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Female genital schistosomiasis,human papilloma virus infection,and cervical cancer in rural Madagascar:a cross sectional study

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Infectious Diseases of Poverty 2023年第5期12卷 100-100页

作者： Jean-Marc Kutz Pia Rausche Tahinamandranto Rasamoelina Sonya Ratefiarisoa Ravo Razafindrakoto Philipp Klein Anna Jaeger Rivo Solotiana Rakotomalala Zoly Rakotomalala Bodo Sahondra Randrianasolo sandrine mckay-chopin Jürgen May Rapahel Rakotozandrindrainy Dewi Ismajani Puradiredja Elisa Sicuri Monika Hampl Eva Lorenz Tarik Gheit Rivo Andry Rakotoarivelo Daniela Fusco Department of Infectious Disease Epidemiology Bernhard-Nocht Institute for Tropical Medicine (BNITM) Hamburg Germany German Center for Infection Research (DZIF) Hamburg-Borstel-Lübeck-Riems Germany Centre Infectiologie Charles Mérieux (CICM) Antananarivo Madagascar Centre Hospitalier Universitaire (CHU) Androva Mahajanga Madagascar Association K’OLO VANONA Antananarivo Madagascar International Agency for Research on Cancer (IARC) Lyon France University Medical Center Hamburg-Eppendorf (UKE) Hamburg Germany University of Antananarivo Antananarivo Madagascar Barcelona Institute for Global Health (IS Global) Barcelona Spain Köln-Hohenlind Hospital Cologne Germany University of Fianarantsoa Fianarantsoa Madagascar

Background Women’s health in resource-limited settings can benefit from the integrated management of high-burden diseases,such as female genital schistosomiasis(FGS)and human papilloma virus(HPV)-related cervical *** schistosomiasis-endemic countries such as Madagascar,data on FGS and HPV prevalence are lacking as well as preventive measures for both *** study aims to estimate the prevalence of FGS and HPV in rural Madagascar,and to examine associated risk factors to identify opportunities for improving women’s *** After initial community outreach activities,interested women aged 18-49 years were recruited consecutively in 2021 at three primary health care centers in the district of *** was detected by *** images were double-blind reviewed by two independent specialists.A Luminex bead-based assay was performed on cervical vaginal lavage specimens for HPV ***(CPR)and adjusted prevalence ratios(APR)of associations between selected factors and FGS and HPV positivity were estimated using univariable and multivariable binary Poisson regression with 95%confidence intervals(CIs).Results Among 500 women enrolled,302 had complete information on FGS and HPV diagnosis,and were thus eligible for *** the sample,189(62.6%,95%CI:56.9-68.1)cases of FGS were detected.A total of 129 women(42.7%,95%CI:37.1-48.5)tested positive for *** total,80 women(26.5%,95%CI:21.6-31.8)tested positive for both *** association was observed between FGS and HPV positivity,while previous pregnancy(APR=0.65,95%CI:0.43-0.78)and older age(APR=0.59,95%CI:0.42-0.81)are showing a negative association with HPV infection compared to no previous pregnancy and younger age *** The results of the study show that FGS and HPV are highly prevalent in rural *** concurrent prevalence of these two conditions requires urgent adaptations of public health strategies to improve women’s health,such as integrated

关键词： Women’s health Female genital schistosomiasis Human papilloma virus Cervical cancer Public health Madagascar

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