Cytological screening and Seroincidence of IgM with possible risk factors associated with naturally selected high risk group for Oncogenic Human Papilloma Virus Infection in Daura, Katsina State

Abstract

Cervical cancer is the second most common cancer among women in the developing countries and the seventh commonest cancer in the developed countries. Human papillomavirus (HPV) is now known to be the main factor in the aetiology of cervical cancer with over 99.7% of cases being associated with previous high risk HPV infection. The aim of the research is to determine the risk factors and incidence of oncogenic human papilloma virus among women of reproductive age in Daura. This was a cross-sectional prospective study involving a total of 120 women. Questionnaires were administered to collect data such as socio-demographic and possible risk factors. Endocervical swab and serum samples were then collected from the participants. Samples were analyzed by Enzyme Linked immunosorbent Assay and Pap smear respectively. The findings of this research revealed and overall high seroincidence of 36.6% as well as significant difference between seroincidence rate of pregnant and non-pregnant women. The findings also revealed that 10-20 age groups had the higher seroincidence rate of (50.0%) with no statistical significant difference between age groups. None of the sociodermographic factors involved in the research show significant association with HPV infections. The result by type of marriage shows that similar seroincidence rate was obtained in both monogamy and polygamy forms of marriage (36.7%). The study also reveals that risk factors like sexual partners, HIV status and sexual debut are significantly associated with HPV infection (P<0.05). Sixty (60) participants show normal cytole under microscope with prevalence of 50.0% and those with abnormal cytole had prevalence of (16.7%) while lowest prevalence of (3.3%) was obtained from participants with high squamous intraepithelial lesions. These results demonstrate a high seroincidence of HPV infection among women in the study area. We recommend improved education regarding HPV and cervical cancer among the populace and increasing cervical cancer screening particularly to attendees of antenatal care to prevent HPV related morbidity and mortality.

Keywords: HPV; Cervical cancer; Endocervical swab; Seroincidence