1. Prevalence and correlates of HPV among women attending family-planning clinics in Thailand
- Author
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Swati B. Gupta, Somchai Sriplienchan, Morgan A. Marks, Amha Tadesse, Patti E. Gravitt, Sungwal Rugpao, Virach Wootipoom, Kai Li Liaw, Esther Kim, Chailert Phongnarisorn, Charoen Vipupinyo, Pissamai Yuenyao, and David D. Celentano
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Adult ,HPV ,medicine.medical_specialty ,Genotype ,Epidemiology ,Sexual Behavior ,Population ,Uterine Cervical Neoplasms ,03 medical and health sciences ,0302 clinical medicine ,Risk Factors ,Surveys and Questionnaires ,Prevalence ,Humans ,Medicine ,Prospective Studies ,030212 general & internal medicine ,CIN ,Prospective cohort study ,education ,Papillomaviridae ,Vaginal Smears ,Gynecology ,Cervical cancer ,education.field_of_study ,Chlamydia ,business.industry ,Obstetrics ,Papillomavirus Infections ,HPV infection ,virus diseases ,Chlamydia Infections ,Thailand ,Uterine Cervical Dysplasia ,medicine.disease ,female genital diseases and pregnancy complications ,3. Good health ,Women's Health Services ,Cross-Sectional Studies ,Sexual Partners ,Infectious Diseases ,Family planning ,030220 oncology & carcinogenesis ,Female ,Bacterial vaginosis ,business ,Research Article - Abstract
Background Cervical cancer is the most common cancer among women of reproductive age in Thailand. However, information on the prevalence and correlates of anogenital HPV infection in Thailand is sparse. Methods HPV genotype information, reproductive factors, sexual behavior, other STI and clinical information, and cervical cytology and histology were assessed at enrollment among one thousand two hundred and fifty-six (n = 1,256) HIV negative women aged 20โ37 from Thailand enrolled in a prospective study of the natural history of HPV. The type-specific prevalence of HPV was estimated using cervical swab specimens from healthy women and women with a diagnosis of CIN 2/3 at baseline. Prevalence ratios (95% CI) were estimated using Poisson regression to quantify the association of demographic, behavioral, and clinical correlates with prevalent HPV infection. Results Overall, 307 (24.6%) and 175 (14.0%) of women were positive for any HPV type and any HR-HPV type, respectively; the most common types were 72, 52, 62, and 16. Among women diagnosed with CIN 2/3 at enrollment (n = 11), the most prevalent HPV types were 52 and 16. In multivariate analysis, HPV prevalence at enrollment was higher among women with: long-term combined oral contraceptive use, a higher number of lifetime sexual partners, a prior Chlamydia infection, and a current diagnosis of Bacterial Vaginosis. Conclusion The study findings provide important information that can be used in the evaluation of primary and secondary interventions designed to reduce the burden of cervical cancer in Thailand. Electronic supplementary material The online version of this article (doi:10.1186/s12879-015-0886-z) contains supplementary material, which is available to authorized users.
- Published
- 2015
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