期刊论文详细信息
BMC Infectious Diseases
Awareness and knowledge of Human Papillomavirus (HPV) infection among high-risk men of Hispanic origin attending a Sexually Transmitted Infection (STI) clinic
Joel Palefsky5  Michael C Clatts4  Hermes García2  Lizbeth M Del Toro-Mejías1  Ana P Ortiz1  Vivian Colón-López3 
[1]Department of Biostatistics and Epidemiology, Graduate School of Public Health, University of Puerto Rico, PO BOX 365067, San Juan, 00936-5067, Puerto Rico
[2]Latin American Center for Sexually Transmitted Diseases, Puerto Rico Department of Health, San Juan, 00927, Puerto Rico
[3]Cancer Control and Population Sciences Program, Puerto Rico Comprehensive Cancer Center, University of Puerto Rico, 89 De Diego Ave. Suite 105m, San Juan, 00927-6346, Puerto Rico
[4]Department of Health Services Administration, Graduate School of Public Health, University of Puerto Rico, PO BOX 365067, San Juan, 00936-5067, Puerto Rico
[5]Department of Medicine, UCSF, San Francisco, CA, 94143-0126, San Francisco
关键词: Puerto Rico;    Men;    HPV knowledge;    HPV;   
Others  :  1158720
DOI  :  10.1186/1471-2334-12-346
 received in 2012-04-11, accepted in 2012-12-07,  发布年份 2012
PDF
【 摘 要 】

Background

Genital Human papilloma virus (HPV) is one of the most commonly diagnosed Sexually Transmitted Infection (STIs) in men and women. Knowledge about HPV infection among men is limited. This study aims to determine correlates of adequate knowledge of HPV infection among men who attend an STI clinic in Puerto Rico.

Methods

A cross-sectional study of 206 men was conducted at an STI clinic in San Juan, PR. Adequate knowledge was defined as a score of at least 70% of correct responses among those men who reported having ever heard of HPV. Variables that achieved statistical significance in the bivariate analysis (p<0.05) were included in the multivariate logistic regression model.

Results

Although 52.5% of men reported having heard of HPV infection before the survey, only 29.3% of this sub-group had an adequate knowledge of HPV. Most men did not know that HPV is a risk factor for anal (38.7%), penile (50.0%) and oral (72.6%) cancer. Factors associated with adequate knowledge of HPV in age-adjusted models were being men who have sex with men (MSM) (OR=2.6;95%CI=1.1-6.1), self-report of genital warts (OR=3.2;95%CI=1.3-7.9) and herpes (OR=7.4;95% CI=2.2-25.1). MSM was marginally associated with adequate knowledge (OR=2.3;95% CI=0.9-5.9) and self-report of herpes remained significantly associated (OR=5.0;95%CI=1.3-18.4) in multivariate logistic regression analysis.

Conclusions

Awareness and knowledge of HPV was very low in this group of men. Interventions to increase knowledge and awareness in this group are necessary to promote preventive practices for HPV-related cancers in high-risk groups.

