Seroprevalence of human papillomavirus-16, -18, -31, and -45 in a population-based cohort of 10 000 women in Costa Rica
2003

HPV Seroprevalence in Costa Rican Women

Sample size: 10049 publication Evidence: high

Author Information

Author(s): Wang S S, Schiffman M, Shields T S, Herrero R, Hildesheim A, Bratti M C, Sherman M E, Rodriguez A C, Castle P E, Morales J, Alfaro M, Wright T, Chen S, Clayman B, Burk R D, Viscidi R P

Primary Institution: National Cancer Institute

Hypothesis

What is the seroprevalence of oncogenic HPV types in a population-based cohort of women in Costa Rica?

Conclusion

The study found that the seroprevalence of HPV-16, -18, -31, and -45 in Costa Rican women was significantly higher than the prevalence of HPV DNA.

Supporting Evidence

  • The seroprevalence for HPV-16 was 15.4%, HPV-18 was 15.5%, HPV-31 was 16.5%, and HPV-45 was 11.1%.
  • Women who were HPV DNA-positive had a higher seroprevalence compared to those who were HPV DNA-negative.
  • The study included a representative sample of the adult female population in Guanacaste, Costa Rica.

Takeaway

This study looked at how many women in Costa Rica have been exposed to certain types of HPV, which can cause cervical cancer. They found that many women had antibodies showing past exposure.

Methodology

The study involved serological testing of plasma samples for HPV antibodies and HPV DNA testing on cervical specimens from a cohort of women.

Potential Biases

Potential for assay crossreactivity may have affected seroprevalence estimates.

Limitations

The study did not include HPV DNA measurements in virgins, which may underestimate the true prevalence of HPV.

Participant Demographics

The median age of participants was 38 years, with a range from 18 to 97 years.

Statistical Information

Confidence Interval

95% CI: 1.1–3.7

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1038/sj.bjc.6601272

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