HPV knowledge, burden and genital wart location among heterosexually identified versus homosexually identified men who have sex with men in Lima, Peru: cross-sectional results from a cohort study
ObjectivesThe relationship between sexual practices, identity and role among Latino men who have sex with men (MSM) and HIV risk is the subject of ongoing investigation but less is known about how these aspects of sexuality relate to human papilloma-virus (HPV), an independent risk factor for HIV. T...
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| creator | Galea, Jerome T León, Segundo R Peinado, Jesús Calvo, Gino Zamora, Jonathan Sánchez, Hugo Brown, Brandon J |
| description | ObjectivesThe relationship between sexual practices, identity and role among Latino men who have sex with men (MSM) and HIV risk is the subject of ongoing investigation but less is known about how these aspects of sexuality relate to human papilloma-virus (HPV), an independent risk factor for HIV. This observational study investigated the relationship between HPV and sexual practices, identity and role as well as other sexually transmitted infection (STI)/HIV risk factors among HIV-negative heterosexually and homosexually identified Peruvian MSM.SettingCommunity-based clinic for MSM in Lima, Peru.Participants756 subjects were screened based on inclusion criteria of: born anatomically male; age ≥18 years; had any anal intercourse with a man during the previous 12 months; residing in metropolitan Lima; HIV negative; willing to commit to twice-yearly clinic visits for 24 months; had not participated in an HIV or HPV vaccine study. 600/756 participants met the inclusion criteria and were enrolled, of whom 48% (284) identified as homosexual and 10% (57) as heterosexual, the basis of the analyses performed.ResultsCompared with homosexually identified MSM, heterosexually identified MSM had completed fewer years of formal education and were less likely to have: anogenital HPV or visible anal warts; given oral sex to a man; or used a condom with their most recent female sexual partner (all p |
| doi_str_mv | 10.1136/bmjopen-2017-017338 |
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This observational study investigated the relationship between HPV and sexual practices, identity and role as well as other sexually transmitted infection (STI)/HIV risk factors among HIV-negative heterosexually and homosexually identified Peruvian MSM.SettingCommunity-based clinic for MSM in Lima, Peru.Participants756 subjects were screened based on inclusion criteria of: born anatomically male; age ≥18 years; had any anal intercourse with a man during the previous 12 months; residing in metropolitan Lima; HIV negative; willing to commit to twice-yearly clinic visits for 24 months; had not participated in an HIV or HPV vaccine study. 600/756 participants met the inclusion criteria and were enrolled, of whom 48% (284) identified as homosexual and 10% (57) as heterosexual, the basis of the analyses performed.ResultsCompared with homosexually identified MSM, heterosexually identified MSM had completed fewer years of formal education and were less likely to have: anogenital HPV or visible anal warts; given oral sex to a man; or used a condom with their most recent female sexual partner (all p<0.05). Conversely, heterosexually identified MSM were more likely to have: visible penile warts; used a condom during last anal intercourse; smoked cigarettes; had transactional sex; and used drugs during sex in the previous month (all p<0.01). There was no difference found between heterosexually and homosexually identified MSM by syphilis or high-risk HPV prevalence.ConclusionsHPV burden, wart type (penile vs anal) and select HIV/STI risk behaviours differed between heterosexually and homosexually identified Peruvian MSM. Understanding the implications of these differences can lead to tailored HIV/STI prevention interventions for heterosexually identified MSM.Trial registration number NCT01387412.