Factores asociados a lesiones servicales o presencia del virus del papiloma humano en dos poblaciones de estudiantes de Lima

María Valderrama C; Francisco E Campos; César P Cárcamo; Patricia J García

doi:10.17843/rpmesp.2007.243.1112

Authors

María Valderrama C Unidad de Epidemiología ETS y VIH, Facultad de Salud Pública, Universidad Peruana Cayetano Heredia. Lima, Perú. Obstetriz.
Francisco E Campos Hospital Nacional Docente Madre Niño San Bartolomé. Lima, Perú. Médico Infectólogo Pediatra. Médico Epidemiólogo.
César P Cárcamo Unidad de Epidemiología ETS y VIH, Facultad de Salud Pública, Universidad Peruana Cayetano Heredia. Lima, Perú. Departamento de Microbiología, Facultad de Ciencias y Filosofía, Universidad Peruana Cayetano Heredia. Médico Epidemiólogo. Médico Infectólogo.
Patricia J García Unidad de Epidemiología ETS y VIH, Facultad de Salud Pública, Universidad Peruana Cayetano Heredia. Lima, Perú. Instituto Nacional de Salud. Lima, Perú. Médico Epidemiólogo. Médico Infectólogo.

DOI:

https://doi.org/10.17843/rpmesp.2007.243.1112

Keywords:

Cervical lesions, Risk factors, Human papilloma virus (HPV), PAP smear, Polymerase chain reaction

Abstract

Objectives: To determine the prevalence and factors associated with cervical lesions or presence of human papilloma virus (HPV) in women students with higher education from 18 to 26 years. Materials and methods: A cross-sectional study in students from two universities and a technical institute in Lima were carried out from August through December 2001. We surveyed women and collected cervical samples for PAP smear and HPV DNA detection for the 6, 11, 16 and 18 strains using polymerase chain reaction (PCR). The analysis was limited to HPV DNA and PAP smear samples of the 321 sexually–active students. Results: The prevalence of HPV (6, 11, 16, 18) was 8,4%, and for cervical lesions were 2,5% (by PAP smear). The cervical lesions or presence of HPV were more frequent in the group of 21 to 23 years (p= 0,024). The difference in age (three or more years) between the oldest sexual partner and the participant was associated significantly to cervical lesions or presence of HPV (OR:8,8; CI95:1,9-39,6). Age of first sexual intercourse, number of sexual partners and condom use, showed no statistical significance. Conclusions: Cervical lesions or presence of HPV are common in this population of young women. Age and the age difference with the oldest sexual partner were associated with cervical lesions or presence of HPV.