Distribution of human papillomavirus in a family planning population in nairobi, kenya.

作者: HUGO DE VUYST , SOPHIA STEYAERT , LIEVE VAN RENTERGHEM , PATRICIA CLAEYS , LUCY MUCHIRI

DOI: 10.1097/00007435-200302000-00009

关键词:

摘要: Background: In sub-Saharan Africa, cervical cancer is the leading among women. The causative role of different human papillomavirus (HPV) types in established, but distribution HPV within this region largely unknown. Goal: goal was to study family planning clinic attendees Nairobi, Kenya. Study Design: This a cross-sectional persons attending center Results: data 429 women were analyzed; 7.0% had low-grade intraepithelial lesions, 6.8% high-grade and 0.23% invasive cancer. One hundred ninety samples (44.3%) HPV-positive (28.4% positive for multiple types). most common 52 (17.9% samples), 16 (14.7%), 35 (11.6%), 66 (9.0%). risk squamous lesions (HSIL) 88.5 times higher (95% CI, 8.5-1.4 x 10 5 ) 16-positive than HPV-negative Relative risks 54.3 4.0-1.4 35, 49.2 3.6-9.5 4 52, 21.7 0.0-1.9 105) 18. prevalence HSIL not increased association with HIV-positivity, yet HIV-1 significantly associated high-risk (P < 0.00001). Conclusion: pattern population from that other regions world, which has important consequences vaccine development.

参考文章(25)
J. Stjernswärd, C. S. Muir, D. M. Parkin, Estimates of the worldwide frequency of twelve major cancers. Bulletin of The World Health Organization. ,vol. 62, pp. 163- 182 ,(1984)
Pedro A. Rolón, Jennifer S. Smith, Nubia Muñoz, Stefanie J. Klug, Rolando Herrero, Xavier Bosch, Fernando Llamosas, Chris J.L.M. Meijer, Jan M.M. Walboomers, Human papillomavirus infection and invasive cervical cancer in Paraguay. International Journal of Cancer. ,vol. 85, pp. 486- 491 ,(2000) , 10.1002/(SICI)1097-0215(20000215)85:4<486::AID-IJC7>3.0.CO;2-S
ATTILA T. LORINCZ, RICHARD REID, BENNETT A. JENSON, MITCHELL D. GREENBERG, WAYNE LANCASTER, ROBERT J. KURMAN, Human papillomavirus infection of the cervix: relative risk associations of 15 common anogenital types. Obstetrics & Gynecology. ,vol. 79, pp. 328- 337 ,(1992) , 10.1097/00006250-199203000-00002
Jan M. M. Walboomers, Marcel V. Jacobs, M. Michele Manos, F. Xavier Bosch, J. Alain Kummer, Keerti V. Shah, Peter J. F. Snijders, Julian Peto, Chris J. L. M. Meijer, Nubia Mu�oz, Human papillomavirus is a necessary cause of invasive cervical cancer worldwide. The Journal of Pathology. ,vol. 189, pp. 12- 19 ,(1999) , 10.1002/(SICI)1096-9896(199909)189:1<12::AID-PATH431>3.0.CO;2-F
Bernhard Kleter, Leen-Jan van Doorn, Jan ter Schegget, Lianne Schrauwen, Kees van Krimpen, Matthé Burger, Bram ter Harmsel, Wim Quint, Novel short-fragment PCR assay for highly sensitive broad-spectrum detection of anogenital human papillomaviruses. American Journal of Pathology. ,vol. 153, pp. 1731- 1739 ,(1998) , 10.1016/S0002-9440(10)65688-X
D. Maxwell Parkin,, Paola Pisani, Jacques Ferlay, Estimates of the worldwide incidence of 25 major cancers in 1990 International Journal of Cancer. ,vol. 80, pp. 827- 841 ,(1999) , 10.1002/(SICI)1097-0215(19990315)80:6<827::AID-IJC6>3.0.CO;2-P
Annabelle Ferrera, Johan P. Velema, Manuel Figueroa, Ricardo Bulnes, Luis A. Toro, Jos� M. Claros, Odessa De Barahona, Willem J.G. Melchers, Human papillomavirus infection, cervical dysplasia and invasive cervical cancer in Honduras: a case-control study. International Journal of Cancer. ,vol. 82, pp. 799- 803 ,(1999) , 10.1002/(SICI)1097-0215(19990909)82:6<799::AID-IJC5>3.0.CO;2-5
Jeanne S. Mandelblatt, Marianne Fahs, Karen Garibaldi, Ruby T. Senie, Herbert B. Peterson, Association between HIV infection and cervical neoplasia AIDS. ,vol. 6, pp. 173- 178 ,(1992) , 10.1097/00002030-199202000-00005