Journal of Oncology
2012

Burden of human papillomavirus among haitian immigrants in Miami, Florida: Community-based participatory research in action (Article) (Open Access)

Kobetz E.* , Kish J.K. , Campos N.G. , Koru-Sengul T. , Bishop I. , Lipshultz H. , Barton B. , Barbee L.
  • a Department of Epidemiology and Public Health, University of Miami Leonard Miller School of Medicine, Clinical Research Building, 1120 NW 14th Street, Miami, FL 33136, United States, Division of Cancer Prevention and Control, University of Miami Sylvester Comprehensive Cancer Center, Miami, FL 33136, United States, Jay Weiss Center for Social Medicine and Health Equity, University of Miami Miller School of Medicine, Miami, FL 33136, United States
  • b Department of Epidemiology and Public Health, University of Miami Leonard Miller School of Medicine, Clinical Research Building, 1120 NW 14th Street, Miami, FL 33136, United States
  • c Center of Excellence for Health Disparities Research: El Centro, School of Nursing and Health Studies, University of Miami, Miami, FL 33146, United States
  • d Department of Epidemiology and Public Health, University of Miami Leonard Miller School of Medicine, Clinical Research Building, 1120 NW 14th Street, Miami, FL 33136, United States, Division of Cancer Prevention and Control, University of Miami Sylvester Comprehensive Cancer Center, Miami, FL 33136, United States
  • e Department of Epidemiology and Public Health, University of Miami Leonard Miller School of Medicine, Clinical Research Building, 1120 NW 14th Street, Miami, FL 33136, United States, Department of Medicine, University of Miami Miller School of Medicine, Miami, FL 33136, United States
  • f Jay Weiss Center for Social Medicine and Health Equity, University of Miami Miller School of Medicine, Miami, FL 33136, United States
  • g Division of Cancer Prevention and Control, University of Miami Sylvester Comprehensive Cancer Center, Miami, FL 33136, United States
  • h Department of Medicine, University of Washington School of Medicine, Seattle, WA 98195, United States

Abstract

Background. Haitian immigrant women residing in Little Haiti, a large ethnic enclave in Miami-Dade County, experience the highest cervical cancer incidence rates in South Florida. While this disparity primarily reflects lack of access to screening with cervical cytology, the burden of human papillomavirus (HPV) which causes virtually all cases of cervical cancer worldwide, varies by population and may contribute to excess rate of disease. Our study examined the prevalence of oncogenic and nononcogenic HPV types and risk factors for HPV infection in Little Haiti. Methods. As part of an ongoing community-based participatory research initiative, community health workers recruited study participants between 2007 and 2008, instructed women on self-collecting cervicovaginal specimens, and collected sociodemographic and healthcare access data. Results. Of the 242 women who contributed adequate specimens, the overall prevalence of HPV was 20.7%, with oncogenic HPV infections (13.2% of women) outnumbering nononcogenic infections (7.4%). Age-specific prevalence of oncogenic HPV was highest in women 18-30 years (38.9%) although the prevalence of oncogenic HPV does not appear to be elevated relative to the general U.S. population. The high prevalence of oncogenic types in women over 60 years may indicate a substantial number of persistent infections at high risk of progression to precancer. Copyright 2012 Erin Kobetz et al.

Author Keywords

[No Keywords available]

Index Keywords

immigrant demography human controlled study nonhuman health auxiliary Wart virus Haiti United States human cell human tissue female uterine cervix cytology prevalence Article major clinical study adult uterine cervix cancer health care access virus load papillomavirus infection participatory research high risk patient
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84859760195&doi=10.1155%2f2012%2f728397&partnerID=40&md5=9b86dae5ab11e4b970eb28359e2b8998
DOI: 10.1155/2012/728397
ISSN: 16878450
Cited by: 12
Original Language: English