Prevalence and type distribution of human papillomavirus in 5,000 British Columbia women--implications for vaccination
- PMID: 19475481
- PMCID: PMC2746887
- DOI: 10.1007/s10552-009-9365-4
Prevalence and type distribution of human papillomavirus in 5,000 British Columbia women--implications for vaccination
Abstract
Background: Human papilloma virus (HPV) prevalence studies performed in different regions and population groups across Canada would inform public health decisions regarding implementation of anti-HPV vaccines.
Methods: A total of 8,700 liquid-based specimens from 8,660 women aged 13-86 from throughout British Columbia were collected. DNA was isolated from 4,980 of these samples and assessed for HPV prevalence and type distribution. HPV was detected by PCR analysis using tagged GP5+/6+ consensus primers to amplify the L1 region of HPV; typing was done by bi-directional sequencing of PCR products.
Results: Overall HPV prevalence was 16.8% (age adjusted 15.5%). Prevalence of high-risk HPV was 13.9, and 10.7% of samples contained HPV16. HPV prevalence was highest in the youngest group of women (<20 years). One-third of HPV positive samples contained more than one HPV type. Percentages of low-grade (LGIL) and high-grade intraepithelial lesions (HGIL) containing high-risk HPV are 52.3 and 79.4%, respectively.
Conclusions: Overall HPV prevalence in this study is within the range of estimates from other studies. The prevalence of HPV16 is higher than what is found in other Canadian and international studies. HPV16 and HPV18 compose a majority of the high-risk virus in this study. Use of current HPV vaccines could considerably reduce HPV-related conditions including cervical cancer and procedures such as colposcopy.
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References
-
- {'text': '', 'ref_index': 1, 'ids': [{'type': 'DOI', 'value': '10.1002/(SICI)1096-9896(199909)189:1<12::AID-PATH431>3.0.CO;2-F', 'is_inner': False, 'url': 'https://doi.org/10.1002/(sici)1096-9896(199909)189:1<12::aid-path431>3.0.co;2-f'}, {'type': 'PubMed', 'value': '10451482', 'is_inner': True, 'url': 'https://pubmed.ncbi.nlm.nih.gov/10451482/'}]}
- Walboomers JM, Jacobs MV, Manos MM et al (1999) Human papillomavirus is a necessary cause of invasive cervical cancer worldwide. J Pathol 189:12–19. doi:10.1002/(SICI)1096-9896(199909)189:1<12::AID-PATH431>3.0.CO;2-F - PubMed
-
- {'text': '', 'ref_index': 1, 'ids': [{'type': 'DOI', 'value': '10.1086/425907', 'is_inner': False, 'url': 'https://doi.org/10.1086/425907'}, {'type': 'PubMed', 'value': '15551205', 'is_inner': True, 'url': 'https://pubmed.ncbi.nlm.nih.gov/15551205/'}]}
- Munoz N, Mendez F, Posso H et al (2004) Incidence, duration, and determinants of cervical human papillomavirus infection in a cohort of Colombian women with normal cytological results. J Infect Dis 190:2077–2087. doi:10.1086/425907 - PubMed
-
- {'text': '', 'ref_index': 1, 'ids': [{'type': 'DOI', 'value': '10.1016/S0140-6736(04)17398-4', 'is_inner': False, 'url': 'https://doi.org/10.1016/s0140-6736(04)17398-4'}, {'type': 'PubMed', 'value': '15541448', 'is_inner': True, 'url': 'https://pubmed.ncbi.nlm.nih.gov/15541448/'}]}
- Harper DM, Franco EL, Wheeler C et al (2004) Efficacy of a bivalent L1 virus-like particle vaccine in prevention of infection with human papillomavirus types 16 and 18 in young women: a randomised controlled trial. Lancet 364:1757–1765. doi:10.1016/S0140-6736(04)17398-4 - PubMed
-
- {'text': '', 'ref_index': 1, 'ids': [{'type': 'DOI', 'value': '10.1016/S0140-6736(06)68439-0', 'is_inner': False, 'url': 'https://doi.org/10.1016/s0140-6736(06)68439-0'}, {'type': 'PubMed', 'value': '16631880', 'is_inner': True, 'url': 'https://pubmed.ncbi.nlm.nih.gov/16631880/'}]}
- Harper DM, Franco EL, Wheeler CM et al (2006) Sustained efficacy up to 4.5 years of a bivalent L1 virus-like particle vaccine against human papillomavirus types 16 and 18: follow-up from a randomised control trial. Lancet 367:1247–1255. doi:10.1016/S0140-6736(06)68439-0 - PubMed
-
- {'text': '', 'ref_index': 1, 'ids': [{'type': 'DOI', 'value': '10.1056/NEJMoa020586', 'is_inner': False, 'url': 'https://doi.org/10.1056/nejmoa020586'}, {'type': 'PubMed', 'value': '12444178', 'is_inner': True, 'url': 'https://pubmed.ncbi.nlm.nih.gov/12444178/'}]}
- Koutsky LA, Ault KA, Wheeler CM et al (2002) A controlled trial of a human papillomavirus type 16 vaccine. N Engl J Med 347:1645–1651. doi:10.1056/NEJMoa020586 - PubMed
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