Abstract
This study investigated the prevalence and risk factors for genital infection with HPV in women from rural and urban areas in two different regions of the Eastern Brazilian Amazon. A cross-sectional survey was performed in Pap screening programs, with a total sample of 444 women (233 urban and 211 rural). Uterine cervical swabs were collected for the detection of HPV DNA with the established PCR assay using MY09-MY11. All volunteers answered an epidemiological questionnaire. Bivariate and multivariate logistic regression analyses were performed to identify risk factors associated with HPV infection. Overall prevalence of HPV infection was 14.6% (15% in urban women and 14.2% in rural). The only factor associated with HPV was marital status in the 13-25-year-old rural population, with higher HPV prevalence among single and divorced women and widows. The findings indicate the need for risk factor control strategies targeted specifically to women in rural and urban areas.
Highlights
No Brasil, estima-se que o câncer do colo uterino seja o terceiro mais comum na população feminina, sendo superado pelo câncer de pele não melanoma e pelo câncer de mama
This study investigated the prevalence and risk factors for genital infection with HPV in women from rural and urban areas in two different regions of the Eastern Brazilian Amazon
Bivariate and multivariate logistic regression analyses were performed to identify risk factors associated with HPV infection
Summary
0,1676 avanços na área de saúde da mulher e da criança, permitindo, inclusive, comparações com estudos internacionais. Atualmente, são considerados aspectos importantes para o incremento da vulnerabilidade feminina à ocorrência de altos índices de morte por câncer de colo no Brasil aspectos socioculturais e político-econômicos, com destaque para a escolaridade, acesso aos serviços de prevenção e manejo do câncer cervical, hábitos de vida, bem como os diferentes grupos etários e sua região de residência. Os dois últimos fatores têm sido apontados como significativos determinantes sociais em saúde, uma vez que mulheres vivendo em áreas geográficas com pouco ou nenhum acesso aos serviços públicos de promoção, Prevalência da infecção genital por HPV de acordo com fatores de risco para a aquisição e manutenção viral, nas diferentes faixas etárias da amostra rural (N = 211).
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