  Human papillomavirus (HPV) is a significant public health concern, as it is a
leading cause of cervical cancer in women. However, data on the prevalence of
HPV infection among Iraqi women is scarce. This study aimed to estimate the
prevalence of HPV infection and its associated factors among Iraqi women aged
15-50 attending health centers. In this cross-sectional study, 362 female
participants aged 15-50 were recruited from health centers in Iraq. Serological
tests were used to screen for HPV infection. Sociodemographic information,
obstetric history, and contraceptive use were collected. Pap smears were
performed to assess cervical changes related to HPV infection. Of the 362
participants, 65 (17.96%) tested positive for HPV. The majority of HPV-positive
women were aged 30-35 years, housewives, and belonged to lower social classes.
Among HPV-positive women, 30% had abnormal Pap smears, with 55% diagnosed with
cervical intraepithelial neoplasia grade 1 (CIN1), 25% with CIN2, and 15% with
CIN3. Biopsy confirmed the diagnosis in 5% of cases. No significant association
was found between HPV infection and contraceptive use. Most HPV-positive women
were multiparous. This study reveals a considerable prevalence of HPV infection
among Iraqi women attending health centers, particularly in the age group of
30-35 years and among housewives. These findings highlight the need for
targeted public health interventions to increase HPV awareness, promote regular
screening, and improve access to healthcare services for women, especially
those from lower social classes. Further research is warranted to better
understand the factors contributing to HPV transmission in Iraq and to develop
effective prevention strategies.
