Letters Section Editor: Robert M. Golub, MD, Senior Editor.
In Reply: Although our study did not address transmission of HPV infection specifically, we did note that there was a weighted HPV prevalence of 5.2% among women without a history of sexual intercourse. Three of these women had other sexually transmitted infections, such as chlamydia or herpes simplex infection, and they likely did not report their sexual activity accurately. It is possible more women did not report their sexual history accurately; inaccurate reporting of sexual activity has been described in other studies and may account for many of the infections detected among women without a history of sexual intercourse.1
Dunne E, Markowitz L. HPV Prevalence and Transmission—Reply. JAMA. 2007;298(1):38. doi:10.1001/jama.298.1.38-b