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Prev Chronic Dis. 2014 May 15;11:E80. doi: 10.5888/pcd11.130361.

Human papillomavirus-related cancers among people living with AIDS in Puerto Rico.

Author information

  • 1University of Puerto Rico Comprehensive Cancer Center and Graduate School of Public Health, University of Puerto Rico, PMB 711, 89 De Diego Ave, Suite 105, San Juan, PR 00927-6346. Telephone: 787-772-8300, Ext 1204. E-mail: ana.ortiz7@upr.edu.
  • 2University of Puerto Rico Comprehensive Cancer Center, San Juan, Puerto Rico.
  • 3University of Puerto Rico, San Juan, Puerto Rico.
  • 4Puerto Rico Department of Health, HIV Surveillance Program, San Juan, Puerto Rico.
  • 5University of California, San Francisco, San Francisco, California.


The objective of this study was to estimate the incidence of cancer and human papillomavirus (HPV)-related cancers and the risk of death (by cancer status) among people living with AIDS (PLWA) in Puerto Rico. We used data from the Puerto Rico AIDS Surveillance Program and Central Cancer Registry (1985-2005). Cancers with highest incidence were cervix (299.6/100,000) for women and oral cavity/oropharynx for men (150.0/100,000); the greatest excess of cancer incidence for men (standardized incidence ratio, 86.8) and women (standardized incidence ratio, 52.8) was for anal cancer. PLWA who developed a cancer had decreased survival and increased risk of death compared with those who did not have cancer. Cancer control strategies for PLWA will be essential for improving their disease survival.

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