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Background & Objectives: Human papillomavirus (HPV) infection seems to be the
most common sexually transmitted infection. High-risk (HR) human papillomavirus
(HPV) prevalence has been shown to correlate well with cervical cancer
incidence rates. Since there is little known about the epidemiology of this
infection in Tehran, we designed to estimate the prevalence of HPV in some
areas in Tehran.
Methods: Cervical
specimens were obtained from 825 married women aged 21-59 years from the
general population of Tehran, Iran according to the standardised protocol of
the IARC International HPV surveys. HPV was detected using a GP5+/6+ PCR-based
assay.
Results: HPV
prevalence in the general population was 7.8% (5.1% of high-risk types), with
no statistically significant variations by age. Cervical intraepithelial
neoplasia was diagnosed in 4.1% of women, of whom 35.3% were HPV-positive.
HPV16 was confirmed as the most common type among women with both normal (1.8%)
and abnormal (8.8%) cytology. HPV positivity was significantly higher among divorced
women, women in polygamous marriages and those reporting husbands' extramarital
affairs.
Conclusion: However
the prevalence of HPV seems not high in comparison with other international
data, more molecular and seroepidemiological survey in national level needs to
have a better perspective.
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