ASSOCIATION OF THE PERCEIVED SEVERITY OF THE HUMAN PAPILLOMAVIRUS  WITH THE PREVENTIVE INTENTION OF HPV INFECTION IN MALE  ADOLESCENTS: A CROSS-SECTIONAL SURVEY

Background and objective The human papillomavirus (HPV) infection is usually asymptomatic, may affect both sexes, and is easily transmitted. Providing male adolescents with information about HPV prevention before sexually active state is important. This study was designed to gain a better understanding of the perceptions on HPV severity, knowledge on ways to prevent HPV infection, and influencing factors toward preventive measures in male adolescents. Materials and methods A self-administered questionnaire was completed by students aged 13–17 years from six schools in Seoul and the surrounding metropolitan area, from October to December 2014. A total of 615 male adolescents participated in this cross-sectional survey. Results Only 58 (9.5%) boys had heard of HPV. They perceived HPV infection as a disease more severe in girls. Perceptions of HPV as a sexually transmitted infection (STI) in boys (adjusted odds ratio [AOR] 1.79, 95% confidence interval [CI]: 1.00–3.19, p<0.05) and a cause of cancer in girls (AOR=2.69, 95% CI=1.26–5.84, p<0.05) were associated with the intention to maintain monogamous sexual relationships. Alcohol consumption was associated with the intention of postponing sexual intercourse (AOR=0.53, 95% CI=0.34–0.82, p<0.01) and having a sister was associated with the intention of being vaccinated against HPV (AOR=1.48, 95% CI=1.03–2.13, p<0.05). Conclusions Increasing awareness on the severity of HPV affected the intentions of male adolescents to prevent HPV infection. Efforts should be made to maximize awareness of HPV as a causative agent of cancer and a common STI in both boys and girls. Education materials on the influence of HPV infection and steps to be taken for proactive prevention should be included in school health subjects. Special consideration should be given for the preventive vaccination of male adolescents nationwide.

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Bivalent Vaccine Effectiveness Against Anal Human Papillomavirus Positivity Among Female Sexually Transmitted Infection Clinic Visitors in the Netherlands

The Journal of Infectious Diseases ◽

10.1093/infdis/jiz187 ◽

2019 ◽

Cited By ~ 3

Author(s):

Petra J Woestenberg ◽

Audrey J King ◽

Birgit H B Van Benthem ◽

Suzan Leussink ◽

Marianne A B Van der Sande ◽

...

Keyword(s):

Human Papillomavirus ◽

Vaccine Effectiveness ◽

Cross Sectional Survey ◽

Transmitted Infection ◽

Cross Sectional ◽

Hpv 16 ◽

Bivalent Vaccine ◽

Sexually Transmitted ◽

Anal Swab ◽

Infection Clinic

Abstract Human papillomavirus (HPV) vaccines are indicated for anal cancer prevention, but evidence for vaccine effectiveness (VE) against anal HPV infections among women is limited. We estimated the VE (≥1 dose) against anal HPV positivity of the bivalent vaccine, whose target types HPV-16/18 are associated with approximately 90% of HPV-related anal cancers. Among 548 female STI clinic visitors 16–24 years old who provided an anal swab sample as part of a repeated cross-sectional survey, VE against HPV-16/18 was 89.9% (95% confidence interval, 63.0%–97.2%). Type-specific VE correlated well with VE against cervicovaginal HPV (Spearman ρ = 0.76), suggesting comparable effectiveness of HPV-16/18 vaccination against genital and anal infections.

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Prevalence of High Risk HPV in HIV-Infected Women From Belém, Pará, Amazon Region of Brazil: A Cross-Sectional Study

Frontiers in Public Health ◽

10.3389/fpubh.2021.649152 ◽

2021 ◽

Vol 9 ◽

Author(s):

Jacqueline Cortinhas Monteiro ◽

Ricardo Roberto de Souza Fonseca ◽

Tuane Carolina de Sousa Ferreira ◽

Luana Lorena Silva Rodrigues ◽

Andreza Reis Brasil da Silva ◽

...

