Persistent Low-Risk and High-Risk Human Papillomavirus Infections of the Uterine Cervix in HIV-Negative and HIV-Positive Women
Identifieur interne : 000442 ( Main/Exploration ); précédent : 000441; suivant : 000443Persistent Low-Risk and High-Risk Human Papillomavirus Infections of the Uterine Cervix in HIV-Negative and HIV-Positive Women
Auteurs : Sally N. Adebamowo [États-Unis, Nigeria] ; Oluwatoyosi Olawande [Nigeria] ; Ayotunde Famooto [Nigeria] ; Eileen O. Dareng [Royaume-Uni] ; Richard Offiong [Nigeria] ; Clement A. Adebamowo [États-Unis, Nigeria]Source :
- Frontiers in Public Health [ 2296-2565 ] ; 2017.
Abstract
The prevalence, persistence, and multiplicity of human papillomavirus (HPV) infection appears different comparing HIV-positive to HIV-negative women. In this study, we examined prevalent, persistent, and multiple low- and high-risk cervical HPV infections in HIV-negative and HIV-positive women.
We studied 1,020 women involved in a study of HPV infection using SPF25/LiPA10. Two study visits were scheduled, at enrollment and 6 months afterward. At each study visit, research nurses used a cervical brush to collect samples of exfoliated cervical cells from the cervical os, from all the study participants. Exact logistic regression models were used to estimate associations between HIV and HPV infections.
The mean (SD) age of the study participants was 38 (8) years, 56% were HIV-negative and 44% were HIV-positive. Among HIV-negative women at baseline, single low-risk HPV (lrHPV) infections occurred in 12%; multiple lrHPV in 2%; single high-risk human papillomavirus (hrHPV) infections in 9%, and multiple hrHPV infections in 2%. Single lrHPV infections were persistent in 6%, but there was no persistent multiple lrHPV infections. Single hrHPV infections were persistent in 4% while multiple hrHPV infections were persistent in 0.3%. Among HIV-positive women at baseline, single lrHPV infections occurred in 19%, multiple lrHPV in 6%, single hrHPV infections in 17%, and multiple hrHPV infections occurred in 12%. Single lrHPV infections were persistent in 9%, multiple lrHPV infections in 0.6%, single hrHPV infections in 13%, while multiple hrHPV were persistent in 3%. Prevalent, persistent, and multiple infections were more common in HIV-positive women, compared to HIV-negative women. In multivariate models adjusted for age, marital status, socioeconomic status, age at sexual initiation, and douching, the odds ratios comparing HIV-positive to HIV-negative women, were 2.09 (95% CI 1.47–2.97,
HIV infection was associated with higher prevalence of lrHPV, hrHPV, and persistence hrHPV infections, but not persistent lrHPV infections.
Url:
DOI: 10.3389/fpubh.2017.00178
PubMed: 28785554
PubMed Central: 5519520
Affiliations:
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Adebamowo</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Department of Epidemiology and Public Health, University of Maryland School of Medicine</institution>,<addr-line>Baltimore, MD</addr-line>,<country>United States</country></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff2"><institution>University of Maryland Comprehensive Cancer Center, University of Maryland School of Medicine</institution>,<addr-line>Baltimore, MD</addr-line>,<country>United States</country></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff3"><institution>Center for Bioethics and Research</institution>,<addr-line>Ibadan</addr-line>,<country>Nigeria</country></nlm:aff><country xml:lang="fr">Nigeria</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Olawande, Oluwatoyosi" sort="Olawande, Oluwatoyosi" uniqKey="Olawande O" first="Oluwatoyosi" last="Olawande">Oluwatoyosi Olawande</name><affiliation wicri:level="1"><nlm:aff id="aff4"><institution>Office of Strategic Information and Research, Institute of Human Virology Nigeria</institution>,<addr-line>Abuja</addr-line>,<country>Nigeria</country></nlm:aff><country xml:lang="fr">Nigeria</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Famooto, Ayotunde" sort="Famooto, Ayotunde" uniqKey="Famooto A" first="Ayotunde" last="Famooto">Ayotunde Famooto</name><affiliation wicri:level="1"><nlm:aff id="aff3"><institution>Center for Bioethics and Research</institution>,<addr-line>Ibadan</addr-line>,<country>Nigeria</country></nlm:aff><country xml:lang="fr">Nigeria</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff4"><institution>Office of Strategic Information and Research, Institute of Human Virology Nigeria</institution>,<addr-line>Abuja</addr-line>,<country>Nigeria</country></nlm:aff><country xml:lang="fr">Nigeria</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Dareng, Eileen O" sort="Dareng, Eileen O" uniqKey="Dareng E" first="Eileen O." last="Dareng">Eileen O. 