document that meet the eligibility criteria for HIV/HPV co-infections were extracted in BibTex file format and the authors, titles, abstracts mined in PDF file format. Only the articles that have the search term in their title and abstract were qualified for inclusion detailed in Fig. 1.

Fig. 1
figure 1

PRISMA process of searching, reviewing and meta-synthesis of articles on HIV/HPV/Coinfection research domains

Data analytics

All the bibliometric variables were retrieved filtered and normalized for quality control. The results were analyzed in biblioshiny package [6, 51, 127] on Rstudio versions 3.5.1 [103] and Microsoft excel 16, while the network maps were visualized in VOSviewer software1.6.13 [125].


Our study recovered a total of 196 documents relevant to HIV/HPV co-infection from the web of science database within the survey period (1990 – 2019), with informatics and attributes as presented in Table 1. A total of 1203 prolific authors distributed as 1194 multi-authored documents and nine solo authors were involved in the retrieved studies. Other informatics of published documents include: 2 (1%) editorial material, 5 (2.5%) meeting abstract, 5 (2.5%) proceedings paper and 21 (10.7) reviews. We were not surprised of finding no new documented items captured in newsletters, since HIV/HPV co-infection is not an outbreak infection/disease. The average citation per document is 20.7, with 0.2 document/author (6.1 authors/document), 7.0 co-authors/document, and a collaboration index of 6.4 which implies a high participation of co-authorship per document [107]. Authors who published alone in related studies were 9, whereas 1197 authors publications were shown as multi-authored documents (Table 1). The funding and supporting organisations are highlighted in Table 2. Among the 196 documents that met the criteria for assessment in this study, only 114 of the study received funding support from public/governmetal and private organisations of which 31 (15.8%) studies conducted and funded in Africa. This indicate a reduced funding interest in the region despite the emdemic nature of the virus.

Table 1 Data Summary and key information from Web of Science database on HIV/HPV co-infection publications
Table 2 Africa funder and support organisations of HIV/HPV co-infection studies from 1990 to 2019

From Fig. 2, The annual growth rate was 8.09%, and a significant observation was the corresponding peak and fall in the MeanTC per article, meanTC per year and annual scientific production between 2005 and 2019. The significant high correlation between the mean/TC per article and the mean total citation (TC) per year showed that 80.98% of the articles on HPV/HIV co-infection have remained scientifically relevant, although the interest has been dropping in the third decade (with regard to meanTC per article) when compared to the second decade. This indicates that the article produced between 2005 and 2007 were much more scientifically relevant to the subject matter with appropriate attention than any other year and thus gained more interest from the scientific community.

Fig. 2
figure 2

Yearly distribution of scientific productions and citations. MeanTC/Article = Mean Total Citation per articles; MeanTC/year = Mean Total citations per year; ASp = Annual Scientific Publications; AGR = Annual Growth Rate. Source: Biblioshiny compilation form Web of Science database (correlation calculations in excel by Author)

The Table 3 reveals leading publication journals on studies related to HIV/HPV co-infection amongst other published documents. The PLOS one ranked top based on the TP; however, observing the global total citation (TC) and total local citation (TLC), Sexually Transmitted Infections journal maintained fourth (4th) rank while Journal of infectious disease ranked first. The PLOS one was top ranked for TC but fell to 8th rank for TLC, Clinical Infectious Diseases journal had the highest score of 70.8 (approximately 71 for each of its publication) for the calculated average local citation per article (aC/p). In addition, a very close value for the total local citation per publication (TLC/p) was observed, nevertheless, LANCET and PLOS ONE had the highest point of 40.5 and 40.0 respectively.

Table 3 Top 10 Leading Journals in HIV-HPV co-infection research based on 20 searched sources

In Table 4, the top 15 leading authors, their research impact and turnout are described from the viewpoint of local citation. Nicol et al. [87], have a 14 years publishing timeline just as Minkoff (2005) and Grinsztejn B [46]; however, more publications had made his local presence recognised, but in terms of contribution turnout, Minkoff’s research seems to be more relevant (TC = 365) than any other researcher (Nicol and Grinsztejn) on HIV/HPV co-infection despite having 3 publications. This may be attributed to the quality of the published document, the global impact, local, community and related research relevance.

Table 4 Top 15 leading authors research impact and contribution turnout from the local presence

In Table 5, the top 15 authors (as per a single relevant article or publication), their scientific global presence, and performance indices were presented. Munoz [83], lead in both the TG indices (58.5) and the performance citation index. In this article, we measured the global to local citation as a way of indexing the global to local citation and this showed that there is more global than local interest in HIV/HPV related researches. Munoz [83], presence is approximately two and a half times greater in TGC per year and almost ten times greater in G/LCi than the next on the range order as well as any other author in this research area. We clustered and visualized the network of authors keywords to identified sub-fields which represent sub-set base on concept-similarity profile [126]. However, many publications may be found in more than one sub-field, this overlap between sub-fields by joint of publications are used to calculate a further co-occurrence matrix, on the basis of the identified subfield publication similarity. Map networks are construct and clusters by multidimensional scaling, whereby high similarity are placed in each other’s domain’s, while sub-fields of low similarity are distant from each other. The size of a sub-field indicates the volume of publications in relation to the subject. Furthermore, the strength of the relationship between two individual subfields are indicated by a connecting line.

Table 5 Top 15 authors with significant global presence, production turnout, and performance indices

Conceptual factorial analysis (relatedness of research terminologies)

Author co-citation network map is shown in Fig. 3. Palefsky JM is the most significant author that is linked to other authors. This indicates that in related studies, such author associates earlier report and relates them to previous similar studies hence a significant association of co-authors citation. The collaboration link of Palefsky JM., was rather weaker than that of Munoz N., which had lots of collaborating links within and outside the cluster.

