Baseline risk factors for acquisition of cervical HPV infection
. | Subjects* n (=972) . | High-risk HPV . | . | . | Low-risk HPV† . | . | . | Any HPV . | . | . | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
. | . | Events‡ n (=284) . | Hazard ratio§ (95% CI) . | Ptrend . | Events‡ n (=286) . | Hazard ratio§ (95% CI) . | Ptrend . | Events‡ n (=570) . | Hazard ratio§ (95% CI) . | Ptrend . | ||||||||||
Age (y) | ||||||||||||||||||||
<25 | 267 | 123 | 114 | 237 | ||||||||||||||||
25–34 | 250 | 66 | 0.48 (0.36–0.65) | 71 | 0.56 (0.42–0.76) | 137 | 0.52 (0.42–0.64) | |||||||||||||
35–44 | 198 | 35 | 0.30 (0.20–0.44) | 29 | 0.27 (0.18–0.41) | 64 | 0.29 (0.22–0.38) | |||||||||||||
45–54 | 180 | 14 | 0.15 (0.09–0.26) | 12 | 0.14 (0.08–0.26) | 26 | 0.15 (0.10–0.22) | |||||||||||||
≥55 | 77 | 5 | 0.12 (0.05–0.30) | <.0001 | 7 | 0.19 (0.09–0.40) | <.0001 | 12 | 0.15 (0.09–0.27) | <.0001 | ||||||||||
Ethnicity | ||||||||||||||||||||
Japanese | 112 | 22 | 20 | 42 | ||||||||||||||||
Caucasian | 383 | 93 | 1.01 (0.64–1.60) | 88 | 1.07 (0.66–1.75) | 181 | 1.04 (0.74–1.45) | |||||||||||||
Hawaiian | 130 | 22 | 0.74 (0.41–1.33) | 24 | 0.91 (0.50–1.65) | 46 | 0.82 (0.54–1.24) | |||||||||||||
Filipino | 55 | 9 | 0.55 (0.25–1.19) | 12 | 0.82 (0.40–1.71) | 21 | 0.68 (0.40–1.15) | |||||||||||||
Other | 292 | 97 | 1.05 (0.66–1.66) | 89 | 1.10 (0.67–1.80) | 186 | 1.07 (0.77–1.50) | |||||||||||||
Income | ||||||||||||||||||||
<7,500 | 223 | 102 | 72 | 174 | ||||||||||||||||
7,500–19,999 | 222 | 49 | 0.62 (0.44–0.87) | 48 | 0.86 (0.60–1.24) | 97 | 0.72 (0.56–0.92) | |||||||||||||
20,000–49,999 | 246 | 45 | 0.56 (0.39–0.80) | 61 | 1.12 (0.78–1.61) | 106 | 0.78 (0.61–1.01) | |||||||||||||
≥50,000 | 248 | 32 | 0.48 (0.32–0.71) | <.0001 | 35 | 0.77 (0.51–1.17) | 0.51 | 67 | 0.60 (0.45–0.80) | 0.001 | ||||||||||
Age at menarche | ||||||||||||||||||||
<12 | 212 | 52 | 67 | 119 | ||||||||||||||||
12 | 258 | 59 | 0.94 (0.65–1.37) | 57 | 0.70 (0.50–1.00) | 116 | 0.81 (0.63–1.04) | |||||||||||||
13 | 251 | 58 | 0.88 (0.61–1.28) | 52 | 0.61 (0.43–0.88) | 110 | 0.73 (0.56–0.95) | |||||||||||||
≥14 | 249 | 72 | 1.30 (0.91–1.85) | 0.20 | 57 | 0.79 (0.55–1.12) | 0.15 | 129 | 1.01 (0.79–1.29) | 0.91 | ||||||||||
No. pregnancies | ||||||||||||||||||||
None | 403 | 117 | 133 | 250 | ||||||||||||||||
1 | 186 | 64 | 1.38 (1.02–1.86) | 41 | 0.75 (0.53–1.06) | 105 | 1.04 (0.83–1.31) | |||||||||||||
2 | 123 | 24 | 1.20 (0.75–1.90) | 21 | 0.84 (0.52–1.36) | 45 | 1.01 (0.72–1.40) | |||||||||||||