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Adebamowo</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Department of Epidemiology and Public Health, University of Maryland School of Medicine</institution>,<addr-line>Baltimore, MD</addr-line>,<country>United States</country></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff2"><institution>University of Maryland Comprehensive Cancer Center, University of Maryland School of Medicine</institution>,<addr-line>Baltimore, MD</addr-line>,<country>United States</country></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff3"><institution>Center for Bioethics and Research</institution>,<addr-line>Ibadan</addr-line>,<country>Nigeria</country></nlm:aff><country xml:lang="fr">Nigeria</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Olawande, Oluwatoyosi" sort="Olawande, Oluwatoyosi" uniqKey="Olawande O" first="Oluwatoyosi" last="Olawande">Oluwatoyosi Olawande</name><affiliation wicri:level="1"><nlm:aff id="aff4"><institution>Office of Strategic Information and Research, Institute of Human Virology Nigeria</institution>,<addr-line>Abuja</addr-line>,<country>Nigeria</country></nlm:aff><country xml:lang="fr">Nigeria</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Famooto, Ayotunde" sort="Famooto, Ayotunde" uniqKey="Famooto A" first="Ayotunde" last="Famooto">Ayotunde Famooto</name><affiliation wicri:level="1"><nlm:aff id="aff3"><institution>Center for Bioethics and Research</institution>,<addr-line>Ibadan</addr-line>,<country>Nigeria</country></nlm:aff><country xml:lang="fr">Nigeria</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff4"><institution>Office of Strategic Information and Research, Institute of Human Virology Nigeria</institution>,<addr-line>Abuja</addr-line>,<country>Nigeria</country></nlm:aff><country xml:lang="fr">Nigeria</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Dareng, Eileen O" sort="Dareng, Eileen O" uniqKey="Dareng E" first="Eileen O." last="Dareng">Eileen O. Dareng</name><affiliation wicri:level="1"><nlm:aff id="aff5"><institution>Department of Public Health and Primary Care, University of Cambridge</institution>,<addr-line>Cambridge</addr-line>,<country>United Kingdom</country></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Offiong, Richard" sort="Offiong, Richard" uniqKey="Offiong R" first="Richard" last="Offiong">Richard Offiong</name><affiliation wicri:level="1"><nlm:aff id="aff6"><institution>Department of Obstetrics and Gynecology, University of Abuja Teaching Hospital</institution>,<addr-line>Abuja</addr-line>,<country>Nigeria</country></nlm:aff><country xml:lang="fr">Nigeria</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Adebamowo, Clement A" sort="Adebamowo, Clement A" uniqKey="Adebamowo C" first="Clement A." last="Adebamowo">Clement A. Adebamowo</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Department of Epidemiology and Public Health, University of Maryland School of Medicine</institution>,<addr-line>Baltimore, MD</addr-line>,<country>United States</country></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff2"><institution>University of Maryland Comprehensive Cancer Center, University of Maryland School of Medicine</institution>,<addr-line>Baltimore, MD</addr-line>,<country>United States</country></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff3"><institution>Center for Bioethics and Research</institution>,<addr-line>Ibadan</addr-line>,<country>Nigeria</country></nlm:aff><country xml:lang="fr">Nigeria</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff7"><institution>Institute of Human Virology, University of Maryland School of Medicine</institution>,<addr-line>Baltimore</addr-line>,<country>United States</country></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author></analytic><series><title level="j">Frontiers in Public Health</title><idno type="eISSN">2296-2565</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="ST1"><title>Background</title><p>The prevalence, persistence, and multiplicity of human papillomavirus (HPV) infection appears different comparing HIV-positive to HIV-negative women. In this study, we examined prevalent, persistent, and multiple low- and high-risk cervical HPV infections in HIV-negative and HIV-positive women.</p></sec><sec id="ST2"><title>Methods</title><p>We studied 1,020 women involved in a study of HPV infection using SPF<sub>25</sub>/LiPA<sub>10</sub>. Two study visits were scheduled, at enrollment and 6 months afterward. At each study visit, research nurses used a cervical brush to collect samples of exfoliated cervical cells from the cervical os, from all the study participants. Exact logistic regression models were used to estimate associations between HIV and HPV infections.