ABSTRACT
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
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
Subject(s)
Humans , Female , Adult , Middle Aged , Papillomavirus Infections/epidemiology , Papillomaviridae/isolation & purification , Mass Screening/methods , Uterine Cervical Neoplasms/epidemiology , Papillomavirus Infections/microbiology , Spain/epidemiology , Early Detection of Cancer , Cross-Sectional Studies , Retrospective Studies , Emigrants and Immigrants/statistics & numerical dataABSTRACT
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.
Subject(s)
Papillomaviridae , Papillomavirus Infections/epidemiology , Uterine Cervical Neoplasms/epidemiology , Uterine Cervical Neoplasms/virology , Adult , Cross-Sectional Studies , Early Detection of Cancer , Emigrants and Immigrants , Female , Humans , Middle Aged , Papillomaviridae/isolation & purification , Papillomavirus Infections/diagnosis , Prevalence , Retrospective Studies , Spain/epidemiology , Uterine Cervical Neoplasms/diagnosis , Vaginal SmearsABSTRACT
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