Age-Specific Prevalence of and Risk Factors for Anal Human Papillomavirus (HPV) among Men Who Have Sex with Women and Men Who Have Sex with Men: The HPV in Men (HIM) Study

ObjectivesMen who have sex with men (MSM) are a highly neglected population in the current recommendation of girls-only human papillomavirus (HPV) vaccination programmes in many countries. To better assess the cost effectiveness of HPV vaccination among men requires data on the prevalence of HPV infection in MSM using a community sample, which is still sparse in several regions. We examined the prevalence of and factors associated with anogenital HPV infection among MSM in Taiwan.MethodsMSM 20 years of age and older were recruited from the community and social media in Taiwan in 2015–2016 and screened for HPV infection to detect 37 genotypes. MSM were seen at baseline and were/will be seen at 6, 12, 24 and 36 months. Men completed a questionnaire regarding their sexual experiences. Multivariable regression analyses were conducted to identify associated behavioural risk factors using the baseline data.ResultsA total of 253 MSM were recruited; 87 % were below 35 years of age. Diagnosis of HIV was reported in 4% of men; just over 20% had three or more anal sex partners in the past year. The prevalence of any tested HPV type was 29.4% at the anal site and 11% at the penile site. One quarter of MSM were infected with any of the 9-valent vaccine HPV types. Anal HPV detection was associated with having three or more receptive anal sex partners in the past year (adjusted odds ratio (aOR)=2.92, 95% CI 1.29 to 6.61) and having older sex partners (aOR=2.51, 95% CI 1.07 to 5.90).ConclusionsOur data provide the base to calculate the reproductive rate for HPV transmission in a low-risk community sample and cost-effectiveness to include men in HPV vaccination policies. Adding evidence from a community sample adds comprehensiveness for future estimates of disease transmission and vaccine effectiveness.

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P3.72 The prevalence of anal high-risk human papillomavirus infections and associated risk factors in men-who-have-sex-with-men in cape town, south africa

10.1136/sextrans-2017-053264.307 ◽

2017 ◽

Author(s):

EE Müller ◽

K Rebe ◽

TF Chirwa ◽

H Struthers ◽

J McIntyre ◽

...

Keyword(s):

Risk Factors ◽

South Africa ◽

Human Papillomavirus ◽

High Risk ◽

Cape Town ◽

Papillomavirus Infections ◽

Sex With Men ◽

Associated Risk Factors

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Prevalence and Risk Factors for Neutralizing Antibodies to Human Papillomavirus Types 16 and 18 in HIV-Positive Men Who Have Sex With Men

JAIDS Journal of Acquired Immune Deficiency Syndromes ◽

10.1097/qai.0b013e3182a7acd2 ◽

2013 ◽

Vol 64 (5) ◽

pp. 479-487 ◽

Cited By ~ 4

Author(s):

Rachna Sharma ◽

Jimmy T. Efird ◽

Aung Chein ◽

Elizabeth A. Holly ◽

Mel Krajden ◽

...

Keyword(s):

Risk Factors ◽

Human Papillomavirus ◽

Neutralizing Antibodies ◽

Hiv Positive ◽

Sex With Men ◽

Hiv Positive Men

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Prevalence and Risk Factors of Human Papillomavirus in Male Patients: A Systematic Review and Meta-Analysis

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph15102210 ◽

2018 ◽

Vol 15 (10) ◽

pp. 2210 ◽

Cited By ~ 5

Author(s):

María Rodríguez-Álvarez ◽

Jose Gómez-Urquiza ◽

Husein Husein-El Ahmed ◽

Luis Albendín-García ◽

Juan Gómez-Salgado ◽

...

Keyword(s):

Risk Factors ◽

Systematic Review ◽

Human Papillomavirus ◽

Condom Use ◽

Sexual Debut ◽

Meta Analysis ◽

Positive Association ◽

Hpv Infection ◽

Health Science ◽

Hpv In Men

Human papillomavirus (HPV) is one of the most prevalent sexually transmitted infections. Although the research focus has been on women, men are also affected. Thus, the aim was to estimate the prevalence of HPV in men and to analyse its risk factors. A systematic review with meta-analysis was performed. The main health science databases were consulted. The search terms were was: “papilloma virus AND (prevalence OR risk factors) AND men”. The final sample of studies was n = 16 and the men sample for the meta-analysis was n = 18,106. The meta-analysis revealed a prevalence of 49% (95% Confidence Interval (CI): 35–64%) of any type of human papillomavirus in men and 35% (95% CI: 26–45%) of high-risk human papillomavirus in men. The included studies showed that stable sexual habits, circumcision and condom use are protective factors against HPV. In addition, there is a certain positive association with tobacco use and the early initiation of sexual intercourse. In conclusion, the prevalence of HPV in men is high. The risk factors for HPV infection are sexual promiscuity, early sexual debut, absence of circumcision, lack of condom use and smoking. Further study in this field about the effectiveness of the vaccine and health education should be conducted.

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