</p></sec><sec id="ST3"><title>Results</title><p>The mean (SD) age of the study participants was 38 (8) years, 56% were HIV-negative and 44% were HIV-positive. Among HIV-negative women at baseline, single low-risk HPV (lrHPV) infections occurred in 12%; multiple lrHPV in 2%; single high-risk human papillomavirus (hrHPV) infections in 9%, and multiple hrHPV infections in 2%. Single lrHPV infections were persistent in 6%, but there was no persistent multiple lrHPV infections. Single hrHPV infections were persistent in 4% while multiple hrHPV infections were persistent in 0.3%. Among HIV-positive women at baseline, single lrHPV infections occurred in 19%, multiple lrHPV in 6%, single hrHPV infections in 17%, and multiple hrHPV infections occurred in 12%. Single lrHPV infections were persistent in 9%, multiple lrHPV infections in 0.6%, single hrHPV infections in 13%, while multiple hrHPV were persistent in 3%. Prevalent, persistent, and multiple infections were more common in HIV-positive women, compared to HIV-negative women. In multivariate models adjusted for age, marital status, socioeconomic status, age at sexual initiation, and douching, the odds ratios comparing HIV-positive to HIV-negative women, were 2.09 (95% CI 1.47–2.97, <italic>p</italic> < 0.001) for prevalent lrHPV, 1.26 (95% CI 0.66–2.40, <italic>p</italic> 0.47) for persistent lrHPV infections, 3.38 (95% CI 2.34–4.87, <italic>p</italic> < 0.001) for prevalent hrHPV, and 4.49 (95% CI 2.26–8.91, <italic>p</italic> < 0.001) for persistent hrHPV infections.</p></sec><sec id="ST4"><title>Conclusion</title><p>HIV infection was associated with higher prevalence of lrHPV, hrHPV, and persistence hrHPV infections, but not persistent lrHPV infections.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Veldhuijzen, Nj" uniqKey="Veldhuijzen N">NJ Veldhuijzen</name></author><author><name sortKey="Braunstein, Sl" uniqKey="Braunstein S">SL 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uniqKey="Icenogle J">JP Icenogle</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Crowley Nowick, Pa" uniqKey="Crowley Nowick P">PA Crowley-Nowick</name></author><author><name sortKey="Ellenberg, Jh" uniqKey="Ellenberg J">JH Ellenberg</name></author><author><name sortKey="Vermund, Sh" uniqKey="Vermund S">SH Vermund</name></author><author><name sortKey="Douglas, Sd" uniqKey="Douglas S">SD Douglas</name></author><author><name sortKey="Holland, Ca" uniqKey="Holland C">CA Holland</name></author><author><name sortKey="Moscicki, Ab" uniqKey="Moscicki A">AB Moscicki</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Petrosky, E" uniqKey="Petrosky E">E Petrosky</name></author><author><name sortKey="Bocchini, Ja" uniqKey="Bocchini J">JA Bocchini</name></author><author><name sortKey="Hariri, S" uniqKey="Hariri S">S Hariri</name></author><author><name sortKey="Chesson, H" uniqKey="Chesson H">H Chesson</name></author><author><name 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Adebamowo</name></noRegion><name sortKey="Adebamowo, Clement A" sort="Adebamowo, Clement A" uniqKey="Adebamowo C" first="Clement A." last="Adebamowo">Clement A. Adebamowo</name><name sortKey="Adebamowo, Clement A" sort="Adebamowo, Clement A" uniqKey="Adebamowo C" first="Clement A." last="Adebamowo">Clement A. Adebamowo</name><name sortKey="Adebamowo, Clement A" sort="Adebamowo, Clement A" uniqKey="Adebamowo C" first="Clement A." last="Adebamowo">Clement A. Adebamowo</name><name sortKey="Adebamowo, Sally N" sort="Adebamowo, Sally N" uniqKey="Adebamowo S" first="Sally N." last="Adebamowo">Sally N. Adebamowo</name></country><country name="Nigeria"><noRegion><name sortKey="Adebamowo, Sally N" sort="Adebamowo, Sally N" uniqKey="Adebamowo S" first="Sally N." last="Adebamowo">Sally N. Adebamowo</name></noRegion><name sortKey="Adebamowo, Clement A" sort="Adebamowo, Clement A" uniqKey="Adebamowo C" first="Clement A." last="Adebamowo">Clement A. Adebamowo</name><name sortKey="Famooto, Ayotunde" sort="Famooto, Ayotunde" uniqKey="Famooto A" first="Ayotunde" last="Famooto">Ayotunde Famooto</name><name sortKey="Famooto, Ayotunde" sort="Famooto, Ayotunde" uniqKey="Famooto A" first="Ayotunde" last="Famooto">Ayotunde Famooto</name><name sortKey="Offiong, Richard" sort="Offiong, Richard" uniqKey="Offiong R" first="Richard" last="Offiong">Richard Offiong</name><name sortKey="Olawande, Oluwatoyosi" sort="Olawande, Oluwatoyosi" uniqKey="Olawande O" first="Oluwatoyosi" last="Olawande">Oluwatoyosi Olawande</name></country><country name="Royaume-Uni"><noRegion><name sortKey="Dareng, Eileen O" sort="Dareng, Eileen O" uniqKey="Dareng E" first="Eileen O." last="Dareng">Eileen O. Dareng</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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