Human papillomavirus incidence and clearance among HIV-positive and HIV-negative men in sub-Saharan Africa
High-risk human papillomavirus (HR-HPV) infection is the most common sexually transmitted infection. Penile and cervical cancer rates are highest in sub-Saharan Africa. However, little is known about the impact of HIV infection on HR-HPV acquisition and clearance among heterosexual men. HR-HPV incid...
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| Veröffentlicht in: | AIDS (London) 2012-07, Vol.26 (12), p.1555-1565 |
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| creator | TOBIAN, Aaron A. R KIGOZI, Godfrey GRAY, Ronald H GRAVITT, Patti E CHANGCHANG XIAO SERWADDA, David EATON, Kevin P XIANGRONG KONG WAWER, Maria J NALUGODA, Fred QUINN, Thomas C |
| description | High-risk human papillomavirus (HR-HPV) infection is the most common sexually transmitted infection. Penile and cervical cancer rates are highest in sub-Saharan Africa. However, little is known about the impact of HIV infection on HR-HPV acquisition and clearance among heterosexual men.
HR-HPV incidence and clearance were evaluated in 999 men (776 HIV-negative and 223 HIV-positive) aged 15-49 years who participated in male circumcision trials in Rakai, Uganda.
Penile swabs were tested for HR-HPV by Roche HPV Linear Array. A Poisson multivariable model was used to estimate adjusted incidence rate ratios (adjIRRs) and clearance risk ratios (adjRRs).
HR-HPV incidence was 66.5/100 person-years in HIV-positive men and 32.9/100 person-years among HIV-negative men [IRR=2.02, 95% confidence interval (CI) 1.67-2.44]. Incidence was higher in the unmarried men (adjIRR=1.73, 95% CI 1.19-2.52), and decreased with age (adjIRR for men >35 years=0.64, 95% CI 0.43-0.94) and male circumcision (adjIRR=0.70, 95% CI 0.55-0.89). HR-HPV clearance was 114.7/100 person-years for HIV-positive men and 170.2/100 person-years for HIV-negative men (risk ratio=0.67, 95% CI 0.59-0.77). HR-HPV clearance in HIV-negative men increased with circumcision (adjRR=1.48, 95% CI 1.26-1.74), HSV-2 infection (adjRR=1.20, 95% CI 1.01-1.44), and symptoms of urethral discharge (adjRR=1.35, 95% CI 1.06-1.73). Clearance of HR-HPV was significantly lower for unmarried men (adjRR 0.76, 95% CI 0.59-0.98).
HR-HPV is common among heterosexual Ugandan men, particularly the HIV-infected. HIV infection increases HR-HPV acquisition and reduces HR-HPV clearance. Promotion of male circumcision and additional prevention measures, such as HPV vaccination, is critical in sub-Saharan Africa. |
| doi_str_mv | 10.1097/QAD.0b013e328353b83c |
| format | Article |
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HR-HPV incidence and clearance were evaluated in 999 men (776 HIV-negative and 223 HIV-positive) aged 15-49 years who participated in male circumcision trials in Rakai, Uganda.
Penile swabs were tested for HR-HPV by Roche HPV Linear Array. A Poisson multivariable model was used to estimate adjusted incidence rate ratios (adjIRRs) and clearance risk ratios (adjRRs).
HR-HPV incidence was 66.5/100 person-years in HIV-positive men and 32.9/100 person-years among HIV-negative men [IRR=2.02, 95% confidence interval (CI) 1.67-2.44]. Incidence was higher in the unmarried men (adjIRR=1.73, 95% CI 1.19-2.52), and decreased with age (adjIRR for men >35 years=0.64, 95% CI 0.43-0.94) and male circumcision (adjIRR=0.70, 95% CI 0.55-0.89). HR-HPV clearance was 114.7/100 person-years for HIV-positive men and 170.2/100 person-years for HIV-negative men (risk ratio=0.67, 95% CI 0.59-0.77). HR-HPV clearance in HIV-negative men increased with circumcision (adjRR=1.48, 95% CI 1.26-1.74), HSV-2 infection (adjRR=1.20, 95% CI 1.01-1.44), and symptoms of urethral discharge (adjRR=1.35, 95% CI 1.06-1.73). Clearance of HR-HPV was significantly lower for unmarried men (adjRR 0.76, 95% CI 0.59-0.98).
