Table I. Association of HPV Viral Load with Prevalent ≥Cin2.
HPV risk group | Qualitative viral load1 | Single HPV infections | Single and multiple HPV infections2 | ||
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N (cases/controls)3 | OR (95% CI) | N (cases/controls) | OR (95% CI) | ||
All infections | Low (1–3) | 6/646 | ref. | 8/893 | ref. |
High (4–5) | 57/587 | 10.4 (4.5–24.4) | 114/977 | 13.0 (6.3–26.8) | |
Carcinogenic4 | Low (1–3) | 4/269 | ref. | 6/451 | ref. |
High (4–5) | 55/272 | 13.6 (4.9–38.0) | 108/558 | 14.5 (6.3–33.4) | |
HPV16+ | Low (1–3) | 2/64 | ref. | 4/110 | ref. |
High (4–5) | 36/60 | 19.2 (4.4–83.2) | 58/130 | 12.3 (4.3–34.8) | |
Carcinogenic, HPV16- | Low (1–3) | 2/205 | ref. | 3/353 | ref. |
High (4–5) | 19/212 | 9.2 (2.1–39.9) | 49/416 | 13.9 (4.3–44.8) | |
Noncarcinogenic | Low (1–3) | 2/377 | ref. | 2/442 | ref. |
High (4–5) | 2/315 | 1.2 (0.2–8.5) | 6/419 | 3.2 (0.6–15.8) |
HPV, human papillomavirus; OR, odds ratio; 95% CI, 95% confidence interval.
Viral load for HPV groups and species reflects type-specific HPV PCR probes. Parentheses indicate range of PCR signal strength indices.
For multiple infections, we utilized the maximum signal intensity value of any carcinogenic HPV type, if such a type was present and the maximum signal intensity value among the noncarcinogenic types for women with noncarcinogenic types only.
Cases were women with prevalent CIN2 or worse at enrollment. Controls were women with prevalent CIN1 or better at enrollment.
For women with multiple HPV types, women had to have had at least one carcinogenic HPV type to be categorized as ‘Carcinogenic.’