826. HIV Infection and HPV Genotype Patterns among Young Women with Advanced Cervical Neoplasia in Davidson County, Tennessee Article Swipe
Leahanne Giffin
,
Yuwei Zhu
,
Manideepthi Pemmaraju
,
Sheelah Blankenship
,
Emmanuel Sackey
,
Troy D. Querec
,
Elizabeth R. Unger
,
Angela A. Cleveland
,
Julia M. Gargano
,
Jessica L. Castilho
·
YOU?
·
· 2021
· Open Access
·
· DOI: https://doi.org/10.1093/ofid/ofab466.1022
YOU?
·
· 2021
· Open Access
·
· DOI: https://doi.org/10.1093/ofid/ofab466.1022
Background Women living with HIV (WLWH) experience high rates of human papillomavirus (HPV) infection and increased risk of cervical cancer. High-risk HPV (HR-HPV) types 16/18 cause most cervical precancers and cancers in women with and without HIV. However, contributions of other HR-HPV types to cervical disease among WLWH are not fully understood. We compared CIN2+ cases (cervical intraepithelial neoplasia grade 2 or higher or adenocarcinoma in situ) and the association between non-16/18 HPV types among women with and without HIV. Methods Davidson County, Tennessee, women aged 18-39 years with CIN2+ diagnosed between 2008-2016 with HPV genotyping were included. HIV status, demographics, and histology were abstracted from medical records. Neighborhood-level socioeconomic factors were derived from Integrated Public Use Microdata Series. Archived cervical tissue was tested for 37 HPV types to define CIN2+ cases negative for HPV 16/18, regardless of presence of other HR-HPV strains. Characteristics of women with CIN2+ and HPV typing patterns were compared between women with and without HIV using Wilcoxon and Chi-square tests. Logistic regression assessed the association of non-16/18 HPV types and HIV infection, adjusting for age, race, calendar year, insurance, HPV vaccination, and neighborhood socioeconomic factors (selected a priori). Results Among 2,116 women included, 1,093 (52%) had neither HPV16 nor HPV18. Compared to women without HIV, the 27 WLWH included were more likely to be >30 years of age, Black race, and live in neighborhoods with higher measures of poverty (Table 1). HPV types did not statistically differ by HIV status, though WLWH had a higher number of HR-HPV types present (Table 2). HIV infection was not significantly associated with non-16/18 HPV type after adjusting for confounders (adjusted OR 0.86 [95%CI: 0.4-1.88]). Conclusion Among women with CIN2+, HIV infection was not significantly associated with non-16/18 HPV types. However, WLWH had a higher number of high-risk HPV types detected. Our study was limited by the small number of WLWH included. Disclosures All Authors: No reported disclosures
Related Topics
Concepts
Medicine
Cervical cancer
Cervical intraepithelial neoplasia
HPV infection
Gynecology
Socioeconomic status
Obstetrics
Logistic regression
Demography
Internal medicine
Cancer
Population
Environmental health
Sociology
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1093/ofid/ofab466.1022
- https://academic.oup.com/ofid/article-pdf/8/Supplement_1/S505/41526579/ofab466.1022.pdf
- OA Status
- gold
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4200136477
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4200136477Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1093/ofid/ofab466.1022Digital Object Identifier
- Title
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826. HIV Infection and HPV Genotype Patterns among Young Women with Advanced Cervical Neoplasia in Davidson County, TennesseeWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2021Year of publication
- Publication date
-
2021-11-01Full publication date if available
- Authors
-
Leahanne Giffin, Yuwei Zhu, Manideepthi Pemmaraju, Sheelah Blankenship, Emmanuel Sackey, Troy D. Querec, Elizabeth R. Unger, Angela A. Cleveland, Julia M. Gargano, Jessica L. CastilhoList of authors in order
- Landing page
-
https://doi.org/10.1093/ofid/ofab466.1022Publisher landing page
- PDF URL
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https://academic.oup.com/ofid/article-pdf/8/Supplement_1/S505/41526579/ofab466.1022.pdfDirect link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
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https://academic.oup.com/ofid/article-pdf/8/Supplement_1/S505/41526579/ofab466.1022.pdfDirect OA link when available
- Concepts
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Medicine, Cervical cancer, Cervical intraepithelial neoplasia, HPV infection, Gynecology, Socioeconomic status, Obstetrics, Logistic regression, Demography, Internal medicine, Cancer, Population, Environmental health, SociologyTop concepts (fields/topics) attached by OpenAlex
- Cited by
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0Total citation count in OpenAlex
- Related works (count)
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10Other works algorithmically related by OpenAlex
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