Keyword(s):

Cervical Cancer ◽

High Risk ◽

Hpv Infection ◽

Cross Sectional Study ◽

Reproductive Age ◽

Transmitted Infection ◽

Cross Sectional ◽

Multiple Sexual Partners ◽

Sexually Transmitted ◽

High Risk Hpv

Human papillomavirus (HPV) is the most common sexually transmitted infection in the world. Several studies have shown a higher prevalence of HPV infection in HIV-infected women. The aim of this study was to determine the prevalence and the genotype diversity of HPV infection in HIV-infected women. From April 2010 to December 2012 cervical specimens were collected from 169 HIV-infected women who screening for cervical cancer at Reference Unit in Belém. The detection of HPV infection was performed by nested PCR and HPV type was performed using a commercial system. The prevalence of HPV infection was 63.3%. Of the 47 genotyped samples, 40.4% was found positive for high risk-HPV 16 and 12.8% for high risk-HPV 52. HPV infection was predominant in the group of women with no incidence of cytological abnormalities and more prevalent in women of reproductive age, unmarried, low education level, and who reported use condoms during sexual intercourse. It was observed an association between HPV infection and independent variables, such as condom use, multiple sexual partners, and history of sexually transmitted diseases. High-risk types of HPV infection were prevalent in our study. Infection with multiple high-risk HPV genotypes may potentiate the development of cervical cancer in HIV-infected women.

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Prevalence of Chlamydia trachomatis in a public colposcopy clinic population

Sexual Health ◽

10.1071/sh06050 ◽

2007 ◽

Vol 4 (2) ◽

pp. 133 ◽

Cited By ~ 3

Author(s):

Rodney W. Petersen ◽

Sepehr N. Tabrizi ◽

Suzanne Garland ◽

Julie A. Quinlivan

Keyword(s):

Chlamydia Trachomatis ◽

Chlamydial Infection ◽

Transmitted Disease ◽

Hpv Infection ◽

Public Health Issue ◽

Transmitted Infection ◽

Cross Sectional ◽

Sexually Transmitted ◽

Clinic Population ◽

Colposcopy Clinic

Background: Chlamydia trachomatis is a major public health issue, with notifications of this sexually transmitted disease continuing to rise in Australia. Women attending colposcopy clinics are referred for treatment of cervical abnormalities often associated with human papilloma virus (HPV) infection. There is evidence that women who have acquired one sexually transmitted infection, such as HPV, are at higher risk of acquiring another. Women attending colposcopy clinics may therefore be at risk of undiagnosed infection with C. trachomatis. Aim: To determine the prevalence of C. trachomatis in women attending a public metropolitan colposcopy clinic in Victoria. Methods: A cross-sectional study was performed. Institutional ethics committee approval and informed consent were obtained. Consecutive women attending the colposcopy clinic completed a questionnaire and had a swab collected from the endocervix for analysis by polymerase chain reaction for C. trachomatis. Positive screens were treated in accordance with best practice. Data were analysed with Minitab Version 2004 (Minitab Inc, State College, PA, USA). Results: Of 581 women approached to participate in the trial, consent was obtained from 568 women (98%) and final outcome data was available on 560 women (99%). The overall rate of chlamydial infection was 2.1% (95% CI 1.5–2.7%). However, in women aged 25 years or less the rate was 5.8% (95% CI 3.8–7.8%) and in women over 25 years it was only 0.9% (95% CI 0.4–1.4%). Apart from age, no other demographic factor was significantly associated with chlamydial infection. Conclusion: Although the prevalence of chlamydial infection in the colposcopy clinic population as a whole does not warrant a policy for routine screening, screening directed at women aged 25 years or less would gain the greatest yields in terms of cost efficacy. Such a policy should be implemented as standard practice.