HR-HPV is common among heterosexual Ugandan men, particularly the HIV-infected. HIV infection increases HR-HPV acquisition and reduces HR-HPV clearance. Promotion of male circumcision and additional prevention measures, such as HPV vaccination, is critical in sub-Saharan Africa.</description><identifier>ISSN: 0269-9370</identifier><identifier>EISSN: 1473-5571</identifier><identifier>DOI: 10.1097/QAD.0b013e328353b83c</identifier><identifier>PMID: 22441255</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams & Wilkins</publisher><subject>Adolescent ; Adult ; Biological and medical sciences ; Circumcision, Male ; Herpesvirus 2, Human - isolation & purification ; Heterosexuality ; HIV Infections - epidemiology ; Human papillomavirus ; Human viral diseases ; Humans ; Immunodeficiencies ; Immunodeficiencies. Immunoglobulinopathies ; Immunopathology ; Incidence ; Infectious diseases ; Male ; Marital Status ; Medical sciences ; Middle Aged ; Papillomaviridae - genetics ; Papillomaviridae - isolation & purification ; Papillomavirus Infections - epidemiology ; Papillomavirus Infections - genetics ; Penis - virology ; Risk Factors ; Sexual Behavior ; Syphilis - epidemiology ; Uganda - epidemiology ; Viral diseases ; Viral diseases of the lymphoid tissue and the blood. Aids ; Young Adult</subject><ispartof>AIDS (London), 2012-07, Vol.26 (12), p.1555-1565</ispartof><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c416t-f5aaa40b98b83a54a442bf0a8904bc6703223d656957a84881a4ad1e1b4b34a13</citedby><cites>FETCH-LOGICAL-c416t-f5aaa40b98b83a54a442bf0a8904bc6703223d656957a84881a4ad1e1b4b34a13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=26219625$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22441255$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>TOBIAN, Aaron A. R</creatorcontrib><creatorcontrib>KIGOZI, Godfrey</creatorcontrib><creatorcontrib>GRAY, Ronald H</creatorcontrib><creatorcontrib>GRAVITT, Patti E</creatorcontrib><creatorcontrib>CHANGCHANG XIAO</creatorcontrib><creatorcontrib>SERWADDA, David</creatorcontrib><creatorcontrib>EATON, Kevin P</creatorcontrib><creatorcontrib>XIANGRONG KONG</creatorcontrib><creatorcontrib>WAWER, Maria J</creatorcontrib><creatorcontrib>NALUGODA, Fred</creatorcontrib><creatorcontrib>QUINN, Thomas C</creatorcontrib><title>Human papillomavirus incidence and clearance among HIV-positive and HIV-negative men in sub-Saharan Africa</title><title>AIDS (London)</title><addtitle>AIDS</addtitle><description>High-risk human papillomavirus (HR-HPV) infection is the most common sexually transmitted infection. Penile and cervical cancer rates are highest in sub-Saharan Africa. However, little is known about the impact of HIV infection on HR-HPV acquisition and clearance among heterosexual men.
HR-HPV incidence and clearance were evaluated in 999 men (776 HIV-negative and 223 HIV-positive) aged 15-49 years who participated in male circumcision trials in Rakai, Uganda.
Penile swabs were tested for HR-HPV by Roche HPV Linear Array. A Poisson multivariable model was used to estimate adjusted incidence rate ratios (adjIRRs) and clearance risk ratios (adjRRs).
HR-HPV incidence was 66.5/100 person-years in HIV-positive men and 32.9/100 person-years among HIV-negative men [IRR=2.02, 95% confidence interval (CI) 1.67-2.44]. Incidence was higher in the unmarried men (adjIRR=1.73, 95% CI 1.19-2.52), and decreased with age (adjIRR for men >35 years=0.64, 95% CI 0.43-0.94) and male circumcision (adjIRR=0.70, 95% CI 0.55-0.89). HR-HPV clearance was 114.7/100 person-years for HIV-positive men and 170.2/100 person-years for HIV-negative men (risk ratio=0.67, 95% CI 0.59-0.77). HR-HPV clearance in HIV-negative men increased with circumcision (adjRR=1.48, 95% CI 1.26-1.74), HSV-2 infection (adjRR=1.20, 95% CI 1.01-1.44), and symptoms of urethral discharge (adjRR=1.35, 95% CI 1.06-1.73). Clearance of HR-HPV was significantly lower for unmarried men (adjRR 0.76, 95% CI 0.59-0.98).
