巴西东北部地区无症状妇女宫颈癌的人乳头瘤病毒感染和危险因素

K. F. D. Farias, Adrielle Sonara Gomes Silva, Ana Caroline Melo dos Santos, Adriely Ferreira da Silva, D. B. D. Silva, Edilson Leite de Moura, A. Araújo, Cristiane Araújo Nascimento, D. Martins, Elaine Virginia Martins de Souza Figueiredo, J. L. L. Filho
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引用次数: 2

摘要

目的:本研究旨在确定HPV感染的存在以及与无症状妇女宫颈癌易感性相关的危险因素。方法:这是一项横断面研究,共有428名用户参加了巴西阿拉戈斯州阿拉皮拉卡的基本卫生单位。收集社会人口学、行为变量和细胞病理学报告。采用巢式pcr对HPV病毒进行分子检测。采用SPSS 22.0进行统计分析。结果:共纳入428例女性,HPV DNA检出率为39.2% (n = 168),平均年龄41岁。HPV与口服避孕药的使用(p <0.016)和酒精中毒(p <0.038)有关联。25岁以上女性HPV阳性率较高(88.7%),性伴侣不超过5人(93.4%),怀孕不超过3次(71.4%),细胞病理检查结果正常(61.9%)。在40.3%(104/258)的女性中发现HPV,结果在正常范围内。结论:口服避孕药的使用和酒精中毒可能是宫颈癌发生的危险因素。因此,有必要提出针对这一人群的健康教育、预防行动和早期发现的干预措施。
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Human papillomavirus infection and risk factors to cervical cancer in asymptomatic women in the region of the Northeast of Brazil
Objective: This study sought to identify the presence of HPV infection and the risk factors related to susceptibility to cervical cancer in asymptomatic women. Methods: It is a cross-sectional study with 428 users attended Basic Health Units, in Arapiraca, Alagoas, Brazil. Sociodemographic, behavioral variables, and cytopathological reports were collected. Molecular detection of the HPV virus was performed by Nested-PCR. Statistical analysis was conducted with SPSS version 22.0. Results: A total of 428 women were studied, HPV DNA detected in 39.2% (n = 168), with a mean age of 41 years old. There was an association of HPV with use of oral contraceptives (p <0.016) and alcoholism (p <0.038). It was showed a higher frequency of positive HPV in women older than 25 years old (88.7%), up to 5 sexual partners (93.4%), up to 3 pregnancies (71.4%), and with the cytopathologic results within the limits of normality (61.9%). HPV was identified in 40.3% (104/258) of the women with results within the limits of normality. Conclusion: Our results suggest that the use of oral contraceptives and alcoholism may be considered as possible risk factors related to cervical oncogenesis. With this, it is necessary to propose interventions aimed at the health education of this population, actions of prevention, and early detection.
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