Skip to main content
Top
Published in: Medical Microbiology and Immunology 2/2017

01-04-2017 | Original Investigation

Gender and age-specific seroprevalence of human papillomavirus 16 and 18 in general population in Tehran, Iran

Authors: Arezoo Aghakhani, Setareh Mamishi, Shahram Sabeti, Farahnaz Bidari-Zerehpoosh, Mohammad Banifazl, Anahita Bavand, Amitis Ramezani

Published in: Medical Microbiology and Immunology | Issue 2/2017

Login to get access

Abstract

The assessment of the gender and age-specific seroprevalence of human papillomavirus (HPV) is essential for planning of HPV vaccine implementation into the preventive programs. In this study, we aimed to determine the age-specific seroprevalence of HPV-16 and 18 in both males and females in Tehran, Iran. Three hundred and seventy-eight women (10–35 years) and 162 men (10–25 years) from Tehran, Iran, were enrolled. Anti-HPV IgG antibodies against HPV-16 and HPV-18 were detected by ELISA using papillomavirus type 16 and 18 L1-capsids as antigen. HPV-16 antibody was detected in 15.6 and 13.6% of women and men, respectively. Antibody against HPV-18 was found positive in 12.7 and 8% of women and men, respectively. The highest seroprevalence of HPV-16 and 18 were seen in women aged 26–30 years (22.2 and 19.4%, respectively), and the lowest HPV-16 and 18 seropositivity rates were seen in males and females aged 10–15 years (9.3 and 1.9%, respectively). In our cohort of study, in males, both anti-HPV-16 and 18 increased after age 15 years, peaking in men aged 21–25 years. In women, both HPV-16 and 18 seropositivity increased after 15 years, declined at 21–25 years, peaked in women aged 26–30 years and again decreased after 30 years. Our data showed increasing exposure rate to high-risk HPV vaccine types in our studied population over 15 years of age. In order to prevent the HPV-related cancers, implementation of HPV vaccine into the national immunization program in Iran and vaccination of females and males less than 15 years of age are suggested.
Literature
1.
go back to reference Munoz N, Bosch FX, de Sanjose S, Herrero R, Castellsague X, Shah KV, Snijder PJF, Meijer CJLM (2003) Epidemiologic classification of human papillomavirus types associated with cervical cancer. N Engl J Med 348:518–527CrossRefPubMed Munoz N, Bosch FX, de Sanjose S, Herrero R, Castellsague X, Shah KV, Snijder PJF, Meijer CJLM (2003) Epidemiologic classification of human papillomavirus types associated with cervical cancer. N Engl J Med 348:518–527CrossRefPubMed
2.
go back to reference Einstein MH, Schiller JT, Viscidi RP, Strickler HD, Coursaget P, Tan T, Halsey N, Jenkins D (2009) Clinician’s guide to human papillomavirus immunology: knowns and unknowns. Lancet Infect Dis 9:347–356CrossRefPubMed Einstein MH, Schiller JT, Viscidi RP, Strickler HD, Coursaget P, Tan T, Halsey N, Jenkins D (2009) Clinician’s guide to human papillomavirus immunology: knowns and unknowns. Lancet Infect Dis 9:347–356CrossRefPubMed
3.
go back to reference Parkin DM, Bray F (2006) Chapter 2: the burden of HPV-related cancers. Vaccine 24(S3):11–25CrossRef Parkin DM, Bray F (2006) Chapter 2: the burden of HPV-related cancers. Vaccine 24(S3):11–25CrossRef
4.
go back to reference Balanda M, Quiero A, Espinoza G, Martín HS, Rojas G, Ramírez E (2016) Prevalence of human papillomavirus infection among women presenting for cervical cancer screening in Chile, 2014–2015. Med Microbiol Immunol [Epub ahead of print] Balanda M, Quiero A, Espinoza G, Martín HS, Rojas G, Ramírez E (2016) Prevalence of human papillomavirus infection among women presenting for cervical cancer screening in Chile, 2014–2015. Med Microbiol Immunol [Epub ahead of print]
6.
