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Sexually active teens: medical, social histories don't predict HPV.(Gynecology)

OB GYN News

| July 01, 2004 | Sullivan, Michele G. | COPYRIGHT 2004 International Medical News Group. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

ST. LOUIS -- Medical and social histories don't reliably predict which adolescent girls are at risk for infection with human papillomavirus, so clinicians may want to consider universal testing for all sexually active girls, Dr. Oscar Taube reported at the annual meeting of the Society for Adolescent Medicine.

"We hypothesized that medical, social, and lifestyle risk factors would accurately predict those teenagers at risk for HPV infection," said Dr. Taube of Sinai Hospital, Baltimore. "We were wrong. These infections were not significantly associated with any of the factors we looked at."

Dr. Taube examined infection rates, cervical cytology, and medical and social histories in 71 girls who presented for a pelvic exam for any reason at an inner city pediatric ambulatory clinic. The patients were aged 14-20 years; 97% were black. Each girl was tested for HPV infection in addition to having routine STD testing and cervical cytology. Each girl also filled out a confidential questionnaire assessing medical, social, and lifestyle factors thought to be associated with HPV infection.

HPV was the most common sexually transmitted disease identified in the group; 63.4% of the patients were infected. In most ...

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