Bacterial Vaginosis and the Natural History of Human Papillomavirus

Objective. To evaluate associations between common vaginal infections and human papillomavirus (HPV). Study Design. Data from up to 15 visits on 756 HIV-infected women and 380 high-risk HIV-uninfected women enrolled in the HIV Epidemiology Research Study (HERS) were evaluated for associations of ba...

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Main Authors: King, Caroline C., Jamieson, Denise J., Wiener, Jeffrey, Cu-Uvin, Susan, Klein, Robert S., Rompalo, Anne M., Shah, Keerti V., Sobel, Jack D.
Format: Online
Language:English
Published: Hindawi Publishing Corporation 2011
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3159014/
id pubmed-3159014
recordtype oai_dc
spelling pubmed-31590142011-08-25 Bacterial Vaginosis and the Natural History of Human Papillomavirus King, Caroline C. Jamieson, Denise J. Wiener, Jeffrey Cu-Uvin, Susan Klein, Robert S. Rompalo, Anne M. Shah, Keerti V. Sobel, Jack D. Research Article Objective. To evaluate associations between common vaginal infections and human papillomavirus (HPV). Study Design. Data from up to 15 visits on 756 HIV-infected women and 380 high-risk HIV-uninfected women enrolled in the HIV Epidemiology Research Study (HERS) were evaluated for associations of bacterial vaginosis, trichomoniasis, and vaginal Candida colonization with prevalent HPV, incident HPV, and clearance of HPV in multivariate analysis. Results. Bacterial vaginosis (BV) was associated with increased odds for prevalent (aOR = 1.14, 95% CI: 1.04, 1.26) and incident (aOR = 1.24, 95% CI: 1.04, 1.47) HPV and with delayed clearance of infection (aHR = 0.84, 95% CI: 0.72, 0.97). Whereas BV at the preceding or current visit was associated with incident HPV, in an alternate model for the outcome of incident BV, HPV at the current, but not preceding, visit was associated with incident BV. Conclusion. These findings underscore the importance of prevention and successful treatment of bacterial vaginosis. Hindawi Publishing Corporation 2011 2011-08-16 /pmc/articles/PMC3159014/ /pubmed/21869857 http://dx.doi.org/10.1155/2011/319460 Text en Copyright © 2011 Caroline C. King et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
repository_type Open Access Journal
institution_category Foreign Institution
institution US National Center for Biotechnology Information
building NCBI PubMed
collection Online Access
language English
format Online
author King, Caroline C.
Jamieson, Denise J.
Wiener, Jeffrey
Cu-Uvin, Susan
Klein, Robert S.
Rompalo, Anne M.
Shah, Keerti V.
Sobel, Jack D.
spellingShingle King, Caroline C.
Jamieson, Denise J.
Wiener, Jeffrey
Cu-Uvin, Susan
Klein, Robert S.
Rompalo, Anne M.
Shah, Keerti V.
Sobel, Jack D.
Bacterial Vaginosis and the Natural History of Human Papillomavirus
author_facet King, Caroline C.
Jamieson, Denise J.
Wiener, Jeffrey
Cu-Uvin, Susan
Klein, Robert S.
Rompalo, Anne M.
Shah, Keerti V.
Sobel, Jack D.
author_sort King, Caroline C.
title Bacterial Vaginosis and the Natural History of Human Papillomavirus
title_short Bacterial Vaginosis and the Natural History of Human Papillomavirus
title_full Bacterial Vaginosis and the Natural History of Human Papillomavirus
title_fullStr Bacterial Vaginosis and the Natural History of Human Papillomavirus
title_full_unstemmed Bacterial Vaginosis and the Natural History of Human Papillomavirus
title_sort bacterial vaginosis and the natural history of human papillomavirus
description Objective. To evaluate associations between common vaginal infections and human papillomavirus (HPV). Study Design. Data from up to 15 visits on 756 HIV-infected women and 380 high-risk HIV-uninfected women enrolled in the HIV Epidemiology Research Study (HERS) were evaluated for associations of bacterial vaginosis, trichomoniasis, and vaginal Candida colonization with prevalent HPV, incident HPV, and clearance of HPV in multivariate analysis. Results. Bacterial vaginosis (BV) was associated with increased odds for prevalent (aOR = 1.14, 95% CI: 1.04, 1.26) and incident (aOR = 1.24, 95% CI: 1.04, 1.47) HPV and with delayed clearance of infection (aHR = 0.84, 95% CI: 0.72, 0.97). Whereas BV at the preceding or current visit was associated with incident HPV, in an alternate model for the outcome of incident BV, HPV at the current, but not preceding, visit was associated with incident BV. Conclusion. These findings underscore the importance of prevention and successful treatment of bacterial vaginosis.
publisher Hindawi Publishing Corporation
publishDate 2011
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3159014/
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