Fig. 3
figure 3

Authors co-citation network Cluster 1 (9) [red]; Cluster 2 (5) [green], Cluster 3 (3) [blue]). Note: The minimum author’s citation threshold was set at 20 and of the 4687 authors, only 17 met the criteria. The bubble size indicates the most cited author, while the colour refers to the clustering and line thickness the strength of the corresponding link

This network confirms the position of the Authors as regards HIV/HPV coinfection research; that Munoz’s global visibility and relevance in HIV/HVP co-infection studies are attributed to researchers being specific about the content of the research than the number of publications from the research.

In Fig. 4A, the largest cluster is 7, while the biggest network is cluster 2, which account for the largest author’s collaboration. At minimum threshold of 1 collaboration, only 15 authors networked among themselves. However, when the threshold is raised to a minimum of 5 collaborations, the links are scanty and it can be observed that just a single author links the entire cluster (Fig. 4B). Despite the amount of grant that has been awarded for HIV/HPV co-infection research and the numerous public health programs, authors’ collaboration remained less than 0.5%.

Fig. 4
figure 4

Authors collaboration network (A) Minimum of 1 (B) minimum of 5 (cluster 1: 7, Cluster 2: 4, and Cluster 3: 4). Note: The minimum author’s collaboration threshold was set at 1, then 5, and out the 4687 authors, only 15 met the criteria. The bubble size indicates the most cited author, while the colour refers to the clustering and line thickness the strength of the corresponding link (There is an unlabelled author and this was marked as Anonymous in biblioshiny). Source: VOSViewer compilation form Web of Science database

The top 20 institutional collaboration is presented in Fig. 5. The result showed four (4) collaboration clusters with two independent clusters. The largest collaborator was John Hopkins Bloomberg School of Public Health with strong intra- and inter-institutional collaboration. The John Hopkin’s Institution is also linked to cluster 4 (with 5 institutions), which have a maximum of two collaborations within their institution except the University of North Caroline which has three (3) collaborations. The cluster 3 have a better collaboration link among the institutions, and this accounted for the observed thick lines drawn from schools. Intra- and inter- institutional collaboration is seen only in John Hopkins Institutions, with isolated smaller collaborations. Such collaborative network is poor for a clinically related condition of great public health and clinical significance which the scourge of HPV/HIV has exposed the global population.

Fig. 5
figure 5

Institutional collaboration network (cluster 1: 5[red], Cluster 2: 2[blue], Cluster 3: 7[green], and Cluster 4: 5[purple]). Source: Bibliosiphiny compilation (set at top 20 collaborations) form Web of Science database

In Fig. 6, USA had the largest country collaborating networks, revealing its collaboration activities with all other 13 countries, however, higher degree of collaboration was observed with Brazil and Belgium. Kenya and South Africa also had high degree and/or strong collaboration network with USA as well as Australia, Canada, Switzerland, China, France and England. From the overlay (represented by years of collaboration; masked by total collaborating links), it is noted that interest in collaboration and collaborative studies only arises within 2010 and 2016, with Belgium and Brazil receiving earlier collaborations, while Kenya and South Africa were within 2014 to 2016.

Fig. 6
figure 6

Country collaboration network (cluster 1: 4 [red], Cluster 2: 4[green], Cluster 3: 3[blue], and Cluster 4: 3[lemon],). Source: VOSviewer compilation form Web of Science database. Note: Maximum number of countries per document and minimum number of documents is set at 25 and 7 respectively. Of the 568 countries represented, 14 were met or exceeded the threshold. The bubble size indicates the biggest collaborating country, while the colour represents the clusters and line thickness is the total strength of the corresponding link


The goal of this study was to provide an overview of global research publications and progress on HIV/HPV coinfection. Thereby identifying authors production/production trends, inter institutional/international research activities, conceptual topic thematic and gaps for future prospects. The findings denote a moderately increased over time number of publications, contributing countries, and the average number of authors per document. However, the number of publications that made significant contributions to the subject, the countries and the average number of citations per document was limited to the developed world.

Furthermore, based on the fact that HPV infection alone is an indication of candidacy for carcinogenesis a chronic immune humiliating disease. When HPV was found in the same individuals with HIV the master of immunodeficiency in humans, then we saw the justification for the magnitude of observed co-infections in several diseases ranging from common benign warts to invasive carcinoma at various anatomical sites of infection, including the cervix, vulva, vagina, penis, anus, and oropharynx.

In response to increasing global epidemic of HIV, limited studies have been gar towards its associated coinfections such as HPV. Globally, approximately 80% of the sexually active women become infected with one of the 13 high-risk HPV (hr-HPV) in their life time [14]. Also, HIV infected women have been found to be three times more likely to have a new HPV infection compared to the non-HIV-infected women [119]. HIV infection is identified as a substantial risk factor for HR-HPV infection [63, 73]. This could be related to immunosuppression creating lower HPV clearance rates, which could impact high rates of HPV infection, persistent HPV infection, or latent HPV reactivation [72]. At the same time, the reactivation risk may increase around age 50 [106]. HPV/HIV co-infection is a primary public health burden in the sub-Saharan African countries resulting to several cervical abnormalities amongst women [22]. However, the latter is often persistent among HIV-infected women, leading to adverse incidence of high-grade squamous intraepithelial lesion (HSIL) [73]. The role of African researchers is paramount to the advances in HPV/HIV co-infection cases especially as it is predominant amongst Africa women which share the huge burden of its prevalence. In bibliometric studies the quantity of scientific publication, represents productivity on a research subject [118]. This implies that changes in the number of published documents as well as reports on a subject, indicates knowledge-scape and/or change/shift in knowledge which also reveals potential strides in control/usefulness of a subject.

However, the progress of studies to curbing the prevalence of HIV/HPV co-infection among women [68] around the world, with greater pecentage in sub-Sahara Africa [60, 91] is poorly represented by the amount of study from the region and is of utmost importance. It is also evident that although the annual scientific publications between 2005 and 2007 were relatively high for HPV/HIV co-infections, the subsequent years recorded more scientific publications indicating that as the years goes by, interest in related studies and research continues to grow within the scientific discipline. Following the reports from Kenya, it may be deduced that although there is increase in interest, the authors in Africa and publication impact remains imprecise as previously reported by various investigators [29, 37, 57, 79].

