Skip to main content
Top
Published in: Reproductive Health 1/2018

Open Access 01-12-2018 | Research

Socioeconomic and lifestyle factors associated with HPV infection in pregnant women: a matched case-control study in Beijing, China

Authors: Xianhong Liang, Xianming Carroll, Wenyan Zhang, Wenjing Zhang, Gaifen Liu, Shangzhi Li, Sandra Leeper-Woodford

Published in: Reproductive Health | Issue 1/2018

Login to get access

Abstract

Background

Human papillomavirus (HPV) infection plays key role in the development of cervical cancer. The purpose of this study was to investigate socioeconomic and lifestyle factors associated with HPV infection in pregnant women in Beijing, China.

Methods

An age matched case-control study designed with 66 women as the case group (HPV positive) and 132 women as the control group (HPV negative) was carried out in two hospitals in Beijing. Socioeconomic and lifestyle factors were obtained using a standard questionnaire. Cervical cells from study subjects were collected for HPV detection. An unconditional logistic regression model with backward stepwise selection was performed to predict the odds ratio (OR) and 95% confidence interval (CI) for the significant factors associated with HPV infection.

Results

The analyses of present data show that alcohol consumption during pregnancy was the strongest significant factor (OR = 3.35, 95% CI = 1.40–8.03, p = 0.007) when comparing the case (HPV positive) group with the control (HPV negative) group. There were no statistical differences observed in any of the socioeconomic factors when comparing the case and control groups.