≥3 | 259 | 38 | 1.13 (0.78–1.64) | 0.34 | 38 | 0.88 (0.61–1.28) | 0.37 | 76 | 1.00 (0.77–1.30) | 0.99 | ||||||||||
Age at first sexual intercourse | ||||||||||||||||||||
<16 | 219 | 59 | 41 | 100 | ||||||||||||||||
16–17 | 287 | 83 | 1.18 (0.85–1.65) | 73 | 1.49 (1.02–2.19) | 156 | 1.31 (1.02–1.68) | |||||||||||||
18–19 | 246 | 60 | 1.25 (0.87–1.79) | 72 | 2.16 (1.47–3.18) | 132 | 1.62 (1.25–2.10) | |||||||||||||
≥20 | 204 | 38 | 1.06 (0.71–1.61) | 0.57 | 46 | 1.83 (1.19–2.82) | 0.0003 | 84 | 1.38 (1.03–1.85) | 0.003 | ||||||||||
No. lifetime sexual partners | ||||||||||||||||||||
<2 | 111 | 7 | 15 | 22 | ||||||||||||||||
2–5 | 314 | 94 | 3.62 (1.68–7.80) | 82 | 1.45 (0.83–2.51) | 176 | 2.14 (1.37–3.33) | |||||||||||||
≥6 | 520 | 138 | 3.33 (1.56–7.11) | 0.03 | 132 | 1.46 (0.86–2.49) | 0.28 | 270 | 2.05 (1.33–3.17) | 0.02 | ||||||||||
Oral contraceptive use at baseline | ||||||||||||||||||||
Never | 175 | 51 | 44 | 95 | ||||||||||||||||
Ever | 797 | 192 | 0.75 (0.55–1.03) | 189 | 0.87 (0.63–1.21) | 381 | 0.81 (0.65–1.01) | |||||||||||||
Past user | 465 | 76 | 0.69 (0.48–0.99) | 77 | 0.81 (0.56–1.18) | 153 | 0.74 (0.57–0.97) | |||||||||||||
Current user∥ | 332 | 116 | 0.80 (0.58–1.11) | 112 | 0.92 (0.65–1.30) | 228 | 0.86 (0.68–1.09) | |||||||||||||
Years of oral contraceptive pill use | ||||||||||||||||||||
Never used | 312 | 91 | 98 | 189 | ||||||||||||||||
<2 y | 91 | 26 | 0.85 (0.55–1.31) | 23 | 0.71 (0.45–1.12) | 49 | 0.78 (0.57–1.06) | |||||||||||||
2–4 y | 214 | 54 | 0.73 (0.53–1.02) | 52 | 0.67 (0.48–0.94) | 106 | 0.70 (0.55–0.89) | |||||||||||||
5–9 y | 191 | 45 | 0.70 (0.49–0.99) | 37 | 0.53 (0.37–0.78) | 82 | 0.61 (0.47–0.79) | |||||||||||||
≥10 y | 163 | 27 | 0.74 (0.47–1.18) | 0.04 | 23 | 0.56 (0.35–0.90) | 0.0003 | 50 | 0.65 (0.46–0.90) | <.0001 | ||||||||||
Hormonal cream use at baseline | ||||||||||||||||||||
Never | 880 | 228 | 217 | 445 | ||||||||||||||||
Past user | 63 | 8 | 0.56 (0.28–1.15) | 8 | 0.60 (0.29–1.22) | 16 | 0.58 (0.35–0.96) | |||||||||||||
Current user∥ | 29 | 7 | 1.83 (0.86–3.89) | 8 | 2.14 (1.07–4.31) | 15 | 1.98 (1.19–3.31) | |||||||||||||
Tobacco smoking history | ||||||||||||||||||||
Never | 611 | 160 | 162 | 322 | ||||||||||||||||
Ever | 361 | 83 | 0.96 (0.74–1.26) | 71 | 0.80 (0.61–1.06) | 154 | 0.88 (0.73–1.07) | |||||||||||||
Past | 216 | 42 | 0.88 (0.63–1.24) | 33 | 0.67 (0.46–0.98) | 75 | 0.78 (0.60–1.00) | |||||||||||||
Current∥ | 145 | 41 | 1.07 (0.76–1.50) | 38 | 0.97 (0.68–1.38) | 79 | 1.02 (0.80–1.30) | |||||||||||||
Alcohol history | ||||||||||||||||||||
Never | 529 | 138 | 122 | 260 | ||||||||||||||||