From the forgoing in Table 4 above, it may be adjudging that publication time line in most cases may not be use in justifying how relevant a study or how experience an author may be considering the 17-year timeline of Tristao A (2002), Williamson AL [134], and Fernandes ATG (2002). One may be quick to say that although the greatest impact of the HPV/HIV co-infection reports were observed in Africa, most of its related studies were reported by researchers and authors from other continents of the globe hence more global citations than local citations. The African researchers and authors of viral studies need to revamp their interest in indigenous research or African related interest with a view to addressing the indigenous science based and public health concerns.

Here, as expected, the keyword analysis shows the search terms of interest “HIV/HPV/Co-infection” as appeared in the author keywords network (Figs. 7, 8). The most occurring keyword is HIV and this is coupled to HPV. Co-infection was observed to be found in links between HIV and HPV. The mapping analysis identified keywords with a high citation torrent that can indicate research topics gaining much interest. The keyword co-occurrences in our bibliographic meta-synthesis communicate the conceptual co-word structure and discover groups of articles that communicate shared concepts. Nevertheless, the authors keywords co-occurrence network mapping suggests thematic including; cancer in women, epidemiological characteristics research and HPV genotypes thematic implicated in the development of high-grade intraepithelial lesions and invasive carcinoma. In general population, the prevalence of HPV related cervical cancer [38] is high among women living with HIV. AIDS is a defining condition in cervical cancer related to HPV [18]. Also, report has shown [39] an increasing incidence of HPV in HIV patients in men who are involve in sex with men (MSM), as compared to HIV-negative controls. Cluster 1 (5), [red] reveal the risk of HPV-associated co-infection with HIV-infected individuals [54]. Furthermore, understanding of molecular epidemiology of HR-HPV in a given region is needed for vaccination and prevention of genital HPV infections.

Fig. 7
figure 7

Conceptual Structure map using Multiple Correspondence Analysis and Dendrogram representation of key terminology in the conceptual structure of the relationship between the keywords in HIV/HPV co-infection research is presented in Fig. 7

Fig. 8
figure 8

Authors keywords co-occurrence network Cluster 1 (5), [red]; Cluster 2 (4) [green], Cluster 3 (3) [blue], Cluster 4 (3) [lemon]. Note: The minimum number of co-occurrence was set at 5 and of the 428 keywords, 15 met the criteria. The bubble size indicates the most occurring keyword, while the colour refers to the clustering and line thickness the strength of the corresponding link

Co-citation analysis help to identify documents that contain concept, ideas, experiments, or methods that has a noble recognition, as indicated by their co-occurrence of citations [61]. Hence, knowledge of how documents are cited together aid researchers and practitioners to comprehend the importance of previous contributions that were made within a field study.

In the present day, research collaboration has increased among researchers in different field of studies [25, 26]. Collaborations of either authors, institutions/organizations, countries and within authors have been shown to be high in this study hence, it has given room for knowledge and skills transfer, cutting boundaries, mitigating costs, enhancing greater benefits of research findings, and measurement attributes as previously reported by various investigators [52, 58, 113]. Furthermore, collaboration enhances establishment of research communities that constitute social networks amongst countries (develop, developing or high, middle to low income) and researchers in both resource/resource limited locality. Social networks avail researchers with the tendency to create and share knowledge [13, 31], as well as identify the knowledge domain within disciplines [136]. The collaboration networks analysis was also used to identify key performing authors or institutions or countries to validate the relationships between indicators of these networks and outputs in HIV/HPV co-infections. This also indicates that although reports on HPV/HIV co-infection started in 1992 and sustains till 2019 with repeated increase and rising impact on the African environments, collaborative studies with Africa researchers only started about 6 years ago. This may probably be one of the reasons behind the low Africa output or publications in studies on HPV/HIV co-infection. It may also be another aspect were African researchers’ needs to revamp research-based interest.

Future Prospect

From the foregoing, it is clear that the African related interest in HPV/HIV co-infection studies is relatively poor, which may have accounted for the low knowledge-scape and progress despite the introduction of vaccination and other diagnostic strides. The authors’ research collaboration network, countries collaboration, authors collaboration, citations and implementation of research-based findings in previous studies are yet to receive the aftermath, especially as various countries in the African continent have not received any related collaboration yet she is reporting co-infection associated with HIV/HPV. African needs to awake and stir up the responsibility of research-based interest in HPV/HIV co-infection studies to resolve indigenous public health concerns.

Nevertheless, an increased attention and interest-based studies on the endemicity and prevalence of HPV/HIV co-infection as well as other viral pathogens be added with a view to addressing the indigenous public health concerns associated with the viral endemicity.


The current study examines HIV/HPV co-infections from a bibliometric perspective. However, there was a sluggish annual growth rate, and the most relevant papers to the subject were written between 2005 and 2019, as measured by the association between the mean/TC per article and the mean total citation (TC) per year. The most prominent authors by research impact were JM Nicol AF and Williamson AL. Plos One and BMC infect. Dis. been the leading journal publishing on HIV/HPV co-infection. The conceptual factorial analysis identified two sub-fields, including cancer in women and HIV/HPV co-infection epidemiology characteristics for research engagement. In addition, the multiple-country publications and cooperation index revealed a substantial network of collaboration among researchers in developing nations. We observed that the world’s most powerful governments are investing in HIV/HPV co-infection research through disbursing funds and increasing mentorship among scholars in the region, which is missing in Africa. This study’s findings may be valuable in identifying potential partners for younger academics interested in joining the field. The study’s strength is evidenced as the first holistic content analysis and systematic science mapping of HIV/HPV co-infection research as a possible tool for widening knowledge with the ultimate goal of lowering the associated viral infection, a public health burden in Africa.

