Determinants of Genital Human Papillomavirus Infection in Low-Risk Women in Portland, Oregon
Objectives: To confirm the risk factors for genital human papillomavirus (HPV) infection. Goal of this study: To investigate risk factors for HPV detection independent of the correlated risk factors for cervical neoplasia in a low-risk population. Study Design: HPV DNA was assessed among 483 cytolog...
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| Veröffentlicht in: | Sexually transmitted diseases 1993-09, Vol.20 (5), p.274-278 |
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| creator | BAUER, HEIDI M. HILDESHEIM, ALLAN SCHIFFMAN, MARK H. GLASS, ANDREW G. RUSH, BRENDA B. SCOTT, DAVID R. CADELL, DIANE M. KURMAN, ROBERT J. MANOS, M. MICHELE |
| description | Objectives: To confirm the risk factors for genital human papillomavirus (HPV) infection. Goal of this study: To investigate risk factors for HPV detection independent of the correlated risk factors for cervical neoplasia in a low-risk population. Study Design: HPV DNA was assessed among 483 cytologically normal women with no known history of cervical neoplasia. A cervicovaginal lavage was collected for HPV detection and typing using a PCR-based DNA amplification system. Information on risk factors of subjects was obtained through a questionnaire. Results: HPV DNA was found in 17.7% of study women. On univariate analysis, factors associated with increasing HPV prevalence included younger age, fewer years of education, lower income, higher lifetime number of sex partners, lower age at first intercourse, nulliparity, oral contraceptive use, and current smoking. After statistical adjustment, we found younger age and higher number of sex partners were strongly and independently associated with higher HPV prevalence. We also observed increased HPV prevalence among women with lower levels of education and lower incomes. Conclusion: These findings and corroborative data from the companion reports in this issue of the journal support the sexual route of transmission of the virus. |
| doi_str_mv | 10.1097/00007435-199309000-00007 |
| format | Article |
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MICHELE</creator><creatorcontrib>BAUER, HEIDI M. ; HILDESHEIM, ALLAN ; SCHIFFMAN, MARK H. ; GLASS, ANDREW G. ; RUSH, BRENDA B. ; SCOTT, DAVID R. ; CADELL, DIANE M. ; KURMAN, ROBERT J. ; MANOS, M. MICHELE</creatorcontrib><description>Objectives: To confirm the risk factors for genital human papillomavirus (HPV) infection. Goal of this study: To investigate risk factors for HPV detection independent of the correlated risk factors for cervical neoplasia in a low-risk population. Study Design: HPV DNA was assessed among 483 cytologically normal women with no known history of cervical neoplasia. A cervicovaginal lavage was collected for HPV detection and typing using a PCR-based DNA amplification system. Information on risk factors of subjects was obtained through a questionnaire. Results: HPV DNA was found in 17.7% of study women. On univariate analysis, factors associated with increasing HPV prevalence included younger age, fewer years of education, lower income, higher lifetime number of sex partners, lower age at first intercourse, nulliparity, oral contraceptive use, and current smoking. After statistical adjustment, we found younger age and higher number of sex partners were strongly and independently associated with higher HPV prevalence. We also observed increased HPV prevalence among women with lower levels of education and lower incomes. Conclusion: These findings and corroborative data from the companion reports in this issue of the journal support the sexual route of transmission of the virus.</description><identifier>ISSN: 0148-5717</identifier><identifier>EISSN: 1537-4521</identifier><identifier>DOI: 10.1097/00007435-199309000-00007</identifier><identifier>PMID: 8235925</identifier><identifier>CODEN: STRDDM</identifier><language>eng</language><publisher>Hagerstown, MD: J. B. Lippincott Company</publisher><subject>Adolescent ; Adult ; Age Factors ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Contraceptives, Oral ; Female ; Health risk assessment ; Human viral diseases ; Humans ; Infectious diseases ; Linear Models ; Medical sciences ; Middle Aged ; Oregon - epidemiology ; Original Articles ; Papillomaviridae ; Papillomavirus Infections - epidemiology ; Papillomavirus Infections - transmission ; Parity ; Pregnancy ; Prevalence ; Prospective Studies ; Risk Factors ; Sexual Behavior ; Sexually transmitted diseases ; Social research ; Socioeconomic Factors ; STD ; Tumor Virus Infections - epidemiology ; Tumor Virus Infections - transmission ; Uterine Cervical Diseases - epidemiology ; Viral diseases ; Viral diseases of the genital and urinary system</subject><ispartof>Sexually transmitted diseases, 1993-09, Vol.20 (5), p.274-278</ispartof><rights>Copyright 1993 American Venereal Disease Association</rights><rights>1993 INIST-CNRS</rights><rights>Copyright Lippincott Williams & Wilkins Sep 1993</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c533t-a36366895f660ca19572480dbbea631ef64ba78ee2acf723f792b300ad30a2f63</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/44964535$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/44964535$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>314,780,784,803,27924,27925,30999,58017,58250</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=4899220$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8235925$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>BAUER, HEIDI M.