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The causal link between human papillomavirus and invasive cervical cancer: A population‐based case‐control study in colombia and spain
Abstract
To evaluate the association between human papillomavirus (HPV) and cervical cancer, we performed a population‐based case‐control study in Colombia and Spain, the former country having an incidence rate of cervical cancer about 8 times higher than the latter. It included 436 cases of histologically confirmed invasive cervical cancer and 387 randomly selected population controls. Information on demographic variables, sexual behaviour and other risk factors was obtained by interview. HPV‐DNA was measured in cervical‐swab specimens with 3 hybridization assays: ViraPap™, Southern hybridization (SH) and polymerase chain reaction (PCR). The presence of HPV‐DNA and detection of types 16, 18, 31, 33 and 35 were strongly associated with cervical cancer in each country regardless of the assay used. For both countries combined the adjusted odds ratios and 95% confidence intervals were: ViraPap OR = 25.9 (10.0–66.7); SH OR = 6.8 (3.4–13.4); and PCR OR = 28.8 (15.7–52.6). HPV‐16 was the most common type detected in both cases and controls. Our results indicate that there is a very strong association between HPV 16, 18, 31, 33 and 35 and invasive cervical cancer and that this association is probably causal. © 1992 Wiley‐Liss, Inc.
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Cited by
Epidemiologic classification of human papillomavirus types associated with cervical cancer
Muñoz, N., Bosch, F. X., de Sanjosé, S., Herrero, R., Castellsagué, X., Shah, K. V., Snijders, P. J. F., & Meijer, C. J. L. M. (2003) · New England Journal of Medicine · doi:10.1056/nejmoa021641 · Cited by 6,249
Self-citationPapillomaviruses in the causation of human cancers - a brief historical account
zur Hausen, H. (2009) · Virology · doi:10.1016/j.virol.2008.11.046 · Cited by 1,532
Breast and cervical cancer in 187 countries between 1980 and 2010: a systematic analysis
Forouzanfar, M. H., Foreman, K. J., Delossantos, A. M., Lozano, R., Lopez, A. D., Murray, C. J. L., & Naghavi, M. (2011) · The Lancet · doi:10.1016/s0140-6736(11)61351-2 · Cited by 1,009
Population-Based Study of Human Papillomavirus Infection and Cervical Neoplasia in Rural Costa Rica
Herrero, R., Hildesheim, A., Bratti, C., Sherman, M. E., Hutchinson, M., Morales, J., Balmaceda, I., Greenberg, M. D., Alfaro, M., Burk, R. D., et al. (2000) · JNCI: Journal of the National Cancer Institute · doi:10.1093/jnci/92.6.464 · Cited by 586
Human papillomavirus and cancer: the epidemiological evidence
Muñoz, N. (2000) · Journal of Clinical Virology · doi:10.1016/s1386-6532(00)00125-6 · Cited by 586
Metadata
- Authors
- Munoz, N., Bosch, F. X., de Sanjose, S., Tafur, L., Izarzugaza, I., Gili, M., Viladiu, P., Navarro, C., Martos, C., Ascunce, N., Gonzalez, L. C., Kaldor, J. M., Guerrero, E., Lorincz, A., Santamaria, M., De Ruiz, P. A., Aristizabal, N., & Shah, K.
- Venue
- International Journal of Cancer
- Publisher
- Wiley
- Published
- 1992-11-11
- Volume
- 52
- Issue
- 5
- Pages
- 743-749
- ISSN
- 0020-7136 (ISSN-L)
- 1097-0215
- OpenAlex
- W2086678451
- Cited by
- 568
- References
- 0
- FWCI
- 21.82
- Type
- journal article
- Language
- en
- Open access
- closed
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- CoChat. (2026). Citation check: The causal link between human papillomavirus and invasive cervical cancer: A population‐based case‐control study in colombia and spain. https://app.cochat.ai/papers/10.1002/ijc.2910520513
- The paper
- Munoz, N., Bosch, F. X., de Sanjose, S., Tafur, L., Izarzugaza, I., Gili, M., Viladiu, P., Navarro, C., Martos, C., Ascunce, N., Gonzalez, L. C., Kaldor, J. M., Guerrero, E., Lorincz, A., Santamaria, M., De Ruiz, P. A., Aristizabal, N., & Shah, K. (1992). The causal link between human papillomavirus and invasive cervical cancer: A population‐based case‐control study in colombia and spain. International Journal of Cancer. https://doi.org/10.1002/ijc.2910520513
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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