Conclusion

The results of this study may help to prevent HPV infection in China by providing evidence to support improving the national policy on alcohol restriction and introducing public health interventions, especially for pregnant women in Beijing.
Literature
1.
go back to reference Li S, Hu T, Lv W, Zhou H, Li X, Yang R, et al. Changes in prevalence and clinical characteristics of cervical cancer in the People’s Republic of China: a study of 10,012 cases from a nationwide working group. Oncologist. 2013;18:1101–7.CrossRefPubMedPubMedCentral Li S, Hu T, Lv W, Zhou H, Li X, Yang R, et al. Changes in prevalence and clinical characteristics of cervical cancer in the People’s Republic of China: a study of 10,012 cases from a nationwide working group. Oncologist. 2013;18:1101–7.CrossRefPubMedPubMedCentral
2.
go back to reference Walboomers JM, Jacobs MV, Manos MM, Bosch FX, Kummer JA, Shah KV, et al. Human papillomavirus is a necessary cause of invasive cervical cancer worldwide. J Pathol. 1999;189:12–9.CrossRefPubMed Walboomers JM, Jacobs MV, Manos MM, Bosch FX, Kummer JA, Shah KV, et al. Human papillomavirus is a necessary cause of invasive cervical cancer worldwide. J Pathol. 1999;189:12–9.CrossRefPubMed
5.
go back to reference Shi JF, Qiao YL, Smith JS, Dondog B, Bao YP, Dai M, et al. Epidemiology and prevention of human papillomavirus and cervical cancer in China and Mongolia. Vaccine. 2008;26(Suppl 12):M53–9.CrossRefPubMed Shi JF, Qiao YL, Smith JS, Dondog B, Bao YP, Dai M, et al. Epidemiology and prevention of human papillomavirus and cervical cancer in China and Mongolia. Vaccine. 2008;26(Suppl 12):M53–9.CrossRefPubMed
6.
go back to reference Muñoz N, Bosch FX, de Sanjosé S, Herrero R, Castellsagué X, Shah KV, et al. Epidemiologic classification of human papillomavirus types associated with cervical cancer. N Engl J Med. 2003;348:518.CrossRefPubMed Muñoz N, Bosch FX, de Sanjosé S, Herrero R, Castellsagué X, Shah KV, et al. Epidemiologic classification of human papillomavirus types associated with cervical cancer. N Engl J Med. 2003;348:518.CrossRefPubMed
7.
go back to reference Wheeler CM, Hunt WC, Joste NE, Key CR, Quint WGV, Castle PE. Human papillomavirus genotype distributions: implications for vaccination and cancer screening in the United States. J Natl Cancer Inst. 2009;101:475.CrossRefPubMedPubMedCentral Wheeler CM, Hunt WC, Joste NE, Key CR, Quint WGV, Castle PE. Human papillomavirus genotype distributions: implications for vaccination and cancer screening in the United States. J Natl Cancer Inst. 2009;101:475.CrossRefPubMedPubMedCentral
8.
go back to reference Li Z, Liu F, Sheng S, She L, Yan Z, Yang J, et al. Prevalence of HPV infection among 28,457 Chinese women in Yunnan Province, Southwest China. Sci Rep. 2016;6:21039.CrossRefPubMedPubMedCentral Li Z, Liu F, Sheng S, She L, Yan Z, Yang J, et al. Prevalence of HPV infection among 28,457 Chinese women in Yunnan Province, Southwest China. Sci Rep. 2016;6:21039.CrossRefPubMedPubMedCentral
9.
go back to reference Chen X, Xu H, Xu W, Zeng W, Liu J, Wu Q, et al. Prevalence and genotype distribution of human papillomavirus in 961,029 screening tests in southeastern China (Zhejiang Province) between 2011 and 2015. Sci Rep. 2017;7(1):14813.CrossRefPubMedPubMedCentral Chen X, Xu H, Xu W, Zeng W, Liu J, Wu Q, et al. Prevalence and genotype distribution of human papillomavirus in 961,029 screening tests in southeastern China (Zhejiang Province) between 2011 and 2015. Sci Rep. 2017;7(1):14813.CrossRefPubMedPubMedCentral
10.
go back to reference Zeng Z, Yang H, Li Z, He X, Griffith CC, Chen X, et al. Prevalence and genotype distribution of HPV infection in China: analysis of 51,345 HPV genotyping results from China’s largest CAP certified laboratory. J Cancer. 2016;7(9):1037–43.CrossRefPubMedPubMedCentral Zeng Z, Yang H, Li Z, He X, Griffith CC, Chen X, et al. Prevalence and genotype distribution of HPV infection in China: analysis of 51,345 HPV genotyping results from China’s largest CAP certified laboratory. J Cancer. 2016;7(9):1037–43.CrossRefPubMedPubMedCentral
11.
go back to reference Ribeiro AA, Costa MC, Alves RRF, Villa LL, Saddi VA, dos Santos Carneiro MA, et al. HPV infection and cervical neoplasia: associated risk factors. Infect Agents Cancer. 2015;10:16.CrossRefPubMedPubMedCentral Ribeiro AA, Costa MC, Alves RRF, Villa LL, Saddi VA, dos Santos Carneiro MA, et al. HPV infection and cervical neoplasia: associated risk factors. Infect Agents Cancer. 2015;10:16.CrossRefPubMedPubMedCentral
