title: Characterization of genital human papillomavirus infection in women who have or who are at risk of having HIV infection.
abstract: OBJECTIVE
  The purpose of this study was to describe the prevalence of human papillomavirus infection and the likelihood of human papillomavirus expression and Papanicolaou test abnormalities among women who have and who are at risk of having human immunodeficiency virus infection.
  
  
  METHODS
  Cross-sectional analysis of 767 women who had human immunodeficiency virus infection and 390 women who were at risk of having human immunodeficiency virus infection in 4 cities in the United States.
  
  
  RESULTS
  Women who were infected with human immunodeficiency virus were more likely than women who were not infected to have human papillomavirus infection (prevalence ratio, 2.3; 95% CI, 2.0-2.8) but had similar human papillomavirus types. Among women who tested positive for human papillomavirus by polymerase chain reaction, human immunodeficiency virus infection was associated with a high level of human papillomavirus expression (prevalence ratio, 1.3-1.6) and multiple human papillomavirus infections (prevalence ratio, 1.9). However, among women with a high level of human papillomavirus expression or infection with multiple types, there was no association between human immunodeficiency virus serostatus and risk of cervical dysplasia.
  
  
  CONCLUSIONS
  Through its association with a high level of expression and multiple human papillomavirus infections, human immunodeficiency virus infection may increase the risk of cervical dysplasia in women who are infected with human papillomavirus.
authors.affiliation: Centers for Disease Control and Prevention, Atlanta, GA 30333, USA. djj0@cdc.gov
authors.forename: Denise J
authors.initials: DJ
authors.lastname: Jamieson
authors.forename: Ann
authors.initials: A
authors.lastname: Duerr
authors.forename: Robert
authors.initials: R
authors.lastname: Burk
authors.forename: Robert S
authors.initials: RS
authors.lastname: Klein
authors.forename: Pangaja
authors.initials: P
authors.lastname: Paramsothy
authors.forename: Paula
authors.initials: P
authors.lastname: Schuman
authors.forename: Susan
authors.initials: S
authors.lastname: Cu-Uvin
authors.forename: Keerti
authors.initials: K
authors.lastname: Shah
mesh_terms: D000293:Adolescent; D000328:Adult; D003430:Cross-Sectional Studies; D005260:Female; D005831:Genital Diseases, Female / Q000150:complications*; D015658:HIV Infections / Q000150:complications* / Q000209:etiology*; D006801:Humans; D008875:Middle Aged; D027383:Papillomaviridae; D030361:Papillomavirus Infections / Q000150:complications*; D012307:Risk Factors; D014412:Tumor Virus Infections / Q000150:complications*; D002578:Uterine Cervical Dysplasia / Q000209:etiology