However, the use of a single database may limit the identification of additional pieces of literature. Also, the keywords for data collection may have restricted the scope of the research directions. Using a threshold for co-citation analysis based on the number of total citations may hinder the use of the complete published article within the timeframe.


In this bibliometric analysis, the results revealed low global research in HIV/HPV co-infection, and the publications of 2005 and 2007 were of more significant scientific relevant research outputs. The network analysis suggests that high-income countries have better interrelationship drives than low- and middle-income countries with a high prevalence of HIV/HPV co-infection and limited collaboration networks.

With the increasing prevalence of HPV and high-risk HPV genotypes among HIV-infected men and women couple with asymptomatic genital distress of different degrees of severities, we recommend a reviewed narrative for future study to elaborate emerging themes and gar research focus.

Countries/Regions with a high incidence of HIV/HPV co-infections requires a long-term follow up of individuals with dysplastic lesions associated with HIV infections.

Based on the analysis, we recommend further scientometrics studies using a combination database involving the mapping of knowledge structure. In contract, future research should be directed towards developing and implementing vaccination and programs to reinforce the current trends of HIV/HPV coinfection. At the same time stakeholders and governments in Africa region to engage in funding and its effective ultiazation for research to the benefit of the African population.

Availability of data and materials

The datasets used for this study are available from the corresponding author on reasonable request.



Human immunodeficiency virus / Human papillomavirus


Preferred Reporting Items for Systematic Reviews and Meta-Analyses


Total citation


World Health Organization


International Agency for Research on Cancer


Acquired immunodeficiency syndrome


Antiretroviral therapy


Highly active antiretroviral therapy


Cervical intraepithelial neoplasia


Anal intraepithelial neoplasia


Web of Science


  1. Adler DH, Wallace M, Bennie T, et al. Cumulative Impact of HIV and Multiple Concurrent Human Papillomavirus Infections on the Risk of Cervical Dysplasia. Adv Virol. 2016.

  2. Aksnes DW, Sivertsen G. A criteria-based assessment of the coverage of scopus and web of science. J Data Inf Sci. 2019.

  3. Almonte M, Albero G, Molano M, et al. Risk factors for Human Papillomavirus Exposure and Co-factors for Cervical Cancer in Latin America and the Caribbean. Vaccine. 2008.

  4. Ameur A, Meiring TL, Bunikis I, et al. Comprehensive profiling of the vaginal microbiome in HIV positive women using massive parallel semiconductor sequencing. Sci Rep. 2014.

  5. Appleby P, Beral V, Newton R, Reeves G, Carpenter L. Highly active antiretroviral therapy and incidence of cancer in human immunodeficiency virus-infected adults. J Natl Cancer Inst. 2000.

  6. Aria M, Cuccurullo C. bibliometrix : an R-tool for comprehensive science mapping analysis. J Inf Secur. 2017;11:959–75.

    Article  Google Scholar 

  7. Baay MFD, Kjetland EF, Ndhlovu PD, et al. Human papillomavirus in a rural community in Zimbabwe: The impact of HIV co-infection on HPV genotype distribution. J Med Virol. 2004.

  8. Barzon L, Militello V, Pagni S, Franchin E, Dal Bello F, Mengoli C, et al. Distribution of human papillomavirus types in the anogenital tract of females and males. J Med Virol. 2010.

  9. Belglaiaa E, Elannaz H, Mouaouya B, et al. Human papillomavirus genotypes among women with or without HIV infection: An epidemiological study of Moroccan women from the Souss area Cancer centers in low- and middle-income countries. Infect Agent Cancer. 2015.

  10. Bessesen M, Ives D, Condreay L, et al. Chronic active hepatitis B exacerbations in human immunodeficiency virus-infected patients following development of resistance to or withdrawal of lamivudine. Clin Infect Dis. 1999.

  11. Bofill-Mas S. Part three . specific excreted pathogens : environmental and epidemiology aspects: adenoviruses. Glob Water Pathog Proj. 2017.

  12. Borgman CL, Furner J. Citation: Borgman, C.L., & Furner, J. (2002). Scholarly communication and Bibliometrics. In: Cronin B, editor. Annu. Rev. Inf. Sci. Technol; 2002.

    Chapter  Google Scholar 

  13. Borgman CL, Furner J. Scholarly communication and bibliometrics. Annu Rev Inf Sci Technol. 2002.

  14. Bouvard V, Baan R, Straif K, Grosse Y, Secretan B, El Ghissassi F, et al. A review of human carcinogens--Part B: biological agents. Lancet Oncol. 2009.

  15. Bruni L, Diaz M, Castellsagué X, Ferrer E, Bosch FX, de Sanjosé S. Cervical human papillomavirus prevalence in 5 continents: Meta-analysis of 1 million women with normal cytological findings. J Infect Dis. 2010.

  16. Bucchi D, Stracci F, Buonora N, Masanotti G. Human papillomavirus and gastrointestinal cancer: a review. World J Gastroenterol. 2016.

  17. Campos NG, Lince-Deroche N, Chibwesha CJ, et al. Cost-effectiveness of cervical cancer screening in women living with HIV in South Africa: A mathematical modeling study. J Acquir Immune Defic Syndr. 2018.

  18. Castro KG, Ward JW, Slutsker L, Buehler JW, Jaffe HW, Berkelman RL, et al. 1993 revised classification system for hiv infection and expanded surveillance case definition for aids among adolescents and adults. Clin Infect Dis. 1993.

  19. Chambuso R, Kaambo E, Denny L, et al. Investigation of Cervical Tumor Biopsies for Chromosomal Loss of Heterozygosity (LOH) and Microsatellite Instability (MSI) at the HLA II Locus in HIV-1/HPV Co-infected Women. Front Oncol. 2019.

  20. Chaturvedi AK, Myers L, Hammons AF, et al. Prevalence and clustering patterns of human papillomavirus genotypes in multiple infections. Cancer Epidemiol Biomarkers Prev. 2005.

