Human papillomavirus infection in female sex workers in Lima, Peru

Montano, Silvia M.; Hsieh, Evelyn; Calderón, Martha; Ton, Thanh G.N.; Quijano, Eberth; Solari, Vicky; Zunt, Joseph R.

doi:10.1136/sti.2010.043315

Cited by 18 publications

(22 citation statements)

References 5 publications

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“…21 For example, among FSWs in Peru, HPV and hrHPV were detected in 50.6% and 35.6% of women, respectively. 22 In Mexico, HPV prevalence was 48.9% (43% hrHPV) among FSWs. 23 In Latin America, including the DR, recent doctor’s visits were positively associated with recent Pap.…”

Section: Discussionmentioning

confidence: 99%

Cervical cancer screening among transactional female sex workers in the Dominican Republic

Richards

Stonbraker

Halpern³

et al. 2018

Int J STD AIDS

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Cervical cancer is the third leading cause of cancer-related death and the second most diagnosed cancer among women in developing countries. We determined the prevalence of abnormal Papanicolaou (Pap), high-risk HPV (hrHPV), and colposcopy among transactional female sex workers (FSWs) in La Romana, Dominican Republic. The results of 144 FSWs of ages 18–54 years who completed a demographic interview and Pap testing with hrHPV detection between June 2015 and April 2016 were analyzed. Women with abnormal results were referred for colposcopy. Risk factors for abnormal Pap were assessed through bivariate and multivariate analyses. Overall, 36.1% (52/144) of Paps were abnormal and 43.4% (62/143) had hrHPV. Of all women with hrHPV and/or abnormal Pap (68/144; 47.2%), 61 (89.7%) were referred and 16 (26.2) underwent colposcopy. HPV16 and/or 18/45 was detected in 33.3% (15/45) of low-grade Paps. Binge drinking, weekly (AOR 5.1, 95% CI: 1.8–14.5) or daily (AOR 4.9, 95% CI: 1.5–16.6), and age at first sexual relation (AOR 1.2, 95% CI: 1.0–1.5) were significantly associated (p < 0.05) with abnormal Pap. Although almost half of participants had abnormal Pap or hrHPV, few underwent colposcopy. Improving access to cervical cancer screening and follow-up for FSWs is imperative.

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Section: Discussionmentioning

confidence: 99%

Cervical cancer screening among transactional female sex workers in the Dominican Republic

Richards

Stonbraker

Halpern³

et al. 2018

Int J STD AIDS

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“…Previous studies of FSWs have shown an inverse relationship between age and HPV prevalence. 18,20,21,23 – 25 The decreased prevalence with age may be due to clearance of infection or development of protective immunity. Age was not directly associated with HPV prevalence in our study, most likely due to the limited age range of our study participants.…”

Section: Discussionmentioning

confidence: 99%

Human papillomavirus prevalence, cervical abnormalities and risk factors among female sex workers in Lima, Peru

et al. 2012

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Summary Female sex workers (FSWs) are at high risk of human papillomavirus (HPV) infection. Questionnaires were administered to 200 FSWs aged 18–26 years in Lima, Peru, to gather risk behaviours, and cervical swab samples were collected for Pap smears and HPV DNA testing as part of a longitudinal study. Participants reported a median of 120 clients in the past month, and 99.2% reported using condoms with clients. The prevalence of any HPV in cervical samples was 66.8%; 34 (17.1%) participants had prevalent HPV 16 or 18, and 92 (46.2%) had one or more oncogenic types. Fifteen women had abnormal Pap smears, 13 of which were HPV DNA positive. Fewer years since first sex was associated with oncogenic HPV prevalence in a model adjusted for previous sexually transmitted infection (STI) status and condom use with partners (prevalence ratio = 0.77, 95% confidence interval [CI] = 0.60–0.97). Our data confirm the high rates of HPV transmission among FSWs in Peru, highlighting the need for early and effective strategies to prevent cervical cancer.

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“…This study documents a higher prevalence of HPV infection among MSM as compared to female sex workers attending the same clinic (77% vs. 50%). 29 Interestingly, infection with high-risk HPV types was associated with commercial sex work. Thus, MSM, and especially MSM who participate in sex work, are important groups to target with interventions to decrease or prevent HPV and other STI.…”

mentioning

confidence: 99%

Human Papillomavirus Infection in Men Who Have Sex with Men in Lima, Peru

Quinn

Salvatierra

Solari

et al. 2012

AIDS Research and Human Retroviruses

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Human papillomavirus (HPV) infection among men who have sex with men (MSM) is the primary risk factor for anal cancer. Of 105 Peruvian MSM examined, 77.1% were infected with HPV; of these 79.0% were coinfected with two or more types and 47.3% were infected by a carcinogenic type. HPV types 53, 6, 16, and 58 were the most frequent HPV infections detected. High-risk HPV type infection was associated with sex work, HIV status, and having rectal chlamydial or gonorrheal infection. These findings support broadening HPV vaccine coverage and increasing surveillance for the development of cancer in MSM infected with HPV.

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Human papillomavirus infection in female sex workers in Lima, Peru

Cited by 18 publications

References 5 publications

Cervical cancer screening among transactional female sex workers in the Dominican Republic

Cervical cancer screening among transactional female sex workers in the Dominican Republic

Human papillomavirus prevalence, cervical abnormalities and risk factors among female sex workers in Lima, Peru

Human Papillomavirus Infection in Men Who Have Sex with Men in Lima, Peru

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