Ever | 443 | 105 | 1.02 (0.79–1.32) | 111 | 1.22 (0.94–1.58) | 216 | 1.12 (0.93–1.34) | |||||||||||||
Past | 205 | 30 | 0.65 (0.44–0.96) | 41 | 1.00 (0.70–1.42) | 71 | 0.81 (0.62–1.06) | |||||||||||||
Current∥ | 238 | 75 | 1.33 (1.00–1.76) | 70 | 1.40 (1.04–1.87) | 145 | 1.36 (1.11–1.67) | |||||||||||||
History of tubal ligation | ||||||||||||||||||||
No | 841 | 223 | 218 | 441 | ||||||||||||||||
Yes | 131 | 20 | 1.66 (0.96–2.86) | 15 | 1.07 (0.60–1.91) | 35 | 1.34 (0.90–2.00) | |||||||||||||
Condom use by a sexual partner at baseline | ||||||||||||||||||||
No | 698 | 135 | 133 | 268 | ||||||||||||||||
Yes∥ | 274 | 108 | 1.37 (1.05–1.80) | 100 | 1.33 (1.02–1.75) | 208 | 1.35 (1.12–1.64) | |||||||||||||
Spermicide use at baseline | ||||||||||||||||||||
No | 840 | 201 | 192 | 393 | ||||||||||||||||
Yes∥ | 132 | 42 | 1.05 (0.75–1.47) | 41 | 1.12 (0.79–1.58) | 83 | 1.08 (0.85–1.38) | |||||||||||||
History of anal sex | ||||||||||||||||||||
Never | 794 | 185 | 182 | 367 | ||||||||||||||||
Ever | 178 | 58 | 1.14 (0.85–1.53) | 51 | 1.03 (0.75–1.41) | 109 | 1.08 (0.87–1.34) | |||||||||||||
Past | 113 | 33 | 1.10 (0.76–1.59) | 31 | 1.06 (0.73–1.55) | 64 | 1.08 (0.83–1.41) | |||||||||||||
Current∥ | 63 | 25 | 1.22 (0.81–1.86) | 19 | 0.96 (0.59–1.54) | 44 | 1.09 (0.80–1.49) |
. | Subjects* n (=972) . | High-risk HPV . | . | . | Low-risk HPV† . | . | . | Any HPV . | . | . | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
. | . | Events‡ n (=284) . | Hazard ratio§ (95% CI) . | Ptrend . | Events‡ n (=286) . | Hazard ratio§ (95% CI) . | Ptrend . | Events‡ n (=570) . | Hazard ratio§ (95% CI) . | Ptrend . | ||||||||||
Age (y) | ||||||||||||||||||||
<25 | 267 | 123 | 114 | 237 | ||||||||||||||||
25–34 | 250 | 66 | 0.48 (0.36–0.65) | 71 | 0.56 (0.42–0.76) | 137 | 0.52 (0.42–0.64) | |||||||||||||
35–44 | 198 | 35 | 0.30 (0.20–0.44) | 29 | 0.27 (0.18–0.41) | 64 | 0.29 (0.22–0.38) | |||||||||||||
45–54 | 180 | 14 | 0.15 (0.09–0.26) | 12 | 0.14 (0.08–0.26) | 26 | 0.15 (0.10–0.22) | |||||||||||||
≥55 | 77 | 5 | 0.12 (0.05–0.30) | <.0001 | 7 | 0.19 (0.09–0.40) | <.0001 | 12 | 0.15 (0.09–0.27) | <.0001 | ||||||||||
Ethnicity | ||||||||||||||||||||
Japanese | 112 | 22 | 20 | 42 | ||||||||||||||||
Caucasian | 383 | 93 | 1.01 (0.64–1.60) | 88 | 1.07 (0.66–1.75) | 181 | 1.04 (0.74–1.45) | |||||||||||||
Hawaiian | 130 | 22 | 0.74 (0.41–1.33) | 24 | 0.91 (0.50–1.65) | 46 | 0.82 (0.54–1.24) | |||||||||||||
Filipino | 55 | 9 | 0.55 (0.25–1.19) | 12 | 0.82 (0.40–1.71) | 21 | 0.68 (0.40–1.15) | |||||||||||||