  21. Clarke B, Chetty R. Postmodern cancer: The role of human immunodeficiency virus in uterine cervical cancer. J. Clin. Pathol. - Mol. Pathol. 2002.

  22. Clifford G, Franceschi S, Diaz M, Muñoz N, Villa LL. Chapter 3: HPV type-distribution in women with and without cervical neoplastic diseases. Vaccine. 2006.

  23. Clifford GM, Polesel J, Rickenbach M, Maso LD, Keiser O, Kofler A, et al. Cancer risk in the Swiss HIV cohort study: associations with immunodeficiency, smoking, and highly active antiretroviral therapy. J Natl Cancer Inst. 2005.

  24. Cohen MS, Hellmann N, Levy JA, Decock K, Lange J. The spread, treatment, and prevention of HIV-1: evolution of a global pandemic. J Clin Invest. 2008.

  25. Cronin B, Shaw D, La Barre K. A cast of thousands: Coauthorship and subauthorship collaboration in the 20th century as manifested in the scholarly journal literature of psychology and philosophy. J Am Soc Inf Sci Technol. 2003.

  26. Cronin B, Shaw D, La Barre K. Visible, less visible, and invisible work: patterns of collaboration in 20th century chemistry. J Am Soc Inf Sci Technol. 2004.

  27. Cyrus T, Id E, Okoh AI. A global bibliometric analysis of Plesiomonas - related research ( 1990 – 2017 ); 2018. p. 1–17.

    Google Scholar 

  28. Da W, Tao Z, Meng Y, Wen K, Zhou S, Yang K, et al. A 10-year bibliometric analysis of osteosarcoma and cure from 2010 to 2019. BMC Cancer. 2021.

  29. Dal Maso L, Serraino D, Franceschi S. Epidemiology of AIDS-related tumours in developed and developing countries. Eur J Cancer. 2001.

  30. Davis KG, Orangio GR. Basic science, epidemiology, and screening for anal intraepithelial neoplasia and its relationship to anal squamous cell cancer. Clin Colon Rectal Surg. 2018.

  31. Degenne A. Social capital: a theory of social structure and action. Tempo Soc. 2004.

  32. De Pokomandy A, Rouleau D, Ghattas G, et al. HAART and progression to high-grade anal intraepithelial neoplasia in men who have sex with men and are infected with HIV. Clin Infect Dis. 2011.

  33. dos Ramos Farías MS, Garcia MN, Reynaga E, et al. First report on sexually transmitted infections among trans (male to female transvestites, transsexuals, or transgender) and male sex workers in Argentina: High HIV, HPV, HBV, and syphilis prevalence. Int J Infect Dis. 2011.

  34. Dunne EF, Unger ER, Sternberg M, McQuillan G, Swan DC, Patel SS, et al. Prevalence of HPV infection among females in the United States. J Am Med Assoc. 2007.

  35. Ermel A, Qadadri B, Tong Y, et al. Invasive cervical cancers in the United States, Botswana and Kenya: HPV type distribution and health policy implications. Infect Agent Cancer. 2016.

  36. Ferenczy A, Coutlée F, Franco E, Hankins C. Human papillomavirus and HIV coinfection and the risk of neoplasias of the lower genital tract: A review of recent developments. CMAJ. 2003.

  37. Franceschi S, Rajkumar T, Vaccarella S, et al. Human papillomavirus and risk factors for cervical cancer in Chennai, India: A case-control study. Int J Cancer. 2003.

  38. Frisch M, Biggar RJ, Engels EA, Goedert JJ. Association of cancer with AIDS-related immunosuppression in adults. J Am Med Assoc. 2001.

  39. Frisch M, Smith E, Grulich A, Johansen C. Cancer in a population-based cohort of men and women in registered homosexual partnerships. Am J Epidemiol. 2003.

  40. Gao L, Zhou F, Li X, et al. Anal HPV infection in HIV-positive men who have sex with men from China. PLoS One. 2010.

  41. Garbuglia AR, Piselli P, Lapa D, et al. Frequency and multiplicity of human papillomavirus infection in HIV-1 positive women in Italy. J Clin Virol. 2012.

  42. Gillison ML, Shah KV. Chapter 9: role of mucosal human papillomavirus in nongenital cancers. J Natl Cancer Inst Monogr. 2003.

  43. Ginindza TG, Dlamini X, Almonte M, et al. Prevalence of and associated risk factors for high risk human papillomavirus among sexually active women, Swaziland. PLoS One. 2017.

  44. González-Alcaide G, Menchi-Elanzi M, Nacarapa E, Ramos-Rincón JM. HIV/AIDS research in Africa and the Middle East: participation and equity in north-south collaborations and relationships. Global Health. 2020.

  45. Gottlieb GS. Changing HIV epidemics: what HIV-2 can teach us about ending HIV-1. AIDS. 2013.

  46. Grinsztejn B, Bastos FI, Veloso VG, et al. Assessing sexually transmitted infections in a cohort of women living with HIV/AIDS, in Rio de Janeiro, Brazil. Int J STD AIDS. 2006.

  47. Grulich AE, van Leeuwen MT, Falster MO, Vajdic CM. Incidence of cancers in people with HIV/AIDS compared with immunosuppressed transplant recipients: a meta-analysis. Lancet. 2007.

  48. He X, Maranga IO, Oliver AW, et al. Analysis of the prevalence of HTLV-1 proviral DNA in cervical smears and carcinomas from HIV positive and negative Kenyan women.Viruses. 2016.

  49. Heard I, Palefsky JM, Kazatchkine MD. The impact of HIV antiviral therapy on human papillomavirus (HPV) infections and HPV-related diseases. Antivir Ther. 2004.

  50. Jane C. Web of science. Charlest Advis. 2018.

  51. Kassambara A. Ggpubr: “ggplot2” based publication ready plots. R Packag. version 0.4.0; 2020.

    Google Scholar 

  52. Katz JS, Martin BR. What is research collaboration? Res Policy. 1997.

  53. Kiragga AN, Mubiru F, Kambugu AD, Kamya MR, Castelnuovo B. A decade of antiretroviral therapy in Uganda: what are the emerging causes of death? BMC Infect Dis. 2019.

