1. Factors associated with high-risk HPV positivity in a low-resource setting in sub-Saharan Africa.
- Author
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Mitchell SM, Sekikubo M, Biryabarema C, Byamugisha JJ, Steinberg M, Jeronimo J, Money DM, Christilaw J, and Ogilvie GS
- Subjects
- Adult, Africa South of the Sahara epidemiology, Aged, Female, Health Resources, Health Surveys, Humans, Logistic Models, Middle Aged, Papillomavirus Infections diagnosis, Pilot Projects, Prevalence, Risk Factors, Uterine Cervical Neoplasms diagnosis, Vaginal Smears, Early Detection of Cancer methods, Papillomaviridae isolation & purification, Papillomavirus Infections virology, Uterine Cervical Neoplasms virology
- Abstract
Objective: We sought to determine demographic and behavioral factors associated with human papillomavirus (HPV) positivity in a community-based HPV self-collection cervical cancer screening pilot project., Study Design: HPV self-collected samples were obtained from 199 women aged 30-69 years in the impoverished urban Ugandan community of Kisenyi, during September through November 2011. Demographic and behavioral information was collected. Descriptive statistics and a logistic regression model were used to analyze factors associated with HPV positivity., Results: There was overwhelming acceptance of HPV self-collection in this community. High-risk HPV prevalence was found to be 17.6%. Lower levels of formal education (adjusted odds ratio [AOR], 0.40; 95% confidence interval [CI], 0.08-2.03) were associated with higher prevalence of HPV as was use of oral contraception (AOR, 2.01; 95% CI, 0.83-4.90) and human immunodeficiency virus status (AOR, 0.43; 95% CI, 0.14-1.37)., Conclusion: Screening should be targeted and prioritized for women with lower levels of education, oral contraceptive use, and human immunodeficiency virus positivity as they have the highest HPV prevalence in this low-resource population., (Copyright © 2014 Mosby, Inc. All rights reserved.)
- Published
- 2014
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