1. Prevalence of the human papillomavirus in an inner-city indigent population with previously normal Pap tests.
- Author
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Werden J, Schnatz PF, Mandavilli S, Allen G, Murphy JL, Greene JF, Egan JF, and Sorosky JI
- Subjects
- Adolescent, Adult, Age Factors, Connecticut epidemiology, Cross-Sectional Studies, Female, Hispanic or Latino statistics & numerical data, Humans, Middle Aged, Parity, Poverty, Pregnancy, Prevalence, Young Adult, Cervix Uteri virology, Papillomavirus Infections epidemiology, Urban Population statistics & numerical data, Uterine Cervical Neoplasms epidemiology, Vaginal Smears, Uterine Cervical Dysplasia epidemiology
- Abstract
Objective: To determine the prevalence of human papillomavirus (HPV) in our inner-city indigent population (clinic population) of women with previously normal Pap tests and to identify any associated risk factors., Materials and Methods: A prospective cohort of 187 women between the ages of 15 and 49 years, with previously normal Pap tests, was recruited from a university affiliated outpatient clinic. A demographic questionnaire of social and sexual history was elicited, and ThinPrep cytology (Cytyc, Marlborough, MA) and HPV Digene Hybrid Capture II results (Digine, Gaithersburg, MD) were obtained., Results: The prevalence of HPV in our primarily Hispanic clinic population was 21%. The mean age of women with HPV was 28.9 years and those without were 32.1 years (p <.046). In women with HPV, 24% had abnormal Pap tests, whereas in those without HPV, 5% had abnormal Pap tests (p <.001). Women who were older and parous were less likely to have HPV (7.5%; p <.024). The presence of HPV was not influenced by sexual behaviors, sexually transmitted diseases, smoking, race, or contraceptive use., Conclusions: The prevalence of HPV in an inner-city indigent population, despite previously normal cytology, was consistent with earlier reported rates of HPV. Our data suggest that younger, nulliparous women have a high prevalence of HPV.
- Published
- 2008
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