Transmission of cervical human papillomavirus infection by sexual activity: differences between low and high oncogenic risk types

J Infect Dis. 1995 Sep;172(3):756-63. doi: 10.1093/infdis/172.3.756.

Abstract

Not all studies have proven that cervical human papillomavirus (HPV) infection is a sexually acquired condition. Determinants of HPV infection were analyzed in a survey of 718 asymptomatic women in northeastern Brazil. HPV DNA was detected and typed by polymerase chain reaction. HPV types were classified into low- and high-risk groups on the basis of their association with cervical carcinomas. Overall HPV prevalence (18.3%) was moderately associated with age at first intercourse (P = .111, trend) and number of lifetime sex partners (P = .005, trend). However, separate analyses by risk revealed different degrees of association with sexual activity. Except for a positive association with multiple partners among women < 40 years old (P = .034, trend), infection with low-risk types (9.7%) was not correlated with sexual behavior. On the other hand, infection with high-risk HPV types (11.6%) was strongly and independently associated with both multiple partners (P = .009, trend) and age at first intercourse (P = .007, trend) in all age groups.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Age Factors
  • Aged
  • DNA, Viral / analysis*
  • Female
  • Humans
  • Interviews as Topic
  • Male
  • Middle Aged
  • Odds Ratio
  • Papillomaviridae* / isolation & purification
  • Papillomavirus Infections / epidemiology
  • Papillomavirus Infections / transmission*
  • Papillomavirus Infections / virology
  • Risk Factors
  • Sexual Behavior*
  • Sexually Transmitted Diseases / epidemiology
  • Sexually Transmitted Diseases / transmission*
  • Sexually Transmitted Diseases / virology
  • Tumor Virus Infections / epidemiology
  • Tumor Virus Infections / transmission*
  • Tumor Virus Infections / virology
  • Uterine Cervical Diseases / virology*

Substances

  • DNA, Viral