Genital human papillomavirus infection in women who have sex with women.
Abstract
Genital infection with human papillomavirus (HPV), as determined by polymerase chain reaction detection of HPV DNA and prevalence of HPV-6 and -16 serum antibodies, was investigated in 149 women who were sexually active with women. By use of HPV L1 consensus primers and hybridization to types 6/11, 16, 18, 31/33/35/39, and 45 and a generic probe, HPV DNA was detected in 30% of subjects; of these, 20% had type 31/33/35/39, 18% had type 16, and 2% had type 6/11. Of 21 subjects reporting no prior sex with men, HPV DNA was detected in 19% and squamous intraepithelial lesions in 14%. By capture ELISA with HPV-6 and -16 L1 capsids, 47% of subjects were seropositive for HPV-16 and 62% for HPV-6. Current smoking was associated with detectable HPV DNA. Genital HPV infection and squamous intraepithelial lesions are common among women who are sexually active with women and occur among those who have not had sex with men.
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HPV can be transmitted through skin-to-skin contact, and sexual transmission of HPV likely occurs between WSW.
“HPV can be transmitted through skin-to-skin contact, and sexual transmission of HPV likely occurs between WSW (301–303).”
From Sexually Transmitted Infections Treatment Guidelines, 2021 (2021) · cites this paper as [301]
The Discussion says the data suggest HPV is sexually transmitted between women and identifies sexual practices that could transmit it, including digital-vaginal and digital-anal sex. It does not explicitly establish the broader claim that HPV can be transmitted through skin-to-skin contact. (LLM, conf=0.84)
Experimental — accuracy not yet measuredAmong WSW who report no lifetime history of sex with men, 26% had antibodies to HPV-16, and 42% had antibodies to HPV-6.
“Among WSW who report no lifetime history of sex with men, 26% had antibodies to HPV-16, and 42% had antibodies to HPV-6 (301).”
From Sexually Transmitted Infections Treatment Guidelines, 2021 (2021) · cites this paper as [301]
HPV DNA has been detected through polymerase chain reaction (PCR)-based methods from the cervix, vagina, and vulva among 13%-30% of WSW and can persist on fomites, including sex toys.
“HPV DNA has been detected through polymerase chain reaction (PCR)–based methods from the cervix, vagina, and vulva among 13%–30% of WSW (301,302) and can persist on fomites, including sex toys (304).”
From Sexually Transmitted Infections Treatment Guidelines, 2021 (2021) · cites this paper as [301]
High-grade squamous intraepithelial lesions (HSIL) and low-grade squamous intraepithelial lesions (LSIL) have been detected on Papanicolaou smears (Pap tests) among WSW who reported no previous sex with men.
“High-grade squamous intraepithelial lesions (HSIL) and low-grade squamous intraepithelial lesions (LSIL) have been detected on Papanicolaou smears (Pap tests) among WSW who reported no previous sex with men (301,302).”
From Sexually Transmitted Infections Treatment Guidelines, 2021 (2021) · cites this paper as [301]
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- Authors
- Marrazzo, J. M., Koutsky, L. A., Stine, K. L., Kuypers, J. M., Grubert, T. A., Galloway, D. A., Kiviat, N. B., & Handsfield, H. H.
- Affiliations
- Public Health – Seattle & King County (US)
- Corresponding author
- Marrazzo, Jeanne M.
- Venue
- The Journal of Infectious Diseases
- Publisher
- Oxford University Press (OUP)
- Published
- 1998-12
- Volume
- 178
- Issue
- 6
- Pages
- 1604-1609
- ISSN
- 0022-1899 (ISSN-L)
- 1537-6613
- OpenAlex
- W2066547233
- Cited by
- 154
- References
- 32
- Citations by year
- 2024: 2 · 2023: 3 · 2022: 2 · 2021: 4 · 2020: 2 · 2019: 3 · 2018: 3 · 2017: 7 · 2016: 3 · 2015: 13 · 2014: 8 · 2013: 11 · 2012: 9
- FWCI
- 5.80
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Infectious Diseases (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health
- National Cancer Institute (R01CA034493, CA 34493)
- National Institute of Allergy and Infectious Diseases (AI 07140, AI-38382, T32AI007140)
- Topics
- Health Sciences › Medicine › Epidemiology › Cervical Cancer and HPV Research
- Life Sciences › Immunology and Microbiology › Microbiology › Reproductive tract infections research
- Health Sciences › Medicine › Surgery › Genital Health and Disease
- Keywords
- human papillomavirus, women who have sex with women, HPV DNA prevalence, HPV16, HPV 6, HPV 18, HPV 6/11, squamous intraepithelial lesions, HPV seroprevalence, smoking, men who have sex with men
- MeSH terms
- Adult, Age Factors, Analysis of Variance, DNA, Viral, Female, Humans, Male, Risk Factors, Sexually Transmitted Diseases, Software, Tumor Virus Infections, Washington, Multivariate Analysis, Polymerase Chain Reaction, DNA Primers, Homosexuality, Female, Heterosexuality, Papillomaviridae, Papillomavirus Infections
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