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Association between human papillomavirus and chlamydia trachomatis infection risk in women: a systematic review and meta-analysis

Author

Listed:
  • Giulia Naldini

    (University of Perugia)

  • Chiara Grisci

    (University of Perugia)

  • Manuela Chiavarini

    (University of Perugia)

  • Roberto Fabiani

    (University of Perugia)

Abstract

Objectives Human papillomavirus (HPV) and chlamydia trachomatis (Ct) infection lead to severe consequences for women’s health. This meta-analysis summarizes the evidence on HPV infection risk in women with chlamydia and chlamydia risk in HPV-positive women. Methods Medline, Web of Science and Scopus were systematically searched for eligible publications until May 2018. Eligibility criteria included: assessment of HPV/Ct infection; cohort, case–control, cross-sectional study design; and reported risk estimation with its 95% CI for HPV infection in Ct-positive women and/or Ct infection in HPV-positive women. On the PRISMA guidelines, meta-analysis was performed using random effect model. Results Forty-eight studies met the eligibility criteria. Among women with chlamydia, the odds ratio (OR) of HPV infection is 2.12 (95% CI 1.80, 2.49) and the OR of high-risk HPV infection is 2.32 (95% CI 2.02, 2.65). The OR for chlamydia among HPV-positive women is 2.23 (95% CI 1.70, 2.92). Conclusions HPV and Ct behave as reciprocal risk factors. In women diagnosed with HPV infection or chlamydia, the screening for the mutual infection could represent a preventive intervention for severe reproductive health outcomes, such as cervical cancer and infertility.

Suggested Citation

  • Giulia Naldini & Chiara Grisci & Manuela Chiavarini & Roberto Fabiani, 2019. "Association between human papillomavirus and chlamydia trachomatis infection risk in women: a systematic review and meta-analysis," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 64(6), pages 943-955, July.
    • Handle: RePEc:spr:ijphth:v:64:y:2019:i:6:d:10.1007_s00038-019-01261-w
    DOI: 10.1007/s00038-019-01261-w
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    References listed on IDEAS

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    1. David Moher & Alessandro Liberati & Jennifer Tetzlaff & Douglas G Altman & The PRISMA Group, 2009. "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-6, July.
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