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HPV-positive women living in isolated areas in Amazonas, Brazil: Clinical-epidemiological profile and cytological findings

Abstract Background: Cervical cancer (CC) is associated with persistent high-risk human papillomavirus (HPV) infection and it causes about 265,000 deaths per year worldwide, thus becoming an important public health problem. Objective: This study aimed to describe the epidemiological profile, clinica...

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Main Authors: Josiane Montanho Mariño (Author), Danielle Albuquerque Pires Rocha (Author), Renato dos Santos Reis (Author), Marly Gomes de Souza (Author), Silvia Caroline Camargo Soares (Author), Jéssica Caroline Alves Portugal (Author), Marcelo Henrique dos Reis (Author), José Eduardo Levi (Author), Kátia Luz Torres Silva (Author)
Format: Book
Published: Instituto de Estudos em Saúde Coletiva da Universidade Federal do Rio de Janeiro, 2024-07-01T00:00:00Z.
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Summary:Abstract Background: Cervical cancer (CC) is associated with persistent high-risk human papillomavirus (HPV) infection and it causes about 265,000 deaths per year worldwide, thus becoming an important public health problem. Objective: This study aimed to describe the epidemiological profile, clinical history, and cytological findings of 55 women infected with HPV living in remote areas in Amazonas, Brazil. Method: The samples were obtained by self-collection using the Rovers® Evalyn® Brush for HPV detection through PCR. The cytological examination was performed by liquid-based cytology. Results: The mean age of participants was 35 years (SD=14). Most of the women presented low or no schooling (52.7%), lived in stable relationship with a partner (74.5%), and had three to five children (32.7%). Inconsistent use of condoms by most of the participants ("never" - 34.5% and "sometimes" - 41.8%) was observed. Cytopathological examinations showed that 14 (25.4%) women had cytological alterations: 7 atypical squamous cells of undetermined significance (50.0%), 5 low-grade squamous intraepithelial lesions (35.7%), and 2 high-grade squamous intraepithelial lesions (14.3%). Conclusion: As cervical lesions have been caused by persistent HPV infection over the years, CC Prevention Programs use effective strategies to follow up on HPV-positive women living in remote areas.
Item Description:1414-462X
10.1590/1414-462x202432010365

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