Other | 292 | 97 | 1.05 (0.66–1.66) | 89 | 1.10 (0.67–1.80) | 186 | 1.07 (0.77–1.50) | |||||||||||||
Income | ||||||||||||||||||||
<7,500 | 223 | 102 | 72 | 174 | ||||||||||||||||
7,500–19,999 | 222 | 49 | 0.62 (0.44–0.87) | 48 | 0.86 (0.60–1.24) | 97 | 0.72 (0.56–0.92) | |||||||||||||
20,000–49,999 | 246 | 45 | 0.56 (0.39–0.80) | 61 | 1.12 (0.78–1.61) | 106 | 0.78 (0.61–1.01) | |||||||||||||
≥50,000 | 248 | 32 | 0.48 (0.32–0.71) | <.0001 | 35 | 0.77 (0.51–1.17) | 0.51 | 67 | 0.60 (0.45–0.80) | 0.001 | ||||||||||
Age at menarche | ||||||||||||||||||||
<12 | 212 | 52 | 67 | 119 | ||||||||||||||||
12 | 258 | 59 | 0.94 (0.65–1.37) | 57 | 0.70 (0.50–1.00) | 116 | 0.81 (0.63–1.04) | |||||||||||||
13 | 251 | 58 | 0.88 (0.61–1.28) | 52 | 0.61 (0.43–0.88) | 110 | 0.73 (0.56–0.95) | |||||||||||||
≥14 | 249 | 72 | 1.30 (0.91–1.85) | 0.20 | 57 | 0.79 (0.55–1.12) | 0.15 | 129 | 1.01 (0.79–1.29) | 0.91 | ||||||||||
No. pregnancies | ||||||||||||||||||||
None | 403 | 117 | 133 | 250 | ||||||||||||||||
1 | 186 | 64 | 1.38 (1.02–1.86) | 41 | 0.75 (0.53–1.06) | 105 | 1.04 (0.83–1.31) | |||||||||||||
2 | 123 | 24 | 1.20 (0.75–1.90) | 21 | 0.84 (0.52–1.36) | 45 | 1.01 (0.72–1.40) | |||||||||||||
≥3 | 259 | 38 | 1.13 (0.78–1.64) | 0.34 | 38 | 0.88 (0.61–1.28) | 0.37 | 76 | 1.00 (0.77–1.30) | 0.99 | ||||||||||
Age at first sexual intercourse | ||||||||||||||||||||
<16 | 219 | 59 | 41 | 100 | ||||||||||||||||
16–17 | 287 | 83 | 1.18 (0.85–1.65) | 73 | 1.49 (1.02–2.19) | 156 | 1.31 (1.02–1.68) | |||||||||||||
18–19 | 246 | 60 | 1.25 (0.87–1.79) | 72 | 2.16 (1.47–3.18) | 132 | 1.62 (1.25–2.10) | |||||||||||||
≥20 | 204 | 38 | 1.06 (0.71–1.61) | 0.57 | 46 | 1.83 (1.19–2.82) | 0.0003 | 84 | 1.38 (1.03–1.85) | 0.003 | ||||||||||
No. lifetime sexual partners | ||||||||||||||||||||
<2 | 111 | 7 | 15 | 22 | ||||||||||||||||
2–5 | 314 | 94 | 3.62 (1.68–7.80) | 82 | 1.45 (0.83–2.51) | 176 | 2.14 (1.37–3.33) | |||||||||||||
≥6 | 520 | 138 | 3.33 (1.56–7.11) | 0.03 | 132 | 1.46 (0.86–2.49) | 0.28 | 270 | 2.05 (1.33–3.17) | 0.02 | ||||||||||
Oral contraceptive use at baseline | ||||||||||||||||||||
Never | 175 | 51 | 44 | 95 | ||||||||||||||||
Ever | 797 | 192 | 0.75 (0.55–1.03) | 189 | 0.87 (0.63–1.21) | 381 | 0.81 (0.65–1.01) | |||||||||||||
Past user | 465 | 76 | 0.69 (0.48–0.99) | 77 | 0.81 (0.56–1.18) | 153 | 0.74 (0.57–0.97) | |||||||||||||
Current user∥ | 332 | 116 | 0.80 (0.58–1.11) | 112 | 0.92 (0.65–1.30) | 228 | 0.86 (0.68–1.09) | |||||||||||||
Years of oral contraceptive pill use | ||||||||||||||||||||