</description><identifier>ISSN: 2044-6055</identifier><identifier>EISSN: 2044-6055</identifier><identifier>DOI: 10.1136/bmjopen-2017-017338</identifier><identifier>PMID: 29070638</identifier><language>eng</language><publisher>England: BMJ Publishing Group LTD</publisher><subject>Acquired immune deficiency syndrome ; Adolescent ; Adult ; AIDS ; Cohort analysis ; Condoms - statistics & numerical data ; Condylomata Acuminata - epidemiology ; Cross-Sectional Studies ; Female ; Gays & lesbians ; Health Knowledge, Attitudes, Practice ; Heterosexuality ; HIV ; Homosexuality, Male ; Human immunodeficiency virus ; Human papillomavirus ; Humans ; Immunization ; Male ; Mens health ; Peru - epidemiology ; Prospective Studies ; Risk Factors ; Sexual Health ; Sexual Partners ; Syphilis - epidemiology ; Vaccines ; Young Adult</subject><ispartof>BMJ open, 2017-10, Vol.7 (10), p.e017338-e017338</ispartof><rights>Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.</rights><rights>2017 Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted. This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted. 2017</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b472t-1bf604fe6e25460eb3752616010579380ac3b417182cb6c1c143ca687579fca03</citedby><cites>FETCH-LOGICAL-b472t-1bf604fe6e25460eb3752616010579380ac3b417182cb6c1c143ca687579fca03</cites><orcidid>0000-0001-8732-6959</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttp://bmjopen.bmj.com/content/7/10/e017338.full.pdf$$EPDF$$P50$$Gbmj$$Hfree_for_read</linktopdf><linktohtml>$$Uhttp://bmjopen.bmj.com/content/7/10/e017338.full$$EHTML$$P50$$Gbmj$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,27528,27529,27903,27904,53769,53771,77347,77378</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29070638$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Galea, Jerome T</creatorcontrib><creatorcontrib>León, Segundo R</creatorcontrib><creatorcontrib>Peinado, Jesús</creatorcontrib><creatorcontrib>Calvo, Gino</creatorcontrib><creatorcontrib>Zamora, Jonathan</creatorcontrib><creatorcontrib>Sánchez, Hugo</creatorcontrib><creatorcontrib>Brown, Brandon J</creatorcontrib><title>HPV knowledge, burden and genital wart location among heterosexually identified versus homosexually identified men who have sex with men in Lima, Peru: cross-sectional results from a cohort study</title><title>BMJ open</title><addtitle>BMJ Open</addtitle><description>ObjectivesThe relationship between sexual practices, identity and role among Latino men who have sex with men (MSM) and HIV risk is the subject of ongoing investigation but less is known about how these aspects of sexuality relate to human papilloma-virus (HPV), an independent risk factor for HIV. This observational study investigated the relationship between HPV and sexual practices, identity and role as well as other sexually transmitted infection (STI)/HIV risk factors among HIV-negative heterosexually and homosexually identified Peruvian MSM.SettingCommunity-based clinic for MSM in Lima, Peru.Participants756 subjects were screened based on inclusion criteria of: born anatomically male; age ≥18 years; had any anal intercourse with a man during the previous 12 months; residing in metropolitan Lima; HIV negative; willing to commit to twice-yearly clinic visits for 24 months; had not participated in an HIV or HPV vaccine study. 600/756 participants met the inclusion criteria and were enrolled, of whom 48% (284) identified as homosexual and 10% (57) as heterosexual, the basis of the analyses performed.ResultsCompared with homosexually identified MSM, heterosexually identified MSM had completed fewer years of formal education and were less likely to have: anogenital HPV or visible anal warts; given oral sex to a man; or used a condom with their most recent female sexual partner (all p<0.05). Conversely, heterosexually identified MSM were more likely to have: visible penile warts; used a condom during last anal intercourse; smoked cigarettes; had transactional sex; and used drugs during sex in the previous month (all p<0.01). There was no difference found between heterosexually and homosexually identified MSM by syphilis or high-risk HPV prevalence.ConclusionsHPV burden, wart type (penile vs anal) and select HIV/STI risk behaviours differed between heterosexually and homosexually identified Peruvian MSM. Understanding the implications of these differences can lead to tailored HIV/STI prevention interventions for heterosexually identified MSM.Trial registration number NCT01387412.