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Epidemiology of acquisition and clearance of cervical human papillomavirus infection in women from a high-risk area for cervical cancer

Franco, Eduardo L.; Villa, Luisa L.; Sobrinho, João P.; Prado, José M.; Rousseau, Marie-Claude ORCID logoORCID: https://orcid.org/0000-0001-5215-8086; Désy, Marie et Rohan, Thomas E. (1999). Epidemiology of acquisition and clearance of cervical human papillomavirus infection in women from a high-risk area for cervical cancer Journal of Infectious Diseases , vol. 180 , nº 5. pp. 1415-1423. DOI: 10.1086/315086.

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Résumé


Acquisition and clearance of cervical human papillomavirus (HPV) infection were analyzed among 1425 low-income women attending a maternal and child health program in Sao Paulo, Brazil. Specimens collected every 4 months were tested by a polymerase chain reaction protocol (MY09/11). In all, 357 subjects were positive at least once. There were 1.3% new infections per month, with 38% cumulative positivity after 18 months. Of 177 positive subjects at enrollment, only 35% remained infected after 12 months. The monthly clearance rate was higher for nononcogenic types (12.2%; 95% confidence interval [CI], 9.6-15.4) than for oncogenic HPV infections (9.5%; 95% CI, 7.5-11.9). Median retention times were 8.1 months (95% CI, 7.8-8.3) for oncogenic types and 4.8 months (95% CI, 3.9-5.6) for nononcogenic HPV infections. The mean infection durations were 8.2 and 13.5 months for nononcogenic and oncogenic types, respectively. Although a woman's age did not affect mean duration for oncogenic types (13-14 months), nononcogenic-type infections lasted longer (10. 2 months) among younger (<35 years old) than in older women (5.6 months).

Type de document: Article
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Centre: Centre INRS-Institut Armand Frappier
Date de dépôt: 07 juill. 2025 18:32
Dernière modification: 07 juill. 2025 18:32
URI: https://espace.inrs.ca/id/eprint/14673

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