Age patterns of human papillomavirus infection as primary screening test for cervical cancer and subsequent triage with visual inspection in Honduras

Objective. To evaluate age patterns in human papillomavi­rus (HPV) prevalence and visual inspection with acetic acid (VIA) positivity among women participating in cervical cancer screening in Honduras. Materials and methods. Data on the HPV status (careHPV) and subsequent VIA in HPV-positive women w...

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Main Authors: Manuel Sandoval, Francesca Holme, Saul Lobo, Rose Slavkovsky, Kerry A Thomson, Jose Jeronimo, Jaqueline Figueroa, Silvia de Sanjose
Format: Article
Language:English
Published: Instituto Nacional de Salud Pública 2020-08-01
Series:Salud Pública de México
Subjects:
Online Access:https://saludpublica.mx/index.php/spm/article/view/10979
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author Manuel Sandoval
Francesca Holme
Saul Lobo
Rose Slavkovsky
Kerry A Thomson
Jose Jeronimo
Jaqueline Figueroa
Silvia de Sanjose
author_facet Manuel Sandoval
Francesca Holme
Saul Lobo
Rose Slavkovsky
Kerry A Thomson
Jose Jeronimo
Jaqueline Figueroa
Silvia de Sanjose
author_sort Manuel Sandoval
collection DOAJ
description Objective. To evaluate age patterns in human papillomavi­rus (HPV) prevalence and visual inspection with acetic acid (VIA) positivity among women participating in cervical cancer screening in Honduras. Materials and methods. Data on the HPV status (careHPV) and subsequent VIA in HPV-positive women were retrieved from three provinces within the Public Health Sector. Results. Between 2015 and 2018, 60 883 women aged 15-85 years were screened. HPV was detected in 15%, with variation by age, peaking at 20-24 years (27.8%) decreasing to 16% at 30-49 years. Differences in point age– specific HPV prevalence were observed between provinces, but with similar age pattern. VIA was positive in 24.5% of the women aged 30-44 years. Conclusions. The age pattern of the HPV prevalence supports starting HPV testing at age 30+. The low positivity of VIA in ages close to menopause suggest underdetection of cervical lesions in this age group.
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spelling doaj.art-5620401a5d89420a9685e64d711b57de2022-12-21T23:04:39ZengInstituto Nacional de Salud PúblicaSalud Pública de México0036-36342020-08-01625, sep-oct48749310.21149/1097910067Age patterns of human papillomavirus infection as primary screening test for cervical cancer and subsequent triage with visual inspection in HondurasManuel Sandoval0Francesca Holme1Saul Lobo2Rose Slavkovsky3Kerry A Thomson4Jose Jeronimo5Jaqueline Figueroa6Silvia de SanjoseAsociación Hondureña de Planificación de Familia (ASHONPLAFA), Colonia Alameda N° 2002 Calle Principal, Tegucigalpa, HondurasPATHASHONPLAFAPATHPATHConsultant José Jeronimo Consulting, Damascus, MD, USASecretaría de Salud de Honduras, Tegucigalpa, HondurasObjective. To evaluate age patterns in human papillomavi­rus (HPV) prevalence and visual inspection with acetic acid (VIA) positivity among women participating in cervical cancer screening in Honduras. Materials and methods. Data on the HPV status (careHPV) and subsequent VIA in HPV-positive women were retrieved from three provinces within the Public Health Sector. Results. Between 2015 and 2018, 60 883 women aged 15-85 years were screened. HPV was detected in 15%, with variation by age, peaking at 20-24 years (27.8%) decreasing to 16% at 30-49 years. Differences in point age– specific HPV prevalence were observed between provinces, but with similar age pattern. VIA was positive in 24.5% of the women aged 30-44 years. Conclusions. The age pattern of the HPV prevalence supports starting HPV testing at age 30+. The low positivity of VIA in ages close to menopause suggest underdetection of cervical lesions in this age group.https://saludpublica.mx/index.php/spm/article/view/10979screeningcervical cancerhuman papillomavirusvisual inspection
spellingShingle Manuel Sandoval
Francesca Holme
Saul Lobo
Rose Slavkovsky
Kerry A Thomson
Jose Jeronimo
Jaqueline Figueroa
Silvia de Sanjose
Age patterns of human papillomavirus infection as primary screening test for cervical cancer and subsequent triage with visual inspection in Honduras
Salud Pública de México
screening
cervical cancer
human papillomavirus
visual inspection
title Age patterns of human papillomavirus infection as primary screening test for cervical cancer and subsequent triage with visual inspection in Honduras
title_full Age patterns of human papillomavirus infection as primary screening test for cervical cancer and subsequent triage with visual inspection in Honduras
title_fullStr Age patterns of human papillomavirus infection as primary screening test for cervical cancer and subsequent triage with visual inspection in Honduras
title_full_unstemmed Age patterns of human papillomavirus infection as primary screening test for cervical cancer and subsequent triage with visual inspection in Honduras
title_short Age patterns of human papillomavirus infection as primary screening test for cervical cancer and subsequent triage with visual inspection in Honduras
title_sort age patterns of human papillomavirus infection as primary screening test for cervical cancer and subsequent triage with visual inspection in honduras
topic screening
cervical cancer
human papillomavirus
visual inspection
url https://saludpublica.mx/index.php/spm/article/view/10979
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