【 授权许可】

   
2012 Colón-López et al.; licensee BioMed Central Ltd.

【 预 览 】
附件列表
Files Size Format View
20150408023809111.pdf 175KB PDF download
【 参考文献 】
  • [1]Pagliusi S: Vaccines against Human Papillomavirus. World Health Organization; http://www.who.int/vaccines/en/hpvrd.shtml webcite (accessed 29 March 2010)
  • [2]Dunne EF, Nielson CM, Stone KM, Markowitz LE, Giuliano AR: Prevalence of HPV infection among men: a systematic review of the literature. J Infect Dis 2006, 194:1044-1057.
  • [3]Nielson CM, Harris RB, Dunne EF, Abrahamsen M, Papenfuss MR, Flores R, Markowitz LE, Giuliano AR: Risk factors for anogenital human papillomavirus infection in men. J Infect Dis 2007, 196:1137-1145.
  • [4]Kreimer AR, Clifford GM, Boyle P, Franceschi S: Human papillomavirus types in head and neck squamous cell carcinomas worldwide: a systematic review. Cancer Epidemiol Biomarkers Prev 2005, 14:467-475.
  • [5]De Vuyst H, Clifford GM, Nascimento MC, Madeleine MM, Franceschi S: Prevalence and type distribution of human papillomavirus in carcinoma and intraepithelial neoplasia of the vulva, vagina and anus: a meta-analysis. Int J Cancer 2009, 124:1626-1636.
  • [6]Heideman DA, Waterboer T, Pawlita M, Delis-van Diemen P, Nindl I, Leijte JA, Bonfrer JM, Horenblas S, Meijer CJ, Snijders PJ: Human papillomavirus-16 is the predominant type etiologically involved in penile squamous cell carcinoma. J Clin Oncol 2007, 25:4550-4556.
  • [7]Giuliano AR, Tortolero-Luna G, Ferrer E, Burchell AN, de Sanjose S, Kjaer SK, Muñoz N, Schiffman M, Bosch FX: Epidemiology of human papillomavirus infection in men, cancers other than cervical and benign conditions. Vaccine 2008, 26(10):K17-K28.
  • [8]Reiter PL, Brewer NT, Smith JS: Human papillomavirus knowledge and vaccine acceptability among a national sample of heterosexual men. Sex Transm Infect 2010, 86(3):241-246.
  • [9]Baer H, Allen S, Braun L: Knowledge of human papillomavirus infection among young adult men and women: implications for health education and research. J Community Health 2000, 25(1):67-78.
  • [10]Viswanath K, Breen N, Meissner H, Moser RP, Hesse B, Steele WR, Rakowski W: Cancer knowledge and disparities in the information age. J Health Commun 2006, 11(1):1-17.
  • [11]Tiro JA, Meissner HI, Kobrin S, Chollette : What do women in the U.S. know about human papillomavirus and cervical cancer? Cancer Epidemiol Biomarkers Prev 2007, 16(2):288-294.
  • [12]Markham CM, Escobar-Chaves SL, Addy RC, Lewis H, Tortolero-Luna G, Tortolero SR: Knowledge and risk perception regarding HPV among Latino alternative school students in Houston, Texas. Tipica 2009, 5(1):32-38.
  • [13]Liddon N, Hood J, Wynn BA, Markowitz LE: Acceptability of human papillomavirus vaccine for males: a review of the literature. J Adolesc Health 2010, 46(2):113-123.
  • [14]Colón-López V, Ortiz AP, Palefsky J: Burden of human papillomavirus infection and related comorbidities in men: implications for research, disease prevention and health promotion among Hispanic men. P R Health Sci J 2010, 29(3):232-240.
  • [15]Klug SJ, Hukelmann M, Blettner M: Knowledge about infection with human papillomavirus: a systematic review. Prev Med 2008, 46(2):87-98.
  • [16]Nandwani MC: Men's knowledge of the human papillomavirus vaccine. Nurse Pract 2010, 35(11):32-39.
  • [17]Baer H, Allen S, Braun L: Knowledge of human papillomavirus infection among young adult men and women: Implications for health education and research. J Commun Health 2000, 25:67-78.
  • [18]Ortiz AP, Soto-Salgado M, Suárez E, del Carmen Santos-Ortiz M, Tortolero-Luna G, Pérez CM: Sexual behaviors among adults in Puerto Rico: a population-based study. J Sex Med 2011, 8(9):2439-2449.
