Comparative study of the prevalence of the human papilloma virus in Spanish and foreign women participating in a population screening programme in Castilla y León

Enferm Infecc Microbiol Clin (Engl Ed). 2019 May;37(5):314-318. doi: 10.1016/j.eimc.2018.09.007. Epub 2018 Oct 26.
[Article in English, Spanish]

Abstract

Introduction: The objective of this study was to compare the prevalence of human papilloma virus (HPV) in Spanish and foreign women in a cervical cancer screening programme of Castilla y León and foreign women living in the community who participated in the programme.

Methods: This was an observational, descriptive, cross - sectional, retrospective study of period prevalence. The sample consisted of all the women included in the cervical cancer prevention programme of the Regional Ministry of Health of the Junta de Castilla y León who were screened for cervical cancer during the period from 2012 to 2014, aged between 25 and 64 years of age.

Results: Of the 190,203 cervical smear samples collected, 10.2% were foreign (n=19,329). The prevalence of HPV in the foreign women was 23.51%, significantly higher than in the Spanish women (P<.001). The presence of morphological and microbiological changes in the foreign women was also greater.

Conclusions: This study makes an important contribution, since it comprised a voluminous population screening sample. The prevalence of HPV in the foreign women was significantly higher than in the women born in Spain. It is important to continue studying this type of population, who are difficult to recruit for cultural reasons.

Keywords: Detección precoz del cáncer; Early detection of cancer; Emigrantes e inmigrantes; Emigrants and immigrants; Papillomaviridae; Prevalence; Prevalencia.

Publication types

  • Comparative Study
  • Observational Study

MeSH terms

  • Adult
  • Cross-Sectional Studies
  • Early Detection of Cancer
  • Emigrants and Immigrants
  • Female
  • Humans
  • Middle Aged
  • Papillomaviridae* / isolation & purification
  • Papillomavirus Infections / diagnosis
  • Papillomavirus Infections / epidemiology*
  • Prevalence
  • Retrospective Studies
  • Spain / epidemiology
  • Uterine Cervical Neoplasms / diagnosis
  • Uterine Cervical Neoplasms / epidemiology*
  • Uterine Cervical Neoplasms / virology*
  • Vaginal Smears