  54. Kreimer AR, Alberg AJ, Daniel R, Gravitt PE, Viscidi R, Garrett ES, et al. Oral human papillomavirus infection in adults is associated with sexual behavior and HIV Serostatus. J Infect Dis. 2004.

  55. Kriek JM, Jaumdally SZ, Masson L, et al. Female genital tract inflammation, HIV co-infection and persistent mucosal Human Papillomavirus (HPV) infections. Virology. 2016.

  56. Kwong JC, Ratnasingham S, Campitelli MA, et al. The Impact of Infection on Population Health: Results of the Ontario Burden of Infectious Diseases Study. PLoS One. 2012.

  57. La Ruche G, You B, Mensah-Ado I, et al. Human papillomavirus and human immunodeficiency virus infections: Relation with cervical dysplasia-neoplasia in African women. Int J Cancer. 1998.<480::AID-IJC6>3.0.CO;2-N.

  58. Laudel G. What do we measure by co-authorships? Res Eval. 2002.

  59. Lee BN, Follen M, Tortolero-Luna G, Eriksen N, Helfgott A, Hammill H, Shearer WT, Reuben JM. Synthesis of IFN-gamma by CD8(+) T cells is preserved inHIV-infected women with HPV-related cervical squamous intraepithelial lesions. Gynecol Oncol. 1999;75(3):379–86.

    Article  CAS  PubMed  Google Scholar 

  60. Lekoane KMB, Kuupiel D, Mashamba-Thompson TP, Ginindza TG. The interplay of HIV and human papillomavirus-related cancers in sub-Saharan Africa: scoping review. Syst Rev. 2020;9:1–13.

    Article  Google Scholar 

  61. Leydesdorff L. Theories of citation? Scientometrics. 1998.

  62. Leydesdorff L, Carley S, Rafols I. Global maps of science based on the new web-of-science categories. Scientometrics. 2013.

  63. Leyh-Bannurah SR, Prugger C, De Koning MNC, Goette H, Lellé RJ. Cervical human papillomavirus prevalence and genotype distribution among hybrid capture 2 positive women 15 to 64 years of age in the Gurage zone, rural Ethiopia. Infect Agent Cancer. 2014.

  64. Li X, Nan R. A bibliometric analysis of eutrophication literatures: an expanding and shifting focus. Environ Sci Pollut Res. 2017.

  65. Macleod IJ, O’Donnell B, Moyo S, et al. Prevalence of human papillomavirus genotypes and associated cervical squamous intraepithelial lesions in HIV-infected women in Botswana. J Med Virol. 2011.

  66. Mandishora RS, Christiansen IK, Chin’ombe N, et al. Genotypic diversity of anogenital human papillomavirus in women attending cervical cancer screening in Harare, Zimbabwe. J Med Virol. 2017.

  67. Mandishora RS, Gjøtterud KS, Lagström S, et al. Intra-host sequence variability in human papillomavirus. Papillomavirus Res. 2018.

  68. Marchetti G, Comi L, Bini T, Rovati M, Bai F, Cassani B, et al. HPV infection in a cohort of HIV-positive men and women: prevalence of oncogenic genotypes and predictors of mucosal damage at genital and Oral sites. J Sex Transm Dis. 2013;2013:1–8.

    Article  Google Scholar 

  69. Marembo T, Dube Mandishora R, Borok M. Use of Multiplex Polymerase Chain Reaction for Detection of High-Risk Human Papillomavirus Genotypes inWomen Attending Routine Cervical Cancer Screening in Harare. Intervirology. 2019;62:90–5.

    Article  CAS  PubMed  Google Scholar 

  70. Martynov I, Klima-Frysch J, Schoenberger J. A scientometric analysis of neuroblastoma research. BMC Cancer. 2020.

  71. Mbulawa ZZA, Coetzee D, Marais DJ, et al. Genital human papillomavirus prevalence and human papillomavirus concordance in heterosexual couples are positively associated with human immunodeficiency virus coinfection. J Infect Dis. 2009.

  72. Mbulawa ZZA, Johnson LF, Marais DJ, Gustavsson I, Moodley JR, Coetzee D, et al. Increased alpha-9 human papillomavirus species viral load in human immunodeficiency virus positive women. BMC Infect Dis. 2014.

  73. McDonald AC, Tergas AI, Kuhn L, Denny L, Wright TC. Distribution of human papillomavirus genotypes among HIV-positive and HIV-negative women in Cape Town, South Africa. Front Oncol. 2014.

  74. Meiring TL, Mbulawa ZZA, Lesosky M, et al. High diversity of alpha, beta and gamma human papillomaviruses in genital samples from HIV-negative and HIV-positive heterosexual South African men. Papillomavirus Res. 2017.

  75. Méndez-Martínez R, Rivera-Martínez NE, Crabtree-Ramírez B, et al. Multiple human papillomavirus infections are highly prevalent in the anal canal of human immunodeficiency virus-positive men who have sex with men. BMC Infect Dis. 2014.

  76. Menezes LJ, Pokharel U, Sudenga SL, et al. Patterns of prevalent HPV and STI co-infections and associated factors among HIV-negative young Western Cape, South African women: The EVRI trial. Sex Transm Infect. 2018.

  77. Menon S, Rossi R, Benoy I, et al. Human papilloma virus infection in HIV-infected women in Belgium: Implications for prophylactic vaccines within this subpopulation. Eur J Cancer Prev. 2018.

  78. Menon S, Van Den Broeck D, Rossi R, et al. Multiple HPV infections in female sex workers in Western Kenya: Implications for prophylactic vaccines within this sub population. Infect Agent Cancer. 2017.

  79. Menon S, Wusiman A, Boily MC, et al. Epidemiology of HPV genotypes among HIV positive women in Kenya: A systematic review and meta-analysis. PLoS One 11. 2016.

