Correlates of HPV: a cross-sectional study in women with normal cytology in north-central Morocco

Introduction: Epidemiological studies have shown the association between risk of developing cervical cancer and the persistence of high-risk papillomavirus types in addition to some co-factors. However, little is known about co-factors associated with human papillomavirus (HPV) infection, especiall...

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Main Authors: Bahia Bennani, Sanae Bennis, Chakib Nejjari, L'Houcine Ouafik, Moulay Abdelilah Melhouf, Karima El Rhazi, Kaoutar Znati, Hikmat Chaara, Chahrazed Bouchikhi, Afaf Amarti Riffi
Format: Article
Language:English
Published: The Journal of Infection in Developing Countries 2011-11-01
Series:Journal of Infection in Developing Countries
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Online Access:https://jidc.org/index.php/journal/article/view/1675
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author Bahia Bennani
Sanae Bennis
Chakib Nejjari
L'Houcine Ouafik
Moulay Abdelilah Melhouf
Karima El Rhazi
Kaoutar Znati
Hikmat Chaara
Chahrazed Bouchikhi
Afaf Amarti Riffi
author_facet Bahia Bennani
Sanae Bennis
Chakib Nejjari
L'Houcine Ouafik
Moulay Abdelilah Melhouf
Karima El Rhazi
Kaoutar Znati
Hikmat Chaara
Chahrazed Bouchikhi
Afaf Amarti Riffi
author_sort Bahia Bennani
collection DOAJ
description Introduction: Epidemiological studies have shown the association between risk of developing cervical cancer and the persistence of high-risk papillomavirus types in addition to some co-factors. However, little is known about co-factors associated with human papillomavirus (HPV) infection, especially in developing countries. This study aims to determine HPV status and associated risk factors in women with normal cytology living in the north-central area of Morocco. Methodology: From February 2007 to December 2008, a total of 925 women consulting in the gynaecological department of Fez University Hospital were asked about sociodemographic characteristics and reproductive and sexual health. Cervical samples were collected for cytological examination and HPV DNA detection. Data collected from 751 women with normal cytology were used in this study to assess the correlation between HPV infection and potential risk factors. Results: High prevalence of HPV infection was detected (42.5%). The highest infection rate was observed in women aged > 45 years and in those with history of abortion (OR:3.76; 95%CI[1.77-7.98]) fibroma, polyp or cysts (OR:1.68; 95%CI[1.07-2.65]). No significant association was detected with other reproductive health and risk factors including oral contraception. Conclusion: In spite of the insignificant association of HPV infection with age, health authorities should seriously consider and implement strategies to increase and maintain a cervical cancer screening programme in women aged 45 and above. More attention must be given to women with gynaecological history (abortion, fibroma, polyp or cysts) since these events may be predictors of HPV infection. Investigations on partner sexual behaviour and some specific hygienic habits, especially public Turkish bath use, are needed to clarify the HPV incidence in this region.
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spelling doaj-art-ed89ac6d78ea4b4e8dc16683bf3152a42025-08-20T02:27:20ZengThe Journal of Infection in Developing CountriesJournal of Infection in Developing Countries1972-26802011-11-0160710.3855/jidc.1675Correlates of HPV: a cross-sectional study in women with normal cytology in north-central MoroccoBahia Bennani0Sanae Bennis1Chakib Nejjari2L'Houcine Ouafik3Moulay Abdelilah Melhouf4Karima El Rhazi5Kaoutar Znati6Hikmat Chaara7Chahrazed Bouchikhi8Afaf Amarti Riffi9Faculté de Médecine et de pharmacie de FèsFaculté de Médecine et de Pharmacie de Fès, Fès MarocFaculté de Médecine et de Pharmacie de Fès, Fès MarocFaculté de Médecine Timone, Marseille, FranceCentre Hospitalier Universitaire Hassan II, Fès MarocFaculté de Médecine et de Pharmacie de Fès, Fès MarocFaculté de Médecine et de Pharmacie de FèsCentre Hospitalier Universitaire Hassan II, Fès MarocCentre Hospitalier Universitaire Hassan II, Fès MarocFaculté de Médecine et de Pharmacie de Fès, Fès Maroc Introduction: Epidemiological studies have shown the association between risk of developing cervical cancer and the persistence of high-risk papillomavirus types in addition to some co-factors. However, little is known about co-factors associated with human papillomavirus (HPV) infection, especially in developing countries. This study aims to determine HPV status and associated risk factors in women with normal cytology living in the north-central area of Morocco. Methodology: From February 2007 to December 2008, a total of 925 women consulting in the gynaecological department of Fez University Hospital were asked about sociodemographic characteristics and reproductive and sexual health. Cervical samples were collected for cytological examination and HPV DNA detection. Data collected from 751 women with normal cytology were used in this study to assess the correlation between HPV infection and potential risk factors. Results: High prevalence of HPV infection was detected (42.5%). The highest infection rate was observed in women aged > 45 years and in those with history of abortion (OR:3.76; 95%CI[1.77-7.98]) fibroma, polyp or cysts (OR:1.68; 95%CI[1.07-2.65]). No significant association was detected with other reproductive health and risk factors including oral contraception. Conclusion: In spite of the insignificant association of HPV infection with age, health authorities should seriously consider and implement strategies to increase and maintain a cervical cancer screening programme in women aged 45 and above. More attention must be given to women with gynaecological history (abortion, fibroma, polyp or cysts) since these events may be predictors of HPV infection. Investigations on partner sexual behaviour and some specific hygienic habits, especially public Turkish bath use, are needed to clarify the HPV incidence in this region. https://jidc.org/index.php/journal/article/view/1675HPV infectionrisk factorsnormal cytologyPCR diagnosis
spellingShingle Bahia Bennani
Sanae Bennis
Chakib Nejjari
L'Houcine Ouafik
Moulay Abdelilah Melhouf
Karima El Rhazi
Kaoutar Znati
Hikmat Chaara
Chahrazed Bouchikhi
Afaf Amarti Riffi
Correlates of HPV: a cross-sectional study in women with normal cytology in north-central Morocco
Journal of Infection in Developing Countries
HPV infection
risk factors
normal cytology
PCR diagnosis
title Correlates of HPV: a cross-sectional study in women with normal cytology in north-central Morocco
title_full Correlates of HPV: a cross-sectional study in women with normal cytology in north-central Morocco
title_fullStr Correlates of HPV: a cross-sectional study in women with normal cytology in north-central Morocco
title_full_unstemmed Correlates of HPV: a cross-sectional study in women with normal cytology in north-central Morocco
title_short Correlates of HPV: a cross-sectional study in women with normal cytology in north-central Morocco
title_sort correlates of hpv a cross sectional study in women with normal cytology in north central morocco
topic HPV infection
risk factors
normal cytology
PCR diagnosis
url https://jidc.org/index.php/journal/article/view/1675
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