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Review of Evidence and Recommendation for Human Papillomavirus (HPV) Vaccination of Canadian Males Over the Age of 26 Years

Journal of Cutaneous Medicine and Surgery ◽

10.1177/1203475420911635 ◽

2020 ◽

Vol 24 (3) ◽

pp. 285-291 ◽

Cited By ~ 2

Author(s):

Alex Derstenfeld ◽

Kyle Cullingham ◽

Zhuo Cai Ran ◽

Ivan V. Litvinov

Keyword(s):

Human Papillomavirus ◽

Sexually Transmitted Infection ◽

Hpv Vaccine ◽

Hpv Vaccination ◽

Older Men ◽

Hpv Infection ◽

Transmitted Infection ◽

Vaccination Programs ◽

Sexually Transmitted ◽

Control And Prevention

Human papillomavirus (HPV) remains the most common sexually transmitted infection with a lifetime incidence of over 75%. Based on US data from the Centers for Disease Control and Prevention (CDC), 64% of invasive HPV-associated cancers are attributable to HPV 16 or 18 (65% for females; 63% males) and may be prevented by vaccination with either the quadrivalent or nonavalent HPV vaccine. Public HPV vaccination programs are now the norm for women aged 9-45 years and men aged 9-26 years in Canada. Yet, only recently have guidelines begun to consider vaccination of men older than 26 years of age. There now exist compelling reasons to recommend vaccination against HPV amongst males >26 years of age. Recognizing that the risks posed by HPV infection persist beyond 26 years of age, that the vaccination of men aged 26-45 years with HPV vaccine confers immunogenicity at levels demonstrably efficacious against HPV-related diseases, and that the Food and Drug Administration recently expanded the HPV vaccination to include older men, it is argued that HPV vaccination in men older than 26 years of age should be routinely recommended.

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The Risk of Sexually Transmitted Infection and Its Influence on Condom Use among Pregnant Women in the Kintampo North Municipality of Ghana

Journal of Sexually Transmitted Diseases ◽

10.1155/2017/8642685 ◽

2017 ◽

Vol 2017 ◽

pp. 1-12 ◽

Cited By ~ 4

Author(s):

Martha Ali Abdulai ◽

Frank Baiden ◽

Samuel Afari-Asiedu ◽

Lawrence Gyabaa-Febir ◽

Kwame Kesse Adjei ◽

...

Keyword(s):

High Risk ◽

Condom Use ◽

Pregnant Women ◽

Sexually Transmitted Infection ◽

Secondary Analysis ◽

Multivariate Logistic Regression Analysis ◽

Cross Sectional Survey ◽

Transmitted Infection ◽

Cross Sectional ◽

Sexually Transmitted

Sexually transmitted infection (STI) affects the reproductive health of both men and women worldwide. Condoms are important part of the available preventive strategies for STI control. The lack of proper risk-perception continues to impede women’s ability to negotiate condom use with their partners. This paper is the outcome of secondary analysis of data collected in a cross-sectional survey that explored the perception of risk of STI and its influence on condom use among 504 pregnant women attending antenatal clinic at two health facilities in the Kintampo North Municipality. Consecutively, three Focus Group Discussions were conducted among 22 pregnant women which was analyzed using thematic analysis technique. Multivariate logistic regression analysis was used to identify possible predictors of condom use and risk of STI. Respondents mean age was 26.0±5.9 years. 47% of respondents self-identified themselves as high risk for contracting STI, 50% of whom were married. High risk status (OR = 2.1, 95% CI: 1.1–4.4), ability to ask for condoms during sex (OR = 0.3, 95% CI: 0.1–0.73), and partner’s approval of condom use (OR = 0.2, 95% CI: 0.01–0.05) were independent predictors of condom use. Condom use (OR 2.9 (1.5–5.7); p=0.001) and marital status (engaged, OR 2.6 (1.5–4.5); p=0.001) were independent predictors of risk of STI. Women who self-identified themselves as high risk for STI successfully negotiated condom use with their partners. This is however influenced by partner’s approval and ability to convince partner to use condoms. Self-assessment of STI risk by women and the cooperation of male partners remain critical.

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Prevalence of Human Papillomavirus (HPV) infection in women living in remote riverine communities in the Amazonas, Brazil

10.21203/rs.2.12030/v1 ◽

2019 ◽

Author(s):

Marco Antonio Zonta ◽

Karina Bonilha Roque ◽

Yara Juliano ◽

Anne Liljander ◽

Markus Cavalar ◽

...