  80. Moher D, Liberati A, Tetzlaff J, Altman DG. Reprint-preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Phys Ther. 2009.

  81. Mueller EE, Chirwa TF, Lewis DA. Human papillomavirus (HPV) infection in heterosexual South African men attending sexual health services: Associations between HPV and HIV serostatus. Sex Transm Infect. 2010.

  82. Mueller EE, Rebe K, Chirwa TF, et al. The prevalence of human papillomavirus infections and associated risk factors in men-who-have-sex-with-men in Cape Town, South Africa. BMC Infect Dis. 2016.

  83. Muñoz N, Castellsagué X, de González AB, Gissmann L. Chapter 1: HPV in the etiology of human cancer. Vaccine. 2006.

  84. Neff MW, Corley EA. 35 years and 160,000 articles: a bibliometric exploration of the evolution of ecology. Scientometrics. 2009.

  85. Nega J, Taye S, Million Y, Rodrigo C, Eshetie S. Antiretroviral treatment failure and associated factors among HIV patients on first-line antiretroviral treatment in Sekota, Northeast Ethiopia. AIDS Res Ther. 2020.

  86. Nelson LE, Tharao W, Husbands W, et al. The epidemiology of HIV and other sexually transmitted infections in African, Caribbean and Black men in Toronto, Canada. BMC Infect Dis. 2019.

  87. Nicol AF, Fernandes ATG, Bonecini-Almeida MDG. Immune response in cervical dysplasia induced by human papillomavirus: The influence of human immunodeficiency virus-1 co-infection - Review. Mem. Inst. Oswaldo Cruz. 2005.

  88. Nicol AF, Gomes Fernandes AT, Grinsztejn B, et al. Distribution of immune cell subsets and cytokine-producing cells in the uterine cervix of human papillomavirus (HPV)-infectecl women: Influence of HIV-1 coinfection. Diagnostic Mol Pathol. 2005.

  89. Nicol AF, Nuovo GJ, Salomão-Estevez A, et al. Immune factors involved in the cervical immune response in the HIV/HPV co-infection. J Clin Pathol. 2008.

  90. Nicol AF, Nuovo GJ, Wang Y, et al. In situ detection of SOCS and cytokine expression in the uterine cervix from HIV/HPV coinfected women. Exp Mol Pathol. 2006.

  91. Nyasenu YT, Gbeasor-Komlanvi FA, Ehlan A, Issa SAR, Dossim S, Kolou M, et al. Prevalence and distribution of human papillomavirus (hpv) genotypes among hiv infected women in lomé, Togo. PLoS One. 2019;14:1–12.

    Article  CAS  Google Scholar 

  92. Olisah C, Okoh OO, Okoh AI. Global evolution of organochlorine pesticides research in biological and environmental matrices from 1992 to 2018 : A bibliometric approach Global evolution of organochlorine pesticides research in biological and environmental matrices from 1992 to 2018. Emerg Contam. 2019;5:157–67.

    Article  Google Scholar 

  93. Onohuean H, Alagbonsi AI, Usman IM, Iceland Kasozi K, Alexiou A, Badr RH, et al. Annona muricata Linn and Khaya grandifoliola C.DC. Reduce oxidative stress in vitro and ameliorate plasmodium berghei-induced Parasitemia and cytokines in BALB/c mice. J Evid Based Integr Med. 2021.

  94. Onohuean H, Okoh AI, Nwodo UU. Antibiogram signatures of Vibrio species recovered from surface waters in South Western districts of Uganda: implications for environmental pollution and infection control. Sci Total Environ. 2021;807:150706.

    Article  CAS  PubMed  Google Scholar 

  95. Onohuean H, Okoh AI, Nwodo UU. Epidemiologic potentials and correlational analysis of Vibrio species and virulence toxins from water sources in greater Bushenyi districts, Uganda. Sci Rep. 2021;17.

  96. Palefsky JM, Holly EA. Chapter 6 : Immunosuppression and Co-infection with HIV T HROUGH CIN 3 OR J UST T HROUGH. J Natl Cancer Inst. 2003.

  97. Parkin DM, Bray F. Chapter 2: the burden of HPV-related cancers. Vaccine. 2006.

  98. Piketty C, Selinger-Leneman H, Grabar S, Duvivier C, Bonmarchand M, Abramowitz L, et al. Marked increase in the incidence of invasive anal cancer among HIV-infected patients despite treatment with combination antiretroviral therapy. AIDS. 2008.

  99. Ravichandran P. Bibliometric analysis on publication trends in the biodiversity research: a study. J Adv Libr Inf Sci. 2012.

  100. Ramogola-Masire D, Mcgrath CM, Barnhart KT, et al. Subtype distribution of human papillomavirus in HIV-infected women with cervical intraepithelial neoplasia stages 2 and 3 in Botswana. Int J Gynecol Pathol. 2011.

  101. Ronco G, Ghisetti V, Segnan N, Snijders PJF, Gillio-Tos A, Meijer CJLM, et al. Prevalence of human papillomavirus infection in women in Turin, Italy. Eur J Cancer. 2005.

  102. Rositch AF, Mao L, Hudgens MG, et al. Risk of HIV acquisition among circumcised and uncircumcised young men with penile human papillomavirus infection. AIDS. 2014.

  103. Rstudio Team. RStudio: integrated development for R. RStudio, Inc. Boston: RStudio; 2019.

    Google Scholar 

  104. Sahasrabuddhe VV, Parham GP, Mwanahamuntu MH, Vermund SH. Cervical cancer prevention in low- and middle-income countries: Feasible, affordable, essential. Cancer Prev Res. 2012.

  105. Serrano B, Brotons M, Bosch FX, Bruni L. Epidemiology and burden of HPV-related disease. Best Pract Res Clin Obstet Gynaecol. 2018.

  106. Shen Y, Xia J, Li H, Xu Y, Xu S. Human papillomavirus infection rate, distribution characteristics, and risk of age in pre- and postmenopausal women. BMC Womens Health. 2021.

