{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T20:04:42Z","timestamp":1792785882311,"version":"4.5.0"},"reference-count":57,"publisher":"Oxford University Press (OUP)","issue":"12","license":[{"start":{"date-parts":[[2024,2,7]],"date-time":"2024-02-07T00:00:00Z","timestamp":1707264000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"name":"SKKU Excellence in Research"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,3,27]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Aims<\/jats:title>\n                    <jats:p>High-risk human papillomavirus (HR-HPV) infection\u2014a well-established risk factor for cervical cancer\u2014has associations with cardiovascular disease (CVD). However, its relationship with CVD mortality remains uncertain. This study examined the associations between HR-HPV infection and CVD mortality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>As part of a health examination, 163 250 CVD-free Korean women (mean age: 40.2 years) underwent HR-HPV screening and were tracked for up to 17 years (median: 8.6 years). National death records identified the CVD mortality cases. Hazard ratios (HRs) and 95% confidence intervals (CIs) for CVD mortality were estimated using Cox proportional hazard regression analyses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>During 1 380 953 person-years of follow-up, 134 CVD deaths occurred, with a mortality rate of 9.1 per 105 person-years for HR-HPV(\u2212) women and 14.9 per 105 person-years for HR-HPV(+) women. After adjustment for traditional CVD risk factors and confounders, the HRs (95% CI) for atherosclerotic CVD (ASCVD), ischaemic heart disease (IHD), and stroke mortality in women with HR-HPV infection compared with those without infection were 3.91 (1.85\u20138.26), 3.74 (1.53\u20139.14), and 5.86 (0.86\u201340.11), respectively. The association between HR-HPV infection and ASCVD mortality was stronger in women with obesity than in those without (P for interaction = .006), with corresponding HRs (95% CI) of 4.81 (1.55\u201314.93) for obese women and 2.86 (1.04\u20137.88) for non-obese women.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In this cohort study of young and middle-aged Korean women, at low risks for CVD mortality, those with HR-HPV infection had higher death rates from CVD, specifically ASCVD and IHD, with a more pronounced trend in obese individuals.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/eurheartj\/ehae020","type":"journal-article","created":{"date-parts":[[2024,1,10]],"date-time":"2024-01-10T08:18:54Z","timestamp":1704874734000},"page":"1072-1082","source":"Crossref","is-referenced-by-count":30,"title":["Human papillomavirus infection and cardiovascular mortality: a cohort study"],"prefix":"10.1093","volume":"45","author":[{"given":"Hae Suk","family":"Cheong","sequence":"first","affiliation":[{"name":"Division of Infectious Diseases, Department of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine , Seoul 03181 , Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6945-9050","authenticated-orcid":false,"given":"Yoosoo","family":"Chang","sequence":"additional","affiliation":[{"name":"Center for Cohort Studies, Total Healthcare Center, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine , Samsung Main Building B2, 250 Taepyung-ro 2ga, Jung-gu, Seoul 04514 , Republic of Korea"},{"name":"Department of Occupational and Environmental Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine , Samsung Main Building B2, 250 Taepyung-ro 2ga, Jung-gu, Seoul 04514 , Republic of Korea"},{"name":"Department of Clinical Research Design and Evaluation, SAIHST, Sungkyunkwan University , 115, Irwon-ro, Gangnam-gu, Seoul 06355 , Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yejin","family":"Kim","sequence":"additional","affiliation":[{"name":"Center for Cohort Studies, Total Healthcare Center, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine , Samsung Main Building B2, 250 Taepyung-ro 2ga, Jung-gu, Seoul 04514 , Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Min-Jung","family":"Kwon","sequence":"additional","affiliation":[{"name":"Department of Laboratory Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine , Seoul 03181 , Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoosun","family":"Cho","sequence":"additional","affiliation":[{"name":"Center for Cohort Studies, Total Healthcare Center, Kangbuk Samsung Hospital, Sungkyunkwan University School of 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