HR-HPV is common among heterosexual Ugandan men, particularly the HIV-infected. HIV infection increases HR-HPV acquisition and reduces HR-HPV clearance. Promotion of male circumcision and additional prevention measures, such as HPV vaccination, is critical in sub-Saharan Africa.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Circumcision, Male</subject><subject>Herpesvirus 2, Human - isolation & purification</subject><subject>Heterosexuality</subject><subject>HIV Infections - epidemiology</subject><subject>Human papillomavirus</subject><subject>Human viral diseases</subject><subject>Humans</subject><subject>Immunodeficiencies</subject><subject>Immunodeficiencies. Immunoglobulinopathies</subject><subject>Immunopathology</subject><subject>Incidence</subject><subject>Infectious diseases</subject><subject>Male</subject><subject>Marital Status</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Papillomaviridae - genetics</subject><subject>Papillomaviridae - isolation & purification</subject><subject>Papillomavirus Infections - epidemiology</subject><subject>Papillomavirus Infections - genetics</subject><subject>Penis - virology</subject><subject>Risk Factors</subject><subject>Sexual Behavior</subject><subject>Syphilis - epidemiology</subject><subject>Uganda - epidemiology</subject><subject>Viral diseases</subject><subject>Viral diseases of the lymphoid tissue and the blood. Aids</subject><subject>Young Adult</subject><issn>0269-9370</issn><issn>1473-5571</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkVtLw0AQhRdRbL38A5G8CL6k7jXZfSz10kJBxMtrmN1s6pZkE7NNwX9velHBJ5-GOXxnhpmD0AXBI4JVevM0vh1hjQmzjEommJbMHKAh4SmLhUjJIRpimqhYsRQP0EkIS4yxwFIeowGlnBMqxBAtp10FPmqgcWVZV7B2bRci543LrTc2Ap9HprTQwrarar-IprO3uKmDW7n1DtgI3i5gK1TW9_4odDp-hveNMRoXrTNwho4KKIM939dT9Hp_9zKZxvPHh9lkPI8NJ8kqLgQAcKyV7C8CwYFzqgsMUmGuTZJiRinLE5EokYLkUhLgkBNLNNeMA2Gn6Ho3t2nrj86GVVa5YGxZgrd1FzKCOVaKk_Q_KJNCKZKKHuU71LR1CK0tsqZ1FbSfPZRtAsn6QLK_gfS2y_2GTlc2_zF9J9ADV3sAgoGy2DzahV8uoUQlVLAvbFyTXg</recordid><startdate>20120731</startdate><enddate>20120731</enddate><creator>TOBIAN, Aaron A. 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R ; KIGOZI, Godfrey ; GRAY, Ronald H ; GRAVITT, Patti E ; CHANGCHANG XIAO ; SERWADDA, David ; EATON, Kevin P ; XIANGRONG KONG ; WAWER, Maria J ; NALUGODA, Fred ; QUINN, Thomas C</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c416t-f5aaa40b98b83a54a442bf0a8904bc6703223d656957a84881a4ad1e1b4b34a13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Circumcision, Male</topic><topic>Herpesvirus 2, Human - isolation & purification</topic><topic>Heterosexuality</topic><topic>HIV Infections - epidemiology</topic><topic>Human papillomavirus</topic><topic>Human viral diseases</topic><topic>Humans</topic><topic>Immunodeficiencies</topic><topic>Immunodeficiencies. Immunoglobulinopathies</topic><topic>Immunopathology</topic><topic>Incidence</topic><topic>Infectious diseases</topic><topic>Male</topic><topic>Marital Status</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Papillomaviridae - genetics</topic><topic>Papillomaviridae - isolation & purification</topic><topic>Papillomavirus Infections - epidemiology</topic><topic>Papillomavirus Infections - genetics</topic><topic>Penis - virology</topic><topic>Risk Factors</topic><topic>Sexual Behavior</topic><topic>Syphilis - epidemiology</topic><topic>Uganda - epidemiology</topic><topic>Viral diseases</topic><topic>Viral diseases of the lymphoid tissue and the blood. Aids</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>TOBIAN, Aaron A. 