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Genital Human Papillomavirus Infection: Incidence and Risk Factors in a Cohort of Female University Students

Winer, R. L.·2003·American Journal of Epidemiology

Abstract

Incidence data on human papillomavirus (HPV) infection are limited, and risk factors for transmission are largely unknown. The authors followed 603 female university students in Washington State at 4-month intervals between 1990 and 2000. At each visit, a sexual and health questionnaire was completed and cervical and vulvovaginal samples were collected to detect HPV DNA. At 24 months, the cumulative incidence of first-time infection was 32.3% (95% confidence interval: 28.0, 37.1). Incidences calculated from time of new-partner acquisition were comparable for enrolled virgins and nonvirgins. Smoking, oral contraceptive use, and report of a new male sex partner--in particular, one known for less than 8 months before sex occurred or one reporting other partners--were predictive of incident infection. Always using male condoms with a new partner was not protective. Infection in virgins was rare, but any type of nonpenetrative sexual contact was associated with an increased risk. Detection of oral HPV was rare and was not associated with oral-penile contact. The data show that the incidence of HPV associated with acquisition of a new sex partner is high and that nonpenetrative sexual contact is a plausible route of transmission in virgins.

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Metadata

Authors
Winer, R. L.
Venue
American Journal of Epidemiology
Published
2003-02-01
Volume
157
Issue
3
Pages
218-226
ISSN
0002-9262 (ISSN-L)
OpenAlex
W2162088345
Cited by
1,044
References
23
FWCI
28.92
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Genital Human Papillomavirus Infection: Incidence and Risk Factors in a Cohort of Female University Students. https://app.cochat.ai/papers/10.1093/aje/kwf180
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Winer, R. L. (2003). Genital Human Papillomavirus Infection: Incidence and Risk Factors in a Cohort of Female University Students. American Journal of Epidemiology. https://doi.org/10.1093/aje/kwf180

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Bibliographic data: Semantic Scholar, OpenAlex, Crossref.

Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.