Prevalence and risk factors for human papillomavirus infection among female sex workers in Hanoi and Ho Chi Minh City, Viet Nam: a cross-sectional study

Quang Duy Pham; Kiesha Prem; Tuan Anh Le; Nguyen Van Trang; Mark Jit; Tuan Anh Nguyen; Van Cao; Tam-duong Le-ha; Mai Thi Ngoc Chu; Ly Thi Khanh Le; Zheng Quan Toh; Marc Brisson; Suzanne Garland; Gerald Murray; Kathryn Bright; Duc Anh Dang; Hau Phuc Trana; Edward Kim Mulholland

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Prevalence and risk factors for human papillomavirus infection among female sex workers in Hanoi and Ho Chi Minh City, Viet Nam: a cross-sectional study

Author: Quang Duy Pham ¹ ; Kiesha Prem ² ; Tuan Anh Le ³ ; Nguyen Van Trang ³ ; Mark Jit ^{3
,

4
,

5} ; Tuan Anh Nguyen ³ ; Van Cao ¹ ; Tam-Duong Le-Ha ¹ ; Mai Thi Ngoc Chu ³ ; Ly Thi Khanh Le ³ ; Zheng Quan Toh ^{6
,

7
,

8} ; Marc Brisson ^{9
,

10
,

11
,

11
,

12} ; Suzanne Garland ^{13
,

14
,

15
,

16} ; Gerald Murray ^{13
,

14
,

15
,

16} ; Kathryn Bright ^{6
,

7} ; Duc Anh Dang ³ ; Hau Phuc Trana ¹ ; Edward Kim Mulholland ^{2
,

6
,

7
,

8}
Author Information

1. Pasteur Institute of Ho Chi Minh City, Ho Chi Minh City, Viet Nam
2. Department of Infectious Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, United Kingdom
3. National Institute of Hygiene and Epidemiology, Hanoi, Viet Nam
4. School of Public Health, University of Hong Kong, Hong Kong, SAR (China)
5. Public Health England, Modelling and Economics Unit, London, United Kingdom
6. New Vaccines, Murdoch Children&rsquo
7. s Research Institute, Parkville, Victoria, Australia
8. Department of Paediatrics, The University of Melbourne, Parkville, Victoria, Australia
9. Centre de recherche du CHU de Qué
10. bec-Université
11. Laval, Quebec, Canada
12. Department of Social and Preventive Medicine, Université
13. Department of Obstetrics and Gynaecology, The University of Melbourne, Parkville, Victoria, Australia
14. k Centre for Women&rsquo
15. s Infectious Diseases Research, The Royal Women&rsquo
16. s Hospital, Parkville, Australia
Publication Type:Journal Article
From: Western Pacific Surveillance and Response 2022;13(4):1-11
CountryWHO-WPRO
Language:English
Abstract: Objective: Female sex workers (FSWs) are at high risk of human papillomavirus (HPV) infections and cervical cancer due to their high number of sexual partners. The objectives of this study were to determine the prevalence of HPV and identify risk factors for high-risk HPV infection among FSWs in Hanoi and Ho Chi Minh City (HCMC), Viet Nam.
Methods:A cross-sectional study was conducted in Hanoi and HCMC between December 2017 and May 2018. We surveyed and screened 699 FSWs aged ≥18 years for HPV infection and abnormal cytology. A multivariable modified Cox regression model was used to determine risk factors for high-risk HPV infection.
Results:The overall prevalence of any HPV, high-risk HPV and HPV-16/18 infection in the 699 FSWs was 26.3%, 17.6% and 4.0%, respectively, and were similar in both cities. Multiple infections were identified in 127 participants (69.0%).HPV-52 was the most prevalent (7%), followed by HPV-58 (6%). Abnormal cytology was detected in 91 participants (13.0%). FSWs who are divorced (adjusted prevalence ratio [aPR]: 1.96, 95% confidence interval [CI]: 1.01–3.81), widowed (aPR: 3.26, 95% CI: 1.49–7.12) or living alone (aPR: 1.85, 95% CI: 1.01–3.39) were associated with a higher prevalence of high-risk HPV infection.
Full text:2024061814140608060wpsar-13-894.pdf