Treatment and Follow-up of Human Papillomavirus Infected Women in a Municipality in Southern Brazil

Ruggeri, Joao Batista; Agnolo, Catia Millene Dell; Gravena, Angela Andreia Franca; Demitto, Marcela de Oliveira; Lopes, Tiara Cristina Romeiro; Delatorre, Silvana; Carvalho, Maria Dalva de Barros; Consolaro, Marcia Edilaine Lopes; Pelloso, Sandra Marisa

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저자정보: Ruggeri, Joao Batista (Post-Graduate Program in Health Sciences, Maringa State University, Maringa, Parana, Programa de Pos Graduacao em Ciencias da Saude, Universidade Estadual de Maringa, Universidad) Agnolo, Catia Millene Dell (Post-Graduate Program in Health Sciences, Maringa State University, Maringa, Parana, Programa de Pos Graduacao em Ciencias da Saude, Universidade Estadual de Maringa, Univer) Gravena, Angela Andreia Franca (Post-Graduate Program in Health Sciences, Maringa State University, Maringa, Parana, Programa de Pos Graduacao em Ciencias da Saude, Universidade Estadual de Maringa, Un) Demitto, Marcela de Oliveira (Post-Graduate Program in Health Sciences, Maringa State University, Maringa, Parana, Programa de Pos Graduacao em Ciencias da Saude, Universidade Estadual de Maringa, Univ) Lopes, Tiara Cristina Romeiro (Post-Graduate Program in Health Sciences, Maringa State University, Maringa, Parana, Programa de Pos Graduacao em Ciencias da Saude, Universidade Estadual de Maringa, Uni) Delatorre, Silvana Carvalho, Maria Dalva de Barros Consolaro, Marcia Edilaine Lopes Pelloso, Sandra Marisa

저널정보: 아시아태평양암예방학회 Asian Pacific journal of cancer prevention : APJCP Asian Pacific journal of cancer prevention : APJCP 제16권 제15호

발행연도: 2015.1

수록면: 6,521 - 6,526 (6page)

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Background: This study aimed toanalyze the risk behavior for cervical cancer (CC) and the human papillomavirus (HPV) prevalence and resolution among women who received care through the private healthcare network of a municipality in southern Brazil. Materials and Methods: This descriptive and retrospective study was conducted with 25 women aged 20 to 59 years who received care through the private healthcare network and were treated at a specialty clinic in the period from January to December 2012 in a municipality in Northwest Parana, Southern Brazil. Data from medical records with cytological and HPV results were used. Following treatment, these women were followed-up and reassessed after 6 months. Data were statistically analyzed using the t-test and chi-squared test at a 5% significance level. Results: The mean age of the studied women was $27.8{\pm}7.75$ years old, and the majority were married, with paid employment and were non-smokers. The mean age at menarche was $13.0{\pm}0.50$ years old, and the mean age at first intercourse was $17.5{\pm}1.78$ years, with only 8.0% (2) initiating sexual activity at an age ${\leq}15$ years old. The majority had 1 to 2 children (60.0%), while 88.0% reported having had one sexual partner in their lifetime, and all the women were sexually active. A total of 68.0% used a hormonal contraceptive method. All the women had leukorrhea and pain and were infected by a single HPV type. Regarding the lesion grade, 80.0% showed high risk and 20.0% low risk. The most prevalent high-risk HPV strain was 16. Conclusions: These findings provide relevant information on HPV risk factors and infection, as well as the treatment and 6-month follow-up results, in economically and socially advantaged women with no traditional risk factors, corroborating previous reports that different risk factors may be described in different populations. Thus, this study reinforces the fact that even women without the traditional risk factors should undergo HPVmonitoring and assessment to determine the persistence of infection, promoting early diagnosis of the lesions presented and appropriate treatment to thus prevent the occurrence of CC.

#HPV #treatment #cervical cancer #cancer screening #Brazil

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Ruggeri, Joao Batista

소속기관 Post-Graduate Program in Health Sciences, Maringa State University, Maringa, Parana, Programa de Pos