ORIENTAO

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Modelo:

RISK FACTORS PREDICTING EXPOSURE TO HUMAN PAPILLOMAVIRUS
INFECTIONS IN TWO POPULATIONS BELONGING TO DIVERSE SOCIO-
ECONOMICAL STRATUS FROM RIO DE JANEIRO, BRAZIL
Silva, K.C.
1
; Carestiato, F.N.
2
; Balthazar, D.S.
1
; Rosa, M.L.G.
3
; Oliveira, L.H.S.
1
;
Cavalcanti, S.M.B.
1

1
Departamento de Microbiologia e Parasitologia, Instituto Biomdico, UFF, Niteroi;
2
Instituto Nacional de Cncer, Rio de Janeiro;
3
Instituto da Saude da Comunidade da UFF,
Niteroi, RJ, Brazil. E-mail: silviacavalcantivm.uII.br
In Brazil, cervical cancer is the most Irequent cause oI death Irom cancer. Large
epidemiological studies have shown that the risk oI developing such neoplasia is strongly
associated with the persistence oI high risk genital papillomavirus (HPV). Since HPV
inIection is the most important but not the exclusive risk Iactor to cancer, investigation has
Iocused on the role oI speciIic socio-demographic Iactors such as smoking habits,
promiscuous sexual liIe, low socio-economic status, among others. In this study, we
investigated HPV inIection in patients Irom two municipalities Irom Rio de Janeiro State:
Marica (Group I) and Itaborai (Group II) and possible co-Iactors related to HPV inIection.
Tests were conducted using Pap screening and generic/speciIic detection oI HPV DNA by
PCR. In Group I, 10.7 oI the patients presented HPV, as detected by generic PCR while
in Group II, HPV was detected in 31.1 oI the samples. HPV16 was the most prevalent
type Iound in both groups (5.3 and 10), Iollowed by HPV 18 (1.3 and 4.7). The odds
ratio and p value revealed that there were statistically signiIicant diIIerences between the
groups regarding HPV inIection, age, ethnic link, parity, tobacco smoking and use oI oral
contraceptive. The analysis was concluded by a multivariate regression to identiIy co-
Iactors predictive oI HPV status. As expected, some Iactors lost their signiIicance but
several retained their predictive value. For Group I, the reIerence group oI this study, Pap
test was the most powerIul independent predictor oI HPV (p0.0001), Iollowed by age
under 30 years old and number oI sexual partners. For group II, again the Pap test result
was the most relevant predictor (p 0.0001) along with alcohol use (p0.0004). The Iinding
oI diverse proIile related to risk oI exposition within the same geographical region plays a
challenge to Public Health that ought to develop general and also speciIic strategies oI
screening all Brazilian women.
Financial support: PROAP/UFF

Arquivo: PAP-Cavalcanti.rtI
Apresentador: Silvia MB Cavalcanti