go back to reference Bruni L, Barrionuevo-Rosas L, Albero G, Serrano B, Mena M, Gómez D, Muñoz J, Bosch FX, de Sanjosé S (2016) ICO Information Centre on HPV and Cancer (HPV Information Centre). Human papillomavirus and related diseases in the world. Summary Report 7 October 2016 [data downloaded at 5 November 2016] Bruni L, Barrionuevo-Rosas L, Albero G, Serrano B, Mena M, Gómez D, Muñoz J, Bosch FX, de Sanjosé S (2016) ICO Information Centre on HPV and Cancer (HPV Information Centre). Human papillomavirus and related diseases in the world. Summary Report 7 October 2016 [data downloaded at 5 November 2016]
7.
go back to reference Bodelon C, Untereiner ME, Machiela MJ, Vinokurova S, Wentzensen N (2016) Genomic characterization of viral integration sites in HPV-related cancers. Int J Cancer 139(9):2001–2011CrossRefPubMed Bodelon C, Untereiner ME, Machiela MJ, Vinokurova S, Wentzensen N (2016) Genomic characterization of viral integration sites in HPV-related cancers. Int J Cancer 139(9):2001–2011CrossRefPubMed
8.
go back to reference Di Giuseppe G, Abbate R, Liguori G, Albano L, Angelillo IF (2008) Human papillomavirus and vaccination: knowledge, attitudes, and behavioural intention in adolescents and young women in Italy. Br J Cancer 99:225–229CrossRefPubMedPubMedCentral Di Giuseppe G, Abbate R, Liguori G, Albano L, Angelillo IF (2008) Human papillomavirus and vaccination: knowledge, attitudes, and behavioural intention in adolescents and young women in Italy. Br J Cancer 99:225–229CrossRefPubMedPubMedCentral
9.
go back to reference Poljak M, Seme K, Maver PJ, Kocjan BJ, Cuschieri KS, Rogovskaya SI, Arbyn M, Syrjänen S (2013) Human papillomavirus prevalence and type-distribution, cervical cancer screening practices and current status of vaccination implementation in Central and Eastern Europe. Vaccine 31(Suppl 7):H59–H70CrossRefPubMed Poljak M, Seme K, Maver PJ, Kocjan BJ, Cuschieri KS, Rogovskaya SI, Arbyn M, Syrjänen S (2013) Human papillomavirus prevalence and type-distribution, cervical cancer screening practices and current status of vaccination implementation in Central and Eastern Europe. Vaccine 31(Suppl 7):H59–H70CrossRefPubMed
10.
go back to reference Hildesheim A, Schiffman MH, Gravitt PE, Glass AG, Greer CE, Zhang T, Scott DR, Rush BB, Lawler P, Sherman ME (1994) Persistence of type specific human papillomavirus infection among cytologically normal women. J Infect Dis 169:235–240CrossRefPubMed Hildesheim A, Schiffman MH, Gravitt PE, Glass AG, Greer CE, Zhang T, Scott DR, Rush BB, Lawler P, Sherman ME (1994) Persistence of type specific human papillomavirus infection among cytologically normal women. J Infect Dis 169:235–240CrossRefPubMed
11.
go back to reference Ho GY, Burk RD, Klein S, Kadish AS, Chang CJ, Palan P, Basu J, Tachezy R, Lewis R, Romney S (1995) Persistent genital human papillomavirus infection as a risk factor for persistent cervical dysplasia. J Natl Cancer Inst 87:1365–1371CrossRefPubMed Ho GY, Burk RD, Klein S, Kadish AS, Chang CJ, Palan P, Basu J, Tachezy R, Lewis R, Romney S (1995) Persistent genital human papillomavirus infection as a risk factor for persistent cervical dysplasia. J Natl Cancer Inst 87:1365–1371CrossRefPubMed
12.
go back to reference Schulze MH, Völker FM, Lugert R, Cooper P, Hasenclever K, Groß U, Pfister H, Silling S (2016) High prevalence of human papillomaviruses in Ghanaian pregnant women. Med Microbiol Immunol [Epub ahead of print] Schulze MH, Völker FM, Lugert R, Cooper P, Hasenclever K, Groß U, Pfister H, Silling S (2016) High prevalence of human papillomaviruses in Ghanaian pregnant women. Med Microbiol Immunol [Epub ahead of print]
13.
