142nd APHA Annual Meeting and Exposition

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Burden of HPV Infection Across Gender, Ethnicity, and Marriage Status in the US Population

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Monday, November 17, 2014

Erin Dunn, BA , Medical Education and Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, FL
Kevin J. Moore, BA , Medical Education and Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, FL
Stacey L. Tannenbaum, PhD, RD, LD/N , Sylvester Comprehensive Cancer Center, University of Miami Miller School of Medicine, Miami, FL
Tulay Koru-Sengul, MHS, PhD , Department of Public Health Sciences, Sylvester Comprehensive Cancer Center, University of Miami Miller School of Medicine, Miami, FL
Background: Human Papilloma Viruses (HPVs) include over 150 viruses, a number of which can persist and lead to negative health outcomes. Some HPV types (16, 18, 26, 31, 33, 35, 39, 45, 51, 52, 53, 56, 58, 59, 64, 66, 67, 68, 69, 70, 73, 82 and IS39) are considered “high-risk” as they have roles in cancer development, while “low-risk” types can lead to benign tumors. National population-based surveys of HPV infection can identify HPV burden and provide estimates of population-specific prevalence, trend, and determinants.

Methods: Infection prevalence both by DNA (females only) and oral testing (females and males) was collected from 1999-2012 National Health and Nutrition Examination Survey (NHANES) to obtain a representative sample of the US non-institutionalized civilian population. Analysis was performed by SAS v9.3 with survey procedures to take into account sampling design.

Results: Oral HPV testing revealed 7.3% of the population was infected with HPV, with HPV 16 and 62 most prevalent. Oral testing showed White persons had the highest prevalence for both general (61.7%) and high-risk HPV infection (69.2%). This was also the case for DNA testing: White women had greater general (62.0%) and high-risk (62.5%) infection prevalence. “Other races” had the lowest general HPV prevalence for both oral and DNA testing. Men had a greater burden of general HPV infection (74.4%) and of each high-risk HPV infection tested orally. Married persons had the greatest high-risk HPV infection burden.

Conclusion: Our results show test and type variation of HPV among gender, ethnicity, and marital status. This knowledge can be used to elucidate US HPV burden for translation into targeted public health programs.

Learning Areas:

Administer health education strategies, interventions and programs
Conduct evaluation related to programs, research, and other areas of practice
Epidemiology
Planning of health education strategies, interventions, and programs
Public health or related public policy
Public health or related research

Learning Objectives:
Analyze the burden of generalized and high-risk HPV infection in the US population for use as support in evidence-based public health interventions. Differentiate the test and type variation of HPV infection in the US population according to factors such as gender, ethnicity, and marital status.

Keyword(s): Cancer, Epidemiology

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified since I do research in biostatistics, cancer, public health, and education.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

Back to: 3198.0: Current Issues in Social Sciences, Infectious Disease and Chronic Disease Epidemiology Poster Session