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Research ArticleOriginal Articles

Factors Affecting the Detection Rate of Human Papillomavirus

Diane M. Harper, Meghan R. Longacre, Walter W. Noll, Dorothy R. Belloni and Bernard F. Cole
The Annals of Family Medicine November 2003, 1 (4) 221-227; DOI: https://doi.org/10.1370/afm.90
Diane M. Harper
MD, MPH
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Meghan R. Longacre
PhD
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Walter W. Noll
MD
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Dorothy R. Belloni
BS
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Bernard F. Cole
PhD
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Tables

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    Table 1.

    Crude Odds Ratios of Predictors of Detection of Human Papillomavirus (HPV)

    High-Risk HPVAny HPV
    VariableNo.ReferenceLevelsOR (95% CI)P ValueOR (95% CI)P Value
    OR = odds ratio; CI = confidence interval; ASCUS = abnormal squamous cells of undetermined significance; NS = not significant; LSIL = low-grade squamous intraepithelial lesion; HSIL = high-grade squamous intraepithelial lesion, CIN = cervical intraepithelial neoplasia. * There are insufficient numbers of samples associated with women using an intrauterine device who also had high-risk types of HPV to include the IUD in the logistic regression. † Tobacco use is current or ever vs never. ‡ Weeks are defined as 0–7, 8–14, 15–21, 22–35, and 36+ days. Week 5 encompasses women with long menstrual cycles, using progesterone only contraceptives, or who are postmenopausal.
    Age1,186Young ageOlder age0.96 (0.93–0.99).0140.94 (0.91–0.98).001
    Gravidity1,177No pregnanciesOne or more pregnancies0.81 (0.65–1.00).050.80 (0.64–0.99).039
    Parity1,171No birthsOne or more births0.66 (0.48–0.92).0130.58 (0.42–0.81).002
    Oral contraceptive use1,177NoYes2.55 (1.10–5.86).0282.17 (0.90–5.22)NS
    Depo-Provera or Norplant1,177NoYes1.28 (0.31–5.32)NS2.01 (0.32–12.61)NS
    Barrier methods1,177NoYes1.16 (0.42–3.22)NS1.15 (0.36–3.68)NS
    Intrauterine device*1,182NoYes0.12 (0.02–0.99).049
    Cytology1,186NormalASCUS2.14 (0.62–7.33)NS0.56 (0.16–2.02)NS
    LSIL7.56 (2.14–26.70).0023.09 (0.75–12.7)NS
    HSIL13.47 (3.08–58.89).0013.66 (0.71–18.83)NS
    AGUS1.30 (0.18–9.48)NS1.42 (0.07–29.09)NS
    Pathology1,186NormalCIN 12.87 (1.29–6.37).0102.53 (1.16–5.53).020
    CIN 2/313.46 (3.15–57.60)<.0017.10 (1.37–36.90).020
    Tobacco use†1,177NoYes1.01 (0.48–2.11)NS0.88 (0.42–1.84)NS
    Intercourse within 48 hours of sampling642NoYes1.05 (0.65–1.68)NS1.07 (0.73–1.55)NS
    Randomization of person collecting sample: clinician or self408SelfClinician0.59 (0.14–2.45)NS0.51 (0.12–2.18)NS
    Randomization of technique used first: swab or tampon1,186SwabTampon1.28 (0.60–2.74)NS1.92 (0.89–4.14)NS
    Number of days from previous sampling1,18615 or more days1–14 days0.82 (0.66–1.00).0550.85 (0.70–1.04)NS
    Sample taken during specific week of menstrual cycle‡1,138Week 1Week 20.98 (0.63–1.52)NS1.00 (0.76–1.31)NS
    Week 31.04 (0.63–1.72)NS1.08 (0.80–1.46)NS
    Week 41.17 (0.72–1.93)NS1.14 (0.80–1.62)NS
    Week 50.80 (0.47–1.36)NS0.79 (0.52–1.22)NS
    Clinician double swab vs 2 consecutive self-swabs vs single self-swab vs tampon1,184Clinician-directed ecto- and endo-cervical swabs2 consecutive self-swabs 1 self-swab0.81 (0.63–1.03)NS0.84 (0.73–0.96).010
    0.66 (0.51–0.87).0030.84 (0.73–0.96).010
    Tampon0.61 (0.46–0.81).0010.85 (0.74–0.96).013
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    Table 2.

    Adjusted Odds Ratios for Predictors of Human Papillomavirus (HPV) Detection

    High–Risk HPVAny HPV
    Variable*ReferenceLevelsOR (95% CI)P ValueOR (95% CI)P Value
    OR = odds ratio; CI = confidence interval; NS = not significant. *Adjusted for all other variables in this table. † Where week 1 is 0–7 days, week 2 is 8–14 days, week 3 is 15–21 days, week 4 is 22–35 days, and week 5 is 36 or more days. Week 5 includes those women with very late cycles, and women on Depo-Provera or who are menopausal.
    Intercourse within 48 hours of samplingNoYes1.05 (0.65–1.69)NS1.08 (0.73–1.60)NS
    Number of days from previous sampling15 or more days1–14 days0.87 (0.70–1.10)NS0.85 (0.69–1.05)NS
    Sample taken during specific week of menstrual cycle†Week 1Week 21.01 (0.64–1.59)NS1.02 (0.77–1.35)NS
    Week 31.08 (0.65,1.81)NS1.12 (0.82–1.54)NS
    Week 41.22 (0.74–2.01)NS1.18 (0.81–1.70)NS
    Week 50.81 (0.48–1.38)NS0.82 (0.54–1.25)NS
    TechniqueClinician-directed ecto- and endocervical swabs2 consecutive self-swabs0.87 (0.66–1.13)NS0.91 (0.85–0.98).015
    1 self-swab0.71 (0.53–0.95).0230.91 (0.85–0.98).015
    Tampon0.66 (0.48–0.90).0090.92 (0.86–0.99).018

Additional Files

  • Tables

  • Supplemental Table. Percentage of Samples Positive for Human Papillomavirus (HPV) by Sampling Time.

    Files in this Data Supplement:

    • Supplemental data: Table - PDF file, 1 page, .85 MB.
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Factors Affecting the Detection Rate of Human Papillomavirus
Diane M. Harper, Meghan R. Longacre, Walter W. Noll, Dorothy R. Belloni, Bernard F. Cole
The Annals of Family Medicine Nov 2003, 1 (4) 221-227; DOI: 10.1370/afm.90

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Factors Affecting the Detection Rate of Human Papillomavirus
Diane M. Harper, Meghan R. Longacre, Walter W. Noll, Dorothy R. Belloni, Bernard F. Cole
The Annals of Family Medicine Nov 2003, 1 (4) 221-227; DOI: 10.1370/afm.90
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