Determinants of genital human papillomavirus infection in low-income women in washington, D.C

Allan Hildesheim, Patti Gravitt, Mark H. Schiffman, Robert J. Kurman, Willard Barnes, Sidney Jones, Jean Gilles Tchabo, Louise A. Brinton, Christie Copeland, Janet Epp, M. Michele Manos

Research output: Contribution to journalArticlepeer-review

147 Scopus citations


Objectives: To confirm the risk factors for genital human papillomavirus (HPV) infection. Goal of this Study: To investigate risk factors for HPV detection independent of the correlated risk factors for cervical neoplasia, in a high-risk population. Study Design: We investigated 404 cytologically normal women attending medical assistance clinics in the Washington, D.C. area. Risk factor information was obtained and a cervico- vaginal lavage was collected and used for HPV detection and typing by a PCR-based technique. Results: The point prevalence of HPV was 33.7%. This contrasts with the 17.7% and 44.3% observed in the companion reports published in this issue of the journal.1,2 HPV prevalence decreased with age and increased with greater numbers of sexual partners. Moreover, more recent sexual behavior was a better predictor of current HPV detection than lifetime number of sexual partners. Numbers of pregnancies and current pregnancy were positively associated with HPV prevalence and there was an indication that current oral contraceptive users had a higher prevalence of HPV compared to never users. Smoking was not associated with increased HPV prevalence. Conclusion: Findings support the sexual route of transmission of HPV and confirm the association of HPV detection with age, suggesting the hosts ability to clear infection or the virus ability to become latent.

Original languageEnglish (US)
Pages (from-to)279-285
Number of pages7
JournalSexually transmitted diseases
Issue number5
StatePublished - 1993

ASJC Scopus subject areas

  • Dermatology
  • Public Health, Environmental and Occupational Health
  • Microbiology (medical)
  • Infectious Diseases


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