Never used | 312 | 91 | 98 | 189 | ||||||||||||||||
<2 y | 91 | 26 | 0.85 (0.55–1.31) | 23 | 0.71 (0.45–1.12) | 49 | 0.78 (0.57–1.06) | |||||||||||||
2–4 y | 214 | 54 | 0.73 (0.53–1.02) | 52 | 0.67 (0.48–0.94) | 106 | 0.70 (0.55–0.89) | |||||||||||||
5–9 y | 191 | 45 | 0.70 (0.49–0.99) | 37 | 0.53 (0.37–0.78) | 82 | 0.61 (0.47–0.79) | |||||||||||||
≥10 y | 163 | 27 | 0.74 (0.47–1.18) | 0.04 | 23 | 0.56 (0.35–0.90) | 0.0003 | 50 | 0.65 (0.46–0.90) | <.0001 | ||||||||||
Hormonal cream use at baseline | ||||||||||||||||||||
Never | 880 | 228 | 217 | 445 | ||||||||||||||||
Past user | 63 | 8 | 0.56 (0.28–1.15) | 8 | 0.60 (0.29–1.22) | 16 | 0.58 (0.35–0.96) | |||||||||||||
Current user∥ | 29 | 7 | 1.83 (0.86–3.89) | 8 | 2.14 (1.07–4.31) | 15 | 1.98 (1.19–3.31) | |||||||||||||
Tobacco smoking history | ||||||||||||||||||||
Never | 611 | 160 | 162 | 322 | ||||||||||||||||
Ever | 361 | 83 | 0.96 (0.74–1.26) | 71 | 0.80 (0.61–1.06) | 154 | 0.88 (0.73–1.07) | |||||||||||||
Past | 216 | 42 | 0.88 (0.63–1.24) | 33 | 0.67 (0.46–0.98) | 75 | 0.78 (0.60–1.00) | |||||||||||||
Current∥ | 145 | 41 | 1.07 (0.76–1.50) | 38 | 0.97 (0.68–1.38) | 79 | 1.02 (0.80–1.30) | |||||||||||||
Alcohol history | ||||||||||||||||||||
Never | 529 | 138 | 122 | 260 | ||||||||||||||||
Ever | 443 | 105 | 1.02 (0.79–1.32) | 111 | 1.22 (0.94–1.58) | 216 | 1.12 (0.93–1.34) | |||||||||||||
Past | 205 | 30 | 0.65 (0.44–0.96) | 41 | 1.00 (0.70–1.42) | 71 | 0.81 (0.62–1.06) | |||||||||||||
Current∥ | 238 | 75 | 1.33 (1.00–1.76) | 70 | 1.40 (1.04–1.87) | 145 | 1.36 (1.11–1.67) | |||||||||||||
History of tubal ligation | ||||||||||||||||||||
No | 841 | 223 | 218 | 441 | ||||||||||||||||
Yes | 131 | 20 | 1.66 (0.96–2.86) | 15 | 1.07 (0.60–1.91) | 35 | 1.34 (0.90–2.00) | |||||||||||||
Condom use by a sexual partner at baseline | ||||||||||||||||||||
No | 698 | 135 | 133 | 268 | ||||||||||||||||
Yes∥ | 274 | 108 | 1.37 (1.05–1.80) | 100 | 1.33 (1.02–1.75) | 208 | 1.35 (1.12–1.64) | |||||||||||||
Spermicide use at baseline | ||||||||||||||||||||
No | 840 | 201 | 192 | 393 | ||||||||||||||||
Yes∥ | 132 | 42 | 1.05 (0.75–1.47) | 41 | 1.12 (0.79–1.58) | 83 | 1.08 (0.85–1.38) | |||||||||||||
History of anal sex | ||||||||||||||||||||
Never | 794 | 185 | 182 | 367 | ||||||||||||||||
Ever | 178 | 58 | 1.14 (0.85–1.53) | 51 | 1.03 (0.75–1.41) | 109 | 1.08 (0.87–1.34) | |||||||||||||
Past | 113 | 33 | 1.10 (0.76–1.59) | 31 | 1.06 (0.73–1.55) | 64 | 1.08 (0.83–1.41) | |||||||||||||
Current∥ | 63 | 25 | 1.22 (0.81–1.86) | 19 | 0.96 (0.59–1.54) | 44 | 1.09 (0.80–1.49) |