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Salud Pública de México
Print version ISSN 0036-3634
Abstract
SANDOVAL, Manuel et al. Age patterns of human papillomavirus infection as primary screening test for cervical cancer and subsequent triage with visual inspection in Honduras. Salud pública Méx [online]. 2020, vol.62, n.5, pp.487-493. Epub June 06, 2022. ISSN 0036-3634. https://doi.org/10.21149/10979.
Objective:
To evaluate age patterns in human papillomavirus (HPV) prevalence and visual inspection with acetic acid (VIA) positivity among women participating in cervical cancer screening in Honduras.
Materials and methods:
Data on the HPV status (careHPV) and subsequent VIA in HPV-positive women were retrieved from three provinces within the Public Health Sector.
Results:
Between 2015 and 2018, 60 883 women aged 15-85 years were screened. HPV was detected in 15%, with variation by age, peaking at 20-24 years (27.8%) decreasing to 16% at 30-49 years. Differences in point age-specific HPV prevalence were observed between provinces, but with similar age pattern. VIA was positive in 24.5% of the women aged 30-44 years.
Conclusions:
The age pattern of the HPV prevalence supports starting HPV testing at age 30+. The low positivity of VIA in ages close to menopause suggest underdetection of cervical lesions in this age group.
Keywords : screening; cervical cancer; human papillomavirus; visual inspection.
