Title
Prevalence of type-specific HPV infection by age and grade of cervical cytology: Data from the ARTISTIC trial
Date Issued
20 May 2008
Access level
open access
Resource Type
journal article
Author(s)
Sargent A.
Bailey A.
Turner A.
Thomson C.
Peto J.
Desai M.
Mather J.
Moss S.
Roberts C.
Kitchener H.C.
London School of Hygiene & Tropical Medicine
Abstract
Human papillomavirus (HPV) infection causes cervical cancer and premalignant dysplasia. Type-specific HPV prevalence data provide a basis for assessing the impact of HPV vaccination programmes on cervical cytology. We report high-risk HPV (HR-HPV) type-specific prevalence data in relation to cervical cytology for 24 510 women (age range: 20-64; mean age 40.2 years) recruited into the ARTISTIC trial, which is being conducted within the routine NHS Cervical Screening Programme in Greater Manchester. The most common HR-HPV types were HPV16, 18, 31, 51 and 52, which accounted for 60% of all HR-HPV types detected. There was a marked decline in the prevalence of HR-HPV infection with age, but the proportion due to each HPV type did not vary greatly with age. Multiple infections were common below the age of 30 years but less so between age 30 and 64 years. Catch-up vaccination of this sexually active cohort would be expected to reduce the number of women with moderate or worse cytology by 45%, but the number with borderline or mild cytology would fall by only 7%, giving an overall reduction of 12% in the number of women with abnormal cytology and 27% in the number with any HR-HPV infection. In the absence of broader cross-protection, the large majority of low-grade and many high-grade abnormalities may still occur in sexually active vaccinated women. © 2008 Cancer Research UK.
Start page
1704
End page
1709
Volume
98
Issue
10
Language
English
OCDE Knowledge area
Epidemiología
Subjects
Scopus EID
2-s2.0-43649088230
PubMed ID
Source
British Journal of Cancer
ISSN of the container
00070920
Source funding
Health Technology Assessment Programme
Sponsor(s)
The ARTISTIC trial is funded by the UK Health Technology Assessment Programme. The Line Blot Assays were kindly provided by Roche.
Sources of information:
Directorio de Producción Científica
Scopus