</creatorcontrib><creatorcontrib>HILDESHEIM, ALLAN</creatorcontrib><creatorcontrib>SCHIFFMAN, MARK H.</creatorcontrib><creatorcontrib>GLASS, ANDREW G.</creatorcontrib><creatorcontrib>RUSH, BRENDA B.</creatorcontrib><creatorcontrib>SCOTT, DAVID R.</creatorcontrib><creatorcontrib>CADELL, DIANE M.</creatorcontrib><creatorcontrib>KURMAN, ROBERT J.</creatorcontrib><creatorcontrib>MANOS, M. MICHELE</creatorcontrib><title>Determinants of Genital Human Papillomavirus Infection in Low-Risk Women in Portland, Oregon</title><title>Sexually transmitted diseases</title><addtitle>Sex Transm Dis</addtitle><description>Objectives: To confirm the risk factors for genital human papillomavirus (HPV) infection. Goal of this study: To investigate risk factors for HPV detection independent of the correlated risk factors for cervical neoplasia in a low-risk population. Study Design: HPV DNA was assessed among 483 cytologically normal women with no known history of cervical neoplasia. A cervicovaginal lavage was collected for HPV detection and typing using a PCR-based DNA amplification system. Information on risk factors of subjects was obtained through a questionnaire. Results: HPV DNA was found in 17.7% of study women. On univariate analysis, factors associated with increasing HPV prevalence included younger age, fewer years of education, lower income, higher lifetime number of sex partners, lower age at first intercourse, nulliparity, oral contraceptive use, and current smoking. After statistical adjustment, we found younger age and higher number of sex partners were strongly and independently associated with higher HPV prevalence. We also observed increased HPV prevalence among women with lower levels of education and lower incomes. Conclusion: These findings and corroborative data from the companion reports in this issue of the journal support the sexual route of transmission of the virus.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Contraceptives, Oral</subject><subject>Female</subject><subject>Health risk assessment</subject><subject>Human viral diseases</subject><subject>Humans</subject><subject>Infectious diseases</subject><subject>Linear Models</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Oregon - epidemiology</subject><subject>Original Articles</subject><subject>Papillomaviridae</subject><subject>Papillomavirus Infections - epidemiology</subject><subject>Papillomavirus Infections - transmission</subject><subject>Parity</subject><subject>Pregnancy</subject><subject>Prevalence</subject><subject>Prospective Studies</subject><subject>Risk Factors</subject><subject>Sexual Behavior</subject><subject>Sexually transmitted diseases</subject><subject>Social research</subject><subject>Socioeconomic Factors</subject><subject>STD</subject><subject>Tumor Virus Infections - epidemiology</subject><subject>Tumor Virus Infections - transmission</subject><subject>Uterine Cervical Diseases - epidemiology</subject><subject>Viral diseases</subject><subject>Viral diseases of the genital and urinary system</subject><issn>0148-5717</issn><issn>1537-4521</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1993</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNpdUNtKJDEUDKLoePkEIYj4ZLu5p_Moul5gQFlc9kVoTvckkrE7GZPuFf9-e5xxhD0vh1NVpygKIUzJBSVG_yDjaMFlQY3hxIxX8QltoQmVXBdCMrqNJoSKspCa6j20n_OcLG9Cd9Fuybg0TE7Q87Xtbep8gNBnHB2-tcH30OK7oYOAH2Hh2zZ28NenIeP74GzT-xiwD3ga34tfPr_iP7Gzn8hjTH0LYXaOH5J9ieEQ7Thosz1a7wP0--bn09VdMX24vb-6nBaN5LwvgCuuVGmkU4o0QI3UbMw5q2sLilPrlKhBl9YyaJxm3GnDak4IzDgB5hQ_QGcr30WKb4PNfdX53Nh2zGLjkCutiFKaL4Un_wnncUhhzFYxxoQsmRCjqFyJmhRzTtZVi-Q7SB8VJdWy_eqr_WrT_goaX4_X_kPd2dnmcV33yJ-uecgNtC5BaHzeyERpDGPk22ae-5i-aWGUkFzyf0pWlQE</recordid><startdate>19930901</startdate><enddate>19930901</enddate><creator>BAUER, HEIDI M.</creator><creator>HILDESHEIM, ALLAN</creator><creator>SCHIFFMAN, MARK H.</creator><creator>GLASS, ANDREW G.</creator><creator>RUSH, BRENDA B.</creator><creator>SCOTT, DAVID R.</creator><creator>CADELL, DIANE M.</creator><creator>KURMAN, ROBERT J.