PMID- 36817494 OWN - NLM STAT- MEDLINE DCOM- 20230227 LR - 20230227 IS - 2094-7313 (Electronic) IS - 2094-7321 (Print) IS - 2094-7321 (Linking) VI - 13 IP - 4 DP - 2022 Oct-Dec TI - 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. PG - 1-11 LID - 10.5365/wpsar.2022.13.4.894 [doi] AB - 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 (3)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. DISCUSSION: Almost one in five FSWs in Viet Nam are infected with high-risk HPV. This highlights the importance of prevention strategies such as HPV vaccination and screening in this high-risk group. CI - (c) 2022 The authors; licensee World Health Organization. FAU - Pham, Quang Duy AU - Pham QD AD - Pasteur Institute of Ho Chi Minh City, Ho Chi Minh City, Viet Nam. AD - These authors are joint first authors. FAU - Prem, Kiesha AU - Prem K AD - Department of Infectious Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, United Kingdom. AD - These authors are joint first authors. FAU - Le, Tuan Anh AU - Le TA AD - National Institute of Hygiene and Epidemiology, Hanoi, Viet Nam. FAU - Van Trang, Nguyen AU - Van Trang N AD - National Institute of Hygiene and Epidemiology, Hanoi, Viet Nam. FAU - Jit, Mark AU - Jit M AD - Department of Infectious Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, United Kingdom. AD - School of Public Health, University of Hong Kong, Hong Kong, SAR (China). AD - Public Health England, Modelling and Economics Unit, London, United Kingdom. FAU - Nguyen, Tuan Anh AU - Nguyen TA AD - National Institute of Hygiene and Epidemiology, Hanoi, Viet Nam. FAU - Cao, Van AU - Cao V AD - Pasteur Institute of Ho Chi Minh City, Ho Chi Minh City, Viet Nam. FAU - Le-Ha, Tam-Duong AU - Le-Ha TD AD - Pasteur Institute of Ho Chi Minh City, Ho Chi Minh City, Viet Nam. FAU - Chu, Mai Thi Ngoc AU - Chu MTN AD - National Institute of Hygiene and Epidemiology, Hanoi, Viet Nam. FAU - Le, Ly Thi Khanh AU - Le LTK AD - National Institute of Hygiene and Epidemiology, Hanoi, Viet Nam. FAU - Toh, Zheng Quan AU - Toh ZQ AD - New Vaccines, Murdoch Children's Research Institute, Parkville, Victoria, Australia. AD - Department of Paediatrics, The University of Melbourne, Parkville, Victoria, Australia. FAU - Brisson, Marc AU - Brisson M AD - Centre de recherche du CHU de Quebec-Universite Laval, Quebec, Canada. AD - Department of Social and Preventive Medicine, Universite Laval, Quebec, Canada. FAU - Garland, Suzanne AU - Garland S AD - Department of Obstetrics and Gynaecology, The University of Melbourne, Parkville, Victoria, Australia. AD - Centre for Women's Infectious Diseases Research, The Royal Women's Hospital, Parkville, Australia. FAU - Murray, Gerald AU - Murray G AD - Department of Obstetrics and Gynaecology, The University of Melbourne, Parkville, Victoria, Australia. AD - Centre for Women's Infectious Diseases Research, The Royal Women's Hospital, Parkville, Australia. FAU - Bright, Kathryn AU - Bright K AD - New Vaccines, Murdoch Children's Research Institute, Parkville, Victoria, Australia. FAU - Dang, Duc Anh AU - Dang DA AD - National Institute of Hygiene and Epidemiology, Hanoi, Viet Nam. FAU - Tran, Hau Phuc AU - Tran HP AD - Pasteur Institute of Ho Chi Minh City, Ho Chi Minh City, Viet Nam. AD - These authors are joint last authors. FAU - Mulholland, Edward Kim AU - Mulholland EK AD - Department of Infectious Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, United Kingdom. AD - New Vaccines, Murdoch Children's Research Institute, Parkville, Victoria, Australia. AD - Department of Paediatrics, The University of Melbourne, Parkville, Victoria, Australia. AD - These authors are joint last authors. LA - eng PT - Journal Article DEP - 20221107 PL - Philippines TA - Western Pac Surveill Response J JT - Western Pacific surveillance and response journal : WPSAR JID - 101558993 RN - human papillomavirus 52 RN - human papillomavirus 58 SB - IM MH - Humans MH - Female MH - *Sex Workers MH - Cities MH - *Papillomavirus Infections/epidemiology MH - Cross-Sectional Studies MH - Human Papillomavirus Viruses MH - Prevalence MH - Vietnam/epidemiology MH - Human papillomavirus 16 MH - Human papillomavirus 18 MH - Risk Factors PMC - PMC9912289 COIS- Suzanne M. Garland has received grants through her institution from Merck and has delivered lectures and received speaking fees from MSD for work performed in her personal time. All other authors report no conflicts of interest. EDAT- 2023/02/24 06:00 MHDA- 2023/03/03 06:00 PMCR- 2022/11/07 CRDT- 2023/02/23 09:36 PHST- 2023/02/23 09:36 [entrez] PHST- 2023/02/24 06:00 [pubmed] PHST- 2023/03/03 06:00 [medline] PHST- 2022/11/07 00:00 [pmc-release] AID - wpsar-13-894 [pii] AID - 10.5365/wpsar.2022.13.4.894 [doi] PST - epublish SO - Western Pac Surveill Response J. 2022 Nov 7;13(4):1-11. doi: 10.5365/wpsar.2022.13.4.894. eCollection 2022 Oct-Dec.