Cervical smears and human papillomavirus typing in sex workers

Mak, Rudolf; Renterghem, L Van; Cuvelier, C

doi:10.1136/sti.2002.003749

Cited by 46 publications

(52 citation statements)

References 11 publications

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“…Considering genotyping, 50.7% of patients positive for HPV presented at least one genotype of high oncogenic risk. The prevalence of highly oncogenic HPV in the present study was similar to findings in a group of SW from Belgium, where 77.4% tested positively for one or more types of HPV, 55.9% of which for highly oncogenic HPV (10) .…”

Section: Ethical Proceduressupporting

confidence: 76%

Prevalence of sexually transmitted diseases in female sex workers in a city in the interior of São Paulo, Brazil

Pogetto

Silva

Parada

2011

Rev. Latino-Am. Enfermagem

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Changes in the profile of sexually transmitted diseases have increased the need for their detection, particularly where there is a concentration of individuals with risk behavior, so that diagnosis and immediate treatment can be translated in the reduction of resulting problems. The objective was to identify the prevalence of sexually transmitted diseases in female sex workers in a medium-sized city in São Paulo state. This population prevalence study was conducted in 2008 on 102 females. The prevalence was 71.6%. When considered separately and in association, the highest values found were: HPV (67.7%) and Chlamydia (20.5%). HPV typing showed oncogenic genotypes. The prevalence of syphilis was 4.0% and of trichomoniasis 3.0%. No cases of hepatitis B or gonorrhea were identified. It was concluded that the prevalence of sexually transmitted diseases in the studied group was high, since approximately two thirds of the women showed some type of disease under this classification. Considerados aisladamente y en asociación, los mayores valores encontrados fueron: VPH (67,7%) e infección clamidiana (20,5%). El tipaje del VPH evidenció genotipos oncogénicos. La prevalencia de sífilis fue de 4,0% y de tricomoníasis 3,0%. Ningún caso de hepatitis B o gonorrea fue identificado. Se concluye que la prevalencia de enfermedad sexualmente transmisible fue elevada, ya que aproximadamente dos tercios de las mujeres presentaban alguna enfermedad de ese tipo.

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Section: Ethical Proceduressupporting

confidence: 76%

Prevalence of sexually transmitted diseases in female sex workers in a city in the interior of São Paulo, Brazil

Pogetto

Silva

Parada

2011

Rev. Latino-Am. Enfermagem

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“…The rate in our study was lower than that of FSWs in Bulgaria (43.4%), Belgium, and Australia (31.6%) [2,6,12]. The lower rate could reflect the smaller proportion of FSWs of younger ages and relatively fewer sexual contacts in our group.…”

Section: Discussioncontrasting

confidence: 52%

The Prevalence and Risk Factors of Human Papillomavirus in Female Sex Workers

Ersan¹

2013

EAJM

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Objective: Human papillomavirus virus (HPV) is the major causative factor for cervical cancer, and sex workers are at high risk for HPV infection. In this study, we aimed to estimate the prevalence and risk factors of HPV infection among female sex workers (FSWs). Materials and Methods:The study included 239 brothel-based FSWs who work in Izmir, Turkey. A self-administered questionnaire for risk factors was completed, and cervical brush samples were taken for HPV detection and typing. HPV detection and typing were performed by multiplex polymerase chain reaction (PCR) and reverse hybridization methods. The risk factors related to HPV infection were determined by multivariate analysis. Results:The prevalence of HPV among FSWs was 20.1%. HPV18 was the most common type (40%), followed by HPV16 (17%) and HPV50 (15%). Logistic regression analysis revealed that being less than 30 years of age, having a high frequency of sexual contacts, smoking, and lack of condom use were significantly associated with HPV infection. Conclusion:FSWs have a high prevalence of HPV infection and are at increased risk for cervical cancer. As they are a priority group for active follow-up, national strategies for reducing HPV among FSWs and regular cervical cancer screening programs should be implemented for this population. Key Words: Human papillomavirus, Sex workers ÖzetAmaç: İnsan papillomavirus (HPV) infeksiyonu servikal kanserin major nedenlerinden biridir ve seks işçileri HPV infeksiyonu için öncelikli risk grubudur. Bu çalışmada bölgemizde seks işçilerinde HPV infeksiyonu prevalansı ve risk faktörlerinin belirlenmesi amaçlanmıştır. Gereç ve Yöntem:Genelevde çalışan 239 kadın işçi çalışmaya dahil edilmiştir. Her işçi dağıtılan anket formunu doldurmuş, HPV analizi ve tiplendirme için servikal fırça örnekleri alınmıştır. HPV tespiti ve tiplendirme multiplex polimeraz zincir reaksiyonu (PCR) ve revers hibridizasyon yöntemi ile yapılmıştır. HPV infeksiyonu ile ilgili risk faktörleri multivariyans analizi ile belirlenmiştir. Bulgular:Genelev kadınlarında HPV prevalansı %20.1 olarak bulundu. En sık saptanan serotip HPV18 (%40) idi ve onu sırasıyla HPV16 (%17) , HPV50 (%15) izledi. Sık cinsel temas, sigara kullanımı, bariyer kullanılmaması ve 30 yaşın altında olmak HPV infeksiyonu ile anlamlı olarak ilişkili bulundu.Sonuç: Genelev kadınlarında HPV infeksiyonu prevalansı ve servikal kanser riski yüksektir. Aktif izlem gerektiren bu grupta, HPV sıklığı-nın azaltılması için ulusal stratejiler ve düzenli servikal kanser tarama programlarının uygulanması gereklidir.

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“…Besides, the mentioned rates detected by cervical screening may also vary with the nature of populations screened. For instance, the rates were reported as higher than the control groups at a clinic for sexually transmitted disease and among prostitutes/sex workers (Shlay et al, 1998;Nunez et al, 2002;Mak et al, 2004;International Collaboration of Epidemiological Studies of Cervical Cancer, 2007) posing the importance of early detection of cervical cytological abnormalities especially in the populations at high risk.…”

Section: Discussionmentioning

confidence: 99%