Research Article

Clinical Significance of the Interaction between Human Papillomavirus (HPV) Type 16 and Other High-Risk Human Papillomaviruses in Women with Cervical Intraepithelial Neoplasia (CIN) and Invasive Cervical Cancer

Table 1

Sociodemographic and virological data according to the severity of cervical intraepithelial neoplasia (CIN) at the enrollment.

CIN 1 (n = 1811)CIN 2 (n = 405)CIN 3 (n = 678)Invasive cancer (n = 91)
N. 1811 (%)N. 405 (%)N. 678 (%)N. 91 (%)

Age (mean ± SD)36.8 ± 10.435.06 ± 9.337.33 ± 9.143.76 ± 9.1
Parity784 (43.3)176 (43.46)298 (43.9)40 (44)
HIV positive72 (4)26 (6.42)47 (6.9)4 (4.4)
Nonsmokers1410 (77.8)322 (79.5)528 (77.9)64 (70.3)
<10 cig/day197 (10.9)47 (11.6)85 (12.5)16 (17.6)
≥10 cig/day204 (11.3)36 (8.9)65 (9.6)11 (12.1)
Contraceptive use
No933 (51.5)212 (52.3)382 (56.3)42 (46.1)
Barrier155 (8.6)32 (8)41 (6)10 (11)
Hormonal702 (38.8)158 (39)249 (36.7)37 (40.7)
IUD21 (1.2)3 (0.7)6 (0.9)2 (2.2)
Pap smear results
ASCUS584 (33.2)125 (30.9)148 (21.8)5 (5.5)
LSIL1087 (60.0)120 (29.6)212 (31.3)10 (11)
HSIL-ASCH127 (7.0)141 (34.8)253 (37.3)28 (30.8)
AGUS9 (0.5)12 (3)25 (3.7)11 (12.1)
Cancer4 (0.2)7 (1.7)40 (5.9)37 (40.7)
HPV 16438 (24.2)129 (31.8)278 (41)43 (47.2)
HPV 18113 (6.2)33 (8.1)68 (10.0)10 (11)
HPV 31223 (12.3)66 (16.3)133 (19.6)9 (9.9)
HPV 3362 (3.4)26 (6.4)40 (5.9)3 (3.3)
HPV 3542 (2.3)10 (2.5)21 (3.1)1 (1.1)
HPV 39116 (6.4)19 (4.7)48 (7.1)9 (9.9)
HPV4540 (2.2)18 (4.4)25 (3.7)1 (1.1)
HPV 51226 (12.5)51 (12.6)85 (12.5)10 (11)
HPV 52357 (19.7)87 (21.5)187 (27.6)25 (27.5)
HPV 5679 (4.4)17 (4.)32 (4.7)7 (7.7)
HPV 5855 (3.0)19 (4.7)23 (3.4)2 (2.2)
HPV 66123 (6.8)28 (6.9)32 (4.7)11 (12.1)
Class of risk
Negative/undetermined/LR
HR single508 (28.1)57 (14.1)58 (8.6)7 (7.7)
HR multiple849 (46.9)212 (52.3)328 (48.4)51 (56)
454 (25.1)136 (33.6)292 (43.1)33 (36.3)

compared to CIN 1, p for trend <05. IUD: intrauterine device; ASCUS: atypical squamous cells of undetermined significance; LSIL: low-grade squamous intraepithelial lesion; HSIL: high-grade squamous intraepithelial lesion; ASCH: atypical squamous cells cannot exclude high-grade intraepithelial lesion: AGUS: atypical glandular cells of undetermined significance; HPV: human papillomavirus; LR: low-risk; HR: high-risk.