</description><subject>Acquired immune deficiency syndrome</subject><subject>Adolescent</subject><subject>Adult</subject><subject>AIDS</subject><subject>Cohort analysis</subject><subject>Condoms - statistics & numerical data</subject><subject>Condylomata Acuminata - epidemiology</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>Gays & lesbians</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Heterosexuality</subject><subject>HIV</subject><subject>Homosexuality, Male</subject><subject>Human immunodeficiency virus</subject><subject>Human papillomavirus</subject><subject>Humans</subject><subject>Immunization</subject><subject>Male</subject><subject>Mens health</subject><subject>Peru - epidemiology</subject><subject>Prospective Studies</subject><subject>Risk Factors</subject><subject>Sexual Health</subject><subject>Sexual Partners</subject><subject>Syphilis - epidemiology</subject><subject>Vaccines</subject><subject>Young Adult</subject><issn>2044-6055</issn><issn>2044-6055</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>9YT</sourceid><sourceid>ACMMV</sourceid><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqNUltrFDEUHkSxpfYXCBLwxYdOTSaXmfVBKEVtYcE-qK8hkzmzkzUzWXPZdX-ff8zspaWKDwZCQr5Lzjl8RfGS4EtCqHjbjku3gqmsMKnLvCltnhSnFWasFJjzp4_uJ8V5CEucF-MzzqvnxUk1wzUWtDktft3cfUPfJ7ex0C3gArXJdzAhNXVoAZOJyqKN8hFZp1U0LiOjmxZogAjeBfiZlLVbZLImmt5Ah9bgQwpocOM_4TGbbwaHBrUGlAloY-KwfzUTmptRXaA78Okd0tk-lAH07tdchYeQbAyo925ECmk3uFxWiKnbviie9coGOD-eZ8XXjx--XN-U88-fbq-v5mXL6iqWpO0FZj0IqDgTGFpa80oQgQnm9Yw2WGnaMlKTptKt0EQTRrUSTZ3RXitMz4r3B99VakfodG7KKytXPpftt9IpI_9EJjPIhVtLLgSv6p3Bm6OBdz8ShChHEzRYqyZwKUgy4wLPMK1Ypr7-i7p0yedB7FmsqQVvSGbRA2s_LQ_9QzEEy11O5DEncpcTechJVr163MeD5j4VmXB5IGT1fzn-BkPszeQ</recordid><startdate>20171001</startdate><enddate>20171001</enddate><creator>Galea, Jerome T</creator><creator>León, Segundo R</creator><creator>Peinado, Jesús</creator><creator>Calvo, Gino</creator><creator>Zamora, Jonathan</creator><creator>Sánchez, Hugo</creator><creator>Brown, Brandon J</creator><general>BMJ Publishing Group LTD</general><general>BMJ Publishing Group</general><scope>9YT</scope><scope>ACMMV</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-8732-6959</orcidid></search><sort><creationdate>20171001</creationdate><title>HPV knowledge, burden and genital wart location among heterosexually identified versus homosexually identified men who have sex with men in Lima, Peru: cross-sectional results from a cohort study</title><author>Galea, Jerome T ; León, Segundo R ; Peinado, Jesús ; Calvo, Gino ; Zamora, Jonathan ; Sánchez, Hugo ; Brown, Brandon J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b472t-1bf604fe6e25460eb3752616010579380ac3b417182cb6c1c143ca687579fca03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Acquired immune deficiency syndrome</topic><topic>Adolescent</topic><topic>Adult</topic><topic>AIDS</topic><topic>Cohort analysis</topic><topic>Condoms - statistics & numerical data</topic><topic>Condylomata Acuminata - epidemiology</topic><topic>Cross-Sectional Studies</topic><topic>Female</topic><topic>Gays & lesbians</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>Heterosexuality</topic><topic>HIV</topic><topic>Homosexuality, Male</topic><topic>Human immunodeficiency virus</topic><topic>Human papillomavirus</topic><topic>Humans</topic><topic>Immunization</topic><topic>Male</topic><topic>Mens health</topic><topic>Peru - epidemiology</topic><topic>Prospective Studies</topic><topic>Risk Factors</topic><topic>Sexual Health</topic><topic>Sexual Partners</topic><topic>Syphilis - epidemiology</topic><topic>Vaccines</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Galea, Jerome T</creatorcontrib><creatorcontrib>León, Segundo R</creatorcontrib><creatorcontrib>Peinado, Jesús</creatorcontrib><creatorcontrib>Calvo, Gino</creatorcontrib><creatorcontrib>Zamora, Jonathan</creatorcontrib><creatorcontrib>Sánchez, Hugo</creatorcontrib><creatorcontrib>Brown, Brandon J</creatorcontrib><collection>BMJ Open Access Journals</collection><collection>BMJ Journals:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Psychology</collection><collection>Nursing & Allied Health Premium</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BMJ open</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Galea, Jerome T</au><au>León, Segundo R</au><au>Peinado, Jesús</au><au>Calvo, Gino</au><au>Zamora, Jonathan</au><au>Sánchez, Hugo</au><au>Brown, Brandon J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>HPV knowledge, burden and genital wart location among heterosexually identified versus homosexually identified men who have sex with men in Lima, Peru: cross-sectional results from a cohort study</atitle><jtitle>BMJ open</jtitle><addtitle>BMJ Open</addtitle><date>2017-10-01</date><risdate>2017</risdate><volume>7</volume><issue>10</issue><spage>e017338</spage><epage>e017338</epage><pages>e017338-e017338</pages><issn>2044-6055</issn><eissn>2044-6055</eissn><abstract>ObjectivesThe relationship between sexual practices, identity and role among Latino men who have sex with men (MSM) and HIV risk is the subject of ongoing investigation but less is known about how these aspects of sexuality relate to human papilloma-virus (HPV), an independent risk factor for HIV. This observational study investigated the relationship between HPV and sexual practices, identity and role as well as other sexually transmitted infection (STI)/HIV risk factors among HIV-negative heterosexually and homosexually identified Peruvian MSM.SettingCommunity-based clinic for MSM in Lima, Peru.Participants756 subjects were screened based on inclusion criteria of: born anatomically male; age ≥18 years; had any anal intercourse with a man during the previous 12 months; residing in metropolitan Lima; HIV negative; willing to commit to twice-yearly clinic visits for 24 months; had not participated in an HIV or HPV vaccine study. 600/756 participants met the inclusion criteria and were enrolled, of whom 48% (284) identified as homosexual and 10% (57) as heterosexual, the basis of the analyses performed.ResultsCompared with homosexually identified MSM, heterosexually identified MSM had completed fewer years of formal education and were less likely to have: anogenital HPV or visible anal warts; given oral sex to a man; or used a condom with their most recent female sexual partner (all p<0.05). Conversely, heterosexually identified MSM were more likely to have: visible penile warts; used a condom during last anal intercourse; smoked cigarettes; had transactional sex; and used drugs during sex in the previous month (all p<0.01). There was no difference found between heterosexually and homosexually identified MSM by syphilis or high-risk HPV prevalence.ConclusionsHPV burden, wart type (penile vs anal) and select HIV/STI risk behaviours differed between heterosexually and homosexually identified Peruvian MSM. Understanding the implications of these differences can lead to tailored HIV/STI prevention interventions for heterosexually identified MSM.Trial registration number NCT01387412.</abstract><cop>England</cop><pub>BMJ Publishing Group LTD</pub><pmid>29070638</pmid><doi>10.1136/bmjopen-2017-017338</doi><orcidid>https://orcid.org/0000-0001-8732-6959</orcidid><oa>free_for_read</oa></addata></record> |
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| source | BMJ Open Access Journals; MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central Open Access; PubMed Central |
| subjects | Acquired immune deficiency syndrome Adolescent Adult AIDS Cohort analysis Condoms - statistics & numerical data Condylomata Acuminata - epidemiology Cross-Sectional Studies Female Gays & lesbians Health Knowledge, Attitudes, Practice Heterosexuality HIV Homosexuality, Male Human immunodeficiency virus Human papillomavirus Humans Immunization Male Mens health Peru - epidemiology Prospective Studies Risk Factors Sexual Health Sexual Partners Syphilis - epidemiology Vaccines Young Adult |
| title | HPV knowledge, burden and genital wart location among heterosexually identified versus homosexually identified men who have sex with men in Lima, Peru: cross-sectional results from a cohort study |
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