Abstract
OBJECTIVE: to identify the association between HIV-seropositive or HIV-seronegative status and the sociodemographic and clinical variables of women with genital HPV infection. METHOD: cross-sectional, retrospective study in a reference service in Ribeirão Preto. A total of 824 women undergoing HIV testing who had high or low grade cervical intraepithelial lesions or condylomatous genital lesions caused by HPV were studied. The chi-square test and logistic regression analysis with the calculation of the odds ratio and a confidence interval of 95% were conducted to verify the association. RESULTS: a higher probability of seropositivity was identified for non-white women; with low education; widowed; who consumed alcohol, tobacco or illicit drugs; with hepatitis C; who had multiple partners; and that worked as prostitutes. CONCLUSION: the increasing impairment of women due to sexually transmitted infections, considering the influence of the socioeconomic and behavioral context on the course of these infections, highlights the importance of public policies that establish intervention strategies involving the prevention, early diagnosis and timely treatment of these diseases, so that there is the promotion of quality of life in this population.
Highlights
Infection with the human papillomavirus (HPV) is a public health problem, being considered the most common sexually transmitted infection (STI)
HPV infection has been associated with the human immunodeficiency virus (HIV), suggesting a greater chance of developing low (LSIL) and high grade (HSIL) cervical intraepithelial lesions in women living with HIV, due to their immunosuppression[3,4,5]
152 were HIV-seropositive (18.45%) and 672 HIV-seronegative (81.55%), 334 (40.53%) had HSIL, 289 (35.07%) condyloma and 201 (24.39%) LSIL with lesions caused by HPV
Summary
Infection with the human papillomavirus (HPV) is a public health problem, being considered the most common sexually transmitted infection (STI). Brazil is a world leader in incidences of HPV, with women between 15 and 25 years of age being the population most affected. This infectious disease extends to males, it is believed that the number of registered cases is smaller due to the low demand of men for urology services, a factor related to prejudice and a lack of information[2]. HPV infection has been associated with the human immunodeficiency virus (HIV), suggesting a greater chance of developing low (LSIL) and high grade (HSIL) cervical intraepithelial lesions in women living with HIV, due to their immunosuppression[3,4,5]. It is noteworthy that the prevalence of these lesions in HIV seropositive women with a CD4+ counts below 200 cells per μl and a viral load greater than 10,000 copies per mL is three times higher when compared to seronegative women[6,7]
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