12.
go back to reference Ye J, Cheng X, Chen X, Feng Ye F, Lu W, Xie X. Prevalence and risk profile of cervical human papillomavirus infection in Zhejiang Province, Southeast China: a population-based study. Virol J. 2010;7:66.CrossRefPubMedPubMedCentral Ye J, Cheng X, Chen X, Feng Ye F, Lu W, Xie X. Prevalence and risk profile of cervical human papillomavirus infection in Zhejiang Province, Southeast China: a population-based study. Virol J. 2010;7:66.CrossRefPubMedPubMedCentral
13.
go back to reference Sun L, Jin Q, Li H, Zhou X, Song Z, Cheng X, et al. Population-based study on the prevalence of and risk factors for human papillomavirus infection in Qujing of Yunnan province, Southwest China. Virol J. 2012;9:153.CrossRefPubMed Sun L, Jin Q, Li H, Zhou X, Song Z, Cheng X, et al. Population-based study on the prevalence of and risk factors for human papillomavirus infection in Qujing of Yunnan province, Southwest China. Virol J. 2012;9:153.CrossRefPubMed
14.
go back to reference Moreno V, Bosch FX, Muñoz N, Moreno V, Bosch FX, Muñoz N, et al. Effect of oral contraceptives on risk of cervical cancer in women with human papillomavirus infection: the IARC multicentric case-control study. Lancet. 2002;359:1085–92.CrossRefPubMed Moreno V, Bosch FX, Muñoz N, Moreno V, Bosch FX, Muñoz N, et al. Effect of oral contraceptives on risk of cervical cancer in women with human papillomavirus infection: the IARC multicentric case-control study. Lancet. 2002;359:1085–92.CrossRefPubMed
15.
go back to reference Castle PE, Wacholder S, Lorincz AT, et al. A prospective study of high-grade cervical neoplasia risk among human papillomavirus-infected women. J Natl Cancer Inst. 2002;94(18):1406–14.CrossRefPubMed Castle PE, Wacholder S, Lorincz AT, et al. A prospective study of high-grade cervical neoplasia risk among human papillomavirus-infected women. J Natl Cancer Inst. 2002;94(18):1406–14.CrossRefPubMed
16.
go back to reference Benard VB, Johnson CJ, Thompson TD, Roland KB, Lai SM, Cokkinides V, et al. Examining the association between socioeconomic status and potential human papillomavirus-associated cancers. Cancer. 2008;113(Suppl 10):2910–8.CrossRefPubMed Benard VB, Johnson CJ, Thompson TD, Roland KB, Lai SM, Cokkinides V, et al. Examining the association between socioeconomic status and potential human papillomavirus-associated cancers. Cancer. 2008;113(Suppl 10):2910–8.CrossRefPubMed
18.
go back to reference Lau Y, Yin L. Maternal, obstetric variables, perceived stress and health-related quality of life among pregnant women in Macao, China. Midwifery. 2011;27(5):668–73.CrossRefPubMed Lau Y, Yin L. Maternal, obstetric variables, perceived stress and health-related quality of life among pregnant women in Macao, China. Midwifery. 2011;27(5):668–73.CrossRefPubMed
19.
go back to reference Wang JL, Yang YZ, Dong WW, Sun J, Tao HT, Li RX, et al. Application of human papillomavirus in screening for cervical cancer and precancerous lesions. Asian Pac J Cancer Prev. 2013;14(5):2979–82.CrossRefPubMed Wang JL, Yang YZ, Dong WW, Sun J, Tao HT, Li RX, et al. Application of human papillomavirus in screening for cervical cancer and precancerous lesions. Asian Pac J Cancer Prev. 2013;14(5):2979–82.CrossRefPubMed
20.
go back to reference Yang G, Fan L, Tan J, Qi G, Zhang Y, Samet JM, et al. Smoking in China: findings of the 1996 National Prevalence Survey. JAMA. 1999;282:1247–53.CrossRefPubMed Yang G, Fan L, Tan J, Qi G, Zhang Y, Samet JM, et al. Smoking in China: findings of the 1996 National Prevalence Survey. JAMA. 1999;282:1247–53.CrossRefPubMed
21.
go back to reference Zeng J, Yang S, Wu L, Wang J, Wang Y, Liu M, et al. Prevalence of passive smoking in the community population aged 15 years and older in China: a systematic review and meta-analysis. BMJ Open. 2016;6:e009847.CrossRefPubMedPubMedCentral Zeng J, Yang S, Wu L, Wang J, Wang Y, Liu M, et al. Prevalence of passive smoking in the community population aged 15 years and older in China: a systematic review and meta-analysis. BMJ Open. 2016;6:e009847.CrossRefPubMedPubMedCentral
24.
