Prevalence of human papillomavirus in Indonesia: a population-based study in three regions
Cervical cancer is the most common cancer among women in the Indonesian population, yet little is known about the prevalence of human papillomavirus (HPV). We investigated age-specific prevalence of HPV types and possible risk factors of HPV positivity in a population-based sample of 2686 women, age...
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Veröffentlicht in: | British journal of cancer 2008-07, Vol.99 (1), p.214-218 |
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creator | Vet, J N I de Boer, M A van den Akker, B E W M Siregar, B Lisnawati Budiningsih, S Tyasmorowati, D Moestikaningsih Cornain, S Peters, A A W Fleuren, G J |
description | Cervical cancer is the most common cancer among women in the Indonesian population, yet little is known about the prevalence of human papillomavirus (HPV). We investigated age-specific prevalence of HPV types and possible risk factors of HPV positivity in a population-based sample of 2686 women, aged 15–70 years, in Jakarta, Tasikmalaya, and Bali, Indonesia. The overall HPV prevalence was 11.4%, age-standardized to the world standard population 11.6%. The most prevalent types found were HPV 52, HPV 16, HPV 18, and HPV 39, respectively, 23.2, 18.0, 16.1, and 11.8% of the high-risk HPV types. In 20.7% of infections, multiple types were involved. Different age-specific prevalence patterns were seen: overall high in Jakarta, and in Tasikmalaya, and declining with age in Bali. The number of marriages was most associated with HPV positivity (OR 1.81 95% CI 1.31–2.51)). Remarkably, in Indonesia HPV 16 and HPV 18 are equally common in the general population, as they are in cervical cancer. HPV 52 was the most prevalent type in the general population, suggesting that this type should be included when prophylactic HPV vaccination is introduced in Indonesia. |
doi_str_mv | 10.1038/sj.bjc.6604417 |
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We investigated age-specific prevalence of HPV types and possible risk factors of HPV positivity in a population-based sample of 2686 women, aged 15–70 years, in Jakarta, Tasikmalaya, and Bali, Indonesia. The overall HPV prevalence was 11.4%, age-standardized to the world standard population 11.6%. The most prevalent types found were HPV 52, HPV 16, HPV 18, and HPV 39, respectively, 23.2, 18.0, 16.1, and 11.8% of the high-risk HPV types. In 20.7% of infections, multiple types were involved. Different age-specific prevalence patterns were seen: overall high in Jakarta, and in Tasikmalaya, and declining with age in Bali. The number of marriages was most associated with HPV positivity (OR 1.81 95% CI 1.31–2.51)). Remarkably, in Indonesia HPV 16 and HPV 18 are equally common in the general population, as they are in cervical cancer. HPV 52 was the most prevalent type in the general population, suggesting that this type should be included when prophylactic HPV vaccination is introduced in Indonesia.</description><identifier>ISSN: 0007-0920</identifier><identifier>EISSN: 1532-1827</identifier><identifier>DOI: 10.1038/sj.bjc.6604417</identifier><identifier>PMID: 18609756</identifier><identifier>CODEN: BJCAAI</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>Adolescent ; Adult ; Age ; Aged ; Alphapapillomavirus - isolation & purification ; Biological and medical sciences ; Biomedical and Life Sciences ; Biomedicine ; Cancer ; Cancer Research ; Cervical cancer ; Child ; Drug Resistance ; Epidemiology ; Female ; Human papillomavirus ; Humans ; Indonesia - epidemiology ; Infection ; Infectious diseases ; Internet ; marriage ; Medical research ; Medical sciences ; Medicine ; Middle Aged ; Molecular Medicine ; Oncology ; Papillomavirus Infections - complications ; Papillomavirus Infections - epidemiology ; Pathology ; Population studies ; Population-based studies ; Risk factors ; Risk groups ; Seroepidemiologic Studies ; Tumors ; Uterine Cervical Neoplasms - epidemiology ; Uterine Cervical Neoplasms - etiology ; Vaccination ; Viral diseases</subject><ispartof>British journal of cancer, 2008-07, Vol.99 (1), p.214-218</ispartof><rights>The Author(s) 2008</rights><rights>2008 INIST-CNRS</rights><rights>Copyright Nature Publishing Group Jul 8, 2008</rights><rights>Copyright © 2008 Cancer Research UK 2008 Cancer Research UK</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-p323t-39b379489bd11d512e01f40c3f5add1ed123c487c75a10d5d80fd57f959a9f753</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2453028/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2453028/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,41464,42533,51294,53766,53768</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=20509099$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18609756$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Vet, J