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Berraho M, Amarti-Riffi A, El-Mzibri M, Bezad R, Benjaafar N, Benideer A, Matar N, Qmichou Z, Abda N, Attaleb M, Znati K, El Fatemi H, Bendahhou K, Obtel M, Filali Adib A, Mathoulin-Pelissier S, Nejjari C. HPV and cofactors for invasive cervical cancer in Morocco: a multicentre case-control study. BMC Cancer 2017. [PMID: 28633667 PMCID: PMC5479029 DOI: 10.1186/s12885-017-3425-z] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
Background Limited national information is available in Morocco on the prevalence and distribution of HPV-sub-types of cervical cancer and the role of other risk factors. The aim was to determine the frequency of HPV-sub-types of cervical cancer in Morocco and investigate risk factors for this disease. Methods Between November 2009 and April 2012 a multicentre case-control study was carried out. A total of 144 cases of cervical cancer and 288 age-matched controls were included. Odds-ratios and corresponding confidence-intervals were computed by conditional logistic regression models. Results Current HPV infection was detected in 92.5% of cases and 13.9% of controls. HPV16 was the most common type for both cases and controls. Very strong associations between HPV-sub-types and cervical cancer were observed: total-HPV (OR = 39), HPV16 (OR = 49), HPV18 (OR = 31), and multiple infections (OR = 13). Education, high parity, sexual intercourse during menstruation, history of sexually transmitted infections, and husband’s multiple sexual partners were also significantly associated with cervical cancer in the multivariate analysis. Conclusions Our results could be used to establish a primary prevention program and to prioritize limited screening to women who have specific characteristics that may put them at an increased risk of cervical cancer.
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Affiliation(s)
- Mohamed Berraho
- Laboratory of Epidemiology, Clinical Research and Community Health, Faculty of Medicine and Pharmacy, University Sidi Mohammed Benabdellah, BP.1893, Km 2.2 Route Sidi Harazem, Fez, Morocco.
| | | | - Mohammed El-Mzibri
- Biology Unit and Medical Research, National Center of Energy, Sciences and Nuclear Techniques (CNESTEN), Rabat, Morocco
| | - Rachid Bezad
- Hospital "Les Orangers", CHU IbnSina, Rabat, Morocco.,Faculty of Medicine and Pharmacy, University Mohammed V Souissi, Rabat, Morocco
| | | | | | - Noureddine Matar
- Department of Gynecology and Obstetrics, CHU IbnRochd, Casablanca, Morocco
| | - Zinab Qmichou
- Biology Unit and Medical Research, National Center of Energy, Sciences and Nuclear Techniques (CNESTEN), Rabat, Morocco.,Faculty of Science and technology, Mohammedia, Morocco
| | - Naima Abda
- Laboratory of Epidemiology, Clinical Research and Community Health, Faculty of Medicine and Pharmacy, University Sidi Mohammed Benabdellah, BP.1893, Km 2.2 Route Sidi Harazem, Fez, Morocco
| | - Mohammed Attaleb
- Biology Unit and Medical Research, National Center of Energy, Sciences and Nuclear Techniques (CNESTEN), Rabat, Morocco
| | - Kaoutar Znati
- Pathological Anatomy Laboratory, CHU Hassan-II, Fez, Morocco
| | - Hind El Fatemi
- Pathological Anatomy Laboratory, CHU Hassan-II, Fez, Morocco
| | | | - Majdouline Obtel
- Directorate of Epidemiology and Fight against Disease (DELM) Ministry of Health, Rabat, Morocco
| | | | - Simone Mathoulin-Pelissier
- Univ. Bordeaux, ISPED, Centre INSERM U897 - Epidemiologie-Biostatistique, F-33000, Bordeaux, France.,CIC-EC7, Clinical and Epidemiological Research Unit, Institut Bergonié, Comprehensive Cancer Centre, Bordeaux, France
| | - Chakib Nejjari
- Laboratory of Epidemiology, Clinical Research and Community Health, Faculty of Medicine and Pharmacy, University Sidi Mohammed Benabdellah, BP.1893, Km 2.2 Route Sidi Harazem, Fez, Morocco
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Affiliation(s)
- Mohammed El-Azami-El-Idrissi
- Faculty of Medicine and Pharmacy, Sidi Mohamed Ben Abdellah University of Fez and Hassan II University Hospital of Fez, Fez 30000, Morocco.
| | - Mounia Lakhdar-Idrissi
- Faculty of Medicine and Pharmacy, Sidi Mohamed Ben Abdellah University of Fez and Hassan II University Hospital of Fez, Fez 30000, Morocco
| | - Karim Ouldim
- Faculty of Medicine and Pharmacy, Sidi Mohamed Ben Abdellah University of Fez and Hassan II University Hospital of Fez, Fez 30000, Morocco
| | - Wafaa Bono
- Faculty of Medicine and Pharmacy, Sidi Mohamed Ben Abdellah University of Fez and Hassan II University Hospital of Fez, Fez 30000, Morocco
| | - Afaf Amarti-Riffi
- Faculty of Medicine and Pharmacy, Sidi Mohamed Ben Abdellah University of Fez and Hassan II University Hospital of Fez, Fez 30000, Morocco
| | - Moustapha Hida
- Faculty of Medicine and Pharmacy, Sidi Mohamed Ben Abdellah University of Fez and Hassan II University Hospital of Fez, Fez 30000, Morocco
| | - Chakib Nejjari
- Faculty of Medicine and Pharmacy, Sidi Mohamed Ben Abdellah University of Fez and Hassan II University Hospital of Fez, Fez 30000, Morocco
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