Prevalência de infecção cervical por papilomavírus humano e neoplasia intraepitelial cervical em mulheres HIV-positivas e negativas

Ceccato, Benito Pio Vitorio; Lopes, Ana Paula Ceccato; Nascimento, Lorena Fiorini; Novaes, Luísa Magalhães; Melo, Victor Hugo

doi:10.1590/so100-720320150005184

Cited by 12 publications

(12 citation statements)

References 43 publications

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“…Due to estrogen decrease, the vaginal wall beginning to thin, and glycogen in the epithelial cells decline, the postmenopausal women were susceptible to senile vaginitis, which further induced abnormal cervical cytology. Furthermore, Ter Harmsel’s et al findings indicated that postmenopausal women tended to develop persistent HPV infection and develop high-grade CIN and CCA [ 26 ]. Consequently, it is of great significance for prevention of cervical lesions that postmenopausal women with reproductive tract HPV infection get early treatment.…”

Section: Discussionmentioning

confidence: 99%

Epidemiological Investigation and Risk Factors for Cervical Lesions: Cervical Cancer Screening Among Women in Rural Areas of Henan Province China

Zhang

Wang

et al. 2016

Med Sci Monit

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BackgroundThis cross-sectional study aimed to investigate the prevalence of cervical lesions and evaluate risk factors for cervical intraepithelial neoplasia (CIN) among women taking part in cervical cancer screening in rural areas of Henan province, China.Material/MethodsCervical cancer screening using the ThinPrep cytologic test (TCT) and gynecologic exam was conducted on 1315 women age 20–68 years in rural areas of Henan province, China. Colposcopy and biopsies were carried out for histopathologic diagnosis when indicated. Univariate and multivariate logistic regressions were performed to evaluate risk factors associated with cervical lesions.ResultsAmong 1315 women screened, CIN prevalence detected by histopathology was 1.22% (0.38% of CIN 1, 0.76% of CIN 2, and 0.08% of CIN 3). Cervical cancer prevalence was 2.66%. Multivariate analysis confirmed risk factors for cervical lesions included older age (the 21–40 age group vs. the 41–66 age group, OR=0.13, 95% CI: 0.03~0.57), postmenopause (OR=0.11, 95% CI: 0.03~0.45), cervical inflammation (OR=0.06, 95% CI: 0.01~0.31), and smoking (OR=6.78, 95% CI: 1.20~38.23).ConclusionsOlder age (41–66 years), presence of HPV infection, postmenopause, cervical inflammation, and smoking are strong risk factors for cervical lesions among women in rural areas of Henan province, China. Particular efforts should be made to provide cervical cancer screening for these women.

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Section: Discussionmentioning

confidence: 99%

Epidemiological Investigation and Risk Factors for Cervical Lesions: Cervical Cancer Screening Among Women in Rural Areas of Henan Province China

Zhang

Wang

et al. 2016

Med Sci Monit

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“…These women, especially those with lower CD4 cell counts, have a higher prevalence of anal and cervical HPV infection and HPV cancers [51]. HPV detection by PCR has significantly increased in HIV positive women, as in a previous meta-analysis that indicated a higher prevalence of high-risk type HPV-16 in HIV infected women, and a higher incidence of multiple HPV infection in this group, with a consequent higher rate of high grade lesions [50,52,53].…”

Section: Discussionmentioning

confidence: 70%

Meta-Analysis of The Prevalence of Genital Infections Among Hiv Carriers and Uninfected Women

Costa¹,

Santos²,

Sarmento³

et al. 2018

TOAIDJ

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Background & Aim:The risk factors in acquiring genital co-infections associated with HIV infection still present many questions. We conducted a systematic review and meta-analysis to compare the prevalence of genital infection among HIV-infected and uninfected women.Methods:We searched PubMed, Web of Science, Scopus and Scielo for the relevant studies up until October 2017. Data were collected from the included studies and methodologically assessed. Odds ratios (OR) and 95% confidence intervals (CI) were pooled using fixed or random-effects models.Results:Thirty-six articles involving 23,863 women with retroviruses were included. HIV-infected women were significantly more diagnosed with the following genital infections:Herpes simplexvirus type 2 (HSV-2) (OR 3.70; 95% CI: 2.42–5.65),Neisseria gonorrhoeae(GC) (OR 4.18; 95% CI: 2.15-8.13),Chlamydia trachomatis(CT) (OR 2.25; 95% CI: 1.20-4.23) and Human papillomavirus (HPV) (OR 3.99, 95% CI: 3.35-4.75). There was no significant difference in the prevalence of bacterial vaginosis (OR 1.09; 95% CI: 0.91-1.30),Candida sp. (OR 1.51; 95% CI: 0.71-3.25),Treponema pallidum(OR 1.56; 95% CI: 1.00-2.45) andTrichomonas vaginalis(OR 1.00; 95% CI: 0.47-2.15).Conclusion:The prevalence of HPV, HSV-2, GC and CT genital infection was significantly higher among HIV-positive women.

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“…A study that evaluated the prevalence of intraepithelial lesions caused by HPV was considered, among other factors, as to the existence of visible lesions to complete the diagnosis 14 . At the request of the experts and based on the literature, corrections were made.…”

Section: Discussionmentioning

confidence: 99%

Prevention of sexually transmitted diseases among visually impaired people: educational text validation

Oliveira

Cavalcante

Pagliuca

et al. 2016

Rev. Latino-Am. Enfermagem

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Objective: to validate an educational text in the context of Sexually Transmitted Diseases (STD) for visually impaired persons, making it accessible to this population. Method: a validation study, in a virtual environment. Data collection occurred from May to September 2012 by emailing the subjects, and was composed by seven content experts about STDs. Analysis was based on the considerations of the experts about Objectives, Structure and Presentation, and Relevance. Results: on the Objectives and Structure and Presentation blocks, 77 (84.6%) and 48 (85.7%) were fully adequate or appropriate, respectively. In the Relevance block, items 3.2 - Allows transfer and generalization of learning, and 3.5 - Portrays aspects needed to clarify the family, showed bad agreement indices of 0.42 and 0.57, respectively. The analysis was followed by reformulating the text according to the relevant suggestions. Conclusion: the text was validated regarding the content of sexually transmitted diseases. A total of 35 stanzas were removed and nine others included, following the recommendations of the experts.

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Prevalência de infecção cervical por papilomavírus humano e neoplasia intraepitelial cervical em mulheres HIV-positivas e negativas

Cited by 12 publications

References 43 publications

Epidemiological Investigation and Risk Factors for Cervical Lesions: Cervical Cancer Screening Among Women in Rural Areas of Henan Province China

Epidemiological Investigation and Risk Factors for Cervical Lesions: Cervical Cancer Screening Among Women in Rural Areas of Henan Province China

Meta-Analysis of The Prevalence of Genital Infections Among Hiv Carriers and Uninfected Women

Prevention of sexually transmitted diseases among visually impaired people: educational text validation

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