  107. Siamaki S, Geraei E, Zare-Farashbandi F. A study on scientific collaboration and co-authorship patterns in library and information science studies in Iran between 2005 and 2009. J Educ Health Promot. 2014.

  108. So-Armah K, Benjamin LA, Bloomfield GS, Feinstein MJ, Hsue P, Njuguna B, et al. HIV and cardiovascular disease. Lancet HIV. 2020.

  109. Sobota RS, Ramogola-Masire D, Williams SM, Zetola NM. Co-infection with HPV types from the same species provides natural cross-protection from progression to cervical cancer. Infect Agent Cancer. 2014.

  110. Song Y, Zhao T. A bibliometric analysis of global forest ecology research during 2002-2011. Springerplus. 2013.

  111. Silverberg MJ, Lau B, Achenbach CJ, et al. Cumulative incidence of cancer among persons with HIV in North America: A cohort study. Ann Intern Med. 2015.

  112. Sobhani I, Walker F, Roudot-Thoraval F, et al. Anal carcinoma: Incidence and effect of cumulative infections. AIDS. 2004.

  113. Sonnenwald DH. Scientific Collaboration : a synthesis of challenges and strategies. Annu Rev Inf Sci Technol. 2007.

  114. Steben M, Duarte-Franco E. Human papillomavirus infection: Epidemiology and pathophysiology. Gynecol Oncol. 2007.

  115. Stier EA, Baranoski AS. Human papillomavirus-related diseases in HIV-infected individuals. Curr Opin Oncol. 2008.

  116. Strickler HD, Burk RD, Fazzari M, et al. Natural history and possible reactivation of human papillomavirus in human immunodeficiency virus-positive women. J Natl Cancer Inst. 2005.

  117. Sudenga SL, Wiener HW, Shendre A, et al. Variants in interleukin family of cytokines genes influence clearance of high risk HPV in HIV-1 coinfected African-American adolescents. Hum Immunol. 2013.

  118. Sun J, Guo Y, Scarlat MM, Lv G, Yang XG, Hu YC. Bibliometric study of the orthopaedic publications from China. Int Orthop. 2018.

  119. Taku O, Businge CB, Mdaka ML, Phohlo K, Basera W, Garcia-Jardon M, et al. Human papillomavirus prevalence and risk factors among HIV-negative and HIV-positive women residing in rural eastern cape, South Africa. Int J Infect Dis. 2020;95:176–82.

    Article  PubMed  Google Scholar 

  120. Tharakan SM. Global trends in HIV / AIDS. Congr Res Serv. 2019.

  121. Tobian AAR, Gray RH. Male foreskin and oncogenic human papillomavirus infection in men and their female partners. Future Microbiol. 2011.

  122. Vaccarella S, De Vuyst H, Mugo NR, et al. Clustering patterns of human papillomavirus infections among HIV-positive women in Kenya. Infect Agent Cancer. 2013.

  123. Vajdic CM, Van Leeuwen MT, Jin F, et al. Anal human papillomavirus genotype diversity and co-infection in a community-based sample of homosexual men. Sex Transm Infect. 2009.

  124. Van Dyne EA, Henley SJ, Saraiya M, Thomas CC, Markowitz LE, Benard VB. Trends in Human Papillomavirus–Associated Cancers — United States, 1999–2015. MMWR Morb Mortal Wkly Rep. 2018.

  125. van Eck NJ, Waltman L. Software survey: VOSviewer, a computer program for bibliometric mapping. Scientometrics. 2010.

  126. Van Raan A. The use of bibliometric analysis in research performance assessment and monitoring of interdisciplinary scientific developments. TATuP Zeitschrift Tech Theor Prax. 2003;12:20–9.

    Article  Google Scholar 

  127. Varios. Biblioshiny for bibliometrix. Salud Publica Mex. 2020.

  128. Veldhuijzen NJ, Braunstein SL, Vyankandondera J, et al. The epidemiology of human papillomavirus infection in HIV-positive and HIV-negative high-risk women in Kigali, Rwanda. BMC Infect Dis. 2011.

  129. Web of Science (2020). Home - Web of Science: Direct Links - LibGuides at Clarivate Analytics. Available at: [Accessed 13 Aug 2021].

    Google Scholar 

  130. Wheeler CM. Natural history of human papillomavirus infections, Cytologic and histologic abnormalities, and Cancer. Obstet Gynecol Clin N Am. 2008.

  131. WHO (2018). Global Health Observatory (GHO) data: HIV/AIDS. who int. entity/healthinfo/global_burden_disease/en/index.html.

    Google Scholar 

  132. WHO. HIV/AIDS: WHO HIV/AIDS; 2021. Available at: [Accessed 2 Aug 2020]

    Google Scholar 

  133. WHO (2021). WHO | HIV/AIDS. Available at: [Accessed 2 Aug 2020].

    Google Scholar 

  134. Williamson AL, Marais D, Passmore JA, Rybicki E. Human papillomavirus (HPV) infection in Southern Africa: Prevalence, immunity, and vaccine prospects. In: IUBMB Life. 2002.

  135. Williamson A-L. The interaction between human immunodeficiency virus and human papillomaviruses in heterosexuals in Africa. J Clin Med. 2015.

  136. Zhao F, Du F, Zhang J, Xu J. A Bibliometric and knowledge mapping analysis. Cornea. 2019.

  137. Zhu J, Liu W. A tale of two databases: the use of web of science and Scopus in academic papers. Scientometrics. 2020.

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OH, and EOA conceived and designed the study. OH, and EOA carried out the study, analysed and interpreted the data, OH drafted the manuscript. OH, and IBE revised the manuscript. All the authors read and make the final corrections. The authors read and approved the final manuscript.

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Onohuean, H., Aigbogun, E.O. & Igere, B.E. Meta-synthesis and science mapping analysis of HIV/HPV co-infection: a global perspective with emphasis on Africa. Global Health 18, 36 (2022).

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