go back to reference Schiffman MH, Bauer HM, Hoover RN, Glass AG, Cadell DM, Rush BB, Scott DR, Sherman ME, Kurman RJ, Wacholder S (1993) Epidemiologic evidence showing that human papillomavirus infection causes most cervical intraepithelial neoplasia. J Natl Cancer Inst 85:958–964CrossRefPubMed Schiffman MH, Bauer HM, Hoover RN, Glass AG, Cadell DM, Rush BB, Scott DR, Sherman ME, Kurman RJ, Wacholder S (1993) Epidemiologic evidence showing that human papillomavirus infection causes most cervical intraepithelial neoplasia. J Natl Cancer Inst 85:958–964CrossRefPubMed
14.
go back to reference Moscicki AB, Schiffman M, Burchell A, Albero G, Giuliano AR, Goodman MT, Kjaer SK, Palefsky J (2012) Updating the natural history of human papillomavirus and anogenital cancers. Vaccine 3:24–33CrossRef Moscicki AB, Schiffman M, Burchell A, Albero G, Giuliano AR, Goodman MT, Kjaer SK, Palefsky J (2012) Updating the natural history of human papillomavirus and anogenital cancers. Vaccine 3:24–33CrossRef
15.
go back to reference Jemal A, Bray F, Center MM, Ferlay J, Ward E, Forman D (2011) Global cancer statistics. CA Cancer J Clin 61:69–90CrossRefPubMed Jemal A, Bray F, Center MM, Ferlay J, Ward E, Forman D (2011) Global cancer statistics. CA Cancer J Clin 61:69–90CrossRefPubMed
16.
go back to reference Bruni L, Barrionuevo-Rosas L, Albero G, Aldea M, Serrano B, Valencia S, Brotons M, Mena M, Cosano R, Muñoz J, Bosch FX, de Sanjosé S, Castellsagué X (2016) ICO Information Centre on HPV and Cancer (HPV Information Centre). Human papillomavirus and related diseases in Iran. Summary Report 2016-02-26 [data downloaded at 5 November 2016] Bruni L, Barrionuevo-Rosas L, Albero G, Aldea M, Serrano B, Valencia S, Brotons M, Mena M, Cosano R, Muñoz J, Bosch FX, de Sanjosé S, Castellsagué X (2016) ICO Information Centre on HPV and Cancer (HPV Information Centre). Human papillomavirus and related diseases in Iran. Summary Report 2016-02-26 [data downloaded at 5 November 2016]
17.
go back to reference Jalilvand S, Shoja Z, Nourijelyani K, Tohidi HR, Hamkar R (2015) Meta-analysis of type-specific human papillomavirus prevalence in Iranian women with normal cytology, precancerous cervical lesions and invasive cervical cancer: implications for screening and vaccination. J Med Virol 87(2):287–295CrossRefPubMed Jalilvand S, Shoja Z, Nourijelyani K, Tohidi HR, Hamkar R (2015) Meta-analysis of type-specific human papillomavirus prevalence in Iranian women with normal cytology, precancerous cervical lesions and invasive cervical cancer: implications for screening and vaccination. J Med Virol 87(2):287–295CrossRefPubMed
18.
19.
20.
go back to reference Frazer IH (2009) Interaction of human papillomaviruses with the host immune system: a well evolved relationship. Virology 384(2):410–414CrossRefPubMed Frazer IH (2009) Interaction of human papillomaviruses with the host immune system: a well evolved relationship. Virology 384(2):410–414CrossRefPubMed
21.
go back to reference Franceschi S, Baussano I (2014) Naturally acquired immunity against human papillomavirus (HPV): why it matters in the HPV vaccine era. J Infect Dis 210(4):507–509CrossRefPubMed Franceschi S, Baussano I (2014) Naturally acquired immunity against human papillomavirus (HPV): why it matters in the HPV vaccine era. J Infect Dis 210(4):507–509CrossRefPubMed
22.
