title: Human papillomavirus infections among Hungarian female sex workers.
abstract: The purpose of this study was to assess the human papillomavirus (HPV) prevalence in cervical, oropharyngeal and anal samples of the high-risk population of Hungarian female sex workers (FSWs). HPV testing of swab specimens from FSWs (n = 34) using polymerase chain reaction (PCR) methodology was performed. Results were compared with control group (n = 52) matched for age. Questionnaires were used to obtain data regarding participants' sexual behaviour. Data were analysed using SPSS. HPV DNA was detected in at least one location in a great majority of FSWs (82.4%), compared with 46.2% of the general female population (P < 0.05). Both the cervical and the anal samples of sex workers showed higher infection rates than those of controls (64.7% vs. 34.6% and 50.0% vs. 15.4%, respectively, P < 0.05). High-risk HPV prevalence was also significantly higher in sex workers (55.9% vs. 25.0%, P < 0.05). A significantly higher proportion of FSWs had a history of genital warts (26.5% vs. 3.8%, P < 0.05). The results suggest that condom use may not result in adequate protection from HPV infection. The high infection rates among FSWs should be viewed as a priority group for HPV and cervical cancer prevention programmes since they are sources of HPV infection for the general population.
authors: Medical School, University of Pecs, Pecs, Hungary.
authors: E
authors: E
authors: Marek
authors: T
authors: T
authors: Dergez
authors: G
authors: G
authors: D'cruz
authors: S
authors: S
authors: Bozsa
authors: A
authors: A
authors: Cseh
authors: I
authors: I
authors: Szilard
authors: M
authors: M
authors: Benczik
authors: I
authors: I
authors: Kiss
authors: D
authors: D
authors: Varszegi
authors: S
authors: S
authors: Vilagi
authors: I
authors: I
authors: Ember
authors: P
authors: P
authors: Gocze
mesh_terms: D000293:Adolescent; D000328:Adult; D001003:Anal Canal / Q000821:virology; D016022:Case-Control Studies; D002584:Cervix Uteri / Q000821:virology; D004279:DNA, Viral / Q000032:analysis; D005260:Female; D005838:Genotype; D006801:Humans; D006814:Hungary / Q000453:epidemiology; D008875:Middle Aged; D009960:Oropharynx / Q000821:virology; D027383:Papillomaviridae / Q000235:genetics; D030361:Papillomavirus Infections / Q000453:epidemiology*; D015995:Prevalence; D012307:Risk Factors; D060386:Sex Workers / Q000706:statistics & numerical data*; D012725:Sexual Behavior / Q000706:statistics & numerical data; D015229:Sexually Transmitted Diseases, Viral / Q000453:epidemiology*; D011795:Surveys and Questionnaires; D055815:Young Adult
chemical_list: D004279:DNA, Viral
keywords: anal; cervical cancer; female sex worker (FSW); human papillomavirus (HPV); oropharynx; prevention; sexually transmitted disease (STD)