Acculturation and HPV infection among Latinas in the United States

Prev Med. 2010 Aug;51(2):182-4. doi: 10.1016/j.ypmed.2010.06.002. Epub 2010 Jun 9.


Objective: To describe the relationship between acculturation and human papillomavirus (HPV) infection among diverse US Latinas, a group at high risk for cervical cancer.

Methods: 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.

Results: 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.

Conclusion: 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.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Acculturation*
  • Female
  • Humans
  • Logistic Models
  • Mexican Americans / statistics & numerical data*
  • Nutrition Surveys
  • Papillomavirus Infections / complications
  • Papillomavirus Infections / ethnology*
  • Sexual Behavior / ethnology*
  • United States / epidemiology
  • Uterine Cervical Neoplasms / ethnology*
  • Uterine Cervical Neoplasms / etiology