Prevalence And Risk Factors For Human Pappiloma Virus Infection Among HIV Positive Pregnant Women In Urban Slums Of Osogbo, Nigeria.

Abstract

Human Pappiloma Virus (HPV) infection is a disease of global public health importance, culminating into a high risk of cervical cancer. Most of the risk factors are modifiable, thus making HPV itself preventable. Efforts towards community HPV prevention and vaccination have not yielded the desired results, most especially in the face of co-infection with HIV.

This study assessed prevalence and risk factors for HPV among HIV positive pregnant women in Osogbo, Nigeria. Descriptive cross sectional study among pregnant HIV positive women of reproductive age  selected using simple random sampling method. The IgG antibody tests to HPV were conducted using standard methods. Research instruments were semi structured interviewer administered questionnaire. Data was analyzed using the SPSS soft-ware version 17.0. Mean age of respondents was 33.0+2.1 years. Twenty seven (28.0%) were aware of HPV as a genital infection, while 7.1% of respondents had a positive HPV results and 92.9% HPV antibody test negative. Sexual risk score was high among 28(29.0%) of respondents while no respondent had gone for a HPVvaccination. Respondents with high sexual risk score were three and a half times more likely to have a positive HPV results compared to those with lower risk score (OR 3.6, 95%CI 0.740-1.706, p-0.066). Poor awareness, low prevalence of HPV, some level of high sexual risk behaviour and no record of HPV vaccination characterized the women studied, and 
these observations call for sustained communityawareness programmes to reverse these trends.