Abstract:
BACKGROUND:Smoking increases the risk of squamous-cell carcinoma of the cervix, but it is not clear whether smoking increases the risk of acquisition or persistence of human papillomavirus (HPV) infection. METHODS:Information on smoking was collected from 10 areas in four continents among population-based, age-stratified random samples of women aged 15 years or older. HPV testing was performed using PCR-based enzyme immunoassay. Unconditional logistic regression was used to estimate odds ratios (OR) and corresponding 95% confidence intervals (CI) of being HPV-positive by smoking habits, adjusted for age and lifetime number of sexual partners. RESULTS:Ten thousand five hundred and seventy-seven women (mean age 41.4 years) were included. Among current smokers, the risk of being HPV-positive increased with smoking intensity, after allowing for lifetime number of sexual partners: ORs for <5, 5-14 and >/=15 cigarettes per day were 1.21 (95% CI 0.95-1.54), 1.39 (95% CI 1.04-1.87) and 2.01 (95% CI 1.32-3.08), respectively, as compared with never-smokers. The risk among former smokers (OR = 0.95, 95% CI 0.73-1.23) was similar to that among never-smokers. Analyses stratified by lifetime number of sexual partners showed a significant trend in risk only for women with one lifetime sexual partner. CONCLUSIONS:Our study suggests that current, though not former, smoking is associated with an increased prevalence of HPV, after allowance for sexual covariates. Among current smokers, HPV prevalence increased with smoking intensity, but a clear dose-response relationship was exclusively seen among women who declared one lifetime sexual partner.
journal_name
Int J Epidemioljournal_title
International journal of epidemiologyauthors
Vaccarella S,Herrero R,Snijders PJ,Dai M,Thomas JO,Hieu NT,Ferreccio C,Matos E,Posso H,de Sanjosé S,Shin HR,Sukvirach S,Lazcano-Ponce E,Muñoz N,Meijer CJ,Franceschi S,IARC HPV Prevalence Surveys (IHPS) Study Group.doi
10.1093/ije/dyn033subject
Has Abstractpub_date
2008-06-01 00:00:00pages
536-46issue
3eissn
0300-5771issn
1464-3685pii
dyn033journal_volume
37pub_type
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