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- Title
Prevalencia y determinantes de la infección por virus de papiloma humano en mujeres jóvenes de Guanacaste y Puntarenas, Costa Rica, 2004-2005.
- Authors
Carvajal, Loretto J.; Herrero, Rolando; Angulo, María M.; Schussler, John; Porras, Carolina; Ocampo, Rebeca; Cortés, Bernal; Loría, Viviana; Castrillo, Hariane; Romero, Byron; Barrientos, Gloriana; Coronado, Karla; Ávila, Carlos; Hildesheim, Allan; Rodríguez, Ana C.; Jiménez, Silvia E.; Kreimer, Aimée R.; Sierra, Mónica S.
- Abstract
Objective. To estimate the prevalence and identify the determinants of human papillomavirus (HPV) infection in young women (18-25 years). Materials and methods. We analyzed data from 5 871 sexually active women who underwent an interview and cervical swab collection for HPV screening and cytology during the enrollment visit of the HPV16/18 Vaccination Trial in Costa Rica. We calculated the total prevalence for any type of HPV, and oncogenic, nononcogenic and specific types, with 95% confidence intervals (95%CI). We used stepwise multiple logistic regression to identify determinants associated with infection. Results. The total prevalence of HPV was 50.0% (95%CI 48.8,51.3) and the prevalence by oncogenic types was 33.8% (95%CI 32.6,35.0). HPV-16 was the most prevalent type (8.3%, 95%CI 7.6,9.0). Determinants associated with a high risk of prevalent oncogenic HPV infection were: not being married/commonlaw marriage, >1 sexual partner, concomitant Chlamydia trachomatis infection, and among those with only one sexual partner in their lifetime, a partner with history of multiple sexual partners. Conclusion. The association of oncogenic HPV infections with the sexual behavior of women is confirmed and the behavior of the sexual partner is highlighted.
- Subjects
COSTA Rica; WOMEN'S sexual behavior; HUMAN papillomavirus; CHLAMYDIA trachomatis; CHLAMYDIA infections; HUMAN sexuality
- Publication
Salud Pública de México, 2023, Vol 65, Issue 3, p253
- ISSN
0036-3634
- Publication type
Article
- DOI
10.21149/14286