N I</creatorcontrib><creatorcontrib>de Boer, M A</creatorcontrib><creatorcontrib>van den Akker, B E W M</creatorcontrib><creatorcontrib>Siregar, B</creatorcontrib><creatorcontrib>Lisnawati</creatorcontrib><creatorcontrib>Budiningsih, S</creatorcontrib><creatorcontrib>Tyasmorowati, D</creatorcontrib><creatorcontrib>Moestikaningsih</creatorcontrib><creatorcontrib>Cornain, S</creatorcontrib><creatorcontrib>Peters, A A W</creatorcontrib><creatorcontrib>Fleuren, G J</creatorcontrib><title>Prevalence of human papillomavirus in Indonesia: a population-based study in three regions</title><title>British journal of cancer</title><addtitle>Br J Cancer</addtitle><addtitle>Br J Cancer</addtitle><description>Cervical cancer is the most common cancer among women in the Indonesian population, yet little is known about the prevalence of human papillomavirus (HPV). We investigated age-specific prevalence of HPV types and possible risk factors of HPV positivity in a population-based sample of 2686 women, aged 15–70 years, in Jakarta, Tasikmalaya, and Bali, Indonesia. The overall HPV prevalence was 11.4%, age-standardized to the world standard population 11.6%. The most prevalent types found were HPV 52, HPV 16, HPV 18, and HPV 39, respectively, 23.2, 18.0, 16.1, and 11.8% of the high-risk HPV types. In 20.7% of infections, multiple types were involved. Different age-specific prevalence patterns were seen: overall high in Jakarta, and in Tasikmalaya, and declining with age in Bali. The number of marriages was most associated with HPV positivity (OR 1.81 95% CI 1.31–2.51)). Remarkably, in Indonesia HPV 16 and HPV 18 are equally common in the general population, as they are in cervical cancer. HPV 52 was the most prevalent type in the general population, suggesting that this type should be included when prophylactic HPV vaccination is introduced in Indonesia.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Age</subject><subject>Aged</subject><subject>Alphapapillomavirus - isolation & purification</subject><subject>Biological and medical sciences</subject><subject>Biomedical and Life Sciences</subject><subject>Biomedicine</subject><subject>Cancer</subject><subject>Cancer Research</subject><subject>Cervical cancer</subject><subject>Child</subject><subject>Drug Resistance</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Human papillomavirus</subject><subject>Humans</subject><subject>Indonesia - epidemiology</subject><subject>Infection</subject><subject>Infectious diseases</subject><subject>Internet</subject><subject>marriage</subject><subject>Medical research</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Middle Aged</subject><subject>Molecular Medicine</subject><subject>Oncology</subject><subject>Papillomavirus Infections - 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We investigated age-specific prevalence of HPV types and possible risk factors of HPV positivity in a population-based sample of 2686 women, aged 15–70 years, in Jakarta, Tasikmalaya, and Bali, Indonesia. The overall HPV prevalence was 11.4%, age-standardized to the world standard population 11.6%. The most prevalent types found were HPV 52, HPV 16, HPV 18, and HPV 39, respectively, 23.2, 18.0, 16.1, and 11.8% of the high-risk HPV types. In 20.7% of infections, multiple types were involved. Different age-specific prevalence patterns were seen: overall high in Jakarta, and in Tasikmalaya, and declining with age in Bali. The number of marriages was most associated with HPV positivity (OR 1.81 95% CI 1.31–2.51)). Remarkably, in Indonesia HPV 16 and HPV 18 are equally common in the general population, as they are in cervical cancer. HPV 52 was the most prevalent type in the general population, suggesting that this type should be included when prophylactic HPV vaccination is introduced in Indonesia.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>18609756</pmid><doi>10.1038/sj.bjc.6604417</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adolescent Adult Age Aged Alphapapillomavirus - isolation & purification Biological and medical sciences Biomedical and Life Sciences Biomedicine Cancer Cancer Research Cervical cancer Child Drug Resistance Epidemiology Female Human papillomavirus Humans Indonesia - epidemiology Infection Infectious diseases Internet marriage Medical research Medical sciences Medicine Middle Aged Molecular Medicine Oncology Papillomavirus Infections - complications Papillomavirus Infections - epidemiology Pathology Population studies Population-based studies Risk factors Risk groups Seroepidemiologic Studies Tumors Uterine Cervical Neoplasms - epidemiology Uterine Cervical Neoplasms - etiology Vaccination Viral diseases |
title | Prevalence of human papillomavirus in Indonesia: a population-based study in three regions |
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