Human papillomavirus infection and risk factors in a cohort of Tuscan women aged 18-24: results at recruitment View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2010-06-07

AUTHORS

Massimo Confortini, Francesca Carozzi, Marco Zappa, Leonardo Ventura, Anna Iossa, Paola Cariaggi, Livia Brandigi, Mario Franchini, Francesco Mirri, Paolo Viacava, Aurora Scarfantoni, Daniela Bazzanti, Cristina Sani

ABSTRACT

BACKGROUND: There is conclusive evidence that human papillomavirus (HPV) infections of the cervix are a necessary cause of cervical cancer. In Italy there are consistent data of HPV prevalence in women aged 25 - 64 years, but there is limited data for younger women. The objective of this on-going 3-year prospective cohort study is to investigate the prevalence, acquisition, clearance and persistence of HPV infections in young Tuscan women and the risk factors correlated with such events. METHODS: One thousand and sixty-six women aged between 18 and 24 years were enrolled and received an initial HPV test. They were asked to return to the clinic over the study period for further tests every 12 months, if their HPV HR result was negative, or every 6 months, if positive. Additionally, women with an HPV positive result were given a cytological examination and if the cytological diagnosis was ASC-US or more severe, only women with HPV HR, were referred for colposcopy. RESULTS: We present here data for the enrollment phase of the study. At baseline, within the study sample, just under 30% of women were infected by HPV and 19.3% of women were infected with oncogenic types. A relationship was highlighted between HPV infection, number of sexual partners (in particularly in the last 3 years) and the lifetime number of partner's partners. Condom use showed a slight protective effect in univariate analysis but these data were not statistically significant in multivariate analysis. The association between HPV infection and demographic and behavioural variables were tested by crude odds ratio (OR). Multivariate logistic regression was applied to compute the adjusted odds ratios. CONCLUSIONS: The prevalence of oncogenic HPV types was high in young Tuscan women. The 3-year follow-up of this cohort may provide a better understanding of the processes of acquisition, clearance and persistence of infection and the correlated risk factors. More... »

PAGES

157-157

Identifiers

URI

http://scigraph.springernature.com/pub.10.1186/1471-2334-10-157

DOI

http://dx.doi.org/10.1186/1471-2334-10-157

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1022075168

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/20529280


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