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Prevalência de papilomavírus humano (HPV) e chlamydia trachomatis (CT) e sua associação com lesões cervicais em uma amostra de mulheres assintomáticas de Porto Alegre, RS
| Content Provider | Semantic Scholar |
|---|---|
| Author | Igansi, Cristine Nascente |
| Copyright Year | 2005 |
| Abstract | Objective: The present study has the aim of describing the prevalence of HPV and Chlamydia trachomatis (CT) among non symptomatic women in our setting and as well to associate these infections with studied factors, including cervical lesions. Methods: A cross-sectional study was developed with HPV-DNA and CT-DNA positivity as the outcome. Cervical smears for cytology were collected from 1217 women and Polymerase Chain Reaction (PCR) was the method used to identify the presence of HPVDNA and CT-DNA. Colposcopy and biopsy were performed whenever cytology was abnormal and/or PCR was positive to HPV-DNA. HPV-DNA and CT-DNA frequencies are described and the association with the studied variables and the outcomes were estimated by means of multiple logistic regression. Results: The observed HPV-DNA, CT and co-infection prevalences were 28.4%, 12.6%, and 6,5%, respectively. Non White women (Odds Ratio (OR)=1.60; 95% Confidence Interval (CI):1.10-2.38), being employed (OR=1.74; 95%CI:1.17-2.60) and having a sexual partner with history of condyloma (OR=2.35; 95%CI:1.17-4.72) showed positive association with HPV infection. The CT infection presented a positive association with women beginning sexual activity before 20 years of age (OR=1.82; 95%CI:1.05-3.15) and women employed (OR=1.93; 95%CI:1.15-3.25). Women that reported 3 or more sexual partners during their life showed a positive association with co-infection by HPV and CT (OR=2.02; 95%CI:1.123.65). Both, HPV infection and Co-infection were associated with the presence of citological abnormalities of the cervix (p≤0.001). Conclusion: An elevated HPV, CT and co-infection prevalence was observed in an asymptomatic women population, which is in agreement with findings reported in the literature. The association of these infections with socioeconomic factors, sexual behavior and with cervical lesions indicates the importance of measures in health promotion and in health prevention with this specific target as a routine activity in primary care services. The present results may be usefull in planning such strategies, including sexual transmitted diseases controls programs and HPV vaccines utilization. |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | https://lume.ufrgs.br/bitstream/handle/10183/7194/000540522.pdf?isAllowed=y&sequence=1 |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