go back to reference Sperandei S. Understanding logistic regression analysis. Biochem Med (Zagreb). 2014;24(1):12–8.CrossRef Sperandei S. Understanding logistic regression analysis. Biochem Med (Zagreb). 2014;24(1):12–8.CrossRef
26.
28.
go back to reference Diaz LE, Montero A, Gonzalez-Gross M, Vallejo AI, Romeo J, Marcos A. Influence of alcohol consumption on immunological status: a review. Eur J Clin Nutr. 2002;56(Suppl 3):S50–3.CrossRefPubMed Diaz LE, Montero A, Gonzalez-Gross M, Vallejo AI, Romeo J, Marcos A. Influence of alcohol consumption on immunological status: a review. Eur J Clin Nutr. 2002;56(Suppl 3):S50–3.CrossRefPubMed
29.
30.
go back to reference Tang YL, Xiang XJ, Wang XY, Cubells JF, Babor TF, Hao W. Alcohol and alcohol-related harm in China: policy changes needed. Bull World Health Organ. 2013;91(4):270–6.CrossRefPubMedPubMedCentral Tang YL, Xiang XJ, Wang XY, Cubells JF, Babor TF, Hao W. Alcohol and alcohol-related harm in China: policy changes needed. Bull World Health Organ. 2013;91(4):270–6.CrossRefPubMedPubMedCentral
31.
go back to reference Barthélémy T, Andy M, Roger M. Effect of maternal alcohol consumption on gestational diabetes detection and mother-infant’s outcomes in Kinshasa, DR Congo. Open J Obstet Gynecol. 2011;1:208–12.CrossRef Barthélémy T, Andy M, Roger M. Effect of maternal alcohol consumption on gestational diabetes detection and mother-infant’s outcomes in Kinshasa, DR Congo. Open J Obstet Gynecol. 2011;1:208–12.CrossRef
33.
go back to reference Oh HY, Kim MK, Seo S, Lee DO, Chung YK, Lim MC, et al. Alcohol consumption and persistent infection of high-risk human papillomavirus. Epidemiol Infect. 2015;143(7):1442–50.CrossRefPubMed Oh HY, Kim MK, Seo S, Lee DO, Chung YK, Lim MC, et al. Alcohol consumption and persistent infection of high-risk human papillomavirus. Epidemiol Infect. 2015;143(7):1442–50.CrossRefPubMed
34.
go back to reference International Collaboration of Epidemiological Studies of Cervical Cancer, Appleby P, Beral V, Berrington de González A, Colin D, Franceschi S, et al. Carcinoma of the cervix and tobacco smoking: collaborative reanalysis of individual data on 13,541 women with carcinoma of the cervix and 23,017 women without carcinoma of the cervix from 23 epidemiological studies. Int J Cancer. 2006;118(6):1481–95.CrossRef International Collaboration of Epidemiological Studies of Cervical Cancer, Appleby P, Beral V, Berrington de González A, Colin D, Franceschi S, et al. Carcinoma of the cervix and tobacco smoking: collaborative reanalysis of individual data on 13,541 women with carcinoma of the cervix and 23,017 women without carcinoma of the cervix from 23 epidemiological studies. Int J Cancer. 2006;118(6):1481–95.CrossRef
35.
go back to reference Louie K, Castellsague X, de Sanjose S, Herrero R, Meijer CJ, Shah K, et al. Smoking and passive smoking in cervical Cancer risk: pooled analysis of couples from the IARC multicentric case–control studies. Cancer Epidemiol Biomark Prev. 2011;20(7):1379–90.CrossRef Louie K, Castellsague X, de Sanjose S, Herrero R, Meijer CJ, Shah K, et al. Smoking and passive smoking in cervical Cancer risk: pooled analysis of couples from the IARC multicentric case–control studies. Cancer Epidemiol Biomark Prev. 2011;20(7):1379–90.CrossRef
36.
go back to reference Grandahl M, Larsson M, Dalianis T, Stenhammar C, Tydén T, Westerling R, et al. Catch-up HPV vaccination status of adolescents in relation to socioeconomic factors, individual beliefs and sexual behaviour. PLoS One. 2017;12(11):e0187193.CrossRefPubMedPubMedCentral Grandahl M, Larsson M, Dalianis T, Stenhammar C, Tydén T, Westerling R, et al. Catch-up HPV vaccination status of adolescents in relation to socioeconomic factors, individual beliefs and sexual behaviour. PLoS One. 2017;12(11):e0187193.CrossRefPubMedPubMedCentral
Metadata
Title
Socioeconomic and lifestyle factors associated with HPV infection in pregnant women: a matched case-control study in Beijing, China
Authors
Xianhong Liang
Xianming Carroll
Wenyan Zhang
Wenjing Zhang
Gaifen Liu
Shangzhi Li
Sandra Leeper-Woodford
Publication date
01-12-2018
Publisher
BioMed Central
Published in
Reproductive Health / Issue 1/2018
Electronic ISSN: 1742-4755
DOI
https://doi.org/10.1186/s12978-018-0645-x

Other articles of this Issue 1/2018

Reproductive Health 1/2018 Go to the issue