go back to reference Garland SM, Hernandez-Avila M, Wheeler CM, Perez G, Harper DM, Leodolter S, Tang GW, Ferris DG, Steben M, Bryan J, Taddeo FJ, Railkar R, Esser MT, Sings HL, Nelson M, Boslego J, Sattler C, Barr E, Koutsky LA; Females United to Unilaterally Reduce Endo/Ectocervical Disease (FUTURE) I Investigators (2007) Quadrivalent vaccine against human papillomavirus to prevent anogenital diseases. N Engl J Med 356:1928–1943CrossRef Garland SM, Hernandez-Avila M, Wheeler CM, Perez G, Harper DM, Leodolter S, Tang GW, Ferris DG, Steben M, Bryan J, Taddeo FJ, Railkar R, Esser MT, Sings HL, Nelson M, Boslego J, Sattler C, Barr E, Koutsky LA; Females United to Unilaterally Reduce Endo/Ectocervical Disease (FUTURE) I Investigators (2007) Quadrivalent vaccine against human papillomavirus to prevent anogenital diseases. N Engl J Med 356:1928–1943CrossRef
23.
go back to reference Villa LL, Costa RL, Petta CA, Andrade RP, Ault KA, Giuliano AR, Wheeler CM, Koutsky LA, Malm C, Lehtinen M, Skjeldestad FE, Olsson SE, Steinwall M, Brown DR, Kurman RJ, Ronnett BM, Stoler MH, Ferenczy A, Harper DM, Tamms GM, Yu J, Lupinacci L, Railkar R, Taddeo FJ, Jansen KU, Esser MT, Sings HL, Saah AJ, Barr E (2005) Prophylactic quadrivalent human papillomavirus (types 6, 11, 16, and 18) L1 virus-like particle vaccine in young women: a randomised double-blind placebo-controlled multicentre phase II efficacy trial. Lancet Oncol 6:271–278CrossRefPubMed Villa LL, Costa RL, Petta CA, Andrade RP, Ault KA, Giuliano AR, Wheeler CM, Koutsky LA, Malm C, Lehtinen M, Skjeldestad FE, Olsson SE, Steinwall M, Brown DR, Kurman RJ, Ronnett BM, Stoler MH, Ferenczy A, Harper DM, Tamms GM, Yu J, Lupinacci L, Railkar R, Taddeo FJ, Jansen KU, Esser MT, Sings HL, Saah AJ, Barr E (2005) Prophylactic quadrivalent human papillomavirus (types 6, 11, 16, and 18) L1 virus-like particle vaccine in young women: a randomised double-blind placebo-controlled multicentre phase II efficacy trial. Lancet Oncol 6:271–278CrossRefPubMed
24.
go back to reference Shin HR, Lee DH, Herrero R, Smith JS, Vaccarella S, Hong SH, Jung KY, Kim HH, Park UD, Cha HS, Park S, Touzé A, Muñoz N, Snijders PJ, Meijer CJ, Coursaget P, Franceschi S (2003) Prevalence of human papillomavirus infection in women in Busan, South Korea. Int J Cancer 103:413–421CrossRefPubMed Shin HR, Lee DH, Herrero R, Smith JS, Vaccarella S, Hong SH, Jung KY, Kim HH, Park UD, Cha HS, Park S, Touzé A, Muñoz N, Snijders PJ, Meijer CJ, Coursaget P, Franceschi S (2003) Prevalence of human papillomavirus infection in women in Busan, South Korea. Int J Cancer 103:413–421CrossRefPubMed
25.
go back to reference Ji J, Sun HK, Smith JS, Wang H, Esser MT, Hu S, Pretorius RG, Chen W, Belinson JL, Qiao YL (2012) Seroprevalence of human papillomavirus types 6, 11, 16 and 18 in Chinese women. BMC Infect Dis 12:137CrossRefPubMedPubMedCentral Ji J, Sun HK, Smith JS, Wang H, Esser MT, Hu S, Pretorius RG, Chen W, Belinson JL, Qiao YL (2012) Seroprevalence of human papillomavirus types 6, 11, 16 and 18 in Chinese women. BMC Infect Dis 12:137CrossRefPubMedPubMedCentral
26.
