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Inicio Enfermedades Infecciosas y Microbiología Clínica (English Edition) Comparative study of the prevalence of the human papilloma virus in Spanish and ...
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Vol. 37. Issue 5.
Pages 314-318 (May 2019)
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Vol. 37. Issue 5.
Pages 314-318 (May 2019)
Original article
DOI: 10.1016/j.eimce.2019.03.003
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
Estudio comparativo de la prevalencia de virus de papiloma humano en las mujeres españolas y extranjeras, participantes en un programa de cribado poblacional en Castilla y León
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Sara García-Villanuevaa,
Corresponding author
saragarciavillanueva@gmail.com

Corresponding author.
, Marta Domínguez-Gil Gonzálezb, Jorge Gayete Martínezb, Juan Luis Muñoz Bellidoa, José Santos Salas Valienc, Celina Echevarria Iturbed, Manuel González Sagradob, José María Jiménez Pérezb, Aitor Curiel de Arcaute Lópeze, Silvia Rojo Rellof, José María Eiros Bouzab, Raúl Ortiz de Lejarazu Leonardof
a Hospital Universitario Clínico de Salamanca, Salamanca, Spain
b Hospital Universitario Río Hortega, Valladolid, Spain
c Hospital Universitario de León, León, Spain
d Hospital Universitario de Burgos, Burgos, Spain
e Facultad de Medicina de Valladolid , Valladolid, Spain
f Hospital Clínico Universitario de Valladolid, Valladolid, Spain
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Table 1. Age distribution of the Spanish and foreign women included in the PPDCx (2012–2014) of the Regional Government of Castile and León.
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:
Papillomaviridae
Early detection of cancer
Emigrants and immigrants
Prevalence
Resumen
Introducción

El objetivo propuesto ha sido comparar la prevalencia de virus de papiloma Humano (VPH) en las mujeres españolas y extranjeras pertenecientes al programa de cribado de cáncer de cérvix de Castilla y León, y las mujeres extranjeras residentes en la comunidad que han participado en el programa.

Métodos

Se trata de un estudio observacional descriptivo transversal, retrospectivo, de prevalencia de periodo.

La muestra consta de todas las mujeres incluidas en el programa de prevención de cáncer de cérvix de la Consejería de Sanidad de la Junta de Castilla y León a quienes se realizó una prueba de cribado de cáncer de cérvix, durante el periodo de 2012 a 2014, con edades comprendidas entre los 25 y los 64 años de edad.

Resultados

De las 190.203 muestras de frotis de cérvix recopiladas el 10,2% fueron extranjeras (n=19.329). La prevalencia de VPH en mujeres extranjeras fue del 23,51%, significativamente mayor que en las mujeres españolas (p<0,001). También resultó ser mayor la presencia de alteraciones morfológicas y microbiológicas en las mujeres extranjeras.

Conclusiones

El presente estudio realiza una importante aportación, al tratarse de una voluminosa muestra proveniente de un screening de tipo poblacional. Evidenciando, significativamente, la mayor prevalencia de VPH en mujeres extranjeras que en las mujeres nacidas en España. Siendo importante continuar estudiando este tipo de población que por motivos culturales no es fácil su captación.

Palabras clave:
Papillomaviridae
Detección precoz del cáncer
Emigrantes e inmigrantes
Prevalencia

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