Keyword(s):

Cervical Cancer ◽

Human Papillomavirus ◽

Hpv Infection ◽

Public Health Services ◽

Cervical Lesions ◽

Transmitted Infection ◽

Sexually Transmitted ◽

Remote Areas ◽

Hpv Types ◽

Crucial Part

Abstract Human papillomavirus (HPV) is the most common sexually transmitted infection worldwide. Since some HPV types are associated with the development of cervical cancer, routine screening for HPV plays a crucial part in cancer prevention programs at global level. In Brazil, the cervical cancer rate is among the highest in the world, in particular in indigenous women living in remote areas with limited access to public health services. The objective of this study was to determine the prevalence of HPV infections and their co-occurrence with cervical lesions in Brazilian women living in isolated riverine communities. Moreover, the association between social environment, sexual activity and prevalence of HPV infection was assessed.

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Knowledge and Health Beliefs of Nursing Students Toward Human Papilloma Virus and Vaccine Use

Asian Pacific Journal of Cancer Care ◽

10.31557/apjcc.2019.4.2.27-32 ◽

2019 ◽

Vol 4 (2) ◽

pp. 27-32

Author(s):

Fatjona Kamberi ◽

Eva Muhaj

Keyword(s):

Nursing Students ◽

Human Papilloma Virus ◽

Health Beliefs ◽

Perceived Risk ◽

Hpv Infection ◽

Statistical Association ◽

Transmitted Infection ◽

Cross Sectional ◽

Papilloma Virus ◽

Sexually Transmitted

Objective: Human Papilloma Virus (HPV) infection is the most common sexually transmitted among young people of both sexes. It is also the main cause of cervical cancer. This study aimed at assessing students’ knowledge and health beliefs about HPV infection and the use of the vaccine.Methods: The sample of the cross-sectional study was 120 randomly selected nursing students from the Faculty of Public Health, University of Vlore “Ismail Qemali” Albania. Anonymous, self-administered questionnaire based on the literature and Health Belief Model, was used for data collection in May 2017. The questionnaire included assessment questions for students’ knowledge and health beliefs about HPV and vaccine use. Also, questions about socio-demographic characteristics were included. Data analysis included the calculation of averages, frequencies, and confidence intervals. P values ≤0.05 were accepted as statistically significant.Result: Mean age 20.3±2.2 years, 92.44 % of students were female. 65.83% of students know that HPV is a sexually transmitted infection and a vaccine is available to prevent it. Ambiguities and uncertainties exist in regard to screening with Pap test after vaccination. Perceived benefits are high for 50.83% of students. Perceived severity appeared low as only 25% of students agree that they may be affected by HPV. Statistical association, p =0.0347 was found between perceived risk and the year of study. The parents’ role in vaccination against HPV have a strong statistical association, p=0.0058 with the year of study as only 8.33 % of students in the third year agree with the fact that that parents do not allow them to be vaccinated against HPV. Conclusion: The study noted the student’s ambiguity and misconceptions about HPV infection. Low severity and lack of knowledge about the vaccine emphasizes that identifying their current level of knowledge and the main source of information are essential to provide comprehensive and appropriate health education.

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Sexual Health Variables and the Human Papillomavirus Vaccine

Californian Journal of Health Promotion ◽

10.32398/cjhp.v7i2.2021 ◽

2009 ◽

Vol 7 (2) ◽

pp. 129-138

Author(s):

Victoria Barry ◽

Shannon B. Myers ◽

Amy E. Sgrenci ◽

Megan Lavery ◽

Deirdra Frum ◽

...

