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de Sanjose, S. et al.

de Sanjose, Almirall, Lloveras, Font, Diaz, Muñoz, Català, Meijer, Snijders, Herrero, Bosch,

Cervical human papillomavirus infection in the female population in Barcelona, Spain.

BACKGROUND AND OBJECTIVE: Human papillomavirus (HPV) is a major cause of invasive cervical cancer. Identification of HPV determinants might allow for targeting of high-risk groups for cervical cancer. GOAL: The goal was to estimate the HPV prevalence and its determinants among women from the general population of Barcelona. STUDY DESIGN: We studied a random sample of female residents in metropolitan Barcelona, Spain (n = 973). Information was obtained through personal interviews and laboratory testing of cervical exfoliated cells. HPV was detected using a GP5+/6+ polymerase chain reaction assay. RESULTS: The average age of participants was 43 years (standard deviation = 16.1 y) and the percentage of lifetime monogamy was 79%. The age-adjusted HPV prevalence was 3.0%. Independent HPV determinants were being born overseas (odds ratio [OR], 8.1; 95% confidence interval [CI], 1.9-33.5), being divorced (OR, 6.7; 95% CI, 1.9-24.3), reporting more than one sexual partner (OR, 2.6; 95% CI, 1.0-6.5), and smoking marijuana and related products (OR, 5.2; 95% CI, 1.2-21.7). Use of condoms with regular partner was protective (OR, 0.14; 95% CI, 0.02-1.0). CONCLUSION: The study confirms a low overall HPV prevalence in a largely monogamous population. The protection observed with condom use needs further evaluation.[1]

References

Cervical human papillomavirus infection in the female population in Barcelona, Spain. de Sanjose, S., Almirall, R., Lloveras, B., Font, R., Diaz, M., Muñoz, N., Català, I., Meijer, C.J., Snijders, P.J., Herrero, R., Bosch, F.X. Sexually transmitted diseases. (2003) [Pubmed]

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