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The prevalence and risk factors of human papillomavirus in female sex workers



The prevalence and risk factors of human papillomavirus in female sex workers



Eurasian Journal of Medicine 45(1): 16-20



Human papillomavirus virus (HPV) is the major causative factor for cervical cancer, and sex workers are at high risk for HPV infection. In this study, we aimed to estimate the prevalence and risk factors of HPV infection among female sex workers (FSWs). The study included 239 brothel-based FSWs who work in Izmir, Turkey. A self-administered questionnaire for risk factors was completed, and cervical brush samples were taken for HPV detection and typing. HPV detection and typing were performed by multiplex polymerase chain reaction (PCR) and reverse hybridization methods. The risk factors related to HPV infection were determined by multivariate analysis. The prevalence of HPV among FSWs was 20.1%. HPV18 was the most common type (40%), followed by HPV16 (17%) and HPV50 (15%). Logistic regression analysis revealed that being less than 30 years of age, having a high frequency of sexual contacts, smoking, and lack of condom use were significantly associated with HPV infection. FSWs have a high prevalence of HPV infection and are at increased risk for cervical cancer. As they are a priority group for active follow-up, national strategies for reducing HPV among FSWs and regular cervical cancer screening programs should be implemented for this population. İnsan papillomavirus (HPV) infeksiyonu servikal kanserin major nedenlerinden biridir ve seks işçileri HPV infeksiyonu için öncelikli risk grubudur. Bu çalışmada bölgemizde seks işçilerinde HPV infeksiyonu prevalansı ve risk faktörlerinin belirlenmesi amaçlanmıştır. Genelevde çalışan 239 kadın işçi çalışmaya dahil edilmiştir. Her işçi dağıtılan anket formunu doldurmuş, HPV analizi ve tiplendirme için servikal fırça örnekleri alınmıştır. HPV tespiti ve tiplendirme multiplex polimeraz zincir reaksiyonu (PCR) ve revers hibridizasyon yöntemi ile yapılmıştır. HPV infeksiyonu ile ilgili risk faktörleri multivariyans analizi ile belirlenmiştir. Genelev kadınlarında HPV prevalansı %20.1 olarak bulundu. En sık saptanan serotip HPV18 (%40) idi ve onu sırasıyla HPV16 (%17), HPV50 (%15) izledi. Sık cinsel temas, sigara kullanımı, bariyer kullanılmaması ve 30 yaşın altında olmak HPV infeksiyonu ile anlamlı olarak ilişkili bulundu. Genelev kadınlarında HPV infeksiyonu prevalansı ve servikal kanser riski yüksektir. Aktif izlem gerektiren bu grupta, HPV sıklığının azaltılması için ulusal stratejiler ve düzenli servikal kanser tarama programlarının uygulanması gereklidir.

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Accession: 059094951

Download citation: RISBibTeXText

PMID: 25610243

DOI: 10.5152/eajm.2013.03


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