Keyword(s):

Human Papillomavirus ◽

Pap Smear ◽

Hpv Vaccination ◽

Transmitted Disease ◽

The United States ◽

Human Papillomavirus Vaccine ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Sexually Transmitted ◽

Status Seeking

Recent strides have been made in developing vaccines to prevent contraction of the Human Papillomavirus (HPV), which is currently the most prevalent sexually transmitted disease in the United States. This study looked to investigate seven sexually relevant variables hypothesized to be related to a young woman's choice to receive the Gardasil® vaccine in order to prevent HPV contraction via a cross sectional survey. In a sample of 77 undergraduate women, we investigated the relationship between receipt of Gardasil® and the following variables: knowledge regarding HPV, relationship status, seeking gynecological services, having received an abnormal PAP smear, sexual activity status, number of sexual partners, and concern about contracting HPV. Logistical regression analysis and independent groups t-test revealed that none of these factors were related to actual receipt of the HPV vaccine in this sample. These results suggest the need for more research regarding potential practical barriers to HPV vaccination.

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Vaginal microbiota and human papillomavirus infection among young Swedish women

npj Biofilms and Microbiomes ◽

10.1038/s41522-020-00146-8 ◽

2020 ◽

Vol 6 (1) ◽

Cited By ~ 1

Author(s):

Liqin Cheng ◽

Johanna Norenhag ◽

Yue O. O. Hu ◽

Nele Brusselaers ◽

Emma Fransson ◽

...

Keyword(s):

Human Papillomavirus ◽

Alpha Diversity ◽

Hpv Infection ◽

Cross Sectional Study ◽

Vaginal Microbiota ◽

Microbial Composition ◽

Cross Sectional ◽

Sexually Transmitted ◽

Hpv Types ◽

Oncogenic Hpv

Abstract Human papillomavirus (HPV) infection is one of the most common sexually transmitted diseases. To define the HPV-associated microbial community among a high vaccination coverage population, we carried out a cross-sectional study with 345 young Swedish women. The microbial composition and its association with HPV infection, including 27 HPV types, were analyzed. Microbial alpha-diversity was found significantly higher in the HPV-infected group (especially with oncogenic HPV types and multiple HPV types), compared with the HPV negative group. The vaginal microbiota among HPV-infected women was characterized by a larger number of bacterial vaginosis-associated bacteria (BVAB), Sneathia, Prevotella, and Megasphaera. In addition, the correlation analysis demonstrated that twice as many women with non-Lactobacillus-dominant vaginal microbiota were infected with oncogenic HPV types, compared with L. crispatus-dominated vaginal microbiota. The data suggest that HPV infection, especially oncogenic HPV types, is strongly associated with a non-Lactobacillus-dominant vaginal microbiota, regardless of age and vaccination status.

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Sex differences in the prevalence and determinants of HPV-related external genital lesions in young adults: a national cross-sectional survey in Brazil

BMC Infectious Diseases ◽

10.1186/s12879-020-05376-x ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Juliana Comerlato ◽

Natália Luiza Kops ◽

Marina Bessel ◽

Jaqueline Driemeyer Horvath ◽

Bruna Vieira Fernandes ◽

...

Keyword(s):

Young Adults ◽

Sex Differences ◽

Smoking Status ◽

Hpv Infection ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Sexually Transmitted ◽

Primary Health ◽

Hpv Types ◽

Male Sex

Abstract Background External genital lesions (EGL) are the most common sexually transmitted infections (STIs). We aimed to evaluate the prevalence, determinants and sex differences in EGL among young adults from Brazil. Methods Overall, 7694 participants (aged 16 to 25 years) underwent an interview, genital examination and sampling for HPV genotyping. Results The prevalence of EGL was 4.08% (234) and is more frequent in men (5.72%) than women (2.31%) (p < 0.001). Genital lesions were significantly associated with male sex, infection by high-risk and multiple HPV types, having more than two sexual partners in the last year, smoking status and the presence of other STI. While alcohol use was associated with a higher prevalence of EGL in women, same-sex sexual relationship increase the prevalence in men. In the EGL group, 67.79% (p = 0.032) were positive for HPV infection and the types HPV6 and HPV11 were the most prevalent ones. Conclusion The prevalence of EGL in young adults was consistently high, and most cases were associated with genital HPV infection and STIs. Although men have a higher prevalence, both sexes share most genital lesion determinants. The promotion of sexual education and vaccination especially focus in young men, who are usually outside the targets of primary health care programmes, can prevent EGL in Brazilian young adults.

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