Extract

Introduction

Incidence rates of HPV (Human Papillomavirus), the most common sexually transmitted disease in the United States, are increased in patients identifying as racial minorities, those with low socioeconomic status, and those living in rural areas. Despite this, few studies in the literature focus on HPV risk factors of women living in rural America, and even fewer examine differences in birth control methods between HPV positive and negative women in rural America.

Objective

To determine whether demographic characteristics, gynecologic history, and sexual and social behaviors are correlated with HPV infection among a sample of women in rural America

Methods

Using a convenience sample, 213 female patients, with no pre-existing medical conditions or history of gynecologic cancers, who had undergone a Pap smear and were seen in the rural health gynecology clinic from January 1st, 2018 to October 1st 2018 were included in this retrospective chart review. Medical records were reviewed to obtain demographic characteristics, gynecologic history (history of STI, abnormal Pap smears, colposcopy, family history, number of times pregnant, HPV cytology and genotype), and sexual and social behaviors (smoking and alcohol use history, condom use, type of birth control method used). Comparisons between groups were made using 2 independent samples t-test and chi-square test.

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