go back to reference Chen CJ, Viscidi RP, Chuang CH, Huang YC, Chiu CH, Lin TY (2007) Seroprevalence of human papillomavirus types 16 and 18 in the general population in Taiwan: implication for optimal age of human papillomavirus vaccination. J Clin Virol 38(2):126–130CrossRefPubMed Chen CJ, Viscidi RP, Chuang CH, Huang YC, Chiu CH, Lin TY (2007) Seroprevalence of human papillomavirus types 16 and 18 in the general population in Taiwan: implication for optimal age of human papillomavirus vaccination. J Clin Virol 38(2):126–130CrossRefPubMed
27.
go back to reference Dondog B, Clifford GM, Vaccarella S, Waterboer T, Unurjargal D, Avirmed D, Enkhtuya S, Kommoss F, Wentzensen N, Snijders PJ, Meijer CJ, Franceschi S, Pawlita M (2008) Human papillomavirus infection in Ulaanbaatar, Mongolia: a population-based study. Cancer Epidemiol Biomarkers Prev 17:1731–1738CrossRefPubMed Dondog B, Clifford GM, Vaccarella S, Waterboer T, Unurjargal D, Avirmed D, Enkhtuya S, Kommoss F, Wentzensen N, Snijders PJ, Meijer CJ, Franceschi S, Pawlita M (2008) Human papillomavirus infection in Ulaanbaatar, Mongolia: a population-based study. Cancer Epidemiol Biomarkers Prev 17:1731–1738CrossRefPubMed
28.
go back to reference Vaccarella S, Franceschi S, Clifford GM, Touzé A, Hsu CC, de Sanjosé S, Pham TH, Nguyen TH, Matos E, Shin HR, Sukvirach S, Thomas JO, Boursaghin L, Gaitan J, Snijders PJ, Meijer CJ, Muñoz N, Herrero R, Coursaget P, IARC HPV Prevalence Surveys Study Group (2010) Seroprevalence of antibodies against human papillomavirus (HPV) types 16 and 18 in four continents: the International Agency for Research on Cancer HPV Prevalence Surveys. Cancer Epidemiol Biomarkers Prev 19(9):2379–2388CrossRefPubMed Vaccarella S, Franceschi S, Clifford GM, Touzé A, Hsu CC, de Sanjosé S, Pham TH, Nguyen TH, Matos E, Shin HR, Sukvirach S, Thomas JO, Boursaghin L, Gaitan J, Snijders PJ, Meijer CJ, Muñoz N, Herrero R, Coursaget P, IARC HPV Prevalence Surveys Study Group (2010) Seroprevalence of antibodies against human papillomavirus (HPV) types 16 and 18 in four continents: the International Agency for Research on Cancer HPV Prevalence Surveys. Cancer Epidemiol Biomarkers Prev 19(9):2379–2388CrossRefPubMed
29.
go back to reference Safaeian M, Porras C, Schiffman M, Rodriguez AC, Wacholder S, Gonzalez P, Quint W, van Doorn LJ, Sherman ME, Xhenseval V, Herrero R, Hildesheim A, Costa Rican Vaccine Trial Group (2010) Epidemiological study of anti-HPV16/18 seropositivity and subsequent risk of HPV16 and -18 infections. J Natl Cancer Inst 102(21):1653–1662CrossRefPubMedPubMedCentral Safaeian M, Porras C, Schiffman M, Rodriguez AC, Wacholder S, Gonzalez P, Quint W, van Doorn LJ, Sherman ME, Xhenseval V, Herrero R, Hildesheim A, Costa Rican Vaccine Trial Group (2010) Epidemiological study of anti-HPV16/18 seropositivity and subsequent risk of HPV16 and -18 infections. J Natl Cancer Inst 102(21):1653–1662CrossRefPubMedPubMedCentral
30.
