Prevalence of and Risk Factors for Anal Human Papillomavirus Infection in a Sample of Young, Predominantly Black Men Who Have Sex With Men, Houston, Texas. J Infect Dis 2018 Feb 14;217(5):777-784
Date
12/08/2017Pubmed ID
29216355Pubmed Central ID
PMC5853382DOI
10.1093/infdis/jix617Scopus ID
2-s2.0-85044520693 (requires institutional sign-in at Scopus site) 13 CitationsAbstract
BACKGROUND: Young men who have sex with men (MSM) are at increased risk for human papillomavirus (HPV)-associated disease as a result of HPV infection. Our objective was to characterize the prevalence of high-risk anal HPV infection and factors associated with prevalence in a group of young, primarily black MSM in Houston, Texas.
METHODS: MSM aged 18-29 years were recruited using a respondent-driven sampling method to study HIV and sexually transmitted disease transmission and risk. All engaged in peer-recruitment chains and self-collected anal exfoliated cells. Prevalence ratios assessed factors associated with high-risk HPV and HPV types in the 9-valent vaccine.
RESULTS: Black race was reported by 87% of men. Slightly over one half (53%) were human immunodeficiency virus (HIV) positive. Approximately 75% of men had at least 1 high-risk HPV type, and 39% of HIV-positive men harbored HPV-16. Analysis that controlled for potential confounders revealed that only HIV infection was associated with high-risk HPV infection.
CONCLUSION: Black MSM would benefit from increased HPV vaccination efforts, owing to high rates of HPV infection, increased HPV disease, and low vaccination series completion rates in this population.
Author List
Nyitray AG, Fujimoto K, Zhao J, Giuliano AR, Schneider JA, Hwang LYAuthor
Alan Nyitray PhD Associate Professor in the Psychiatry and Behavioral Medicine department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AdolescentAdult
Homosexuality, Male
Humans
Male
Papillomaviridae
Papillomavirus Infections
Prevalence
Risk Factors
Texas
Young Adult
