High-risk human papillomavirus among HIV-infected women with normal cervical cytology: A pilot study in Jos, Nigeria

Jonah Musa*, Babafemi Taiwo, Chad Achenbach, Silas Olugbenga, Baiba Berzins, Atiene S. Sagay, John A. Idoko, Phyllis J. Kanki, Robert L. Murphy

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

10 Scopus citations

Abstract

Background: Cervical cancer is strongly linked to high-risk human papillomavirus (HR-HPV) and is typically preceded by cytological abnormalities. Less is known in patients with normal cervical cytology (NCC). We investigated the epidemiology of HR-HPV among HIV-infected women with NCC. Methodology: We conducted a cross-sectional study between January and June 2011 among HIV-infected women with NCC at an adult HIV clinic in Jos, Nigeria. Cervical sampling and analysis for HR-HPV by hybrid capture (HC2) with signal amplification was done to determine presence of one or more of the following HR-HPV types: 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59 or 68. Epidemiologic factors associated with HR-HPV were determined using bivariate statistics and multivariate logistic regression. Results: We evaluated 103 HIV-infected women with Pap cytology. The median age of the women was 32 years (range 21-49). Ninety-seven (94.2 %) had NCC. Cervical samples for HR-HPV DNA testing were available from 89/97 (91.8 %) of the HIV-infected women with NCC. Of the 89 women with cervical samples for HR-HPV DNA testing, 40 (44.9 %) had detectable HR-HPV by HC2 giving a HR-HPV prevalence of 44.9 % (95 % CI 33.9-55.5 %). Age < 30 years was associated with HR-HPV (OR 2.69 [95 % CI 1.05-6.91, p = 0.039]) while history of previous abortion showed an inverse association with HR-HPV (OR 0.33[95 % CI 0.15-0.94, p = 0.039]). Conclusion: The prevalence of HR-HPV is seemingly high among HIV-infected women with NCC in our clinical setting. These data provide support for further investigation of the clinical implications of positive HR-HPV among HIV-infected women with NCC report in cervical cancer prevention programs in Nigeria.

Original languageEnglish (US)
Pages (from-to)1365-1370
Number of pages6
JournalArchives of Gynecology and Obstetrics
Volume288
Issue number6
DOIs
StatePublished - Dec 2013

Keywords

  • HIV
  • Human papillomavirus
  • Nigeria
  • Normal cervical cytology

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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