Predictors of abnormal cytology among HPV-infected women in remote territories of French Guiana

Autor: Jerome Ponty, Raymond Césaire, Nadia Thomas, Vincent Molinie, Claire Grenier, Valentin Dufit, Maylis Douine, Laure Bianco, Mathieu Nacher, Paul Brousse, Antoine Adenis, Dominique Catherine, Gabriel Carles, Fatiha Najioullah, Odile Kilié, Jean Luc Deshayes, Vincent Lacoste
Přispěvatelé: Centre d'investigation clinique Antilles-Guyane (CIC - Antilles Guyane), Institut National de la Santé et de la Recherche Médicale (INSERM)-CHU Pointe-à-Pitre/Abymes [Guadeloupe] -CHU de la Martinique [Fort de France]-Centre Hospitalier Andrée Rosemon [Cayenne, Guyane Française], Laboratoire de Virologie-Immunologie [Fort de France, Martinique] (EA 4537), Centre Hospitalier Universitaire de Martinique [Fort-de-France, Martinique], Service d'anatomopathologie [Fort de France, Martinique], CHU Fort de France, Centre Hospitalier Andrée Rosemon [Cayenne, Guyane Française], Association Guyanaise Dépistage Organisé des Cancers [Cayenne] (A.G.D.O.C), Département des Centres Délocalisés de Prévention et de Soins [Cayenne, Guyane Française], Centre Hospitalier de l'Ouest Guyanais Franck Joly [Saint-Laurent-du-Maroni, Guyane Française], Laboratoire des Interactions Virus-Hôtes [Cayenne, Guyane Française], Institut Pasteur de la Guyane, Réseau International des Instituts Pasteur (RIIP)-Réseau International des Instituts Pasteur (RIIP), Ecosystemes Amazoniens et Pathologie Tropicale (EPat), Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Guyane (UG), The present study was funded by the European Regional Development Funds (FEDER) N° Presage 30,814., Institut National de la Santé et de la Recherche Médicale (INSERM)-CHU de la Martinique [Fort de France]-CHU Pointe-à-Pitre/Abymes [Guadeloupe] -Centre Hospitalier Andrée Rosemon [Cayenne, Guyane Française]
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Rural Population
[SDV]Life Sciences [q-bio]
Uterine Cervical Neoplasms
MESH: Genotype
0302 clinical medicine
MESH: Rural Population
[SDV.MHEP.MI]Life Sciences [q-bio]/Human health and pathology/Infectious diseases
Cytology
Genotype
Medicine
030212 general & internal medicine
Life history
Papillomaviridae
Anamnesis
MESH: Aged
MESH: Middle Aged
lcsh:Public aspects of medicine
Obstetrics and Gynecology
virus diseases
General Medicine
MESH: Papillomavirus Vaccines
Middle Aged
Abnormal cytology
female genital diseases and pregnancy complications
MESH: Predictive Value of Tests
3. Good health
French Guiana
Vaccination
MESH: Young Adult
030220 oncology & carcinogenesis
[SDV.MP.VIR]Life Sciences [q-bio]/Microbiology and Parasitology/Virology
Female
MESH: Papillomavirus Infections/complications
MESH: DNA
Viral/analysis

Research Article
Adult
medicine.medical_specialty
Cytodiagnosis
Reproductive medicine
[SDV.CAN]Life Sciences [q-bio]/Cancer
MESH: Papillomavirus Infections/prevention & control
lcsh:Gynecology and obstetrics
MESH: Papillomaviridae/isolation & purification
MESH: Cytodiagnosis/statistics & numerical data
03 medical and health sciences
Young Adult
Predictive Value of Tests
Internal medicine
MESH: French Guiana
Humans
Papillomavirus Vaccines
MESH: Papillomaviridae/genetics
Normal cytology
lcsh:RG1-991
Aged
MESH: Uterine Cervical Neoplasms/virology
MESH: Humans
business.industry
Papillomavirus Infections
MESH: Papillomavirus Infections/virology
lcsh:RA1-1270
MESH: Adult
Reproductive Medicine
DNA
Viral

MESH: Uterine Cervical Neoplasms/prevention & control
[SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie
business
MESH: Female
Zdroj: BMC Women's Health
BMC Women's Health, BioMed Central, 2018, 18 (1), ⟨10.1186/s12905-017-0493-9⟩
BMC Women's Health, Vol 18, Iss 1, Pp 1-7 (2018)
ISSN: 1472-6874
Popis: International audience; BACKGROUND: Cervical cancer prevention using cervical cytology is insufficiently sensitive, a significant proportion of HPV-infected women having normal cytology. The objective of the present study was to try to identify factors associated with abnormal cytology in HPV-infected women living in remote areas of French Guiana.METHODS: A study was conducted in women aged 20-65 years having HPV infections confirmed by HPV DNA detection using the GREINER-BIO-ONE kit. In addition to HPV testing, cytology was performed and classified as normal or abnormal. Demographic and life history variables, and infecting genotypes were compared between the normal and abnormal cytology groups.RESULTS: None of the demographic and life history variables were associated with cytology results. HPV genotype 53 was significantly associated with absence of cytological abnormalities whereas HPV 52, 58, 16 and perhaps 33 and 66 were independently associated with a greater risk of cytological abnormalities. When grouping HPV genotypes in different species, only species 9 (HPV 16, 31, 33, 35, 52, 58, 67) was significantly associated with abnormal cytology AOR = 5.1 (95% CI = 2.3-11.2), P
Databáze: OpenAIRE