Department of Health Services, University of Washington, Seattle, WA 98109, USA.
Prev Med. 2010 Aug;51(2):182-4. doi: 10.1016/j.ypmed.2010.06.002. Epub 2010 Jun 9.
To describe the relationship between acculturation and human papillomavirus (HPV) infection among diverse US Latinas, a group at high risk for cervical cancer.
Using survey and medical testing data from the 2003-2004 National Health and Nutrition Examination Survey (NHANES), we examined the relationship between acculturation level and HPV infection among diverse Latinas (n=503) and Mexican American women (n=442). Multivariable logistic regression was performed using infection with any type of HPV and with high-risk oncogenic genotypes as outcome variables.
More acculturated Mexican American women were more likely to be infected with high-risk HPV than less acculturated women. In multivariate analyses, Mexican Americans with higher levels of self-rated English language ability (2.48 OR, 95% CI: 1.42-4.33); with birth in the US (2.07 OR, 95% CI: 1.03-4.16); and with US born parents (2.98 OR, 95% CI: 1.45-3.72) were more likely to be infected with high-risk HPV genotypes. Mexican American women with higher levels of acculturation were more likely to test positive for other sexually transmitted infections.
Higher acculturation levels related to more frequent infection with high-risk HPV genotypes and other STIs among US Mexican American women. This association may in part be due to engagement in sexual behaviors.
描述美国不同族裔拉丁裔人群（宫颈癌高危人群）的文化适应与人类乳头瘤病毒（HPV）感染之间的关系。
利用 2003-2004 年全国健康和营养调查（NHANES）的调查和医学检测数据，我们检测了不同族裔拉丁裔（n=503）和墨西哥裔美国女性（n=442）的文化适应水平与 HPV 感染之间的关系。采用多变量逻辑回归分析，以任何类型 HPV 感染和高危致癌基因型感染为因变量。
更具文化适应能力的墨西哥裔美国女性比文化适应能力较低的女性更有可能感染高危 HPV。在多变量分析中，自评英语能力较高的墨西哥裔美国人（比值比 [OR]，95%置信区间 [CI]：1.42-4.33）、出生于美国（OR，95%CI：1.03-4.16）和父母均出生于美国（OR，95%CI：1.45-3.72）更有可能感染高危 HPV 基因型。文化适应水平较高的墨西哥裔美国女性更有可能检测出其他性传播感染呈阳性。
更高的文化适应水平与美国墨西哥裔美国女性感染高危 HPV 基因型和其他性传播感染的频率增加有关。这种关联可能部分归因于性行为的参与。
