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Human papillomavirus detection in cervical scrapes from women attended in the Family Health Program 1 1 Paper extracted from master's thesis "Infecção por papilomavirus humano e fatores associados a não adesão ao exame de Papanicolau em mulheres atendidas no Programa Médico de Família, Niterói-RJ" presented to Universidade Federal Fluminense, Niterói, RJ, Brazil. Supported by Pró-Reitoria de Pesquisa, Pós-Graduação e Inovação, Universidade Federal Fluminense (FOPESQ/PROPPi-UFF), process # 23069.051782/2010-36.

OBJECTIVES:

to survey the prevalence of human papillomavirus, associated risk factors and genotype distribution in women who were referred to cervical cancer screening when attended in a Family Health Program.

METHOD:

we conducted a cross-sectional survey, investigating 351 women. Polymerase chain reaction for DNA amplification and restriction fragment length polymorphism analysis were used to detect and typify the papillomavirus.

RESULTS:

virus infection was detected in 8.8% of the samples. Among the 21 different genotypes identified in this study, 14 were high risk for cervical cancer, and the type 16 was the most prevalent type. The infection was associated with women who had non-stable sexual partners. Low risk types were associated with younger women, while the high risk group was linked to altered cytology.

CONCLUSION:

in this sample attended a Family Health Program, we found a low rate of papillomavirus infection. Virus frequency was associated to sexual behavior. However, the broad range of genotypes detected deserves attention regarding the vaccine coverage, which includes only HPV prevalent types.

Papillomavirus Infections; Genotype; Preventive Health Services


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