  • [19]Colón-López V, Rodríguez-Díaz CE, Ortiz AP, Soto-Salgado M, Suárez E, Pérez CM: HIV-related risk behaviors among a sample of men who have sex with men in Puerto Rico: an overview of substance use and sexual practices. P R Health Sci J 2011, 30(2):65-68.
  • [20]Ortiz AP, Pérez J, Soto-Salgado M, Palefsky J, Perez J, Colón-López V: Burden of Human Papilloma Virus (HPV) related cancers among persons living with AIDS in Puerto Rico. Submitted to MMWR; 2012.
  • [21]Darbes L, Crepaz N, Lyles C, Kennedy G, Rutherford G: The efficacy of behavioral interventions in reducing HIV risk behaviors and incident sexually transmitted diseases in heterosexual African Americans. AIDS 2008, 22(10):1177-1194.
  • [22]Souza LM, Miller WM, Nery JA, Andrade AF, Asensi MD: A syphilis co-infection study in human papilloma virus patients attended in the sexually transmitted infection ambulatory clinic, Santa Casa de Misericordia Hospital, Rio de Janeiro, Brazil. Braz J Infect Dis 2009, 13(3):207-209.
  • [23]Dempsey AF, Koutsky LA, Golden M: Potential impact of human papillomavirus vaccines on public STD clinic workloads and on opportunities to diagnose and treat other sexually transmitted diseases. Sex Transm Dis 2007, 34(7):503-507.
  • [24]Svare EI, Kjaer SK, Worm AM, Osterlind A, Meijer CJ, van den Brule AJ: Risk factors for genital HPV DNA in men resemble those found in women: a study of male attendees at a Danish STD clinic. Sex Transm Infect 2002, 78(3):215-218.
  • [25]Clatts MC, Rodríguez-Díaz CE, García H, Vargas-Molina RL, Colón-López V, Pérez-Rios N, Goldsamt L, Jovet-Toledo GG: Sexually transmitted infections clinics as strategic venues for targeting high-risk populations for HIV research and sexual health interventions. P R Health Sci J 2011, 30(3):101-108.
  • [26]Questionnaire Development Systemhttp://www.novaresearch.com/Products/qds/index.cfm webcite.
  • [27]Ramirez JE, Ramos DM, Clayton L, Kanowitz S, Moscicki AB: Genital human papillomavirus infections: knowledge, perception of risk, and actual risk in a nonclinic population of young women. J Womens Health 1997, 6:113-121.
  • [28]Soto-Salgado M, Suárez E, Ortiz AP, Adrovet S, Marrero E, Meléndez M, Colón HM, Albizu C, Del C, Santos M, Torres E, Pérez CM: Knowledge of viral hepatitis among Puerto Rican adults: implications for prevention. J Community Health 2011, 36(4):565-573.
  • [29]Pelullo CP, Di Giuseppe G, Angelillo IF: Human papillomavirus infection: knowledge, attitudes, and behaviors among Lesbian, gay men, and bisexual in Italy. PLoS One 2012, 7(8):e42856.
  • [30]Colón-López V, Del Toro-Mejías L, Ortiz AP, Tortolero-Luna G, Palefsky JM: Awareness and willingness of the HPV vaccine among high-risk men attending an STI clinic in Puerto Rico. P R Health Sci J 2012, 4:227-231.
  • [31]Brewer NT, Ng TW, McRee AL, Reiter PL: Men's beliefs about HPV-related disease. J Behav Med 2010, 33(4):274-281.
  • [32]Tortolero-Luna G, Finney-Rutten LJ, Hesse BW, Davis T, Kornfeld J, Sanchez M, Moser RP, Ortiz AP, Serrano-Rodriguez RA, Davis K: Health and cancer information seeking practices and preferences in Puerto Rico: creating an evidence base for cancer communication efforts. J Health Commun 2010, 15(3):30-45.
  • [33]Colón-López V, Ortiz AP, Pérez N, Pattatucci A: Understanding of HPV-related cancers among HIV+ individuals in Puerto Rico. Poster presented at The 27th International Papillomavirus Conference. Berlin, Germany; 2011.
  • [34]Palefsky JM: Human papillomavirus-related disease in men: not just a women's issue. J Adolesc Health 2010, 46(4):S12-S19.
  文献评价指标  
  下载次数:9次 浏览次数:54次