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Prevalence of different HPV types and estimation of prognostic risk factors based on the linear array HPV genotyping test.

Abstract：

:The aim of the study was to evaluate the prevalence and risk factors of HPV in a gynecologic population attending outpatient clinics using two new molecular tests. The Amplicor HPV test and the Linear Array (LA) HPV Genotyping test were used for the detection of HPV DNA in 320 women. Multiple logistic regression was used to identify independent prognostic factors of HPV positivity. The agreement between the two methods in terms of their qualitative results was 89.3% (kappa: 0.63). Based on the LA results, the overall prevalence of HPV DNA was 49.1%, 95% confidence interval (95% CI: 43.5%, 54.7%). The prevalence of high-risk HPV types was 30.3%. The predominant types were HPV-6 (24.8%) and HPV-16 (20.4%). Among women with normal cytology, the prevalence of HPV was much higher in those presenting other findings, such as inflammation, than those without other abnormal findings (49.5% vs. 31.5%). On the basis of multivariate analysis, the risk of HPV infection was higher among women with multiple sexual partners [>3 vs. 1: OR = 3.1, 95% CI: (1.5, 7.2)], Pap smear findings [low/high-grade lesions vs. negative: OR = 2.8, 95% CI: (1.2, 6.5)], the presence of warts [yes vs. no: OR = 3.0, 95% CI: (1.5, 6.3)] and no history of child birth [no vs. yes: OR = 2.6, 95% CI: (1.0, 6.7)]. Younger age was an additional risk factor for HPV infection with carcinogenic genotypes [OR for 1 year increase = 0.93, 95% CI: (0.89, 0.98)].

journal_name

J Med Virol

journal_title

Journal of medical virology

authors

Papachristou E,Sypsa V,Paraskevis D,Gkekas A,Politi E,Nicolaidou E,Anifantis I,Psichogiou M,Tsitsika A,Hadjivassiliou M,Petrikkos G,Katsambas A,Creatsas G,Hatzakis A

doi

10.1002/jmv.21639

subject

Has Abstract

pub_date

2009-12-01 00:00:00

pages

2059-65

issue

12

eissn

0146-6615

issn

1096-9071

journal_volume

81

pub_type

杂志文章

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