Molecular epidemiology of high-risk human papillomavirus infection and its predictive factors among women living with HIV in Northeast Ethiopia: a facility-based cross-sectional study

The study revealed a significantly higher prevalence of hrHPV among HIV-positive women in Dessie and Kombolcha cities. The non-16/18 hrHPV genotype was the more frequent compared to HPV 16 and 18. Predictive factors for hrHPV infection included multiple sexual partners, non-use of condoms, history of sexually transmitted infections, short duration on ART, low CD4 counts, and high viral loads. To reduce this risk, ART programs should incorporate cervical cancer screening, promote HPV vaccination, and strengthen sexual health education.