go back to reference Thompson DL, Douglas JM Jr, Foster M, Hagensee ME, Diguiseppi C, Barón AE, Cameron JE, Spencer TC, Zenilman J, Malotte CK, Bolan G, Kamb ML, Peterman TA, Project RESPECT Study Group (2004) Seroepidemiology of infection with human papillomavirus 16, in men and women attending sexually transmitted disease clinics in the United States. J Infect Dis 190(9):1563–1574CrossRefPubMed Thompson DL, Douglas JM Jr, Foster M, Hagensee ME, Diguiseppi C, Barón AE, Cameron JE, Spencer TC, Zenilman J, Malotte CK, Bolan G, Kamb ML, Peterman TA, Project RESPECT Study Group (2004) Seroepidemiology of infection with human papillomavirus 16, in men and women attending sexually transmitted disease clinics in the United States. J Infect Dis 190(9):1563–1574CrossRefPubMed
31.
go back to reference Markowitz LE, Sternberg M, Dunne EF, McQuillan G, Unger ER (2009) Seroprevalence of human papillomavirus types 6, 11, 16, and 18 in the United States: National Health and Nutrition Examination Survey 2003-2004. J Infect Dis 200(7):1059–1067CrossRefPubMed Markowitz LE, Sternberg M, Dunne EF, McQuillan G, Unger ER (2009) Seroprevalence of human papillomavirus types 6, 11, 16, and 18 in the United States: National Health and Nutrition Examination Survey 2003-2004. J Infect Dis 200(7):1059–1067CrossRefPubMed
32.
go back to reference Dunne EF, Nielson CM, Hagensee ME, Papenfuss MR, Harris RB, Herrel N, Gourlie J, Abrahamsen M, Markowitz LE, Giuliano AR (2009) HPV 6/11, 16, 18 seroprevalence in men in two US cities. Sex Transm Dis 36(11):671–674CrossRefPubMed Dunne EF, Nielson CM, Hagensee ME, Papenfuss MR, Harris RB, Herrel N, Gourlie J, Abrahamsen M, Markowitz LE, Giuliano AR (2009) HPV 6/11, 16, 18 seroprevalence in men in two US cities. Sex Transm Dis 36(11):671–674CrossRefPubMed
33.
go back to reference Winer RL, Feng Q, Hughes JP, O’Reilly S, Kiviat NB (2008) Risk of female human papillomavirus acquisition associated with first male sex partner. J Infect Dis 197:279–282CrossRefPubMedPubMedCentral Winer RL, Feng Q, Hughes JP, O’Reilly S, Kiviat NB (2008) Risk of female human papillomavirus acquisition associated with first male sex partner. J Infect Dis 197:279–282CrossRefPubMedPubMedCentral
34.
go back to reference Lu B, Viscidi RP, Lee JH, Wu Y, Villa LL, Lazcano-Ponce E, da Silva RJ, Baggio ML, Quiterio M, Salmerón J, Smith DC, Abrahamsen M, Papenfuss M, Stockwell HG, Giuliano AR (2011) Human papillomavirus (HPV) 6, 11, 16, and 18 seroprevalence is associated with sexual practice and age: results from the multinational HPV Infection in Men Study (HIM Study). Cancer Epidemiol Biomarkers Prev 20(5):990–1002CrossRefPubMedPubMedCentral Lu B, Viscidi RP, Lee JH, Wu Y, Villa LL, Lazcano-Ponce E, da Silva RJ, Baggio ML, Quiterio M, Salmerón J, Smith DC, Abrahamsen M, Papenfuss M, Stockwell HG, Giuliano AR (2011) Human papillomavirus (HPV) 6, 11, 16, and 18 seroprevalence is associated with sexual practice and age: results from the multinational HPV Infection in Men Study (HIM Study). Cancer Epidemiol Biomarkers Prev 20(5):990–1002CrossRefPubMedPubMedCentral
35.
