scholarly journals Prevalence, Incidence, and Clearance of Anogenital Warts in Kenyan Men Reporting High-Risk Sexual Behavior, Including Men Who Have Sex With Men

2015 ◽  
Vol 2 (2) ◽  
Author(s):  
Santiago Neme ◽  
Elizabeth Wahome ◽  
Grace Mwashigadi ◽  
Alexander N. Thiong'o ◽  
Joanne D. Stekler ◽  
...  

Abstract Background.  Human papillomavirus (HPV) causes a spectrum of disease, ranging from warts to cancer. Prevalence, incidence, and factors associated with anogenital warts in East African men are unknown. Methods.  Kenyan men reporting high-risk sexual behavior were inspected for anogenital warts at enrollment and follow-up visits. Logistic regression was performed to identify associations with anogenital warts at baseline. Cox regression was performed to analyze predictors of incident anogenital warts, and Kaplan–Meier curves were used to estimate clearance. Results.  Baseline anogenital wart prevalence in 1137 men was 2.9% (95% confidence interval [CI], 2.0%–4.0%) overall, 2.0% in human immunodeficiency virus (HIV)-uninfected men, and 9.4% in HIV-1-infected men (adjusted odds ratio, 5.43; 95% CI, 2.03–11.29). Over a median of 1.4 years, anogenital wart incidence among 1104 men was 5.3 (95% CI, 4.3–6.5) per 100 person-years. Having HIV-1 infection at baseline (adjusted hazard ratio [aHR], 1.66; 95% CI, 1.01–2.72) or a genital syndrome during follow-up (aHR, 4.78; 95% CI, 3.03–7.56) was associated with increased wart incidence. Wart clearance was lower in HIV-1-infected men (log-rank P<.001). Conclusions.  Anogenital wart prevalence and incidence were increased in HIV-1-infected men, and anogenital warts co-occurred with other genital syndromes. Quadrivalent HPV vaccination should be recommended for young men in settings with high HIV-1 prevalence.

10.2196/17295 ◽  
2020 ◽  
Vol 8 (2) ◽  
pp. e17295
Author(s):  
Meredith J Pensak ◽  
Lisbet S Lundsberg ◽  
Nancy L Stanwood ◽  
Abigail S Cutler ◽  
Aileen M Gariepy

Background Similar to broader health disparities, Latinx adolescents have higher rates of high-risk sexual behavior resulting in pregnancy rates that are 2 times higher and sexually transmitted infection rates that are 5 to 8 times higher than non-Hispanic, white adolescents. Novel approaches are needed to reduce high-risk sexual behavior among Spanish-speaking Latinx adolescents who represent the fastest-growing group of US immigrants. Objective This study aimed to partner with Spanish-speaking Latinx adolescents in a participatory design process to develop and test a Spanish-language video game intervention to decrease high-risk heterosexual behavior. Methods This is an iterative, two-phase, mixed methods study. In phase 1, we conducted focus groups with Spanish-speaking Latinx adolescents to elicit feedback on the content and format of an existing English-language video game. Feedback was then incorporated into an expanded and culturally adapted Spanish-language video game. In phase 2, we pilot tested the feasibility, acceptability, and preliminary efficacy of the new Spanish-language video game intervention by measuring known antecedents to sexual behavior (intentions, self-efficacy, risk perception, and knowledge) assessed at enrollment and 12-week follow-up. We applied a thematic analysis to examine focus group feedback and a bivariate analysis to analyze pre- and postquantitative data. Results In phase 1, 15 Spanish-speaking Latinx adolescents provided feedback for further video game development. A Spanish-language video game was then produced and tested in phase 2. We recruited and enrolled 24 Spanish-speaking Latinx adolescents aged 15 to 17 years. Participants played the video game for an average of 4.2 hours during monitored sessions. Pilot testing demonstrated feasibility and acceptability; 65% (3/20) of participants stated that they would play it again, and 65% (3/20) said they would recommend it to friends. Condom-specific knowledge did significantly increase between baseline and follow-up (P=.007). Other variables of sexual behavior antecedents did not differ significantly between baseline and 12-week follow-up. Conclusions An iterative participatory design process in partnership with Spanish-speaking adolescents produced an innovative and acceptable Spanish-language video game intervention aimed at decreasing high-risk sexual behavior in adolescents. Pilot testing demonstrated preliminary feasibility and yielded essential information for further video game development.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Onesmus Kamacooko ◽  
Yunia Mayanja ◽  
Daniel Bagiire ◽  
Gertrude Namale ◽  
Christian Holm Hansen ◽  
...  

1999 ◽  
Vol 52 (4) ◽  
pp. 173-174 ◽  
Author(s):  
Taro Kojima ◽  
Natsuo Tachikawa ◽  
Sadako Yosizawa ◽  
Chie Yasuoka ◽  
Yoshihiko Yamamoto ◽  
...  

1994 ◽  
Vol 21 (3) ◽  
pp. 173-180 ◽  
Author(s):  
STUART N. SEIDMAN ◽  
CLAIRE STERK-ELIFSON ◽  
SEVGI O. ARAL

Author(s):  
Loren G. Miller ◽  
Paul A. Simon ◽  
Mark E. Miller ◽  
Anna Long ◽  
Emily I. Yu ◽  
...  

1991 ◽  
Vol 18 (3) ◽  
pp. 170-175 ◽  
Author(s):  
LYNDA S. DOLL ◽  
ROBERT H. BYERS ◽  
GAIL BOLAN ◽  
JOHN M. DOUGLAS ◽  
PATRICIA M. MOSS ◽  
...  

2012 ◽  
Vol 7 (3) ◽  
pp. 228-242 ◽  
Author(s):  
Alexandrea Danielle Murphy ◽  
Derrick Gordon ◽  
Hans Sherrod ◽  
Victoria Dancy ◽  
Trace Kershaw

Fathers can play an important role in child development and family functioning. However, little is known about the influence of paternal perceptions of fatherhood involvement or the influence of fathers’ peer networks. We explored the network characteristics (density, closeness, and degree centrality) and peer norms regarding sex, fatherhood, and other risk behaviors of 52 urban adult males in New Haven, Connecticut. Results identify that engagement in high-risk sexual behavior was associated with fatherhood involvement, with 88% of less involved fathers engaging in high-risk sexual behavior ( p = .004). Denser networks were positively correlated with unfavorable peer norms such as cheating on a partner or drinking or using drugs ( p < .05). Our findings suggest that peer networks are important to father’s health and behavior and that father’s behaviors may be affected by peer norms. Interventions designed for men may be strengthened by including peers in programming and by addressing norms and norm changing.


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