</creator><creator>MANOS, M. MICHELE</creator><general>J. B. Lippincott Company</general><general>Lippincott</general><general>Lippincott Williams & Wilkins Ovid Technologies</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7QL</scope><scope>7T2</scope><scope>7U9</scope><scope>C1K</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>19930901</creationdate><title>Determinants of Genital Human Papillomavirus Infection in Low-Risk Women in Portland, Oregon</title><author>BAUER, HEIDI M. ; HILDESHEIM, ALLAN ; SCHIFFMAN, MARK H. ; GLASS, ANDREW G. ; RUSH, BRENDA B. ; SCOTT, DAVID R. ; CADELL, DIANE M. ; KURMAN, ROBERT J. ; MANOS, M. MICHELE</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c533t-a36366895f660ca19572480dbbea631ef64ba78ee2acf723f792b300ad30a2f63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1993</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Contraceptives, Oral</topic><topic>Female</topic><topic>Health risk assessment</topic><topic>Human viral diseases</topic><topic>Humans</topic><topic>Infectious diseases</topic><topic>Linear Models</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Oregon - epidemiology</topic><topic>Original Articles</topic><topic>Papillomaviridae</topic><topic>Papillomavirus Infections - epidemiology</topic><topic>Papillomavirus Infections - transmission</topic><topic>Parity</topic><topic>Pregnancy</topic><topic>Prevalence</topic><topic>Prospective Studies</topic><topic>Risk Factors</topic><topic>Sexual Behavior</topic><topic>Sexually transmitted diseases</topic><topic>Social research</topic><topic>Socioeconomic Factors</topic><topic>STD</topic><topic>Tumor Virus Infections - epidemiology</topic><topic>Tumor Virus Infections - transmission</topic><topic>Uterine Cervical Diseases - epidemiology</topic><topic>Viral diseases</topic><topic>Viral diseases of the genital and urinary system</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>BAUER, HEIDI M.</creatorcontrib><creatorcontrib>HILDESHEIM, ALLAN</creatorcontrib><creatorcontrib>SCHIFFMAN, MARK H.</creatorcontrib><creatorcontrib>GLASS, ANDREW G.</creatorcontrib><creatorcontrib>RUSH, BRENDA B.</creatorcontrib><creatorcontrib>SCOTT, DAVID R.</creatorcontrib><creatorcontrib>CADELL, DIANE M.</creatorcontrib><creatorcontrib>KURMAN, ROBERT J.</creatorcontrib><creatorcontrib>MANOS, M. 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MICHELE</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Determinants of Genital Human Papillomavirus Infection in Low-Risk Women in Portland, Oregon</atitle><jtitle>Sexually transmitted diseases</jtitle><addtitle>Sex Transm Dis</addtitle><date>1993-09-01</date><risdate>1993</risdate><volume>20</volume><issue>5</issue><spage>274</spage><epage>278</epage><pages>274-278</pages><issn>0148-5717</issn><eissn>1537-4521</eissn><coden>STRDDM</coden><abstract>Objectives: To confirm the risk factors for genital human papillomavirus (HPV) infection. Goal of this study: To investigate risk factors for HPV detection independent of the correlated risk factors for cervical neoplasia in a low-risk population. Study Design: HPV DNA was assessed among 483 cytologically normal women with no known history of cervical neoplasia. A cervicovaginal lavage was collected for HPV detection and typing using a PCR-based DNA amplification system. Information on risk factors of subjects was obtained through a questionnaire. Results: HPV DNA was found in 17.7% of study women. On univariate analysis, factors associated with increasing HPV prevalence included younger age, fewer years of education, lower income, higher lifetime number of sex partners, lower age at first intercourse, nulliparity, oral contraceptive use, and current smoking. After statistical adjustment, we found younger age and higher number of sex partners were strongly and independently associated with higher HPV prevalence. We also observed increased HPV prevalence among women with lower levels of education and lower incomes. Conclusion: These findings and corroborative data from the companion reports in this issue of the journal support the sexual route of transmission of the virus.</abstract><cop>Hagerstown, MD</cop><pub>J. B. Lippincott Company</pub><pmid>8235925</pmid><doi>10.1097/00007435-199309000-00007</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Journals@Ovid Complete; Applied Social Sciences Index & Abstracts (ASSIA); JSTOR Archive Collection A-Z Listing |
| subjects | Adolescent Adult Age Factors Aged Aged, 80 and over Biological and medical sciences Contraceptives, Oral Female Health risk assessment Human viral diseases Humans Infectious diseases Linear Models Medical sciences Middle Aged Oregon - epidemiology Original Articles Papillomaviridae Papillomavirus Infections - epidemiology Papillomavirus Infections - transmission Parity Pregnancy Prevalence Prospective Studies Risk Factors Sexual Behavior Sexually transmitted diseases Social research Socioeconomic Factors STD Tumor Virus Infections - epidemiology Tumor Virus Infections - transmission Uterine Cervical Diseases - epidemiology Viral diseases Viral diseases of the genital and urinary system |
| title | Determinants of Genital Human Papillomavirus Infection in Low-Risk Women in Portland, Oregon |
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