go back to reference Lu B, Hagensee ME, Lee JH, Wu Y, Stockwell HG, Nielson CM, Abrahamsen M, Papenfuss M, Harris RB, Giuliano AR (2010) Epidemiologic factors associated with seropositivity to human papillomavirus type 16 and 18 virus-like particles and risk of subsequent infection in men. Cancer Epidemiol Biomarkers Prev 19(2):511–516CrossRefPubMed Lu B, Hagensee ME, Lee JH, Wu Y, Stockwell HG, Nielson CM, Abrahamsen M, Papenfuss M, Harris RB, Giuliano AR (2010) Epidemiologic factors associated with seropositivity to human papillomavirus type 16 and 18 virus-like particles and risk of subsequent infection in men. Cancer Epidemiol Biomarkers Prev 19(2):511–516CrossRefPubMed
36.
go back to reference Slavinsky J, Kissinger P, Burger L, Boley A, DiCarlo RP (2001) Seroepidemiology of low and high oncogenic risk types of human papillomavirus in a predominantly male cohort of STD clinic patients. Int J STD AIDS 12:516–523CrossRefPubMed Slavinsky J, Kissinger P, Burger L, Boley A, DiCarlo RP (2001) Seroepidemiology of low and high oncogenic risk types of human papillomavirus in a predominantly male cohort of STD clinic patients. Int J STD AIDS 12:516–523CrossRefPubMed
37.
go back to reference Stone KM, Karem KL, Sternberg MR, McQuillan GM, Poon AD, Unger ER, Reeves WC (2002) Seroprevalence of human papillomavirus type 16 infection in the United States. J Infect Dis 186:1396–1402CrossRefPubMed Stone KM, Karem KL, Sternberg MR, McQuillan GM, Poon AD, Unger ER, Reeves WC (2002) Seroprevalence of human papillomavirus type 16 infection in the United States. J Infect Dis 186:1396–1402CrossRefPubMed
38.
go back to reference Malary M, Moosazadeh M, Hamzehgardeshi Z, Afshari M, Moghaddasifar I, Afsharimoghaddam A (2016) The prevalence of cervical human papillomavirus infection and the most at-risk genotypes among iranian healthy women: a systematic review and meta-analysis. Int J Prev Med 4(7):70 Malary M, Moosazadeh M, Hamzehgardeshi Z, Afshari M, Moghaddasifar I, Afsharimoghaddam A (2016) The prevalence of cervical human papillomavirus infection and the most at-risk genotypes among iranian healthy women: a systematic review and meta-analysis. Int J Prev Med 4(7):70
39.
go back to reference Salehi-Vaziri M, Sadeghi F, Bokharaei-Salim F, Younesi S, Alinaghi S, Monavari SH, Keyvani H (2015) The prevalence and genotype distribution of human papillomavirus in the genital tract of males in Iran. Jundishapur J Microbiol 8(12):e21912CrossRefPubMedPubMedCentral Salehi-Vaziri M, Sadeghi F, Bokharaei-Salim F, Younesi S, Alinaghi S, Monavari SH, Keyvani H (2015) The prevalence and genotype distribution of human papillomavirus in the genital tract of males in Iran. Jundishapur J Microbiol 8(12):e21912CrossRefPubMedPubMedCentral
40.
go back to reference Jalilvand S, Shoja Z, Hamkar R (2014) Human papillomavirus burden in different cancers in Iran: a systematic assessment. Asian Pac J Cancer Prev 15(17):7029–7035CrossRefPubMed Jalilvand S, Shoja Z, Hamkar R (2014) Human papillomavirus burden in different cancers in Iran: a systematic assessment. Asian Pac J Cancer Prev 15(17):7029–7035CrossRefPubMed
Metadata
Title
Gender and age-specific seroprevalence of human papillomavirus 16 and 18 in general population in Tehran, Iran
Authors
Arezoo Aghakhani
Setareh Mamishi
Shahram Sabeti
Farahnaz Bidari-Zerehpoosh
Mohammad Banifazl
Anahita Bavand
Amitis Ramezani
Publication date
01-04-2017
Publisher
Springer Berlin Heidelberg
Published in
Medical Microbiology and Immunology / Issue 2/2017
Print ISSN: 0300-8584
Electronic ISSN: 1432-1831
DOI
https://doi.org/10.1007/s00430-016-0487-5

Other articles of this Issue 2/2017

Medical Microbiology and Immunology 2/2017 Go to the issue