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R</au><au>KIGOZI, Godfrey</au><au>GRAY, Ronald H</au><au>GRAVITT, Patti E</au><au>CHANGCHANG XIAO</au><au>SERWADDA, David</au><au>EATON, Kevin P</au><au>XIANGRONG KONG</au><au>WAWER, Maria J</au><au>NALUGODA, Fred</au><au>QUINN, Thomas C</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Human papillomavirus incidence and clearance among HIV-positive and HIV-negative men in sub-Saharan Africa</atitle><jtitle>AIDS (London)</jtitle><addtitle>AIDS</addtitle><date>2012-07-31</date><risdate>2012</risdate><volume>26</volume><issue>12</issue><spage>1555</spage><epage>1565</epage><pages>1555-1565</pages><issn>0269-9370</issn><eissn>1473-5571</eissn><abstract>High-risk human papillomavirus (HR-HPV) infection is the most common sexually transmitted infection. Penile and cervical cancer rates are highest in sub-Saharan Africa. However, little is known about the impact of HIV infection on HR-HPV acquisition and clearance among heterosexual men.
HR-HPV incidence and clearance were evaluated in 999 men (776 HIV-negative and 223 HIV-positive) aged 15-49 years who participated in male circumcision trials in Rakai, Uganda.
Penile swabs were tested for HR-HPV by Roche HPV Linear Array. A Poisson multivariable model was used to estimate adjusted incidence rate ratios (adjIRRs) and clearance risk ratios (adjRRs).
HR-HPV incidence was 66.5/100 person-years in HIV-positive men and 32.9/100 person-years among HIV-negative men [IRR=2.02, 95% confidence interval (CI) 1.67-2.44]. Incidence was higher in the unmarried men (adjIRR=1.73, 95% CI 1.19-2.52), and decreased with age (adjIRR for men >35 years=0.64, 95% CI 0.43-0.94) and male circumcision (adjIRR=0.70, 95% CI 0.55-0.89). HR-HPV clearance was 114.7/100 person-years for HIV-positive men and 170.2/100 person-years for HIV-negative men (risk ratio=0.67, 95% CI 0.59-0.77). HR-HPV clearance in HIV-negative men increased with circumcision (adjRR=1.48, 95% CI 1.26-1.74), HSV-2 infection (adjRR=1.20, 95% CI 1.01-1.44), and symptoms of urethral discharge (adjRR=1.35, 95% CI 1.06-1.73). Clearance of HR-HPV was significantly lower for unmarried men (adjRR 0.76, 95% CI 0.59-0.98).
HR-HPV is common among heterosexual Ugandan men, particularly the HIV-infected. HIV infection increases HR-HPV acquisition and reduces HR-HPV clearance. Promotion of male circumcision and additional prevention measures, such as HPV vaccination, is critical in sub-Saharan Africa.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams & Wilkins</pub><pmid>22441255</pmid><doi>10.1097/QAD.0b013e328353b83c</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Adult Biological and medical sciences Circumcision, Male Herpesvirus 2, Human - isolation & purification Heterosexuality HIV Infections - epidemiology Human papillomavirus Human viral diseases Humans Immunodeficiencies Immunodeficiencies. Immunoglobulinopathies Immunopathology Incidence Infectious diseases Male Marital Status Medical sciences Middle Aged Papillomaviridae - genetics Papillomaviridae - isolation & purification Papillomavirus Infections - epidemiology Papillomavirus Infections - genetics Penis - virology Risk Factors Sexual Behavior Syphilis - epidemiology Uganda - epidemiology Viral diseases Viral diseases of the lymphoid tissue and the blood. Aids Young Adult |
| title | Human papillomavirus incidence and clearance among HIV-positive and HIV-negative men in sub-Saharan Africa |
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