Sociodemographic and clinical factors of women with HPV and their association with HIV

Gaspar, Joice; Quintana, Silvana Maria; Reis, Renata Karina; Gir, Elucir

doi:10.1590/0104-1169.3364

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Revista Latino-Americana de Enfermagem

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Original Articles • Rev. Latino-Am. Enfermagem 23 (1) • Jan-Feb 2015 • https://doi.org/10.1590/0104-1169.3364 copy

Sociodemographic and clinical factors of women with HPV and their association with HIV¹ 1 Paper extracted from master's thesis "The sociodemographic and clinical profile of women with genital human papillomavirus infection followed at a reference hospital in upstate São Paulo", presented to Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, WHO Collaborating Centre for Nursing Research Development, Ribeirão Preto, SP, Brazil.

Authorship SCIMAGO INSTITUTIONS RANKINGS

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.

Descriptors
Papillomavirus Infections; Women; HIV

		HIV		Missing	p-value*	OR^†	CI^‡ (95%)
		Negative n (%)	Positive n (%)	Missing	p-value*	OR^†	CI^‡ (95%)
Age group (years)				0	<0.01
	<16	8 (0.97)	2 (0.24)			1.000	Reference
	16\|–\|19	30 (3.64)	9 (1.09)			1.200	(0.215 ; 6.696)
	20\|–\|29	288 (34.95)	38 (4.61)			0.528	(0.108 ; 2.578)
	30\|–\|39	206 (25.00)	43 (5.22)			0.835	(0.171 ; 4.070)
	40\|–\|49	89 (10.80)	39 (4.73)			1.753	(0.356 ; 8.635)
	50\|–\|59	38 (4.61)	12 (1.46)			1.263	(0.235 ; 6.777)
	≥ 60	13 (1.58)	9 (1.09)			2.769	(0.473 ; 16.213)
Ethnicity (cited)				3	<0.01
	White	453 (55.18)	78 (9.50)			1.000	Reference
	Non-white	216 (26.31)	74 (9.01)			1.990	(1.392 ; 2.843)
Education (years)				13	<0.01
	0\|–\|4	66 (8.01)	31 (3.76)			4.384	(1.706 ; 11.266)
	5\|–\|8	284 (34.47)	77 (9.34)			2.530	(1.051 ; 6.093)
	9\|–\|11	253 (30.70)	38 (4.61)			1.402	(0.565 ; 3.477)
	≥ 12	56 (6.80)	6 (0.73)			1.000	Reference
Marital status				9	<0.01
	Single	200 (24.27)	51 (6.19)			1.000	Reference
	Stable Union	413 (50.12)	73 (8.86)			0.693	(0.467 ; 1.029)
	Separated	38 (4.61)	13 (1.58)			1.342	(0.666 ; 2.704)
	Widowed	13 (1.58)	14 (1.70)			4.223	(1.869 ; 9.542)
Economic situation				18	0.5182
	With income	127 (15.41)	33 (4.00)			1.000	Reference
	Without income	348 (42.23)	82 (9.95)			0.907	(0.577 ; 1.425)
	Other	181 (21.97)	35 (4.25)			0.744	(0.439 ; 1.260)
Alcohol use				10	0.0013
	Yes	72 (8.74)	31 (3.76)			2.120	(1.333 ; 3.374)
	No	591 (71.72)	120 (14.56)			1.000	Reference
Tobacco use				5	<0.01
	Yes	174 (21.12)	69 (8.37)			2.389	(1.660 ; 3.437)
	No	494 (59.95)	82 (9.95)			1.000	Reference
Drug use				5	<0.01
	Yes	68 (8.25)	38 (4.61)			2.936	(1.882 ; 4.580)
	No	599 (72.69)	114 (13.83)			1.000	Reference
Type of lesion					<0.01
	Low-grade cervical intraepithelial lesion	154 (18.69)	47 (5.70)			0.953	(0.632 ; 1.438)
	Condyloma	265 (32.16)	24 (2.91)			0.283	(0.174 ; 0.460)
	High-grade cervical intraepithelial lesion	253 (30.70)	81 (9.83)			1.000	Reference

		HIV		Missing		p-value^‡	OR^§	CI^\|\| (95%)
		Negative n (%)	Positive n (%)	N/P*	N/I^†	p-value^‡	OR^§	CI^\|\| (95%)
Hepatitis B serology				10	27	0.1148
	Positive	5 (0.61)	3 (0.36)				3.023	(0.714 ; 12.809)
	Negative	650 (78.88)	129 (15.66)				1.000	Reference
Hepatitis C serology				25	45	<0.01
	Positive	7 (0.85)	14 (1.70)				10.529	(4.160 ; 26.647)
	Negative	616 (74.76)	117 (14.20)				1.000	Reference
Syphilis serology				8	27	0.9900
	Positive	5 (0.61)	1 (0.12)				1.000	Reference
	Negative	651 (79.00)	132 (16.02)				1.014	(0.117 ; 8.749)
First sexual relations (years)					0	0.9293
	< 16	355 (43.08)	82 (9.95)				1.155	(0.543 ; 2.457)
	16\|–\|20	272 (33.01)	61 (7.40)				1.121	(0.520 ; 2.416)
	> 20	45 (5.46)	9 (1.09)				1.000	Reference
Total number of sexual partners (n=823)					7	<0.01
	01\|–\|05	529 (64.83)	90 (11.03)				1.000	Reference
	05\|–\|10	77 (9.44)	26 (3.19)				1.985	(1.207 ; 3.264)
	>10	59 (7.23)	35 (4.29)				3.487	(2.170 ; 5.602)
Sexual partners in the previous year					12	0.4813
	< 3	636 (78.33)	141 (17.36)				1.000	Reference
	>3	27 (3.33)	8 (0.99)				1.337	(0.595 ; 3.004)
Prostitution					13	0.0039
	Yes	10 (1.21)	8 (0.97)				3.699	(1.434 ; 9.540)
	No	652 (79.13)	141 (17.11)				1.000	Reference
Sexual orientation					8	0.4910
	Heterosexual	660 (80.88)	149 (18.26)				1.000	Reference
	Not heterosexual	5 (0.61)	2 (0.25)				1.772	(0.340 ; 9.221)

Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo Av. Bandeirantes, 3900, 14040-902 Ribeirão Preto SP Brazil, Tel.: +55 (16) 3315-3451 / 3315-4407 - Ribeirão Preto - SP - Brazil
E-mail: rlae@eerp.usp.br

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[1] Corresponding Author: Joice Gaspar Universidade de São Paulo. Escola de Enfermagem de Ribeirão Preto Av. Bandeirantes, 3900 Bairro: Monte Alegre CEP: 14040-902, Ribeirão Preto, SP, Brasil E-mail:joicegaspar@yahoo.com.br