The epidemiology of human papillomavirus infection in HIV-positive and HIV-negative high-risk women in Kigali, Rwanda

NJ Veldhuijzen, SL Braunstein, J Vyankandondera, C Ingabire, J Ntirushwa, E Kestelyn, C Tuijn, FW Wit, A Umutoni, M Uwineza, T Crucitti, JHHM van de Wijgert

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    BACKGROUND: The prevalence, incidence and persistence of human papillomavirus (HPV) types in sub-Saharan Africa are not well established. The objectives of the current study are to describe (predictors of) the epidemiology of HPV among high-risk women in Kigali, Rwanda. METHODS: HIV-negative, high-risk women were seen quarterly for one year, and once in Year 2. HIV serostatus, clinical, and behavioral information were assessed at each visit, HPV types at Month 6 and Year 2, and other sexually transmitted infections (STI) at selected visits. HPV prevalence was also assessed in HIV-positive, high-risk women. RESULTS: Prevalence of any HPV was 47.0% in HIV-negative women (median age 25 years) compared to 72.2% in HIV-positive women (median age 27 years; OR 2.9, 95% CI 1.9-4.6). Among HIV-negative women, cumulative incidence of high-risk (HR)-HPV was 28.0% and persistence 32.0% after a mean period of 16.6 and 16.9 months, respectively. Prior Chlamydia trachomatis and Neisseria gonorrhoeae infection, concurrent low-risk (LR)-HPV infection and incident HSV-2 were associated with HR-HPV prevalence among HIV-negative women; prior C. trachomatis infection and co-infection with LR-HPV and HPV16-related HPV types with HR-HPV acquisition. HPV16-related types were the most prevalent and persistent. CONCLUSIONS: High HPV prevalence, incidence and persistence were found among high-risk women in Kigali. HPV52 had the highest incidence; and, together with HPV33 and HPV58, were strongly associated with acquisition of other HR-HPV types in HIV-negative women.
    Original languageEnglish
    JournalBMC Infectious Diseases
    Pages (from-to)333
    Publication statusPublished - 2011


    • B780-tropical-medicine
    • Viral diseases
    • Papillomavirus
    • HPV
    • Cervix neoplasms
    • Cancer
    • HIV
    • AIDS
    • Sexually transmitted diseases
    • STD
    • Chlamydia
    • Chlamydia trachomatis
    • Gonorrhea
    • Neisseria gonorrhoeae
    • Epidemiology
    • Prevalence
    • Incidence
    • Risk groups
    • Women
    • Predictors
    • Correlation
    • Rwanda
    • Africa-Central


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